HomeMy WebLinkAbout171748 04/29/2009 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: $26.82
LEBANON IN 46052 -2324
CHECK NUMBER: 171748
CHECK DATE: 4/2912009
DEPARTMENT ACC PO NUMB INV OICE NUMBER AMO UNT DESCRIPTION
2200 4231500 8032 26.82 727601
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NAPA Auto Parts of Carmel 'F
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
LT URAL NAPA A DEPARTMENT OF NT01;X REVENUE -SAL REVENUE- SALES TAX X DIVISION
INDIANA agricultural use
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY PLEASE READ
tlirectly 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 itenJitems. The seller hereby expressly`
0 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 li ZI ty in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
08032 CITY OF CARMEL. ERIG I I °dEER I NG 4/ 15/ 09 1 11:1 5 1 00006133 1 36 1 '"72760 i.
SR ONE CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN "RK E`
41 4603' TAX EXEMPTION:
AD F, EP C OPY INV TERMS '1 svo due 10th CHARGE- SALE
13 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 1
1 522 F I L NAPAGOL.0 OIL F ILTER 1. 13. 000 7. 990 7.99
75_ -1 NOL NAPA 101440 01" 7. 3.360 2. 690 18.
2—
25% RESTOCK FEE V CI 2C-:,. 82
REMIT TO: 1=12_ W MAIM Tax 7% TAXTABLE 3 ca „0o
LEBANON I N, 46052
X I u
SIGNATURE TO CHARGE GALE 26. 8
AGL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
!Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
V. 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))
04/15/09 727601 Oil filter and Oil $26.82
acnt# 0803 Bob Dykstra's City Vehicle
Total $26 82
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 Auto Parts of 6arrnel IN SUM OF
1212 W Main
LebanonIN.46052
$26.82
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Afi 0-�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 727601 )200-4231500 $26,82 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
Signature
V A0 -9.-f
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund