188449 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352498 Page 1 of 1
y4 ONE CIVIC SQUARE NAPA OF WESTFIELD CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 Po BOX 245
WESTFIELD IN 48074 CHECK NUMBER: 188449
CHECK DATE: 81312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8093 30.00 TRANSPORTATION EXPENS
Westfield Automotive Supply, Inc.
700 East Main Street P.O. Box 245 EE1 AUPO P�S
Westfield, Indiana 46074 Phone (317) 896 -5615 EAST MAIN STREET
Fax (317) 896 -1820 WESTFIELD, IN 46074
PLEASE SEND PAYMENTS TO P.O. BOX 245 WESTFIELD
BILL TO CITY OF CARMEL -WATER
3450 W 131 ST STATEMENT
CARMEL, IN 46074
3R aecz #k 5M P,I=
8039 0 1
`DATE TYPE 2 REFERENCE ;fig AMOUNT„ r sA."av k P,UIDFIECKiJ E
07/16/2010 INV 383657 30.00
I
I
s CURRENT x P;4ST.'D'UE -f30� PAST DUE�60ZRMWI ',DUE -s90', �`X
r. ar�x.ay. i*a�c x r if
i
30.00 0.00 0.00 0.00
DATE 07/24/2010 *T it a 1®wbetl a 30.00
u4
TERMS No svc due 10th t T'ot a Is�Da t�ing 0.00
STORE 100006273 TcitajlDdu 0.00
NAPA Auto Parts of Westfield
700 E. Main Street Po Box 245 Westfield, In 46074.317 -896 -5615
NA PA[ Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
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 certificate will be
directly used in the direct production of agricultural products for resale. G to
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 pl the sale 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 i mplied warranty of merchantability or fitn-s 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. ALt. RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE
TIME STORE EMP INVOICE NO
8039 CITY OF CARMEL —WATER 07/161140;48 1 10000627 6 383657'
SR
3450 W 131 ST PURCHASE ORDER# ATTENTION
WESTFIELD, IN 46074
41 TAX EXEMPTION:
AD TERMS: No svc dale 10th Charge Sale
14 DELIVERY: 1 o f 1,°
PART NUMBER LN DESCRIPTION QUANTITY i. PRICE NET TOTAL
ROTOR LAO LATHE 2 0 C 0 0 C 15 0000 30.00.'.
2e 'A h R
u v a 30.0'0
25% RESTOCKING FEE Indiana Sale 7.000% 0.00 thf�►
REMIT TO: PO BOX 24S 0.00
WESTFIELD,IN 46074
TOTAL Charge Sale 30.00
SIGI�i4 URE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
VOUCHER 102292 WARRANT ALLO'W'ED
354290 IN SUM OF
NAPA BOONE COUNTY AUTO -DO NC,
129 1- MAIN STRE€T 190
LE-B I rrD52
we ti
ERA°
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
383657 01- 6500 -04 $30.00
Voucher Total $30.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 241 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
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 7/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2010 383667 $30.00
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