HomeMy WebLinkAbout176675 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $18.18
LEBANON IN 46052 -2324
CHECK NUMBER: 176675
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMO UNT DESCRIPTION
:1207 4350000 1898 18.18 EQUIPMENT REPAIRS M
I_
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
FNA PA� AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
I hereb certif under the enalties of perjury that the ersonal property LIMITED WARRANTY PLEASE READ
y y p p fry p p p y purchased by the use of this exemption certificate will he
directly 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 of this ilem/items. The seller hereby expressly
r 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 for a pamcular
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 itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
01898 C ITY OF CARMEL 8/24 09 f 1. n 0 1.��0o()Er1-3s3 30 738952
SR BIiD01:a1-I I RF_. obLF= CLUEa PURCHASE ORDER ATTENTION
41 CARMEL, I ICI It EiO33 TAX EXEMPTION:
AD F;EEP COQIY INV TERMS 'do Svc, CI+.ie 10 CHARGE GALE
DELIVERY CUR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1t:56- 1=IL. NAPIAGOLD OIL FILTER 1. 00 titf 290 10 .890 10.89
12 9 iq F= I1._ NnP'AGOI__D 011_ FILTER 10 00 12. 24o 7. 7.29
25% RESTOCK. FO=E: St.tbt; o t a 1. 18.18
REMIT 'TO. 1.21 W MAIN Tax 7%. TAXTABLE: 3 0.
LL- _BPiN0:N 111 46(.)52
SIGNATURE T O T AI_ CHARGE. DALE 1 1 C
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm 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.
V
/f Payee
4 Z2 0,/ iUl% c/ Purchase Order No.
/a ,J Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
(06 /sue
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�0 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 D
A
ignature
v
title
Cost distribution ledger classification if
claim paid motor vehicle highway fund