HomeMy WebLinkAbout172226 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $104.38
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 172226
CHECK DATE: 5/1312009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 8081 104 729377
i1
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032.317- 844 3973 Fax: 317- 844 -6220
7 Please Remit To: H H Automotive Supply is 1212 W. Main St. •Lebanon, IN 46052
AN A E CERTIFICATE agricultural INDIANA DEPARTMENT OF F REVENUE VENUE -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 itemfitems _The Seller hereby expressly`
must be made within Ti DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranly of merchantability onfrtnessfar 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 not authorizes any other person to assume for it any liability in conde'ction with the.
has been added to the price. ALL RETURNS SUBJECT TO I RESTOCKING CHARGE. sale of this itemfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP LM1111111921,
08081 CITY OF CARMEL- -IE U I L.LD I NG Mn I ITT. 5/ -a8 5C} 1 1 00006 133 33 729377
SR 1 CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL 11\1
WI
41, V 4i TAX EXEMPTION:
AD TERMSHO svr due 10th CHARGE SALE
4 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
"75• -500 NOL NAPA SYN 1 OW30 OT 24.00 5. 61 o 2. 990 71.76
22487 SF I PRO SELECT AIR FILTER 1.00 1.5. X380 1.0. 790 1.0.79
500XL. WW S WSHR SOL. 6. 1. 990 11.94
G 129124 NCB MF GUTAR NXT -•TECH PROT 1.00 12.360 9.890 9.89
25%. RESTOCK K F EE t_ t 104. 38 71`:
RE MIT TO.— 1212 W MAIN Tau 7 TAXT•ASLE 3 1
LEBANON I N, 46052
X A-
SI GNATURE TOTAL i CHARGE SALE 1C)4.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Brnscribed try State Board o1 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 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/05/09 729377 Oil air filters washer fluid
Total $104.3$
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 N 1 /09 N ARRANT NO.
ALLOWED 20
1 2 VV
421 Main St
t
f IN SUM OF
Lebanon, IN 46052 -2324
$104.38
ON ACCOUI&ggW FU INTIION FOR
1205 ADMINISTRATION
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1205 51 E) 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
R Sig e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund