166588 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $366.55
LEBANON IN 46052 -2324 CHECK NUMBER: 166588
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8039 366.55 OTHER EXPENSES
NAPA �4uto Parts of Carmel
if-1, Medical Drive,• Carmel, indiana46032:• 317 =84.4 -3973 3,17= 844 -6220
Please'Remlt To:. H H Automotive.'Supply•_1212 W: Maln:St *Lebanon, (N 46052
AGRICULTURAL EXEMPTION CERTIFICATE
agricultural use
NA DEPARTMENT OF REVENUE: SALES TAX DIVISION
i
INDIA
N APA
hereby certify "untler the penalties;ot perpry that the personal property.purchaseci by the use of this exemption certificate will be
LIMITED
ITED WARRANTY•PL ASE READ
r. dnectly used�inthe direct productiodofagricultural products for rresale
Please examine these parts atonce' Errors should be reported before using'or,installing Returns °The factory warranty constitutes all the warranties with respect to the sale of this itemAtems. The seller herebyexpressly:
C `must be made:withm TEN,DAYS :antl,must be accompanied,by this.INVOICE NUMBER. This disclaims allwarranties, either diipress or implied,. including any.implied,warramy of merchantability or fitness for a partipolac
property,is sold. to you wi(h the definite' understanding that itispuichased forresale, unless tax Purpose andlFie seller neither assumes nor authorizes any otherperson to assume for itany liability in connection wdh the.
has been added to the pricer- ACGRETURNS SUBJECT TO:10 %,RESTOCKING CHARGE. sale of ihisrtemltems.
NO RETURN ON ELECTRICAL PARTS
.4
a
ACCT #r SOLD TO 6 DATE TIME STORE EIVIP
�k, u n
s
CxTY L1F E tRMEL tfAl'ER L?:8/08 33 7131
SRrt# 3s PURCHASE ORDER# ATTENTION
IE'TF1 i� I 6? IN
RL1GN 1
4u 46E 7 A TAK EXEMPTION
AD TERMS ic► i lae g s at {-1 HPROE SALE
77 F
't DELIVERY:`
PART`NUMBER� t LN j' DESCRIPTION QUANTITYry PRICE NET 3 st" t TOTAL''
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SIGNATURE TC?TAL CHA `QE SALE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
yo
S'
NAPA A
uto Parts �of C:arrnel
111 Medical Drive':: Carmel, Indiana 46032. 317= 844 -3973: Fax- 317- 84.4 6220,
Please Remit Ta H H Automotive Supply.e`1212. We Main St Lebanon; iN 46052
1I AGRICULTURAL EXEMPTION CERTIFICATE t. agricultural useo INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ l'
I hereby certify under the penalties of perjury that the personal property purchased by,ihe use of this exempoon certdicate will be
directly in the duecl production of agdculturaLpSoducts for'resale.
Please examine these pans at once. "Errbrs should be reported before usingor installingg. Returns 'The factory warranty consatuies,all'of the*warraniles with respect to the sale of this item(tems. the sellei hereby expressly. r.
O ust be made within TEN "DAYS and must be accorre i by;ihI. INVOICE NUMBER. This disclaims all.warranties, eithei express or implied,.including any implied warranty otmerchantabihiy or fitness for a particular .r
property is sold to you with the definite understanding that it is!purchased for resale; unless tax" Purpose and the seller neitherassumes nor authorizes any other person to assume for it any liabdRyin connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemllems.' i. i R r'/
t NO RETURN ON ELECTRICAL PARTS,
i
ACCT SOLD TO DATE' TIME STORE EMP`#
Y�{
trC1C3 CITY: t3F C.fif.R lE-t: t�iF TLf7 t�f nft 1. �.t�;;.1 .t 0t,,�at�EJi?;u
SR 50 tl 1:'� PURCHASE ORDER ATTENTION f•'
tE1 F' IL I) 7
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AD TERMS'dc�''•:�, vc' .du ,'-1 ptht jtHARCE'':1L E
DELIVERY:
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PART;NUMBER :Ij LN' t DESCRIPTION QUANTITY:' PRICE NET "TOTAL-
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X
SIGNATURE4^ TCITAL r; ChlFt(�E SAL
ALL GOODS INVOICE
'RETURNED BE ACCOMPANIED BY THIS
t,;
h•
:NAPA Auto Parts. of Carmel
111 Medical Drive Carmel, I'hdiana 46032.317- 84,4 -3973 •;Fax; 31'7- 844 -6220.
Please Remit To.: H: H Aufomotive Suppiy 1212 W: Mam St Leb'anon, IN
AGRICULTURAL EXEMPTION CERTIFICATE 'agricultural use
t
IN APA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION i LIMITED WARRANTY; PLEASE READ
�I hereby certify under the penalties of. perjury that the personal propertypurchasedby the use of this exemption certificate wiltb'e
diiedtly used in the direct production of agricultural 'products for resale.: r
i• Please examine these parts at o'nce.'Errors should be' reported before using di installing. Returns 'The factory warranty consblutes all of the.warranties with respect to the sale of this 1te terns. The seller hereby expressly
C must be made. within. TEN DAYS and must be accompanied by this 1. CE NUMBER. This disdlaims all warranties, either implied, including any implietl warranty of merchantabilityor fitness for a particular
Pharos perty is sold: to you with the definite understanding that it,is purchased for resale, unless tax Purpose and the sellerneither assumes nor authorizes any. other person to assume for it any liabillry m connection with the; 1.
RESTOCKING CHARGE. sale of this ite�tems.-
'•i' �F' NO RETURN ON ELECTRICAL PARTS. URNS SU&IECT TO 10°/ RESTO
t .SOLD:TO DATE ,'`o.,.
TIME' x STORE
ACCT EMP.#
ca�3ti.;,' .1 TTY Cf! CF1f h�EL W TEf >/c31� "?8 a''"0.8 is oicic)El 1 71 ti, 04r t1
u4 _5�i W 1'31 ST:
SR.# PURCHASE ORDER N ATTENTIO
LJEu .FT.ELI?,. Ihd: IH
4' t�E fj ri TAX EXEMPTION.
AD 4 TERMS do.. �c' cDlte' 1 {�.th CMf�RGI;'S F.�'
DELIVERY.;
PART NUMBER h LN DESCRIPTION v QUANTITY j /.PRICE NET TOTAL`
71 �tzrJC1 l s 88, GI C SL FtTl .t1 iw;: r 4 t 4: 7�c� ,.'390 �U �.t3
AX,7;� K xSH 11\ D BELT 'c� �7� 9. 973 19. 95
1vx: nom F1BH SUPER PI TND, OJ- :BELT: 4 4. Q 8w C�t���' r3q t+7 �5
25 -'94:3!5HD� Iry i�iBH FLEET€ UNNER- PL..L 1 c S s.1 BCIr 1.1 Carl{
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x.57 RESTQQK FEE
RIwM }�}'f l"Ct t 14 bl h1l� T hd Tax 7 T'AX'I' BLE ,sac
LE. NCJI� y 4 S/
v i SIGNATUREr"' J ti TOTAL rt l ,i CHARGE SoL;4 B4 g
ALL GObDS RETURNEDjMUST BE ACCOMPANIED BY THIS INVOICE
7
;,NA
7
6; 4f 44-3973�`�fax:'�
t14'Medilb,61 DrWe'e. Carmel"'Afidian 17
sup0iy.o212i14. �t'.'-L006nqn IN 46052
AGRICUL ION,CERTIFICATE', "EIT
gri�uitural use
T TURAL EXKMF.T
DEPAR MENT OF REVENUE SALES TA� DIVISION
PLEASE READ
LIMITED W.Fi"T,�
I:hdre ify I' f h'
by.cerl, I at I elpersc
APA 'y "p�8p�rty�qr�hase��ythe,useofthis'o;er��t�once�ifica��,�,,['I�be-�'
-a� -ijh r
ad n 'nde h 'a) ''a 0 a 'T i,h.:.W �,em set
lurns i"'t'�o�Yi:w�namly, .nsi all 0 mesw res ��Tlh. le, he r e�p ie"y-
-SR ie LZ l5r., P1.gri 1
g� d tl it cultural �r6ducts f6r resale
alr s ,.p.
to hantability or firn
Please examine th is �ho�ld be r�iponad'�;iore' using or installing! R I d lh f pacl 1 the
T VOIC I., I r s m
=TE D be:a�ornpaniec,by�tfiis IN E NUMBER: This isc ai;s all warranties, efthe expLes j?r mplfiec� includin4 an isd
must be nnade.withm a an, 6f..rc
3t Icri th, 6riobse and the seller neither assumes nor-authorizes any, qth9r person to assilrne it any llabffityin�onniilm
h
property is sold to you with the definite briders an ing t at it.is�lpurc ased for feaale� unl6ss'tax P
sale of this herrifitems.
has be6n added,to the orke. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE
N.!E�ECTRICAL�PARTS.*,,
NO RETU�N.1?
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41LL�13?9D�,�ETqRNED MUS VOICE T,
f il l, IYso sd_ f t I j l�
NAPA Auto`, Parts o:f Carm
111 Medical Drive Carmel;. Indiana 46032.•.317= 844 -3973 fax: 317,844-6 220'
Please Remit To: H &';H Automotive Supply •.1212 W: Main St •Lebanon,. IN 46052
L
A :•INDIANA DEPARTMENT REVENUE'. SALES TAX DIVISION agr LIMITED WARRANTY PL ZT
AGRICULTURAL EXEMPTION CERTIFICATE PLEASE
READ
Y W,
NT O EE REA
�'Ihereby certify under the penalties of perjury that the persenalproperty, purchased by the use of this exemption cert ihcatewill be
ilirectly esed in the direct prdduchdn of agricultural products for resale.
'The factory warran constitutes all of the warranties with respect to the sale of this itemftems. The seller hereby expressly'
Please examine these parts at once: Errors shouldbe' reported hefore' using or installing Returns h'
Cmust be made within TEN'DAVS and must be accompaniedby this INVOICE NUMBER. This disclaims all warranties, either ezpiees orimplied,.including any warranty:df merchantability or fitness for a particular
property,is sold to you with the definite understandingg that it is, purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for many liability in,connection withdhe yry
has been added to the price. ALL RETURNS SUBJECT•TOs10% RESTOCKING CHARGE.. sale of this Itetems.
NO TURN ON ELECTRICAL PARTS t
ACCT SOLD TO DATE. TIMEr STORE I,EMP# o
�t
rrSt i G"['T`� `QF C'ARMEL WAT'Et2 E<atxt'7f7F 1 +��r�
SR',# ;Y 1 ST PURCHASE ORDER ATTENTION
IESTF
�+Eft?:7�5 TAX. EXEMPTION:
AD•
TERMS 4 a "s— al zc�tn �.Hratd
DELIVERY.
PARTINUMBER LN DESCRIPTION QUANTITY '.:.PRICE NET TOTAL
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L.ELirat�ON I It t 480:
e
X ►t
s SIGNATURE: 4..
TO'TRL 7 :CF• AR0 E SALE
ALL GOODS RETURNED MUST BE ACCOMPANIED BYTH_IS,INVOICE
tt t lF iF`it l.:
w r
t NAP4 Auto =Parts `off Carmel
111 McOOVE)rlve Carmel, Indiana 46032 WwE144 =3973 Fax. 317- .844`6220`
rs
Please Remft To:. H &:H "Automotive Supply;• 1212 W: Main',St •Lebanori IN 46052
A
A
IND DEPARTMENT OF REVENUE SALES DIVISION,
AGRICULTURAL EXEMPTION CERTIFICATE
ty IN T r WA R agnculturaf use
NAPA� t`, LIMITED WARANT
Y PLEASE
1 hereby coi i6 yunder the penalties of perjury that the personal rimperty purchased by the use of this exemption cemficate wilt be
directly used in the direct production of agricultural products for resale.
ii
Please examine these parts at once: Errors should be reported before using or installing Returns 'The factory warranty constitutes afl,of the warranties with respect to the sale of this rtemblems. -The seller I ereby,expressly'
4t -,must be made within TENDAYS antl'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 purpuse and the seller neither assumes nor authorizes any other person to assume forrt any liability in with the'
he been added to the price. ALLRETURNS SUBJECT TO 10/ RESTOCKING CHARGE.''. sale of thisitem /items
NO RETURN ONELECTRICALPARTS
/err DATE TIME STORE tj EMP,
ACCT
��',t) CST I� CFtF2lvlEt: y lA ".LR il 1 1 z Wt 7'14 t i F
SR
a� +'r :1 1 !,7 PURCHASE ORDER k ATTENTION
TAkEXEMPTION
h
TERMS t n,a� rtlt� j "rye t�l�c�ramr tit r,
1'a
DEL" VERYj. a
PART NUMBER LN.j DESCRIPTION QUANTITY• PRICE s NET OTAL
1 3C 4 'f y
C SARS LEAI: 0D7 tdC A .r oc t t l4 1. '1`9�
NC
1't ty Lryt'"�r ,E .�.ILs''� 1'li.A,t 0F1 »I�i fL �)fi�`:✓ ,�J e� aaGl� k. 9 0, +M' B�.I
t r �..�"S',..r s,' f i {C EAN R CARr&& w. t.3 _J. t t f w 1` :7 u r t j a`,..
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ALL GOODS RETURNED MUST BE ACCOMPAN/ED'By ?HIS INVOICE
r s a
NAPA Auto` Parts of rm
.Cael'
1 :11 Medical DHV6,* Carmel, Indiana 46032,o 317,- 844 -3973'•- Nix: 31.7- 844 -6220:
P /ease_'Remlf To:,H; &.H Automotive Supply e12 12 W. Main':St •Lebanon, IN 4
I r AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
f INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION LIMITED WARRANTY -PLEASE READ
I I hereby.certdy under the penalties of perjury that the personal property purchased by the use of this'exemption certrff6te v lij be'
direct) used in the'dE a ricultural. production of a ioducta for resale.
Please examine these Returns
p g parts at once: Errors should'be reporte P,. 'The facto ry, warran 9'
all of the warranbes with respect to the safe of this itemfitems. The seller hereby expressly
d before using or installing
O must be made withimTEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims allwarranbes,.either express or implied, including any implied warranty of merchantability ocfitness for a particular
property is sold to you with;the.definite understanding that it is purchased forresele, unless tax Purpose and the seller nenher. assumes nor authorizes any otheuperson 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,inis rte terns,
't... NO RETURN'ON ELECTRICAL' PARTS. r1
ACCT' SOLD TO DATE a TIME" STORE'
Le
t �r
faAP333 i0J. Ty, ,1F CF1RMl L LJA7EFt S 1 itiu t, tt�titi,'�F1 n 71�T)jl
PURCHASE ORDER'* ATTENTION
IJE�iT# 'I I~l?' 111. w
TA'X'EXEMPTION.
AD L F- MS lip: tri rltiia i cs�1,; r �ac�P fz� 'mar
IVE RY:rIR TIIII�K i
PART NUMBER LN j+ DESCRIPTION', QUANTITY' PRICE NET s TOTAL w
hevr 0-1 et 7r�rErEc C250Ca z E Tdn 2WU F' c4cfra ;1�;
MAN1F 0I_D SE 1�: 0 �:4 l e° tf�.tJ 71d:GH� y' 7r1:a 6E� GR
T.
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7% �artto,l f x s 7`;;-
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7
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SIGNATURE
ALL GOODS RETURNEDMUST 'BEACCOMPANIEDBYTH/S/NVO/CE TC) TAB CHARGE ';A E f 7 S7 s
1 I tt
NAPA Auto` Part's of- 'Carmel'
n
:.'111 Medical Drive •Carmel, Indiana 46032 317- 844 -3973 Fax: 317 -844 2
6220'
Please Remit o: ...H Automotive 'Supply 1212 W: Malin St •Lebanon,: IN 4605
t�
-AGRICULTURAL EXEMPTION CERTIFICATE
agricultural use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION E
APA LIMITED WARRANTY PLEASE READ
r I hereby cartdy under the penalties of that the personal property purchased by the use'of. this exemphoh cemficate will be Y
1 dvectlY used in.the tlirect protluction of agricultural products for resale.
Please examina,these airs at once: Errors should be ie orted before using or installingg. Returns The factory viarraniy cbost,tutes`all of the warranties with respec(to the sale of this item/items. The sellei hereby expressly t
C1 must be made within TEN DAYS and must be accompanied :by this INVOICE NUMBER: This tlisclaims.all warranties, either express or implied, including any implietl warranty of merchantability or fitness fora particular- aC.
j' property is'_sold to you with the definite understanding -that d is purchased for resale, unless,tax Purpose and the seller neither assumes nor authorizes any other person to assume ford any liability in connection with the
sale of thisitemfiems. r.
has been added to the'price. ALL RETURNS SUBJECT TO 10 "RESTOCKING -0HARGE.
NO RETURN ON ELECTRICAL PARTS:.
4�.
ACCT SOLD TO DATE TIME STORE EMP
ti v
06(.2 QI TY �CF Q RMEt_ W9TER
PURCHASE ORDER# ATTENTION
SR k. 1 ;1 ST
ESTF f
i =z ELD`; z ;F
�+St l TAX EXEMPTION:
AD a TEFiMS.r •ttA r i I�t a, rr~►a�r� i.c�l. 2
2CZ DELIVERI(:
'PART LN_?i DESCRIPTION, Ql1ANTITY, `PRICE tNET ,TOTAL
'c-? c 1 BK 0--RING a '1 �Ea' c�. 8 �t� t}e 5S���r 1 ��r
T t s rte As T: {��,y, A ,7 r�
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.ter °lv aU' bt 6t
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�c SIGNATU RE-
TC)1 C�HARGF_ SAFE'
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE a f
A. F f yR Itr
NAPA Au o. Parts of :Carr�iel :R
v
111, Medical Drive:• Carmel, Indiana 46032 317= 844 -397IN Fax: 317-844-622
Please:Remit•To; H &.H 1217VV Main St •Lebanon,.IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE C•:
gnculturaYuse
Pt +INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION i LIMITED WARRANTY READ t
I hereby certify under the penalties of perjury that the personal property purchased by the use of this :exemption be certificate wilf
directly used in the direct production 'of agricultural products for resale. •,v, S
`Please examine these ads at once. Errors should be re oried tiefore osinor installing. Returns 'The�tactory warranty constitutes ,all of the warranties wLLti respect to the sale of item /items. The seller hereby expressly
v p;'
J must be made'within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all arranties, eitheKexpress or;implied, including any implied warranty of merchantability or fitness for a particular
property is sold to youwith'4he definite untlerstantlingg that it purchased for resale, u l
It tax- purpose and the seller neither assumes nor authorizes any other person to assume for it any liability mconnecfion wnhthe
has be added the CA ALLLL'RETURNS,SUBJECTTO'10% RESTOCKING CHAR. E. ;sae of this rteMrterns.'; r,
pri ce. PARTS:,. X I t
ACCT E I
SOLD TO,
4 M
DATE TIM STORE E a
Wray "F f
f ro 1; 5'�t1' 715>r,� rti?
�,i�7 EJ 1 1 "TT.,
ATTENT 4
SR_# PURCHASE ORDER'#
-ION
►rJl�'T� �L �?g TIC s" t.;
3 TAX EXEMPTION: r
MS
1 t
`40 vc 1� �t h', t�NARGI� �aALE:
TER
DELIVERY:CIIJR'.0 CK
PART %NUMBER LN DESCRIPTION QUANTITY PRICE NETt TOTAL
a t3ciE+'9�"crF d Tr s�cP. ,l`c5f� �I.:,p.ee I;rr�l 1'u n 6>
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REMIT 47 EYiA h! T� 7% '7 17� F1 LE~
s N 11N. 46052
S
SIGNC�TURE' T I1j11 GFiARt�E. Alt1 11a w •I
ALL GOODS RETURNED MUST BE ACCOMPANIED BY TH/S'INVO/CE
H&H Automotive Supply NAPA Auto Parts of Westfield
1212 W. Main Street Q (317) 896 -5615
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
70 (317) 773 -3180
(765) 482-1180 Remit to (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(765) 482 -7398 Fax 1212 W. Main Stre Lebanon, IN 46052.2324 (317) 844 F
BILL TO
CITY OF CARMEL —WATER STATEMEENT
3450 W 131 ST
A
WESTFIELD, IN T S IM PA E
8039 43 1
46074
Af
DATE TYPE.. REFERENCE. AMOUNT P.Q.ICHECK/J I`
10/28/08 Inv 71311.8 13.99 TRUCK 103
10/28/08 Inv 713119 30.78
10/29/08 Inv 713204 84.99
10/30/08 Inv 713342 35.88
11/13/08 Inv 714507 82.25
11/14/08 Inv 714579 11.07
11/19/08 Inv 715009 77.57
11/20/08 Inv 715134 18.09
11/25/08 Inv 715510 11.93
Summary as of 11/26/2008
Previous Balance 2063.02
+),Payments 2063.02Cr
Purchases 366.55
Current Balance 366.55
Future Dated 0.00
CURRENT PAST DUE.30 DAYS PAST'DUE B DAYS PAST DUE 90 DAYS
366.55 0.00 0.00 0.00
DATE 11/26/2008 T. o 366.55
TERMS No svc due 10th
Q STORE 100006128 -0004 366.55
3734 WARRANT ALLOWED Prescribed by state Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER`
IN SUM OF CITY OF CARMEL
BOUNTY AU IVI
REET Cn An invoice or bill to be properly itemized must show, kind of service, where
1052 performed, dates of service rendered, by whom, rates per day, number of units, W
5® �R 0 price per unit, etc.
Water Utility Payee
354290
APPROPRIATION FOR NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 12/2/2008
Board members
Invoice Invoice Description
0 ,CCT AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount
12/2/2008 112308 $366.55
)1- 6200 -04 $114.15
)1- 6500 -04 $162.90
)1- 6500 -05 $89.50
1
i
S
G
I
Fotal $366.55 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
er classification if
correct and I have audited same in accordance with IC 5 11 10 1.6
icle highway fund
Date Officer