181122 01/13/2010 a■,,, CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $2.43
CARMEL, INDIANA 46032 1212 W MAIN ST
0 a, L EB ANON IN 46052 -2324 CHECK NUMBER: 181122
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 7995 2.43 REPAIR PARTS
H&H Automotive Supply NAPA Auto Parts of Westfield
a
1212 W. Main Street NAPflD (317) 15
Lebanon, IN 46052 -2324 (317) 196-14825 820 Fax
Al NW NAPA Au to Parts of Noblesville
A (317) 773 -3180
(317) 774 -0932 Fax
4, ,f, t s NAPA Auto Parts of Carmel
1 4 L k iNC. (317) 844 -3973
i 1 f Fax n e 46052.2324 (317) 844 -6220 Fax
THANK YOU FOR YOUR BUSINESS AND HAPPY NEW YEAR 2010
BILL TO CITY OF CARMEL- STREET DEPT
3400 W 131ST STREET STATEMENT
WESTFIELD, IN 46074 a CCT# v
A:'<.... SM# PAGE
7995 0 1
DATEx.. TYPE... E ;REFERENQE. I AMOUNT•` MS-Bi' 7 JCHEC,K/ E M MM
12/03/2009 INV 129 362093 2.43
12/08/2009 INV 129 362525 30.00
12/14/2009 INV 129 362993 30.00 Cr
Y..' GURF3 l PAST DUE 3d- 6 PAST..Dl1E46O ,PAST1DUE:90. V
2.43 0.00 0.00 0.00
DATE 12/24/2009 b n g Total e-d,1` 4000: 2.43
TERMS No svc due 10th Two t ar D a t i 0.00
Q.__ STORE 100006128 g z T o t a I Dtu e v. 2.43
N APA Auto Parts .of Westfield
700 E. Mai Street Po Box 245 Westfield, In 46074.• •31. -896 -561
f Please Remit To: H.& H Automotive Supply.• 12.12 W. Main St.. Lebanon, IN 460
N APA I IIL AGRICULTURAL EXEMPTION CERTIFICATE agricultural use r
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 pads at cote. 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 �{jltt I
0 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 •fU
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 INVOICE NO.:
7995 CITY OF CARMEL STREET DEPT 12/03/09 14:47 1010005121 61 362093
3400.W 131ST STREET
PURCHASE ORDER ATTENTION
SR# WESTFIELD, IN 46074
41.
TA EXEMPTION K a a
AD TERMS: No svc due 1
3 KEEP ,COPY INV o F 1
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY... PRICE NET TOTAL Afitlft
H` 174 NBM FUEL LINE HOSE 3.00 1.43 0.8100 2.43
k4 r lit
Cut ta'Lc 2.43
25% RESTOCKING FEE TAX 7•.000 0100
REMIT TO: 1212 W. MIN ST
LEBA 01 IN ,46052 -2324
TOTAL Charge Sale 2.43
X it �ip.i
J( SIGNATURE` C h 9 2.43
G L L /G DS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE i f�
r�. NAPA Auto Parts of Westfield
700 E. Main Street Po Box 245 Westfield, In 46074 •317 -896 -5615 �s
Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
NIIPA INDIANA DEPARTMENT OFREVENUE -SALES TAX DIWSION agricultural R EAD use
hereb certify under the penalties of perjury that the personal property EER
y y p p j ry p p p y purchased by the use of this exemption certificate will be LIMITED WARRANTY PL
directly used in the direct production of agricultural products for resale. r.
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 iter lems. The seller hereby expressly'
must be made within TEN DAYS and must be accompanied by M. INVOICE NUMBER. This disclaims all warranties, either express or implied, including any Implied warranty of merchantability or fitness for a particular d
property is sold to you with the definite understanding that it is purchased for resale, unless lax purpose and the seller neither assumes norauthorizes 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 PARTE .j,
ACCT SOLD TO DATE TIME 5., STORE EMP INVOICE-NO,'
7995 CITY OF 'CARMEL-- S TREET DEPT 12/08/09 13:'42 100006129 25 362525
SR# 3400 W ''131ST STREET PURCHASE ORDER ATTENTION
WE$TFI•ELD, IN 46074
i
41 TAX EXEMPTION:
A
AD TERMS: N o s v c .due 1
7 KEEP COPY INV DELIVERY: 1 Ot 1
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET r TOTAL
ROT -OR LAE LATHE _•2.00 0.00 15.0000
0.00
l
ti
4r.
1
4t i r
J
E le '114.-- f r
CubtGL l,7. 30.00
25% RESTOCKING FEE .TAX 7.00.0%1 0.00
REMIT TO: 1212 W MAIN ST
LEBANON, .IN 46052-2324
TOTAL T- :C,harge Sale :30.00
X'
SIGNATURE Chg 30.00
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE I
NAPA Auto Parts of Westfield �1il'
700 E. Main Street Po Box 245 Westfield,'In 46074.317 -896 -5615
r Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION
TAX I agricultural use E
INDIANA DEPARTMENT OF REVENUE 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 itenhitems. The seller hereby expressly
must be made within TEN DAYS and mus! 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 itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP INVOICE NO.._
7995 CITY OF CARMEL STREET DEPT 12/14/09 09:02 100006129 25 362993
SR# 3400 W 131ST STREET PURCHASEORDER# ATTENTION
WESTFIELD, IN 46074
41 TAX EXEMPTION: 4:
AD TERMS: N o eve due 1
12 KEEP COPY INV DELIVERY: 1 of 1
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
ROTOR LAE LATHE —2.00 0.00 15.0000 30.00CR
1
Subtotal 30.00 CR
25% RESTOCKING FEE TAX 7.000% 0.00
il lift
REMIT TO: 1212 W MAIN ST A-
LEBANON, IN 46052 -2324
TOTAL Credit .Memo 30.00 CR
X
SIGNATURE Chi —30.00 0.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
H H Automotive Supply
IN SUM OF$
1212 W. Main Street
Lebanon, IN 46052 -2324
$2.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street De•a ent
ter:
P0# /Dept. INVOICE NO. ACC LE AMOUNT
Board Members
2201 129- 362093 42- 370.00 $2.43 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
4 tyursday .lanuary 2010
UW1.11/
Street Commissioner
Stree* Tit f l ;e rr n z �iSSioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/03/09 129- 362093 $2.43
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer