HomeMy WebLinkAbout172227 05/13/2009 a CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
O ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN sr CHECK AMOUNT: $54.47
LEBANON IN 46052 -2324
CHECK NUMBER: 172227
CHECK DATE: 5I1312DO9
DEPARTMENT ACCOUN PO NUMBER INV OICE NUMB AMOU DESCRIPTION T
601 5023990 9039 242.07 726461
601 5023990 .9039 242.07.726474
601 5,023990 9039 34.10 727479
601 5023990 9039 20.37 728034
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NAPA Auto Parts of Carmel
11:1 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 A PA C AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY 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 itemltems. The seller hereby expressly
C1 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 liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10 %:RESTOCKING CHARGE. sale of this ileMitems.
NO RETURN ON ELECTRICAL PARTS. 1
ACCT# SOLD TO DATE TIME STORE# EMP
(�8�:�. CITY OF CARhIEL- WATER 4. �J /c 1 e 11 c7Ci006133 J 7`G474 0
SR 3450 W 131 ST PURCHASE ORDER ATTENTION
WESTF I ELD, IN
t 46U7!i TAX EXEMPTION:
AD TERMS,.Io svc due loath CREDIT MEMCI
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET -TOTAL
86914. UP WARRANTY 2.00 1 20 940 833: iE "ICR
UP_0762� --M UP WARRANTY —1n 00* 94.710 .:52. 400- 5a 40CRR
1
25Y. .RES`(OCK' FEE SuPtotal L 07CR
REMIT TO: 1212 W MAIN Tax 7% TAXTABLE 3'. 0. oo
I_ R, ANOiW .l: hl 46052
A,
SIGNATURE TOTAL CREDIT MEMO 2:42 c_f7 CR
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
i 1
NAPAAuto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032-o 317 844 -397,3 Fax: 317 844 -6220
Please Remit To: H 8t H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
AA P A[ DEPARTMENT OF RE agricultural use
INDIANA VENUE •SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personaLpioperty 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 al 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 WIRESTOCKING CHARGE. sale of this iteMilems.
NO RETURN ON ELECTRICAL PARTS.
I Lei 40 Lem
ACCT SOLD TO DATE TIME STORE EMP o
08039 CITY OF. GARMEL =WATER 41.14 /cad L'1 b 36 l��catTc�61;�3 ?,3 727.47.9.
SR
3450 W'131 ST PURCHASE"ORDER ATTENTION
WESTF I ELD, IN JIM E�
41. 4E074 TAX EXEMPTION:
AD= TERMS�Io vc due 1 c1: t. CHARGE •SALE
12 0 R TRUCK
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1 Chevrolet Truck K250 .3' Ton 4WD Picku 5.
224 4 .3769 69 SEP- O 1 L. PUMP 1.00 47.740 4. 100 34. 10
t.
*N
Is 2_'5! RESTQCK FEE c 3 4. 1
REMIT TO:. 1.212 W MAI'N 'Tax 7% TAXTABLE 3 -0. ry
LE6ANON I N, 4605.
SIGNATURE TOTAL CHARGE SALE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel r
111 Medical Drive Carmel, Indiana 46032 31:7- 844 -3973 Fax: 317 844 -6220
Pl
ease ,Remif To: H H Automotive Supply 1212 W.. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use E] J
N
AN
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I.hereby certify 'under er the penalties of perjury that the perso' property purchased by the use of this exemption certificate will be 1 L
directly used in the direct production of agncultural' products for resale.
*The facto
Please examine these parts at once. Errors should be reposed before using or installing. Returns factory warranty constitutes all of the warranties with respect to the sale of this item /item hereby expressly.
s. The seller
C1 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 merdhantabili[y orfitness 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 ia�y.liability in connection with the'
has been added to the price. ALL RETURNS SUBJECT TO 10 %.RESTOCKING CHARGE. sale of this itemritems.
NO RETURN ON ELECTRICAL PARTS. f. M
ACCT SOLD TO DATE TIME STORE EMP
08039 CITY OF CARMEL. —WATER 4/21/09 I't9:56. Lt: 0006133 3;r ,728034
SR
3450.14 131 ST 1 PURCHASE ORDER ATTENTION
WESTF I ELD`, IN
41 '46074 TAX EXEMPTION:
AD TERMS a svc due 10th, CHARGE. SALE
.1'8 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE,,., NET, -TOTAL �J
BK MAN STUD 2.00 7. 020' 6.090 1418
7E; -c6�i 1 BK LUBR I PLATE MOTOR ASSY 1.00 9. 110 s 8. 1.90- 8.19
a'
r iii
25/ RESTOCK FEE b L -L, #20.
REMIT TO.-.1212 W. MAIN Tax 7Y= TAXTABI_E 3 .-0.00.
LEMNON. IN, 46o52
v j 7 0.
SIGNATURE TOTAL CHARGE SALE 20.. 37 JJ
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
H&H Automotive Suppl zLLY� NAPA Auto Parts of Westfield
1212 W. Main Street (317)896-5615
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
(317) 773 -3180
(765) 482 -1180 Remit to: (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc NAPA Auto Parts of Carmel
(317) 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 4605 (317) 844 -622 Fax
RILL TO T
CITY OF CARMEL -WATER
3450 W 131 ST
WESTFIELD, IN 'ACCT SM PAGE
8D39 41 1
46074
r L �TE `TYPE'. RI F ERENCE 3 AMOUI�IT OI.CHECKIJ.E
�l Li zv 2 2
4I�7
r.: 7"3h,00
71. 4 2 C..ARAC T
i
11 12! 09 [nv 724441 14.54
724455 5.'78 Cr 724441
04/02;09 Inv 726461 242.07 JIM
0:x!09 Inv 7'2647442.0 "I Cr 726461.
C ±4!14' /G') '72
.Inv 4.10
04 inv 728034 0.37
i
Summary as of 04/25/2009
Previous Balance 86.30Cr
Payments 22.88Cr
275.21
Current Balance 220.50
Future Dated 0.00
CURRENT °n. PAST,DUE 30.DAY� 3 PAST DUE 60iDAYS�, 5 PAST DUE 9& ,DAYS;
220.50 0.00 0.00 0.00
51
DATE 04/25/2009 T o ,G' a, 1 �O 'w -e d 220.50
TERMS �'o svc due 10th k� w
STORE L00006128 -0004 T a t ar B u?e 220.50
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 5/4/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2009 51109 $54.47
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
s
Date Officer
VOUCHER 091705 WARRANT ALLOWED
354290 IN SUM OF
N'\PA BOONE COUNTY AUIQTIVI
1'P12 W MAIN STREET
I BANON IN 46052 Z
L
F
0b a�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
511091 01- 6500 -05 $54.47
1
Voucher Total $54.47
s
Cost distribution ledger classification if
claim paid under vehicle highway fund