HomeMy WebLinkAbout174236 07/08/2009 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: $62.34
LEBANON IN 46052 -2324
CHECK NUMBER: 174236
CHECK DATE: 7/812009
D EPARTMENT ACCOU PO NUMB INVOICE NUMBER AMOUN DESCRIPTI
651 5023990 8048 62.34 728643
HH Automotive Supply NAPA Auto Parts of Westfield
1212 W. Main Street IN 700 E. Main St., P.O. Box 247
Lebanon, IN 46052 -2324 r= Westfield, IN 46074
Ph:765- 482 -1180 r� Ph: 317-896-5615
Fax: 765 482 -7398 RemK t®: 1.2.12 W. Main Street, Lebanon, N Fax: 317 896 1820
o B'LL J
CITY OF CARMEL— SEWAGE DEPT ISTATEMENT
1 CIVIC SQUARE ACCT SM PAGE
CARMEL, IN
8048 41
46032
r---- QATE TYPE REFERENCE AMOUNT P.Q. /CHECK /J.E
102208 67.94 Cr 164-/16
1.��, 09 Inv 728643 62.34
s
I
I
f G
l
Summary as of 05/25/2009
i Previous Balance 170.91
Payments 238.85Cr
Purchases 62.34
Current Balance 5.60Ci
Future Dated 0.00
S CURRENT PAST DUE 30 DAYS PAST DUE 60 DAYS PAST DUE 90 DAYS
0.00 0.00 67.94 Cr
2
l
DATE OS T o t a:: l we d, 5.60 Cr
IIERMS ;c tuF loth
IS i_0 3 0 'i' o t a 1 D u e 5.60 Cr
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032. 317 844 -3973 Fax: 317 844 -6220
IIIr Please Remit To: H H Automotive Supply 1212 W. Main St: *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA C•
EI APA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
LIMITED WARRANTY PLEASE READ
I hereby certify under the penaltie9 of perjury that the personal property purchased by the use of this exemption certificate will be
directly used in the'tlireci 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
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. sale of this itemltems_
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE'# EMP V191 D"I M
08o48 CITY OF CARMEL— SEWAGE DEFT 4 L 4: L 6ir 00613;3 1 7; 8843
SR CIVIC SG?UARE_ PURCHASE ORDER ATTENTION
CARMEL, IN
E:
'e,41 48032 TAX EXEMPTION:
"AD TERMS`: o svc �tlte lU 'h F3KliL IT1L�
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL'
7'80 4136 BN. MF TERRY TOWEL 1. 0.0 20.730 16.590 16.59
iac s MAC MACS TIRE DRESSING 1. 7.860 7.090 7. 09
_,10 ,,n;� NCB MEGUTAR SCRATCH X 1. oO 12. 360 10.390 10.39
716 NCB MEGUTAR SHOW CAR 1.G0 Z 1.00 11.740 9.890 9.89
.18 NCB MEGUTAR H I T ECH LIQUID 1.00 15.860 13. 39.2 13.39 T
1 "W CAR�'CT CL W BRSH 1. c�c� E. 4..990 4.99
RESTOCK FEE 62.34
REMIT TO: 1E1 2 W MAIN Tax 7% TAXTABI...E 3 0. c:o
SIGNATURE TOTAL CHARGE S t
�LL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 6/29/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/2009 728643 $62.34
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Otffje
VOUCHER 095935 WARRANT ALLOWED
i 354, 290
IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
LEBANON, IN 46052
,Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
728643 01- 7502 -06 $62.34
n�
�J�
c\
6
Voucher Total $62.34
Cost distribution ledger classification if
claim paid under vehicle highway fund