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Home My WebLink About173231 06/10/2009 r" CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $49.80 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 173231 CHECK DATE: 6/10/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A D ESCRIPTION 2200 4237000 8032 48.50 728955 a 2200 4237000 8032 1.30 728999 H &H Automotive Supply z� NAPA Auto Parts of Westfield 1212 W. Main Street (317) 896 5615 (I NAP A D (317) 896 -1820 Fax Lebanon, IN 46052 2324 NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 482 -1180 Remit to (317) 774 -0932 Fax (800) 924 6831 Boone County Automotive, Inc. NAPA Auto Parts of Carmel (317) 844 -3973 (765) 482 73 98 Fax 1212 W. (Wain Street, Lebanon, I 4605 2.2324 (317) 844 -6220 Fa A Z ��a00 BILL TO STA4T� T CI'T'Y OF CARMEL ENGINEERING ONE CIVIC SQUARE CARMEL, IN A CT SM PAG 8032 41 1 46032 v b DATE TYPE REFERENCE "AMOUNT P.O. /CHECK /J.E i_ n n� T, ?:'8999 1.30 7 728,29 i i I 1 W C` Cv Summary as of 05/25/2009 c d� C fp Previ.ous Balance 26.82 Z1. Parchases 49.80 r j �dsi w Current Balance 49.80 Future Dated 0.00 I CURRENT:, PAST DUE 30:DAYS PAST D.UE 60:,DAYS PAST DUE <90 DAYS 49.80 0.00 0.00 0.00 DATE 05i25/2009 T .o t..a 1" 0'1 w''e d 49.80 TERMS N <�c due 1 0111 IURE 1000061 -0004 T :o t a 1 D 0 e 49 .80 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 I� APA DEPARTMENT OF REVENUE -SALES TAX DIVISION AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA I hereb certify under the enalties of perjury that the personal property LIMITED WARRANTY PLEASE READ y fy p p l ry p p p y 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 p� .off 08032 CITY OF CARMEL ENGINEERING 4/330/09. 10 o 21 1 100006133. 33 1 72895:5 ONE CIVIC SQUARE PURCHASE ORDER ATTENTION SR CARMEL, IN 3 4.1 4603: TAX EXEMPTION: AD :EEN CONY INV TERMS' o svc d u 10th CHARGE SALE E6 DELIVERY: PART NUMBER LN DESCRIPTION., QUANTITY PRICE NET TOTAL 2004 Chevrolet 1 rltck Blazers 1 036 F I L NAPAGOLD OIL FILTER 1.00 10.970 6.690. 6.69 60 -020 -1 WIP BLADE 2.00 16. .11.490 22.98 14, 75 -130 NOL NAPA 1 OW30 OT 7. 00. 3.360 2..690 1 2 5Y RESTOCK FEE' 5 a b 4 u tak 1 48.50 REMIT TO: 12:12: W MAIN Tax 7% TAXTABLE w 0.00 LEBA URE IRNED 5 s GNATURE TOTAL_ CHARGE: SALE 48. 50 ALMUST BE ACCOMPA NIED BY THIS INVOICE it NAPA. Auto Parts of Carmel 111, Medical Drive Carmel, Indiana 46032 317- 844 -3973 Fax: 317- 844 -6220 1 Please;Remit To: H H Automotive Supply 1.212M Main St. •Lebanon, IN 46052 AN .AGRICULTURAL EXEMPTION CERTIFICATE IND A DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use .IAN 1 I hereby certl under the penalties ofiper u that the personal ro ert LIMITED WARRANTY PLEASE READ y y p ry p p p y purchased by the use of this exemption ce ificate will be directjy 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 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, incluCing 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 t 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 08 o 3 2 CITY OF CARMEL ENG I VEERING 4/3 E3 u 51 L 00006 133 1 33 1 728999 SR ONE C1 U I'C SQUARE ATTENTION CARMEL, -'.I N 4Et7?� TAX EXEMPTION: AD EEP*, COPY INV' TERMSf: o svc due 10th CHARGE 26 DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET 'TOTAL 1522 F I L NAPAGOLD OIL. FILTER .1 00. 1.3,u 000 7. 990 7. 99 1U3S FIL NAPAGOLD OIL FILTER �t.' 1ic:. 6. 6,90 E. 69CR" T .25% RESTQCK FEE ubt ot a 1'• �1. 3i REMIT-TO'. I c M9I -N Ta x 7% :T,A XTAHLE 3 E 0.00 LEBANON -I a ALL GOODSRETUR DMU OMPANIEDBYTH/S/NVOICE TOT i CHARGE SALE 1.3 �J ,_.VI�•'j7. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER L 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 of Carmel Purchase Order No. 1212 W Main Terms LebanonlN,46052 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/25/09 728955/728999 Oil filter, Oil, wiper blades for E1 $26.82 acnt# 0803 Total 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 NO. WARRANT NO. ALLOWED 20 Napa Auto PaIIS of earme IN SUM OF 1212 W Main Lebanon IN, 46052 $49.80 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n/a 72 2200-4237000 $49.80 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 cp< 20 t� Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund