HomeMy WebLinkAbout168373 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
0 4 CHECK AMOUNT: $385.78
CARMEL, INDIANA 46032 7212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 168373
CHECK DATE: 214/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 7996 385.78 REPAIR PARTS
H &H Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street (317) 896 5615
Lebanon, IN 46052 2324 (317) 896 -1820 Fax
INAPAD NAPA Auto Parts of Noblesville
0® (317) 773 -3180
(765) 482 -1180 Remit to (317) 774 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 8443973
(765) 482 7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax
FILTER TOOL SALE AT LEBANON *FEB 24TH AND 25TH
BILL TO AT T
CITY OF CARMEL -FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN SM# ''`aF...PA E., Kz
7996 41 1
46032
r.. DA7,E r .aT..PE REFERENCE YANIO.UNT P:tJ: /CHEC.KlJ.E MA
01/08/09 Inv 719107 v32.45/
01/09/09 Inv 719126 ,/9.291 BOB
01/09/09 Inv 719179 ,/47.78 E -46
01/12/09 Inv 719336 ,/25.42'
01/12/09 Inv 719402 /34.00/.
01/13/09 Inv 719445 \/33.97✓
01/13/09 Inv 719501 /31.55 PUB ED
01/13/09 Inv 719502 ✓6.79 BOB
01/15/09 Inv 719672 41.34 BOB
01/23/09 Inv 720386 ,/116.03 JASON
01/24/09 Inv 720465 17.16
Summary as of 01/25/2009
Previous Balance 413.18
Payments 413.18Cr
Purchases 385.78
Current Balance 385.78
Future Dated 0.00
P:AST:.DUE 30::DAYS, x P.AST� DUE 60 DAYS... .mPrAST4D.U.E 90YDAYS
385.78 0.00 0.00 0.00
DATE 01/25/2009 3To t 1 Gw e d S' 385.78
TERMS No svc due 10th F F g
STORE 100006128 -0004 X�T� ota 1�D ue F 385.78
*INVOICE
BOONE COUNTY AUTOMOTIVE
111 MEDICAL DRIVE
PHONE 844 -3973 FAX 844 -6220
CARMEL, IN 46032 -2922
Acct Sold to Date Time Invoice
7996 CITY OF CARMEL -FIRE DEPT 01/15/2009 12:36 719672
SM# 2 CIVIC SQUARE Store Em
41 CARMEL, IN 100006133 33
(12) 46032 Purchase Order Number
BOB
Attention: BOB Tax Exemption:
IN
Terms: No svc due 10th
Item Ln Description Quantit Net Total
BP894 LMP BULB 6.00 6.890 41.34
Subtotal 41.34
Tax 7.00% TAXTABLE 3 0.00
TOTAL CHARGE SALE 41.34
*DUPLICATE COPY
TO /TO 39dd Q_13Id1S3M d0 dddN OZBT968LTE Oc :TT 6002/6Z/TO
Please Remit To:.H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION agriculturaluse
NAPA LIMITED WARRANTY PLEASE READ
1 hereby certify under She penalties of perjury that the personal property purchased by the use of this exemption certificate will be
direct) Used in the direct production of agricultural products for resale.
Please examine these pads 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
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 padioular
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 io 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 itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
0799F CITY CIF CARMEL- -FIRE DEPT 1/09/09 12057 C�t7f }51 ?u �;I� ?f719179
CIVIC, SC, DARE f
PURCHASE ORDER ATTENTION
SR CARMEL IN E
41 46C132
TAX EXEMPTION:.
AD TERMSI.au I V c: lJ .ae IIlk,i L, 1`11 °1 i rH L E.
f DEL ~IVERI(
TRUCK
PART NUMBER LN DESCRIPTION "�YOUANTITY PRICE NET TOTAL,
BF SL)pPORT
j
L+
25% RESTOCK F'E'E 47. 78
REMIT TOW 1212 W MAIN Tax. TAXTA LE '3 0.00
LEBANON I N, 4605
t (q P r
SIGN TOTAL CHARGE SALE= 47. 76'
ALL GOODS RETURNED MUST BE ACCOMPANIED 8 Y THIS INVOICE
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
i0i �hereby certify under the penalties of EXEMPTION CERTIFICATE agricultural use El
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
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 exam 'The facto warrant constitutes all of the warranties with respect to the sale of this itemftems. The seller hereby expressly
ine these parts at once. Errors should be reported before using or installing. Returns Y
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims a 1 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 s. has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this item/tern
NO RETURN ON ELECTRICAL PARTS.
MP
ACCT SOLD TO DATE TIME STORE E
07996 CITY OF CARMEL —'FIRE DEF 1 /1 /tt'�1 IIQr• r 1� �i �rL��
SR '2 CIVIC SQUARE
PURCHASE ORDER ATTENTION
CARMEL, IN
46-0 TAX EXEMPTION:
AD TERMS: t, t a i rte- h C H [t0f;G c nI G
1 t.a DELIVERY: JR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
07 498 IMM 3T R I PE OFF WHL KIT 1.00 45. c:r ,J 33. 970 33.97
t {t
fey G't
F
r
25% RESTOCK FEE Subtat.al 33.97
=EBA T TO. 12 W; MAIN! Tax 7% TAXTAL�LE 3 0. tit: ON IN, t 60 2
X
P'SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL. CHARGE SALE 33 97
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
1 E1 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ 1 hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be
rectly di used in the direct production of agricultural products for resale. warranty constitutes all of the warranties with respect to the sale of this itemltems. The seller hereby Please examine these parts at once. Errors should be reported before using or installing Returns 'The factory 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 A ll
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 iternfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP•#
1 37996 CITY OF CARMEL —FIRE DEFT 1 .a /r )q 5!! CAA C) 0 C) 0 A i 33 7 1 71 C31501
SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN I in .x: n
460 TAX EXEMPTION:
AD JTERMS.. e rr ir'ih i` C
10 DEL•IVERYO JR 'TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
,'ia)0 ChevrolLt T'- 'U, Silverado 2 51.0 3 Ton 2 W 6.
''5- 060930 `dBH 3E'RPE NTI NE BELT i 1. 60 76'. E50 31`. 550 31.55
:rah
E5% RESTOCK FEE Subtotal 31.55
REMIT TO.- 1212 W IYIA I N Tax ?7% TAX TABLE 3 0. 0()
LEBANON I N, 46052 r
X 66
SIGNATURE TOTAL CHARGE SALE 1:55
ALL GOODS RETURNED MUST BE ACCOMPANIED B THIS INVOICE i II
NAPA Auto Parts. Carmel
111 Medical Drive •Carmel, Indiana 46032.317- 844 -3973 Fax: 317 844 6220
4 Please Remit To: H H Automotive Supply 1242 W: Main St. Lebanon, IN 46052
APAAGRICULTURAL I EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
L
hereby codify 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 pads et once. Errors should be reported before using or installing ^Returns "The factory warrant constitutes all of the warranties with respect to the sale of this itemlitems. 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 merohantabiliry or fitness for a particular.
property is sold to you with the definite understanding that it is purchased for resale, unless tea 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 itemlitems. yl NO RETURN ON ELECTRICAL PARTS. t+ A
ACCT i SOLD TO DATE TIME STORE EMP
)7996 CITY. OF DEPT 1 4 f r79 c.r.P 14 1 ,000061g 2 3 3 7c:s 46+
SR C I V IC SQUI F:E' PURCWASf ORDER ATTENTION ;F•
cnRMEL, IIII
4 1. A6 32- TAX'EXEMPTION:
.AD TERMS to Svc: l 1l CHARGE SALE
20 DELIVERY:.
.PART NUMBER LN` DESCRIPTION QUANTITY PRICE
NET TOTAL
R `dW TEST LEAD W CL I B'S 1 e 00 13. 6 5.0 7-160 7. 16
'25% RESTOCK' FEE tr_ tof w tr i 1 74 16
REMIT TO c 1212, W .MAIN Tax 7Y TAXTABL -t
LEBAi \i.qN I N, '4Et_i3 i�7 jr9
X
SIGNATURE TOTAL. CHARG SAL.E 7.1
ALL GOODS RETURNED MUST SE ACCOMPANIED BY THIS INVOICE
Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052
1 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
J 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
AN
tlirectly used in the direct production of agricultural products for resale. I>!
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 or this item/Items. The seller he expressly'
C 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 fora particular i.
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 itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
(_)7996 CITY OF CARMEL- -FIRE DENT 1 CIA Irlrl t A r iR 1 1 Nl t1F.1 iq 7Ig
SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, Inl
TAX EXEMPTION:
AD
TERMS',_ err i r,+ run rr_ an1 c
6 DELIVERYO 'T'RUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
LIMP BULB 5. 00 12.12 0 6.490 32. 4
h
25% RESTOCK FEE S1„1• bt'G.ta1 32.45
REMIT TO'.- 1212 W MAIN Tax 77% TAX TABLE 3 0.00
LEBANON I N, 461156'
X
SIGNATURE TOTAL CHARGE SALE 32e 45
ALL GOODS RETURNED MUST BE ACCOM
PA NIED BY THIS INVOICE
r
Lliff Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
Ai
I AGRICULTURAL EXEMPTION CERTIFICATE agricultural se
I INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY, PLEASE SE READ
f hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption cenificals will be
directly used in the direct production of agricultural products for resale.
Please examine these parts at owe. 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 ar 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
G CITY 0F' CA RME.L.• -FIRE L7F �'T l L 6 a 06 L c',c� 0061-..,; 19 I �,i=.
CIVIC a?lARk. PURCHASE ORDER ATTENTION
SR CARMI-L IN
41 4E032 TAX EXEMPTION:
AD TERMS':'L' �t u 4I1 F[KD1 S G
DELIVERY: T R K
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
MMM 2 D I SC y 25. 1 680 1 a 360
07480 34.'00
T
34. 00
REMIT Tb 1.2 18 W MAIN Tax 7. TAX TABLE 3 0.00
LEBANON I N, 4605
SIGNAT TOTAL CHARGE SALE 34. 1
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE.
I NA P Please Remit To: H H Automotive Supply 121'2 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agurel use
1 INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY •PLEASLEASE READ
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'
G1 must he 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 understandingg 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 it n items.
NO RETURN ON ELECTRICALIPARTS. f
ACCT SOLD-TO'�,' DATE TIME STORE EMP e
s a799S CITY OF CARMEL. -»-F I RE DEPT Y-1/12/09 f �a e C�4700F, 1`33 -317 7197,36
2 CIVIC. SOUP R E PURCHASE ORDER ATTENTION
SR CARMEL, IN ti
ill 4G032 TAX EXEMPTION:
AD j
eve due 1 0Ft CIIARC3I" SAI__Et
DELIVERYtI�UR T
kRaCN
PART NUMBER «;.r„ -LN; DESCRIPTION QUANTITY PRICE NET TOTAL
r
819-- 5621 UK E;I.IPPORT'� �`'1. 1.00 33.1-10 2 -94 42(v 2b. r
A
t
t
25% RESTOCK FEE i,. ;7 ►k £1 r`Ey G r� 1 23. fi 2
REMIT T W MnIN Ta)( 7% TAXTARLE 3 ti 1:aa 01)
L_EHAN 1 15-+ t
;X
SIGNATURE TO TAL. .ti CHARrE. SALE
ALL GOODS RETURNED MUST BE ACCOMPANIED 9 Y THIS INVOICE �f
Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
AR agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
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
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 itemritems. The seller hereby expressly
O 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 fora 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 itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
01996 CITY OF CARMEL -FIRE DEPT 1 1 ?!0q 0q nor e.7 I 71q5,0':'
SR c CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN Inn..
4603 2, TAX EXEMPTION:
Kb. TERMS'i cvr- ri 1 ttiih ..N Pr.r. qCN G
10 DELIVERYD JR TRUCK
PART NUMBER LN DESCRIPTION "s QUANTITY PRICE NET TOTAL
NGGM519 DC: VICTORY RED n 1.00 S. 4- ,G. 7'3 ,,6. 79
Fv l�
1
25% RESTOCK FEE St.t tat to t a 1 G. 79 M:
REMIT TO: 1212 W MAIN Ta x 7% TAXI 3 ().60
LEBANON IN 46052
SIGNATURE r
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL TAL CHARGE SALE.
9
el
NAPAAuto Parts of Car
E 111 Medical Drive Carmel, Indiana 46032 317 844 3973• Fax: 317 844 -6220
Please Remit To: H H Automotive Supplyo 121.2 W. Main St. •Lebanon, IN 46052
AGRICULTURALEXEMPTION CERTI AXE S agricultural use
INDIANA DEPARTMENT OE`REVENUE' -SALES TAXyDIVISION
LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury Ilia. the personal property purchased by the use of this exemption certificate will be
directly used in the direct production of agricultural products for resale:' �j. y r'
Please examine these parts al once. Errors should be reeS;rted before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this itemAtems. The seller hereby, expressly,
C must be made within TEN DAYS and must be- accompanied by this INVOICE NUMBER. This- disclai@ s all warranties, either all or implied, including any implied warranty of merchantability or fitness fora particular
property is sold to you with the definite understanding that it is purchased for resale, unless lax 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 itemlitems.
NO RETURN ON ELECTRICAL PARTS.;'
i
ACCT SOLD TO DATE TIME STORE EMP Yk
079 9E CITY OF CARME L--F I RE DEFT 1L;. 3, 09 �'l9 1 t10iJc_�61 �3 33 720386
SR 2 CIVIC SOUAPF PURCHASE ORDER o?�--AT.T_ENTION
CARMEL •I rl _TA- SON
41, 46032 TAX EX. MPTION
AD T:ER'MS:Ia svc dfae '10th aRbS..SAL_E
1 DELIVERYP R TRUC;k;
PART NUMBER LN DESCRIPTION I QUANTITY PRICE NET JOTA
BR93� 075 O RG UNIT I, 1. CO 197. 2 70 1 1 G.
0730...11 G
t if
V v 1
S
LK
25% RESTOCK=, FEE a 1 116
REMIT TO: 1.212'. W MAIN Tax 7% TAX TABLE 3 0.00
LEBANON IN 46052
SIGNATURE TCI1 A1_ L HARGE SAL_!^ 11 6.03
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE T
r Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 E F i A PA L AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
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
tl
irectly 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 itemfitems. 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
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. ,ale of this itemftems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO 'DATE TIME STORE EMP 44 =41
07996 CITY OF CARMEL -FIRE DEPT 1 /i" �r" rt f� Try 1 �x 1 c- i'ir "►r'IF.1 71 z71
SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN TW gr in
A' 4 TAX EXEMPTION:
AD TERMStan ,v d I1 P 1 0th CHARGE R AI E
7 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
7 70 -1763 BK TAPE 1.00 0 11. ao 9. E2go 9.29
y b
25% RESTOCK FEE Sladtc:4:a1 9
REMIT TQ.-' 1212 W MAIN Tax' -7% TAXTABLE 3 0.00
LEBANON IN, 46052
X
v SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL CHARGE SALE. 9 9
Prescribed by State Board of Accounts City Form No 201 (Rey. 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Misc. Repair Parts $385.78
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' WARRANT NO.
ALLOWED 20
Boone County Automotive
IN SUM OF
1212 West Main Street
Lebanon, IN 46052
$385.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 370.00 $385.78 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
EEB 2 2889
z-
--T
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund