HomeMy WebLinkAbout178062 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
t ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $148.57
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 178062
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8048 148.57 OTHER EXPENSES
,-j
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220
IIIIr Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon,'rIN 46052
NAP A L AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 1]
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY. PLEASE READ +J y�
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 item /items. The seller hereby expressly
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
80.46 CI OF CARMEL-° SEWI+ AGE DEPT
r SQ UARE PURCHASE ORDER ATTENTION
SR 1 CI �C.L1f�RL'
E;;ARMEL., I hd
A 46032 TAX EXEMPTION:
AD TERMS, i c-
22 DELIVERY: 1
PART NUMBER LN DESCRIPTION (QUANTITY PRICE _,,,.NET TOTAL
1.. 1 l -3 F- I I.. hJAl~tAGOLD OIL FILTER 3.00 10.700 fir. 490 19s 47,
syg L c7 iYli�lyl i�l131v1 CHi_.d19� BRAKE laL4�llr 1. 2. t�0 4. C -13:x, 2. 290 2
Above Item art Selo
1 PB NCB BLASTER PENETRANT 12. 6. 490 0 5» 496 G5.
35 -•101 NB1» E1RK FLUID DOT 3--GAL 2:. 00 1 360 1,7- 87QA 74 4:
IZ-0 VAJ
25%, RESTOCK IEEE 1 Subtotal. 148. 57
4.
REMIT TO: 1 21.4 W MAIN 1 Y Tax 7% T�1X°tf�BE..E 3 cue;?
LEBANON 1. N !r V'5
SIGNATURE
1 "QTL i CHARGE SALE
149.
ALL GO S R URNED MUST BE ACCOMPANIED BY THIS INVOICE
H &H Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street a
NA D (317) 896 5615 MEOW 'Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
K==0 (317) 773 -3180
k (317) 774 -0932 Fax
(765) 482 -1180 Remit to:
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(7 65) 4 82 7 398 F 1212 W. Main Street, Lebanon, IN 46052 -2324 (317) 844 -6220 Fax
BILL TO
CITY OF CARMEL- SEWAGE DEPT STATEMER
1 CIVIC SQUARE
CARMEL, IN''
8048 41 1
46032
REM H
08/26/09 Inv 739216 148.57 S118333
Summary as of 09/26/2009
Previous Balance 335.99
Payments 335.99Cr
Purchases 148.57
Current Balance 148.57
Future Dated 0.00
148.57 0.00 0.00 0.00
DATE 09/26/2009 S 148.57
TERMS No svc due 10th��
STORE 100006128 -0004 a 148.57
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 INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 10/5/2009 D
Invoice Invoice Description
Date Number (or note attached .invoice(s) or bill(s)) Amount
10/5/2009 739216 $148.57
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096513 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
LEBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
739216 01- 7502 -06 $148.57
Voucher Total $148.57
Cost distribution ledger classification if
claim paid under vehicle highway fund