HomeMy WebLinkAbout170747 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $354.58
CARMEL, INDIANA 46032 1212 W MAIN ST
•c,_ LEBANON IN 46052 -2324 CHECK NUMBER: 170747
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTIO
`72201 4237000 7995 72.84 779302
651 5023990 7995 106.81 717371
1651 5023990 7995 174.93 717372
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Auto Parts of Noblesville
56 South 6th Street Noblesville, Indiana 46060.317- 773 -3180
r Please Remit To: H H Automotive Supply o 1212 W. Main St.. Lebanon, IN 46052
AAPA I AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
I L
INDIANA DEPARTMENT OF REVENUE -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 usin or installing. Returns "The factory warranty constitutes all of the warranties with respect to the sale of This itemlitems. The seller hereby expressly
C must be made withia.TEN DAYS must be aor'Ampanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or flness fora panicular
property is soltl 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 arty r added to the price. ALL RETURNS SUBJECT TO 1Q°k RESTOCKING CHARGE. sale of this itemfiiems.
i NO RETURN ON ELECTRICAL PARTS.
ACCT# OLD TO DATE TIME STORE.# EMP
1 C ITY OF Cdr J 8MEL STREET DEPT 3/31/09 10100081310 19 779802
ASR 8 400 t4 1.x1 ST STREET PURCHASE ORDER ATTENTION
WE9TFIECC) i
43 46074 TAX EXEMPTION:
i AD KEEP COPY I NY TERMS: No :eve i loth CHARGE SALE
6 DELIVERY: i R TRUCK
f PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
t
6P6 ACE B,LASTER PENETRANT 12.Oe 6.49 2.89Q 34.68
E Above Item n a1
1091314 '`C.R_C BRAKLE;EN 20OZ 24.0 5 24 e 1. 59e 38.16 O I
r•
25% RESTOCK FE�' u i 72.84
REMIT TO 12 W N. N ST Ta 7% INDIANA 0.00
LEBANON IN 0v 2-232
SIGNATURE, TOTAL --y CHARGE SALI '12.84
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE
Prescribed by state Board of Accounts City,!� 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.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/31/09 779302 $72.84
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__
Boone Co. Automotive
IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$72.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 779302 42 370.00 $72.84 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
Th' rsday;;Aprll 09, 2009
a V� _n
�O,fH1 PT 9r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund