HomeMy WebLinkAbout175611 08/06/2009 o•.�,,, CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $53.14
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 175611
CHECK DATE: 8/6/2009
DEPART ACCOUNT PO NUMBER INVO NUMBER AM OUNT DESCRIPTION
2200 4237000 8032 53.14 REPAIR PARTS
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d
NAPA Auto Parts of Carmel`
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
Please Remit To: H H Automotive Supply. 1212 W. Main St. •Lebanon, IN 46052
1 E] 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.
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 tax 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 Me 1
i 81)3;R CITY OF CARMEL ENGINEERING 7/15/ :.0 .-5�; ('j00 �B 735593
SR ONE CIVI SOIJ
ORE PURCHASE ORDER ATTENTION
CA RME=L, IN
�i' C 46032 TAX EXEMPTION:
AD KEEP COPY INV TERMS-10 Svc 10th CHARGE SALE
1 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2004 Chevr T• TriilBla erg 4. I_ 25 CID LG
1 5545 3SH 3 YGEN SENSOR 1.00 90.9o( 53 53.14
>'a r.
F %J'G'•iA
E�yJ'V
25 R ESTOCK lJLaK F _.r .e IJ a. 53.14
REMIT TO w 1' MA I I\I Tax 7% Ti'1 X TABLE 3 0. 00
LEBANON I 46052
X
i
`SIGNATURE TOTAL j CHARGE SALE 53. 1 mH
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
I
��H Automotive �tlpp0]I NAPA Auto Parts of Westfield
1212 W. Main Street 7)176
Lebanon, IN x}6052 -2324 `�paL; (317) 896. Fa
NAPA Auto Parts of Noblesville
(317) 7733180
Remit to. (317) 77A -0932 Fax
(765) 482 -1180 NAPA Auto Parts of Carmel
(800) 924 -68 Boone County Automotive, Inc (31.7) 1944.3973
(765) 482 7398 Fax 12 12 W Main Stre Leba IN 46052.2324 (317) 844c2 Fax
BILL TO
CITY OF C ARMEL ENGINEERING S TATEMENT
ONE CYVIC SQUARE i I �`R ft!;
CARMEL, TN
8032 41 1
46o3a
07/15/09 Inv 735593 53.14
Guramary as of 07/25/2009
Previous Balance 0.00
Payments 0.00
Purchases 53.14
Current Balance 53.14
Future- Dated 0.00
53.14 0.00 0.00 0.00
DATE 07/25/2009 a t r €I' �'r�- 53.14
TERMS No sve due 10th
i i, z
STORE 100006128 -0004 53.14
11
I f i�:l'777:�d1:�n
BOONE COUNTY AUTOMOTIVE
1212 W. MAIN STREET
LEBANON INDIANA
46052 -2324
8032 CITY OF C ARMEL ENGINEERING
o7/25/200�
CLOSING DAVE '�j;''
Z0 39dd 3AIiowoi v 00 3N009 86ELZ8099L bE'9T 600Z /LZ /L0
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
Napa Auto Parts of Carmel
Purchase Order No.
1212 W Main
Terms
Lebanon IN, 46052
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/15/09 735593 Oxygen Sensor E -1 $53.14
acnt# 0803
Total $53.14
1 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 NO. WARRANT NO.
ALLOWED 20
Napa Aute RaFts e# EaFng°l IN SUM OF
1212 W Main
Lebanon IN. 46052
$53.14
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 735593 200- 4237000 $53.14 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
=5�S G 20
Sign ture
C�;�,, E.�e mss:.✓
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund