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Home My WebLink About173233 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CARMEL, INDIANA 46032 1212 W MAIN S'f CHECK AMOUNT: $13.18 LEBANON IN 46052 -2324 CHECK NUMBER: 173233 CHECK DATE: 6/10/2009 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ',1205 4231500 8081 13.18 730293 S 0 NAPA Auto Parts of Carmel a:. X 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 A P A[ AGRICULTURAL DEPARTMENT OF XE VENUE -SALES TAX DIVISION CERTIFICATE agricultural use y INDIANA DEPARTMENT OF REVENUE 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 ilemlitems. The seller hereby expressly' r 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. ALLRETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item /items. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP INVOICE NO c s r c z y_ r r L {_18081 CITY OF i.;F��RNE�l_.-- L~UILDING MAINT. 51 15/09 ':)9i;3� 1.�_c�r.at';�;'1 ,m, 7 ",Ur..�,� CI SQUARE PURCHASE ORDER ATTENTION CARMEL, IN 41 4.6032 TAX EXEMPTION: AD TERMSta� l(:�i ti �_;r f�r�ul�a _L i DELIVERY: a PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 1324. FIL I;IAE°AGOLD COIL FILTER 00 12e 240 F, 590 13.18 \I td 2 T 25% I. O j....K F EE.., ae u u v e REMIT c t tMI t 1: 1t W MAIN Tax 7% TAXI {�1�LE 3 0.00 j SIGNATURE TOTAL CHARGE SALE 13a 18 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 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 APA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be direct) 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 w w warranty constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly C7 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all arranties, either express or implied, including any implied warranty of merchantability or fitness for a part icular 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 0 38 C ITY OF C.: ARME:L /POL_ DEPT 5/22/09 11.-38 Li )00 06133 1 36 1 730917 CIVIC Sl�llC�RE PURCHASE ORDER ATTENTION SR# C ARME:L.., IN 17 4 :1 ^-E'C:iO3 TAX,EXEMPTION: AD k. REE i COPY I fJ b� TERMS o :I d 4 E 10th C;FIAt' C=iE; Fib{._ DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 7578 BAT BATTERY 2.00 :109. 710 G 0 IC20., 78 R. 7 *78 BAT CORE DEPOSIT 2. 0 12R. 500 25. 00 D 7578 BAT CORE DEPO I r 00 i��o �t�ta 25. r� °�C;RD l� 25 RESTOCK FEE DIAE3TG 1 120. 78 REMIT TO: 1E:12 W MAZN Ta A 7% TAXTABi_..E. 0., 0.0 L_ Eil�!C?I�! Z!V �•E:it:�SE: I'�I!11..� X CHARGE SALE r-�t, `ia P, SIGNATURE TCI1 °aL ALL GOODS RETURNED41 UST BEACCOMPANIED 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee N APA Auto Parts Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05115109 730293 Napagold 0 Filters $13.18 05/22/09 730917 Battery for IS $120.78 Total $133.96 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 0 /08/09 WARRANT NO. ALLOWED 20 Stre 0212 W. Main IN SUM OF Lebanon, IN 46052 -2324 $133.96 ON ACCOU6I�R P TTION FOR ND 1205 ADMINISTRATION Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice or DEPT. y ce y 1 ?Q5 730 293 315 113.1 bill(s) is (are) true and correct and that the materials or services itemized thereon for 1202 730917 370 $120.78 which charge is made were ordered and received except 20 S,;qat_ re Title Cost distribution ledger classification if claim paid motor vehicle highway fund