165670 11/12/2008 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: $110.03
LEBANON IN 46052 -2324
CHECK NUMBER: 165670
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 8011 2.29 REPAIR PARTS
1125 4238000 8011 107.74 SMALL TOOLS MINOR E
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NAPAeAuto Parts of Cairrnel
111 Medical Drive• Ci rmel ;-Indiana 46032.•'317- 844 -3973 Fax 3 844- 6220'
Please To: H Fi Automotive Su I 1212• W. Main.St.. Lebanon' IN 46052
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PP.Y
.AGRICULTURAL EXEMPTION CERTIFICATE agricultural us'e
A P�
direc INDIANA DEPARTMENT OFREVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personal propeny,purchased by the use of this exemption ceNflcate will be t
tly used in the direct production of agricultural products for resale. i x :',41• all
Please examine these parts at once. Errors should be reported before u conshiutes all of the with respect to the sale of this item /items. The seller hereby expressly
C must to made within•TEN DAYS and must be acwmpanied by. this INVOICE sing or installing. Returns 'The factory warranty NUMBER. This disclaims all warranti,�enherexpress or implied, including any implied warranty of merchantability or fitness for a particular
proper sold to you with the definite understanding that it is purchased for resale,' unless'lax Purpose and the sellern assumes nor authorizes any other person to assume for it any liability in connection with the
has been added. to the price: ALL RETURNS SUBJECTTO'40% RESTOCKING CHARGE. sale of this itemltems
NO RETURN ON ELECTRICAL PARTS: r
ACCT`# SOLD TO I DATE TIME STORE EMP s
Rt4$/- 24 08 f 1 10C:jt 06.1
SR' PURCHASE ORDER.# ATTENTION IV1
0 1
fi1R lEL, IN
1 rd4e TAX EXEMPTION:.
A�
I lvOF!Y. x hdll TERMS: IU t at' i. L, I I iaNAFRO
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DELIVERY,:
PART�NUMBER I LNG; f, DESCRIPTION °�GIUANT,IT�Y.' PRICE NET TOTAL
(8Vi j NW_.. L1'�1T f�:RY.�LA�'LC L.t1Li 1p 4��f� 3 ;'��t a:
NOV 0.4 Qpg
i.`;/ RE FEE x t...,. 4 T I* ti
REMIT: T'�7 1 W MAIiV r T ��,t 7% �kT ALA ,x
LC"SAI�lC)N( Tel, 46058
X rC.7 flL CHARGE SALE:.
SIGNATURE
ALL �GOODS RETURNED MUST BE ACCOMPANIED BY THIS
J
NAPA- Auto Parts of, Carmel
111 .Medical Drive •.Carmel "Indiana 460329 317 =844 -3973 Faz 317- 844 -6220
Please Remit To: H H Automotive, Supply 1212 W. Main St, -Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TA %DIVISION LIMITED WARRANTY PLEASE READ I
N
APA 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 ite�tenis. The seller hereby. expressly
G1 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This tlisclaims all warranties, either express or, implied, including any implied warranty of merchantability or fitnessfor a particular
property is you withdhedefinito understanding that it is purchased for resale. unlesstax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the
CHARGE. sale of this ite�tems.
has been added to the phce.:ALL RETURNS SUBJECT TO 10% RESTOCKING
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP Y ti
tE�t i .0 F�Rlr1E l ALA r 1-' 1 1 S:r F2 R 0-'/03 08 L 3's c 1 l ilOt 0613 3 .3 7
SR I+1'1' L 1;'TH:T1?rE 1,: PURCH ORDER ATTENTION
i CflRMEL, I!
460 32 TAX'EXEMPTION: M
A I*EP' COPY 'Jt,4,l TERMS: vc di t,'e. 10th C HARQF "SALE
3 DELIVERY. UR T RUCK, P,
PART NUMBER': rt.
`,.'LN j "`DESCRIPTION' (�UA'NTITY PRICE �NET TOTAL
E.,05- �=r41 BI, Tf �Nkt. HEA
2, 00 .7 r 93i 3 53.87(, 107.74
Pumh
P p cri tron
Grp
Budget
25_
a Line Des 6�
4
0 008
V
2
PUrchas g
Approval
I f F
6 2 r. RESTOCK FEE 4_iLlh: Ot a-1 107. 74.
RI -AIV. TO: .1 kd Ih�T1'} T��t. 7! Ti1�'l "Cd,I�LE 00
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SIGNATURE TOTAL CHARGE. SALE .107.
'ALL GOODS RETURNED MUST BE AQCOMPANIED BY THIS INVOICE T r
0.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
(NAPA) Purchase Order No.
354290 Boone County Automotive Terms
1212 W Main Street Date Due
t,
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/08 712517 Parts for Z sprayer 2.29
1013/08 711097 Tank heater for vehicles 107.74
Total 110.03
1 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
(NAPA)
354290 Boone County Automotive Allowed 20
1212 W Main Street
Lebanon, IN 46052 -2324
In Sum of
r
110.03
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 712517 4237000 2.29 1 hereby certify that the attached invoice(s), or
1125 711097 4238000 107.74 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
5 -Nov 2008
Signature
110.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund