HomeMy WebLinkAbout173227 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
0 CHECK AMOUNT: $34.89
CARMEL, INDIANA 46032 1212 W MAIN ST
o LEBANON IN 46052 -2324 CHECK NUMBER: 173227
CHECK DATE: 6110/2009
;DEPARTMENT AC COUNT P O NUM INVOICE NU AMOUNT D ESCRIPTION
•1207 4350000 1898 34.89 731539
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
i APA I Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
I E CERTIFICATE agricultural use
INDIANA DEPARTMENT OF F REVVENUE ENUE -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
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
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% RESTOCKING CHARGE. sale of this item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP =V
01898 CITY Of CARI+EL. 5/3o/0 +)r- -3+ L0s=y0061,33 731 539
BROOI.SHIRE GOLF CLUB �u
SR 121.20 BRg:1C1I',t: HI RE PARKWAY
PURCHASE ORDER ATTENTION i
4.1 C_ARMFL, IN A -6o
TAX EXEMPTION:,
AD EEP COPY INV tlu �vL: U'Ak. i��utl ';r!r�l(�L�iE CrIL_E
TERMS:
t*w!
DELIVE J (i 1 IZ L!Lrtl
RY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
78a 52.'ti 3t'. ti.:ILtLiI lrN C h 00 40.. 40 1: 4. 6 :10 ..S ts`J
K3�
c rn r[ c 2 i i; r. r' C. io 1-101; o t IF, 1 :5 4. b'J
REMIT TO.- 1212 W MAIN T.A) 7% TAXTABLE. 1 0.00
LEBANON I N, 46 #52 .1 4
t
SIGNATURE TOTAL CHARGE. SALE=
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
i Rr;gNiied by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
awhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
l Purchase Order No.
Ull
m am�"� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 5 4, V
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.
y� ALLOWED 20
IN SUM OF
Qao
ON ACCOUNT OF APPROPRIATION FOR q��A y12r�i
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
315 �)q OD 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
�l2 Si ure,�
Cost distribution ledger classification if
Title l
claim paid motor vehicle highway fund