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Home My WebLink About167914 01/21/2009 a,� F CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $44.17 o CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 167914 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4237000 8081 28.28 718857 1205 4237000 8081 15.89 718858 Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 AN AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 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 ite�tems. The seller hereby expressly L 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 'v F pro g 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 he been is sold to you with the definite understandin been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this ite�tems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 08081 CITY OF CA RMEL- ••BUILDING MA I NT o 1/06/o9 1 28 1.00006133 06133 0 •718857 SR 1. CIVIC S O LIA1-1 E PURCHASE ORDER ATTENTION CARMEL, IN 4 1 46032 TAX EXEMPTION: AD TERMS Io ;vc di-t' 10th CHARGE SALE ti DELIVERYP JF2 TRUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 1.'J IV 730 1.057 BI-: HORN t.00 0 22., 710 150 790 15.79 RS 1059 ECH ROCKER SWITCH 1.00 186 �.::0 1 490 12. Lan E5% RESTOCK FEE J'A LJ t. 28.28 REMIT TO: 1212 W MAIM Tax '7% TAXTABLE 3 0.00 LEBANON IN, 1 +605E X /SIGNkT_UFiE TOTAL CHARGE SALE 2 8. 2'8 /LL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 1 Please Remit To: H H Automotive Supply o 1212 W. Main St. -Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use J f I 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 y directly used in the direct production of agricultural products for resale. Please examine these pads 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 iterNitems. 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 SURJECT TO 10% RESTOCKING CHARGE. sale of this iterNitems. a NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 08081 CITY OF CARMEL"— BUILDING C+'IAINT. 111�E,ic 1.1.1. lc�t�c;t06 ?,i.f i`.I.E��',w:rF� SR 1. CIVIC,` St ?UnRE PURCHASE ORDER ATTENTION CnRIYIEL., IN 1 4.1,032 TAX EXEMPTION: AD TERMS Ic► s vc (Ill 10tht I' If- RU SH �a DELIVERY t.J}� I t1ai l' PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 755- -1539 8K C:ONVERTR 1.00 0 21 r, ;::,40 15.894 15. [39 G flit 4� ,r 25% RESTOCK FEE 5 I.Ab tt 1.? t, a 1. t5.89 REMIT TC7 1.� 1 2 W MAI1\1 T ix 7% �TAX'�`t�BLE 3 0.00 L EBA NO N t N, 4 6()52 SIGNATURE TOTAL y Ci AR3 E ALE 15. ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) u 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 NAPA Auto Parts Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/06/09 718858 Converter 01/06/091 718857 Horn, Rocker Switch Total $44.17 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 VO ER I�C�i� WARRANT NO. H H Automotive Supply ALLOWED 20 IN SUM OF '1212 W. Main Street I ohr+r�i+v, I N 46052 T $44.17 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 ADMINISTRATION od Board Members PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 718858 370 $15.89 materials or services itemized thereon for which charge is made were ordered and received except 20 Si at re Title Cost distribution ledger classification if claim paid motor vehicle highway fund