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Home My WebLink About167578 01/07/2009 CITY OF CARMEL,.INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $114.29 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 167578 CHECK DATE: 1/7/2009 DEPARTMENT ACCOUNT PO N UMBER INVO NUMBER AMOUNT DESCRIPTION 1205 4238900 8081 77.34 716848 ^1205 4238900 8081 36.95 716972 it Please Remit To: H H Automotive Supply :12121N. Main St.'s Lebanon, IN 46052 1 AGRICULTURAL EXEMPTION CERTIFICATE PA agricultural use INDIANA DEPARTMENT OF REVENUE: SALES TAX DIVISION LIMITED WARRANTY PLEASE 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 iteMtems. The seller hereby 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 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 56 RESTOCKING CHARGE. sale of this itentritems. 1 NO RE T U RN O N ELEC TRI C AL PARTS. ACCT SOLD TO DA -E- TIME STORE EMP 08081 CITY OF CARMEL —BU I L.D I NG MA I.NT. 2111108 )a 06 I L 00066133 66133 30 7168��.8 10. SR 1 C IV I C SGIUARE. PURCHASE ORDER ATTENTION CARMEL., IN 41 4603 TAX EXEMPTION: AD TERMSilo vc d Ia e 10th CHARGE SALE 11. DELIVERY-0 R TRUCK PART NUMBER LN DESCRI PTION QUANTITY PRICE NET TOTAL AR272 EC:H RELAY 6. 19. G5G 12.890 77„ .34 n I!' i+ i j 1 1 25% RESTOCK FEE 77.34 REMIT TO: 1212 W MAIN 7% TAX TABLE 3 0.00 L.EBA N Ihf 46C ol SIGNATURE TOTAL CHARGE SAL-E 77. 34 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 0 r Please Remit To: HA H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 J AGRICULTURAL EXEMPTION CERTIFI n agric use J INDIANA DEPARTMENT OF REVENUE- SALES ES fA TAX ONISION t 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 p M 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 PF R pA disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular PPRFF` tttCCC FFF...!!! most b made within TEN DAYS and must be a6 is sold to you with the definite understanding that it ed by this seed for E NUMB resale, unless tax p ur ose and-the seller neither assumes nor authorizes an other erson to assume for it an liability to connection with the h properts een y ng that O purchased far less tax p y p y tY a t added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemllems.- t NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO t' DATE 'TIME STORE i Ell INVOICE NO 08081 CITY OF CAIRMEL— BUILDIIING MAINTa .`-t?.Y1 /08 100006133 30 716972 1 CI VIC SQUARE PURCHASE ORDER ATTENTION SR CARMEL., IN 41 A -E,03 TAX EXEMPTION: AD TERMS v avt L ace L1_ +otl n-trc SA E DELIVERY:, PART NUMBER LN DESCRIPTION QUANTITY PRICE NET', TOTAL'j P 5 4.59 78442F, NW KING TERMINAL. 2� �`0 g� F,90 7e38 FtSit7S�3 E CIA ROCKER PWITCH 2. 18. 430 12.490 24.98 5 25% RESTOCK FEE kt M REMIT: TO 121.2 W MAIN Tax ?f �TAXTABLE 0. 00 L IN, 46052 X SI GNATURE TOTAL, CHARGE= SALE 36a 95 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE I 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount 't 4-N N Date Number (or note attached invoice(s) or bill(s)) 12/1110 716848 Rela 12112/0 716972 Fuse Holder, Ring Terminal, Rocker Switch $36.95 Total $114.29 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 �"/05 109—WARRANT u omo IVe uppIy ALLOWED 2 12 W. N ain Street IN SUM OF Le banon, N 46052z2�4 $114.29 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 ADMINISTRATION Board Members or D INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1200 116646 389 $77.34 materials or services itemized thereon for 120 which charge is made were ordered and received except 20 Signalur Title Cost distribution ledger classification if claim paid motor vehicle highway fund