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Home My WebLink About167915 01/21/2009 CITY OF CARMEN., INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $130.02 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 45052 -2324 CHECK NUMBER: 167915 roa CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4231500 7983 21.92 719489 ~1115 4232100 7983 108.10 719333 LLI l Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 I APA GRICUL CERTIFICATE agEr use INDIANA DEPARTMENT MENT OF OF REVENUE VENUE -SALES TAX DIVISION LIMITED WARRANTY PLLEASEASE READ I hereby certify under the penalties of perjury that the personal property purchased by the use of this exerri certificate will be s' directly used m 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 itemlitems. The seller hereby expressly must be made within TEN DAYS and must be accompanied by this INVOIGE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular 111 properly 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 itemlitems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP c 1798,3, CITY OF' C ARMEL_ POL. ICE DEPT i 1 7 /f"19 n 4t"l SR C IVIC ��at�I.tA RE. PURCHASE ORDER ATTENTION f;F RMEL, IN f, r i 11 TAX EXEMPTION: AD '.E.EP COPY INV ITER MS: rrr. ,a..� i.r rWnQi C:Znl i I. C7 DELIVERY:' PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL��, p u 2007 Chevrolet Ti Takhoe 5.3 L. :?2.5 CID V8.. '7060 F' I L. NilPAGOL.D OIL F11-TER :1- 00 10. 1, 3.090 3.09 R 75 NOL NAPA QUART S W20 7. 00 3.360 2. 1. B. R- 3 25% RE FEE 31-Abtotal. 2'1 92 r te; 'I31 REIVII TO-. 1212 W MAIN Tape 7% TA L 0. 00 I_L- DflNON IN, 4 4 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TO r f_. i'" A R OE. S A I —E 2 92 Please Remit To: H H Automotive Supply. 1212 W. Main St. •Lebanon, IN 46052 AN AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION LIMITED WARRANTY PLEASE READ y I hereby certify under the penalties of perjury that the personal properly purchased by the use of this exemption certificate will be directly used in the tlireet production of agricultural products for resale. Please examine these pads at once, Errors should be reposed before using or installing. Returns "The tacfory warranty constitutes all of the warranties with respect to the sale of this ite�tems. 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 Rem/items. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP Ai 07 983 CITY OR' CARME_L /POL.ICE: DEPT 1/12/09 iO N 10 1 00006 133 at-) 71.93113 3 ni CIVIC SiOUnRE PURCHASE ORDER ATTENTION SR C ORMEL., IN f ;CCC 3 6 €-r TAX EXEMPTION: v AD FEEP COPY INV TEROFO t_te J.0tha CHARGE 7 SHLE 9 DELIVERY I H I.-. F PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL APP- 764 A6P SPARK PL 8.00 :I.2. 4 7 0 4.240 33. 92 6lo-- 022 WIP EXACT I °IT WIPER BLADE 4.00 9::, €'S 1 -3 �:f,( 1 ��;utaEi 1 6 60-012—E I�.I :I P WIPER L LADE 2?„ 00 :1. 46€:) 10. a 70 1. 14 1 2_5% RESTOCK RI'E ,:>ub III, tx.1 8.1f.} R'EMI'T TO: 1212.' W MAIN Tax 7% TAX'TABLE 3 0.0o LEBANON ll1 052 X S4GflATURE TCiTAL CHARGE SAL.E 1 €?8. 10 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Prescribed by Slate 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01112/09 719333 $108.10 01/13/09 719489 $21.92 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 H H Automotive Supply IN SUM OF 1212 W. Main Street Lebanon, IN 46052 $130.02 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications 7q 2-- PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1115 719333 42- 321.00 $108.10 l hereby certify that the attached invoice(s), or 1115 719489 42- 315.00 $21.92 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 Thursday, January 15, 2009 Dire ctor Title Cost distribution ledger classification if claim paid motor vehicle highway fund