HomeMy WebLinkAbout178060 10/14/2009 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: $320.90
LEBANON IN 46052 -2324
CHECK NUMBER: 178060
CHECK DATE: 10114/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
2201 4237000 7995 320.90 REPAIR PARTS
II
H &H Automotive Supply mmmmgm NAPA Auto Parts of Westfield
1212 W. Main Street APAD (317) 896 -5615
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
C�® (317) 773 -3180
(765) 482 1180 Remit to (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052 -2324 844 -6220 Fax
BILL TO
CITY OF CARMEL- STREET DEPT STATERNIENT
3400 W 131ST STREET
WESTFIELD, IN 2 E EM
7995 43 1
46074
08/25/09 Inv 739084 3.70
08/25/09 Inv 739123 379.56
08/25/09 Inv 739135 13.30
08/26/09 Inv 739199 5.14
08/26/09 Inv 739212 19.20
08/26/09 Inv 739239 100.00 Cr
Summary as of 09/26/2009
Previous Balance 494.83
Payments 494.83Cr
Purchases 320.90
Current Balance 320.90
Future Dated 0.00
QA 66
320.90 0.00 0.00 0.00
DATE 09/26/2009 320.90
TERMS No svc due 10th' e`
STORE 100006128 -0004` a z ap 320.90
BOONE COUNTY AUTOMOTIVE
1212 W. MAIN STREET
LEBANON INDIANA
46052 -2324
7995 CITY OF CARMEL— STREET DEPT
04
CLOSING DATE
09/26/2009
M.
A
NAPA Auto: Parts of Carmel
111, Medicaf rive :.Carmel; diaria 46032 •,31,7= 844 -3973 Fax: 317 844 -6220.
•Please To: H H Automotive Supply 1212: W Main St L'ebanon, IN 46052 t r
ral use •`.t a:
JAPA INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
AGRICULTURAL EXEMPTION CERTIFICATE agricultu
LIMITED WARRANTY PLEASE READ
I hareby certify under the .penalfies of perjury that the personal property purchased by the use of this exemption certificate will
directly used in the direct production of agricultural'producta for resale. .t r
Please examine these parts of once: Errors should be reported before using or installing. Returns 'The factory warranty constitutes all of the warranties witti respect to the sale of this iI Vteme The seller hereby expressly
',must be made within TEN DAo d lust be accompanied;by this INVOICE NUMBER. This disclaims all warranties, either express or implied,.including any implied waf[anty of merchantability of fitness for a particular
rproperty is sold tp 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
hasbeen added to the price.'ALURETURNS'SUBJECT T0.10 RESTOCKING CHARGE. sale of this ite terns.
u NO RETURN ON�ELECTRICAL PARTS:J.
t�ACCT #f �SOLD.TO :`.DATE.' 'TIME STORE` �.EMP# s r'
Cj "5 t,ITY =,O GARPir{EL. sTREFT DE r-1 8'/25 l 1 o W5..:. I 0 "r .)60613 .38
,SR#
4 0.J) it xTTt�EET ATTENTION,'
PUR
CHASE >ORDER
WE~'>TIEL.L74 rl�1'
4 r��t�74� TAX EXEMPTION i
AD N
EE-T-),,- COPY-. E hl'J MS ".I.t�: vc.:; s� t ae 10t;h, CHARGE. SAL.E.:
TER
DELIVERY
_PART NUMBER' h LN• r r
DESCRIPTION QUANTITY PRICE NET :TOTALr
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I`>lt k'::, F'A'RK PLUf� t C� �F 6tJt
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SIGNATURE TUTAI GI #ARGE GaA 11 L_Ee:k
'.FALL GOODS RETURNED�MUST BE ACCOMPANIED BY THIS INVOICE
f NAPA Auto Parts of Carmel 4,
111 Medical Drive Cariiiel, Indiana 46032 ..31.7 844. -3973 Fax X317- 844 -6220
P, lease_Remlf .To H. H Automotive Supply 1212 W Main St Lebanon;,A 46052 a
A AGRICULTURAL EXEMPTION CERTIFICATE k', ricultural use LIMITED ARRANTY PLEASEREAD
A R� INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION g 4
W
Thereby certify under the penalties of perjury,that 16e personal property purcha sed
by the use of this exemption certificate will be E
directly used in th6 direct producllon of agrici,ltural for resale. a=:
Please examine these pp`arts,at once. Errors should be[ reported before using or installing: Returns 'The factory'warranty,constituh s all of the warranties witFi'respect to the sale of this ttemfitems. 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 particular
property,is sold to with the detihite understanding that it is purchased for resale,. unless tax purpose andthe seller neither assumes nor aut tidies any other person to assume for it any liability m connectiohwith the
has been added to theprice. ALI: RETURNS SUBJECT TO 10 %'RESTOCKING CHARGE. .:sale of this aem /items r
NO RETURN ON ELECTRICAL PA
df RTS.
i,
ACCT SOLD TO DATE. °TIME ST, RE*
;',EMP
r l `395 G I .1 Y Of fi41RI�lEI ST:RECT...` PE
t
8 l /t a.��.�; l tit i' s3 3
U4) a :6� 1.'31 �T STRC1 =7 PU 'c ATTENTION
SR RCHASE ORDER
'WESuTF'IE LD TAI L
t, l +Ear {4 TAX EXEMPTION
rr AD H E'E'�I GG� �Y I`¢V TERMS °!,a' vs� ;due .i t yt h 3 .'CH( RGE
t _.1 s
DELIVERY-9 TRUCK
PART NU L'N DESCRIPTION QUANTITY PRICE NET TOTAL r
S 4 d7F B" T I F °!''TCkY',.. 1
RAT CORE DE'PgS T T 2b 00 �0 1 500 PS [3t D 1 i
7r3 6f4t AST, "E RY' t t 14e:e 89'�',Y 9Cy':`�,�t) 1 tie R
CO` DE05
r� Q GCS,19e: ��U7 ?Pb 00'
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er
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..1��1 W MAIlu. d `T��x ?'Y'. TX'`i`/atLE t_y n 'C)t�
LES ON I1\14q,?52
J
X
SIGNATURE: CHANCE'•'' SALE ;a7� j
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE k
1.
r
�L
NAPA Auto: PArts of Carmel t
:111 Medical Drive:• Carmel lndiaria 46032 317 844-3973: Fax ?317 -844 -6220
4
•Please Remit To H H `Automotive`'Supply 1212`W Mam St Lebanon:IN 46052 y
'AGRICULTURAL EXEMPTION CERTIFICATE r
j ,agricultural use
INDIANA'DEPARTMENT OF REVENUE. SALES TAXDIVISION LIMITED WARRANTY •PLEASE READ
NAPA hereby certify untler tfie penalties of perjury lhetthe perso al grope y purchasetl by the use of this exemptio certdwate wAl be
Y di,ectly in the direct production
of agricultural proBucis for resale. 7
Please examine these pelts at once. Errors should be reported before usin or;installing Returns. The factory war "rarity consaiutesall of the warranties wrtH respect to the sale of this demltems The seller hereby expressly
C1 must be made within TEN DAYS arid. must be accompanied by this INVOICE NUMBER. This' i disclaims all warrantiegi either express or, implidid; including any implied }warranty of mercfior authorizes any other person to assume for it any antabilitybr:fitnesa for a liability in connection patricular
property i5sold to you'wi 6 definite understanding,t at it is purchase forlresale, unless tax Purpose and the seller ,neithenessumes nw ith. the
has been added to the price ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE., sale of this item¢tems. r3 A
O'RETURN ON ELECTRICAL PARTS.:
f0) oi
ACCT P SOLD TOf K DATE,: TIME STORE EMP
x t:
s
r? z 1 Y i�F CARhi I1iEPT. 8 2 5 -4 i t �t�t ft,r� 1 3 39 ,5
r SR: 3+0 t I4 "T STREET-. PURC.HASE ORDER# -'ATTENTION,-.` ti+
Idwrs IED� I>til''
4� 07`a TAX EXEMPTION
F_
qk
Lf� CL3�'Y ;Z4� TERMS itt: i5v :t�u
f�l 6 r:it�tl�' 4HARGC :;3AL f
t" L q DELIVERY
PART NUMBER LN t DESCRIPTION QUANTITY I?RICE NET TOTAL
Al ;ry I�IMf SEAL ER 1 i ��3 1. 69c���.
�N M
iX i•� fil tf' L t r
i t. rN t t G i d 4• C
PEE T06K x i u �cJ
T`T 7 i� w _Inl hiAlltl T 7f TAHLC c� 0
y. S ;7
r SIGNATURE T[7TRL. CFIAf2GE' SALE 1 3t1
ALL GOODS RETURNED i41UST BE ACCOMPANIED BY THIS INVOICE.
r
2� h .1.: tr r �}p7t r t:' 1 a y,.ct�xSl t. ,,,,,t ��t'' ,t -rrl
NAPA A
uto� Nirtsaof Carmel
111 Medical Drive• Carmel 46032. 317 844 3973', Fa x'.317- 844 -6220
P, lease Remit To H H Automotive Supply 1212 W. Main'St •Lebanon; IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE ral use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricult
Ht ,u
A LIMITEDWARRANTY PLEASE READ
I hereby certify -rider the penalties of perjury that the personal, property purchased by the use o(this exempgon wilfbe y
directlY used, in the direct production of agricultural,producis'for resale. 'Y.'
'Please examine these parts at once: Errors should be,repotled before using or installing: Returns. •'rho factory.wairanry constitutes all of the,warrantles with respect to the sale of. this item/iiue ns: The seller hereby expressly is
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This- disclaims all warranties either express or im lied; includio an implied warranty y: p
P p 9. other person to assume Y P ty of for r it any liability t fitness fora with the
property is sold to you with.ifie'tlefinite understanding that it is purchased for resale, unless tax Purpose,and the seller neither assumes nor authorizes any for y m connection wittite M
has been added to the price. ALL RETURNS SUBJECT TO 10% "RESTOCKING CHARGE: sale of this item/items
NO RETURN ON ELECTRICALPARTS.
ACCT wSOLD'TO DATE' TIME STORE,# j EMP
a C Tl Y,i; f]! ("''f�Rh1EL y l'REET'; l�E 'l`• �...6, t_)•9 -L2 -.I &7 I t)E)i �)E133 ,7.;9
4� 00': W 1 I. S '5 l CEO f PURCHASE ORDER g� ELATION
WESTF I ELD I N'
TAX EXEMPTION
s Ap
F, a'EEf)tt+3''f:ThJ�.' 1ERM i� r1}r�+ :1 I.r
I 'I f"'F- ti�
Y
DELIVER
#t
,PART NUMBER DESCRIPTION' QUANTITY P RICE S` NET R yTOTAL :5
7 t� NW Bf�TTEf�Y' C ABLE UG I.4j 9. S t" p 1 0 Ur. i �r
bi
t '0 P 9 4 Yn�•
a j` 1 i Pf
RE.51QCIS f EE'; Sltbtetal 5. :14
E .M T TO t S W MAIM Tex TAXTASL�>
E. NON P1�a`€,t752
x I
G(I SIGNATURE CJTAL CM-iA GE. SALE r
ALL GOODS RETURNED MUST BE. ACCOMPANIED BY THIS %NVOICE r r Y•a.� ✓;y g'7.
t
1VAPA Auto Parts of Carmel
Ell .11,1 Medical: Drive Carmel','Indiana 46032 •.317 844. -3973• Faz:.317 -844 6220
Please Remit To: H.& H Automotive Supply.. 1212 W Main St •Lebanon; IN 46052
"AGRICULTURAL EXEM TION CERTIFICATE
P r agricultural use I
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION Inereb certif ,unAecthe enalties of eru that the ersonal ro eh LIMITED WARRANTY- PLEASEAEAD
y Y p p ry p p p y purchased by the use of this exemptron certificate willbe directly used in the direct production oCagricultural_products for resale. Please examine these parts'at once. Errors should be reported before using or ibstallin Returns °The facto u ry warranty constitutes all of the warranties with respect to the sale of this itemltems The se express .'disclaims all warranties either express orimpl {ed, including any implied warranty.of.merchantabilit or fitness fora particular.
must made within TEMDAYS and;must be accompanietl by this INVOICE NUM ER.-This Y
property sold to you with the definite understanding that it'is purchased forresale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it any IiabOdy in connection with the
has beemadded to the price. ALL•RETURNS SUBJECTJ0,119% RESTOCKING CHARGE. sale of this rtemftems.,
r NO RETURN ON ELECTRICAL PARTS.
,ACCT g SOLD TO DATE TIME STORE: EMP
i,3'` -9`, C:IT�' iF;MIEI� 5TF2E T.,DEF'1. p;lL:`F,li1 I L c�cj �t)t) {jt)F,1:, JW
f
SR ,�f 2 c� 4! 1; 1T,:.FS i FGF,T PURCHASE ORDER ATTENTION
REV I
A
�tE,t7ffi TAX EXEMPTION
AD i�F EIS :CL�F''i! GhiV TERMS:1b Sv 'd�_te 'lt.�t CHARGE .'SALE
VERY'
DELI Jf�;` TRUCK
::.PART NUMBER LN f DESCRIPTION QOAN 'TY PRICE`:_ TOTAL
Sk!. HOSE C'Lflf+ll l •#�a, 00 1u 1� t7. ��t�� cac�
.ry a -1 iiw B HOSE. CI_F�6fd'' t) t �_a c`�c� i �4c lit)
0 B HOSE C L'APill"* �t„j; t�t��. c'��`' 0 68o FAA 8U
L; p
i t J' 1 t j ry, 1
,f
RE_ TO�lti f E' Subtotal 9 ct�
R, MI T .TO. i L�l ;W MIH7 !V Teat PY• tfi�YT�BBE E 1 i t.a t�tl i1�1j7
SIGNATURE-. TOTAL CHCaRG,E E
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVO ICE r 'I
NAPA Auto Parts of.Carmel
111 Medical Drive CarmelIndiana 46032 317 844 =3973 Fax31;7 -844 6220 4
productio
Please Remit To H KAutomotive Supply. 1212 W Main St *Lebanoh,.IN 46052 IJ L9'
r AGRICULTURAL EXEMPTION CERTIFICATE t agricultural use
INDIANA'. DEPARTMENT OF REVENUE SALES TAX DIVISION i LIMITE� 1l oQp ttt 1
J N A PAI Y PLEASE READ
I hereby certify under the :penalties of perjury�that the personal property purchased the use of this exemption cemticate will be r
directly used in the direct production' of agricultural products fcr'resale.
Please examine these pari5at once.'Errgrs should be reported before using or installing. Returns 'The factory warranty constitutes all of the warrarrii,; itK respect to the sale of this rternAtems .The seller here%expressly
G1 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 or merchantability or fitnessYOr a particular
piopeny is sold to, you with'the definite understanding that it is purchased for resale, unless tax 'Purpose and the seller neither assumes nor aut orrzes any other person to assume.toriPany liability m connection with_ the
has been add ea to the price ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale o6 this itemltems.
NO RETURN ELECTRICAL PARTS
a
ACCT SOLD TO DATE'• TIME STORE;# EMP
CARNE STREET DE PT, t� ZES/ c�� r 4, 4� lt��ic��C►513�, 355.3 '7.�.`�►
4�tc iwi T 1 RE
ASR .T
PURCHASE ORDER# ATTENTION
t
�y
WES1 FT I: 1.. D, 1 N
4674 TAX EXEMPTION.
AD SEE OPY. INV TERMS'lo: Svc d /ce 1a�l.i' f'REDTT 1rIEA+t
I v
DELIVERY
PART NUMBER LN;3'° DESCRIPTION QUANTITY PRICES NET TOTAL
7 7 F Sf1T C`'IaRE UfvF�( 7 i old Ott 2" 5t�cy
F
4„
t
0,
2.
Fa'
REwL) GCt FEE Sutat atal 100. o0C R
fF1`fITT TU "�1,� MF1TN Tex 7Y•`"I"SCTt =1t 1 C, i7tt
EaE L 'ANON IM ^48V
SIGNATURE C7T1L T n.
T ALL GOODS RETURNED MUST BE AQCOMPANIED BY THIS MVO/CE T
T C E
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/02/09 $320.90
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 NO. WARRA NO.
ALLOWED 20
Boone Co. Automotive
IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$320.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 42- 370.00 $320.90 1 hereby certify that the attached invoice(s), or
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
Friday tober 09, 2009
Street Commi ner
Street C;crrrfteicner
Cost distribution ledger classification if
claim paid motor vehicle highway fund