184185 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CHECK AMOUNT: $174.00
1212 W MAIN ST
CARMEL, INDIANA 46032 LEBANON IN 46052 -2324 CHECK NUMBER: 184185
CHECK DATE: 4/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8039 174.00 TRANSPORTATION EXPENS
HdcFi Automotive Soap_ piy 0 NAPA Auto Parts of Westfield
J= 1212 W. Main Street QNAPAD (317) 896 5615 AR Lebanon, IN 46052 2324 (317) 896 1820 Fax
NAPA Auto Parts of Noblesville
0® (317) 773 -3180
R« (317) 774 -0932 Fax
(765) 482 -1180 Remit for
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46062 -2324 (317) 844 -622 F
NOBLESVILLE FILTER TOOL SALE APRIL 12 THRU 17
BILL TO CITY OF CARMEL -WATER
3450 W 131 ST STATEMENT
WESTFIELD, IN 46074
4
MT sm#
8039 0 1
DATE RFERtwNCE`
03/08/2010 INV 129- 370260 174.00
r)CURRENT NIP
ASVD E 30 Paa;ST D PgAST'd E 90
174,00 0.00 0.00 0.00
DATE 03/25/2010 1 a tea o w e d 174.00
TERMS No svc due 10th l' a f f_ D a t n g 0.00
Q, STORE 100006128 174.00
NAPA Auto Parts of Westfield
700 E. Main Street- Po Box 245 -Westfield, In 46074.317 -896 -5615
Please Remit To: H 8t H Automotive Supply 1212 W. Main St:.Lebanon, IN 46052 I�
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use �:fV
NAN I hereby certify under DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
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 once. Errors should be reported before using or installing. Returns "The factory warranty consl'dutes all of the warranties with respect to the 5x19 of this itemlitems. 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 poll cular
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
P been added to the.price. ALL RETURNS SUUJECT TO 10% RESTOCKING CHARGE. sale of this ilemlil9ms.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP 737026019.
80139 CITY OF CARREL —WATER 03/;; 161p:3A 100006129 2
SR 3450 W 131 ST PURCHASE ORDER ATTENTION
WESTFIELD, IN 46074
41 TAX EXEMPTION:�
AD TERMS: No svc clue 10th Charge Sale
7 DELIVERY: Our Truck 1 of 1
PART NUMBER LItti DESCRIPTION QUANTITY PRICE NET TOTAL
2006 Fort! Truck F150 1/2 Ton Pickup
4 8 8 6 017 8 NS Rotor 6 Nub Rssy Front Premium 2.00 174.00 87.0000 174.00 JR
Subto 174.00
25% RESTOCKING FEE Indiana Sale 7.000% 0.00
REMIT TO: 1212 W MAIN ST
LEBANON, IN 46052 2324:
TOTAL} Charge Sale 174.00
1 ,5�Ii7�•• MATURE
ALL GOODS RETURNED Mtfg'T BE ACCOMPANIED BY THIS INVOICE •4
VOUCHER 101263 WARRANT ALLOWED
i
354290 IN SUM OF
BOONE COUNTY AUT 1C t
1212 W MAIN STREET
z
LEBANON, IN 46052
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
370260 01- 6500 -04 $174.00
Voucher Total $174.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER s
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354290
NAPA BOONE COUNTY AUTO -DO NOT USE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 4/1/2010
Invoice Invoice Description
Date Number {or note attached invoice(s) or bill(s)) Amount
4/1/2010 370260 $174.00
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
Date Officer