HomeMy WebLinkAbout173232 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $82.10
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 173232
CHECK DATE: 6/10/2009
DEP ART M ENT T ACCOUNT PO NUM INVOICE NUMBER AM DESCRIPTION
'601 5023990 8039 14.49 729545
'601 5023990 8039 50.76 729568
601 5023990 8039 16.85 730564
3
H &H Automotive S NAPA Auto Parts of Westfield
1212 W. Main Street 1 (317) 896 5615
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
(317) 773 -3180
(765) 482 -1180 s Remit to (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(765) 482 -7398 Fax 121 W Main Street, Lebanon, IN 46052.2324 (3 17) 8 44 -622 Fax
BILL TO
CITY OF CARMEL- WATER S
1 3450 W 131 ST ACCT SM PAGE
WESTFIELD, IN
8039 41 1
46074
DATE TYPE REFERENCE' AMOUNT". P.OlCHECK(J.E
09 L11G 2954 14.4
05 %07/09 Inv 729568 50.76
05/1.9/09 Inv 730564 16.85 TRK -5
I
I
I
i
i
1
1
1
ii
1
1
1
1
Summary as of 05/25/2009
Previous Balance 220.50
Payments 220. 50Cr
Purchases 82.10
i Current Balance 82.10
Future Dated 0.00
CURRENT PAST DUE 30 °DAYS PAST DUE 60 DAYS PAST.DUE 90 DAYS
82.10 0.00 0.00 0.00
i [DAT T o t a t Owe d 82.10
1 FIRMS 1 1 10 s -r due 10th
`'�.IE h 1C1 0004 T 0 t a t D u e 82.10
NAPA Auto Parts of Carmei y
111 Medical Drive Carmel, Indiana 46032.-<31 ill 317-844-6220
Please Remit To: H 9
H Automotive Supply 122 k Main St. -Lebanon, IN 46052
P A AGRICULTURAL EXEMPTION CERTIFICATE agricultural use.
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION j' 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 duecbproduction of agricultural products for resale.
Please examine these parts at once. Errors should tie reported before using or installing. Returns "The factory warranty constitutes all of the warranties with respect 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 "ir iedwarranty of merchantability or fitness for a particular
P roperty 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.
i t
NO RETURN ON ELECTRICAL PARTS. .F
ACCT SOLD TO :DATE TIME STORE
1�EMP o lot
08039 C 7' 1`Y OF CARMEL. —WATER 5 0 l09 1)7. n 3 8 L 000061' 33 '1 W 1 729568-
3450 W' 131 OT AT
SR PURCHASE ORDER TENTION i r�
WE iTF I ELD,. 'ICI
41. 46074 TAX .:EXEMPTION
AD TERMSI sve due 10th CHARC�.E ,ALE
OUR TRUCK
t
DELIVERY:
PART NUMBER',: LN: DESCRIPTION `u, QUANTITY PRICE
=:NETS TOTAL.
25 -9435 NBH V-• BELT,,' A. 4 '00 29. `10 3 1 n E, d SERA 76-
t C
c• 5Y. RESTOCK. FEE S �i �Oe 7E,
REMIT TO. 1212 W 'MAIN' Tak 7Y: TAXTABLE 3
L.EBAPdCJN' I!V,'4C,052 x
SI NATtJ E r TOTi�L. CHARGE SALE 50tl 76
A'LL GOODS RETURNED MU_•T.BE BY TWI 3NVOICE
NAPA Auto Parts of Carmel
11.'1 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 CERTIFICATE gricultural use A N k INDIANA DEPARTMENT OF REVENUE- 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;
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 o
08639 CITY OF CARMEL -WATER 5/06/09 L 5 03 L t'yc_YQ06133 33. 1 729545
SR'# 3450 W 13 ST PURCHASE ORDER# ATTENTION
WE.S'TF I ELD, IN
41 46074 TAX.EXEMPTION:
AD' TERMS, o `svc due loth CHARGE SALE
J'
DELIVERY:
PART NUMBER LN `DESCRIPTION QUANTITY ti PRICE NET TOTAL
5- 79435HD NNH- FLEETFdUNNER BELT 1 35.2-1 14.490 14. 49
25% ii ,RES TOCK FEE u v a 14.' 49
REMI'T .TICK '121.2 W IyIAIN Tax 7 TAXTAtBLE 3' 0. 00
LEBANON I N, 4605
e
X Z 2�
SIGNATURE TOTAL CHARGE SALE 14.4
ALL GOODS RETURNED_ MUST BE'ACCOMPANIED BY THIS INVOICE
ry NAPA Auto Parts bf `Carmel R
111 Medical Drive Carmel, Indiana 46032;• 317- 844 -3973 Fax: 317 844 -6220
1 E Please Remit To. H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF. REVENUE SALES TAX DIVISION.: I
LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties ofperjury that the personal property purchased by the use of this exemption certificate will be ect) used in the direc 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; 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. h sale of this item /items.
NO RETURN ON ELECTRICAL PARTS.
5
ACCT l: SOLD TO DATE TIME STORE EMP 144=V
t }gt� CITY OF CA RMEL -WATT: R 5 13 )9 1 i 26 1 t:�t"a0061 0564
SR:# 34507 W 131 S PURCHASE ORDER ATTENTION
WE STF I ELD, IN n
!1a TAX EXEMPTION:
AD TERMS:�Iw vt^' G ;5e v n t1 1f Mi iHL_L
1 DELIVERY: t
PART' NUMBER' LN DESCRIPTION y .QUANTITY PRICE 'NET TOTAL
t�t.�, a.1 t.} i... 8 f
1 54Fit PK BRAKELIAE ti, r' .,.1. 00' 4. B9 i60 311 10'
E3:1�, ~�a6�a HK E:F2(at;ELINE: C�J E1. 1✓�it:) 5. /f? 10.
y
ad
`a te,
t k
RE TOCK :FEE 6 t a 1
16.85
RIE(1IT TO 1,212 W, MAIN Task ,7% TAXTABLE t_i tit
LE�ANOi� 1N, 48.052 tt
I t
TOTAL; CHARGE SALiw,
SIGNATURE
ALL GOODS.RETIJil MUST BEACCOMPANIED BY THIS INVOICE �k
..:.k:n,,.
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 shove, 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 Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 6/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 60809 $82.10
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 c)- 11- 10 -1.6
Date Officer
VOUCHER 0919:5 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUT TIVI
1212 W MAIN STREET
LEBANON, IN 46052
®w'�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
60809 01- 6200 -04 865.25
60809 01- 6500 -05 $16.85
II
Voucher Total $82.10
Cost distribution ledger classification if
claim paid under vehicle highway fund