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Home My WebLink About169824 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC 0 1 CARMEL, INDIANA 46032 CHECK AMOUNT: $80.62 1212 W MAIN ST o LEBANON IN 46052 -2324 CHECK NUMBER: 169824 CHECK DATE: 3/18/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4231500 8032 26.82 723784 2200 4231500 8032 53.80 724120 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 AGRICULTURAL EXEMPTION CERTIFICATE INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION LIMITED WARRANTY PLEASE READ NA R agricultural use 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. W 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 iteMm ites. The seller hereby expressly G1 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 803 CIT OF CARMEL. Er 3/09/09 1 :.0c.30t;lE 1,333 1 3G 72'i,120 SR 011F CIVIC SOUARIH PURCHASE ORDER ATTENTION C;ARM[ L IN C iYCar %r I1 t u_IV iC'J�b 41. 460,32 TAX EXEMPTION:_ AD EEP COPY INV TERM81 sVC: (JILe A t G1 Ci-i A rum E 0HL -c. r DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL j2 I.hev 1 r lsc T 1 later SS- -7739X 3S DISC; BRAKE PADS 1. l x.12. sire:? 53. 53.80 OR �_'bx RESTOCK FEE Curl,•- 4•-.9 REMIT TO- 1212 W MAIN ra,x 7% 'rnx"I'ABI..I: 3 0.0o I_EBANOItI IN, 4.60 ATIJRI TOTAL. CHARGE SALE '5 F�c_ ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE SIGNATURE s Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 �LebanonlN,46052 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/09109 724120 Disc Brakes $53.80 acnt# 08032 Dan Greskamp's City Vehicle Total 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 r V0.WCHER NO. WARRANT NO. ALLOWED 20 Naha Al to P arts of Carmel IN SUM OF 1212 W Main LebanonlN,46052 $53.80 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n/a 724120 2 200-4231500 $53.80 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 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 AGRICULTURAL EXEMPTION CERTIFICATE N APA I hereby certify under DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use )r 1t the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY PLEASE READ prod directly used in the direct uction of agricultural products for resale. Please examine these parts at once. Errors should be reported before using or installing. Returns T he factory warranty constitutes all of the warranties with respect to the sale of this itemlitems. 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 properly 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 )8032 CITY OF CARIMEL 'ENGINEERING 3/04/09 :.y.- 18 :.c:?ia0o6133 JJ 72 —76 7NE CIVIC SQUARE PURCHASE ORDER ATTENTION SR CARME:L_, IN 41 46032 TAX EXEMPTION: AD K-EP COPY INV TERMS:Q svc di-te 10th CHARGE_ SALE:. �r DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL �4� _fi��. 1 522 IL \IAPAGOLD OIL FILTER 1. c; O 13 c'ac_ o 7. 990 7.99 75 --05o 1 OL VAPA QUART 5W30 7. oO 3 360 2.69C 18.83 251- R. IS OCK FEE :ter 'v i r a, r i 26. REMIT' TO. 9.212 W MAIN Tax 7% TAXTABLE 3' tr. oo LEBANON IN, A-6052 X /a/,Y SIGNATURE T CHARGE= SALE: 26.3 ALL GOODS RETURNED MUST BE ACCOMP N/ED BY THIS INVOICE Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) s 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)) 03/04/09 723784 Oil filter and Oil $26.82 acnt# 08032 Dan Greskamp's City Vehicle Total 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Nana Ai itp parts of Carmel IN SUM OF 1212 W Main Lebanon IN, 46052 $26.82 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n/a 723784 2200- 4231504 $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 r 11n 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund