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Home My WebLink About167916 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 e ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $75.80 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 167916 CHECK DATE: 1/2112009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 8011 11.24 718755 1125 4238900 8011 64.56 718715 Please Remit To: H 1, H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 17APt AGRICULTURAL EXEMPTION CERTIFICATE agricu use INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY- PLEASE SE READ hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be�.. directty 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 warranty constitutes all of the warranties with respect to the sale of this itemftems The seller hereby expressly Q 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 Pu pose 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 16% RESTOCKING CHARGE. sale of this itemlitems. NO RETURN ON ELEC PA RTS. ACCT SOLD TO DATE TIME STORE EMP 08011 CaARMEL• -C:LAY PnRK�S /RE[',;R 1r'sr �i�� I- .r jr i'et'fri�. CI 7•tA77M 0* SR 1411 E 1, 1 zi 1 Fi::'I PURCHASE ORDER ATTENTION C:ARMEL, IN Y. a 4602 TAX EXEMPTION: L1D' M -EP COPY INS! TERMS' n r 4 1 r"14 r1wilmk ar-r C nl r_- DELIVERY:, J� RF fC;F/ PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 71 CHA C HAMF) CPPER SP ARK. PLG t: 0 g70 1. 31 5.56 849 CHA CHAMP S IAL.L. ENG PLUG 1.00 4.14-00 1. 90 i.99 721.6 I +'{faC:: PREM STf °aRT F =L 1.10Z 1.00 4.110 3.690 :3e 18`_7 r t p1j I\ urchase cription 0.�F Po E� a9 t JAN 0 6 2009 ne Descr rchaser Q e proval D to 25 RESTOCK FEE 11. 24 REMIT TO. 1212 Inl MAIN Tax 7 TAXTABLE 3 LEBANON IN, 46052 "SIGKA7URE TOTAL CHARGE SALE :I. 1. 'm'4 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE t— �y 11 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 hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption cenificate will be directly used in the direct production of agricultural products for resale. Please examine these pans 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 k, must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all wananhes either express or implied, including any implied warranty of merchantability or fitness for a panioular W tt4999 ��'VVV property is said 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 rice. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this i temPoems.f P NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 01"DOILGII li1. 1. CfIRMEL—CL-AV F'='Af #KIS /F ?EC R I �r,�.. rr, i w• I r r, a �^a .r, i n I r. SR 1411 E. 116TH H STREET' PUACFfASE ORDER ATTENTION CARMEL... IN TAX EXEMPTION: AD i EEP COPY INN TERMS,;,... ..t_,_ r,t t^r% -1 i Y 4.r :'r Y a.,. Sa •..i 5: L *.0 W i DELIVERYWR TRUCV PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL„ 75- -050 NOI_ NAPA QUART 5W30 E'$No 00 3. 36() 690 64. 56 Purchase I Description P.Q. P ar FIB G.L.. r']udget T JAW 2009:``' Line Descr Purchaser Date Approval Date L' O 4 25lr+ RESTOCK FEE Subtotza1 64.56 REMIT TO.- 2 2 W. MAIN N Tax 7% TAX TA1 I—E 3 c:�. Cat: LEBANON T I 052 X sIGNATIYRE ALL GOODS RETURNED MUST ACCOMPANIED BY THIS INVOICE T I e� C. F'I A F I7 C" I I-' f$' r' t ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. (NAPA) Terms 354290 Boone County Automotive 1212 W Main Street Date Due Lebanon, IN 46052 -2324 Invoice Invoice Description Date Number 11.24 64.56 or note attached invoice(s) or bill(s)) Amount D 115109 718755 Repair parts for mower 115109 718715 Motor oil forequipment Total 75.80 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 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. (NAPA) 354290 Boone County Automotive Allowed 20 1212 W Main Street Lebanon, IN 46052 -2324 In Sum of 75.80 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund 0 PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 718755 4237000 11.24 1 hereby certify that the attached invoice(s), or 1125 718715 4238900 64.56 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 6 -Jan 2009 Signature 75.80 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund