HomeMy WebLinkAbout174231 07/08/2009 9 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $18.01
s' CARMEL, INDIANA 46032 1212 W MAIN ST
91� i16� LEBANON IN 46052 -2324 CHECK NUMBER: 174231
r CHECK DATE: 7/8/2009
DEPARTMENT A CCOUNT PO N UMBER INVOICE NUM AM OUNT DESCRIPTION
`1207 4238900 1898 18.01 1898
,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
AGRICULTURAL EXEMPTION
NAPA PLEAltEREAD
INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION I(1. t'S
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 !y rit
?�directl used iri the direct production of agricultural products forresale. YY
Please examine these parts at once. Errors should be reported before using or installing. Returns "The factorywarranty constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly
0 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 fair it any liability in connection with the'.,
has been added to the price. ALL RETURNS SUBJECT T,O 10% RESTOCKING CHARGE.. sale of this item /items.
t NO RETURN ON ELECTRICAL. PARTS.,
ACC TIME" ..STORE -SOLD TO DATE TORE EMP.#
0 1 898 t.; Ia_. j 00 1 a6 06 1 33. 3 733}8
R
S BROOKS HI RE GOLF CLUB., C �PURCHASE ORDER# ATTENTION
12120 BROOKSH I RE: PARKWAY
41 CARMFL, III! 46033 TAX EXEMPTION:
AD K EP COPY I N V TERMS: o Svc due I Ot'h CHARGE SALE
DELIVERYPIaR`xTRUCK
PART, NUMBER LN, DESCRIPTION, QUANTITY PRICE NET TOTAL
.B5-905 'dHF DREM Pant 32 HYD FL 5G 2.00 41. c'40 31.690" E�',, 38
701.24 VAL 2RIMSON 2 GRS CARTR 2 2 0.00 4.490 590 71.60
.1
w.
.5 RESTOCK. FEE 135, 18,
.2EM I T TO: .1212. W M T N Tmk 7 TAXTABLE 3 �?.'t�c�'
LEBANON I
SI�aIVATURE TOTAL 1 CHARGE. '.SAL...F 135.18
i ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
*INVOICE
BOONE COUNTY AUTOMOTIVE
111 MEDICAL• DRIVE
PHONE 844 -3973 FAX 844 -6220
CARMEL, IN 46032 -2922
Acct Sold to Date Time Invoice
1898 CITY OF CARMEL 02/25/2009 11:16 723105
SM# BROOKSHIRE GOLF CLUB Store Em
41 12120 BROOKSHIRE PARKWAY 100006133 33
(21) CARMEL, IN 46033 Purchase Order Number
1318143
Tax Exemption:
IN .0003120155004
Terms: No svc due 10th
Item Ln Description Quantit Net Total
1147 FIL NAPA TRANS FILTER -1.00 10.790 10.79 CR
6515 FIL NAPAGOLD AIR FIL -1.00 62.490 62.49 CR
6519 FIL NAPAGOLD AIR FIL -1.00 43.890 43.89 CR
Subtotal 117.17CR
Tax 7.00% TAXTABLE 3 0.00
TOTAL CREDIT MEMO 117.17CR
*DUPLICATE COPY
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.
g Payee
Purchase Order No.
y
��/07 •.4� Terms
7t�U ZI(Ua,� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Vi 7�3/v� /`7
Total 0/
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
xz IN SUM OF
6� 4
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
7e3�s�(S 3 i -cv 3� materials or services itemized thereon for
which charge is made were ordered and
received except
20
ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund