HomeMy WebLinkAbout176683 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $9.59
LEBANON IN 46052 -2324
CHECK NUMBER: 176683
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
•,'1205 4237000 8081 9.59 REPAIR PARTS
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
I Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
PAPA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be
directly used in the direct production of agricultural products for resale..
Please examine these parts at once. Errors should be reported before using or installing. Returns "The factory warranty constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular
property is sold to you with the definite understanding that it is purchased for resale, unless lax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP 1 77,38!4-5 6
j F�:j.
08081 CITY 01' Cf) RMEL_ -DU I L.0 I NG MA I NV T. 8/18/09 08 I. r 1 r)0('.)OE,133 333
1 CIVIC CtsIl.lr= RE PURCHASE ORDER ATTENTION
SR#
CAiiRlYIEi_, IN
1 1 1 46032 TAX EXEMPTION:
AD TERMSjA0 svoc d1_te 10th CHARGE SAL..E
15 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
Stet. L.MP i- IAL.OGEN CAPISUL..E 1. 11.670 9. 550 9. 5-9
R�, s.
N�,i`
D- 1
25 RESTOCK FEE 1 LA U It, U Ill CA1 "fin 5`J
REMIT TO: 1 W MAIN Tax 7% °I "A};TABt -E w r "r„ 0Q
LEBANON ON I ICI, 'x605
fry SIGNATURE T OTAI._ CHARGE SALE 9. ;;S
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
N APA Auto Parts Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/19/09 738456 HaIng n Capsule 59
Total $9.59
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER N8' 09 WARRANT NO.
14 R u
ALLOWED 20
A 21 2 2 lA/ ne n ir IN SUM OF
L ebanon, IN 46052 -2324
$9.59
ON ACCOUf`&TMMP g0ABON FOR
1205 ADMINISTRATION
Board Members
PO# or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1205 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
igna urn
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund