HomeMy WebLinkAbout167576 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $24.57
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 167576
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 8032 24.57 717385
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Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
1has I hereby ce AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
rNAP INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ El
rtify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will bo
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 itemltems. The seller hereby expressly
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warrantieseither express or implied, including any implied warranty of merchantability or fitness for a particlar property is sold to you with the definite understading 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
been added to the price. ALL RETURNSS UBJECT TO 10% RESTOCKING CHARGE. sale of this itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT' SOLD TO DATE TIME STORE EMP
)8032 CITY OF CARMEV'L ENGINEERING 12/17/08 'f-).-44 :.t_0006133 33 ?'173A
SR NE CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN
41 46032 TAX EXEMPTION: r «iE
AD KEEP COPY INV TERMS:G sv�_ due 10th CHARGE ;ALE:.,.
1.? DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET t;; TOTAL
YI I NUS20 4WS 41NDSHIELD WASH -20 1. 2. 2. 59
SO 2.257-- 5 a I P 3LA?�E. 1. c:►�� 2G. "f 14.' 1" 0 1.4. 1 `3
50- -1857 41P 3L.ADE 1.00 13.630 7.790 7.79
ks l+
25% RESTOCK FEE 24.
REMIT: TO: 1212 W MAIN Tax 7% TAXTABLE: 3 0.00
LEBA I, 4 05L1 l .1fi
SIGNATURE TOTAL CHARGE SALE c4. 57
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of-Accounts j City Form No. 201 (Rev. 1995)
.Y, 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.
�Q Payee
n"Y Purchase Order No.
L Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total '�2
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.
ALLOWED 20
14 V� L �v IN SUM OF
G0. /)A /0 S�
r
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
15 200
aye
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund