HomeMy WebLinkAbout168369 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $28.01
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324
CHECK NUMBER: 168369
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 8032 28.01 OIL
l
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
PA' AGRICULTURAL EXEMPTION CERTIFICATE
icull l INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION gr use L
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate IMITED WARRANTY PLEASE READ ificate 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 t to the sale of this iteMi The seller hereby expressly
C most be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any any i mplied warranty of merchantaanta bility or fitness for a padicular
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 hemline
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
?:3.' IT'Y UF= C €1F E:l,.. E #�tO I~(� "I^FdT.I'I 1 f "3s:�1 1 1. i:��: c"xt.�;,::�C:�61 i. 1 0::t:a`•:l sa
SR ]NE CIVIC SQUARE PURCHASE ORDER ATTENTION
CriiRME»L., IN
ra .I 41 TAX EXEMPTION:
AD "'AEI' is D rY I HIV TERMS) o s; vc r_i �t e i I �t Fr whlilFiGE SALE
25 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
EI:30e C,hevlr T: °fr zert `I.r.E` i, 256 CID L,6
1. 52 I L '44PfIGOL.D 01 F I L TE_ R 1. a 00 1 3. 000 7.990 99
751 w MOL.. \[P.Pf't 1 OW4 0 C ?•T 7. 3.3GO 6'"1 181. B3
is FZES'TDC K FEE Subtot i✓'B t 11.
REMIT TO 121 IRI MAIN T•a;( 7/ TAXTABI_E 3 0.00
LEBPWON IN, '52
J �/f SIGNATURE TOTAL I::I° ARGE SALE eZ3. 01
ALL GOODS RETU ZED MUST BE ACCOMPANIED BY THIS INVOICE j,j.
.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 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))
09/30/09 720948 Oil Change and bulb $28.01
acnt# 08032 Fred Glaser'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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Nna Aiito Partg of rmPI
IN SUM OF
1212 W Main
LebanonlN,46052
$28.01
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
gEPT. I hereby certify that the attached invoice(s), or
n/a 720948 200- 4231500 $28.01 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
2 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund