HomeMy WebLinkAbout175610 08/06/2009 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: $32.09
i•��ic LEBANON IN 46052 -2324
CHECK NUMBER: 175610
CHECK DATE: 8/6/2009
DEPA ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTIO
1125 4237000 8011 32.09 REPAIR PARTS
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
N
APA AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY agricultural use
•PLEASE READ
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 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 item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP INVOICE
1::801.1 C:t-RME:L —CLAY Pf-)RN.S /RECR 7/10/o9 13057 :c:r0006133 1 33; 1 73
SR f, 9. E. 1 1 GTH STREET PURCHASE ORDER ATTENTION
CARMEL, IN 2G202
�I. 1 .tI.60 32 TAX EXEMPTION:
AD VEEP COPY INV TERMS:q y. dge 10th► CHARGE SA
E: DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
5L880W `dBH =HP POWERATED BELT 1.00 56. 7l„ 0 32.090 90 3;;C:. 09
Purchase
Description
P.O. a aaoa PorF'
G.
Bu Jget
Lir a Desc r
Pu haler
Ap roval 7'/0
JUL 1 4 2009`
2574 RESTOCK FEE-- `'ii.tbtG31:�:1
REMIT TO.- 1c 12 W MAIN Tax 7% TAYTABLE 3 iv. tit;
LEBANON IN, 46052
SIGNATURE TOT rHAltgE SALE 2. 09
a
ALL GOODS RETURNEp'MUST BE ACCOMPANIED BY THIS INVOICE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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) Purchase Order No.
354290 Boone County Automotive Terms
1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/10/09 735211 Belt for Dixie Chopper 22202 F 32.09
Total 32.09
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
(NAPA)
354290 Boone County Automotive Allowed 20
1212 W Main Street
Lebanon, IN 46052 -2324
In Sum of
32.09
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 735211 4237000 32.09 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
30 -Jul 2009
Signature
32.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund