159791 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $56.50
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 159791
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4231500 ACCT 7983 25.08 697238
1115 4232100 ACCT 7983 5.78 697238
911 4351000 ACCT 7983 3.12 695388
911 4351000 ACCT 7983 22.52 696921
J.
Balm 1M3ffW;=_
NAPA Auto Parts 844 of Camel
-3973 Fa
1`11 "Medlcal,Drlve'• Carmel, n' diana 46032 .317- x: 317 -844 6220
tomotive.Su ply 1212 W. Main St.--Lebanon, IN 46052 z
Please Remit Tq: H, H Au P agricultural Use ❑r
AGRICULTURAL EXEMPTION CERTIFICATE r
INDIANA DEPARTMENT OFAEVENUE SALES TAX DIVISION LIMITED .WARRANTY •PLEASE READ
.1 hereby certify und the penalLes, I perjury that the personal properly purchased by the use of this exemption certificate will be with res ect to the salebLthis rtenJtemS. The seller he eb ee pr l
1 1 NAPA y particular
direct) used in the direct production of agricultural producls,for resale: •The factory warianty constitutes all of thewarranties P
.Please examine these pads at once Errors should be reported before using or installing8'Returns disclaims all warranties, either express or implied, including any implied warranty in fo rchan y liabi or fitness t3
C le as e e made within TEN at undebstand n ed pu hiss purchased resale, unless its Purpose and the seller neither assumes no authorizes any other person to assume for rt- -any LabAity m connection with the
property T sold.toyou with the tletinue g ,sale of this ite terns. 9
has been added to the price. ALL RETURNS SUBJECT TO, 10 RESTOCKING CHAiiGE.
NO RETURN ON ELECTRICAL PARTS.
r DATE TIME STORE E
ACC T �i SOLD TO,
'CITY OF Cfd�tMl i_/F'Cll TC DEPT. 4 /�i /�E3 1Gr';`,� tcrta'C.icf3 3tr a3Sf3
C I V i L ;ritlUt�lF ASEORDER 10
PU
RCH
ATTE
SR# a
4
TERMS
IEMPTyONw` i.tir Il L iTrtniac �rtii-
EP GI INJ
TAX
AAD
DELIVERY:
PART NUMBER LN' DESCRIPTION. (QUANTITY PRICE NETS
TOTALS
2005 G cia Iil�e E ;c glade Q L rD: V8o
�a 00 �i r ;1i3' ,Sri
L i?�4.,� ;r T z "L F!
r!l F I
25 1ESTOCK FEE j
RC 10.- '1c']:L? Ir} h1f1Ii�! fT'�:rt, TAX,:fi" 34 1�'_
LESANCO 'II�f4 0
►EC15w i c tj
1
SIGNATURE TOT HA
ALL GOODS RETURNED MUST BE ACCOMPANIED 'BY-THIS iNVO/CE
I NAPA Auto Parts of C arrne�
111 Medical Drive o Carmel, Indiana•46032 o 317- 844 -3973 o Fax: 317 844 -6220
Please Remit To: H H Automotive Supplylo 1212 W. Main St. *Lebanon, IN 46052
1 1 I 11fII1111I D 11�Ip111I IIr AGRICULTURAL EXEMPTION CERTIFICATE
I I11 "IIU
INDIA agricultural DEPARTMENT OF REVENUE- SALES TAX DIVISION agragricultural use
l i I l W W IILL LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personal property pu by the use of this exemption certificate will be
rec
ditly used in the direct production of agricultural products for resale.
RESTOCKING CHARG
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 item/items. 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 implietl, including any implied warranty of merchantability or fitness fora 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 E: sale of this itemltems. y p L I
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO l f DATE TIME STORE EMP {61�I4Y '1
0796, CITY OF CARMEL. /F'C)I -IC:E DEPT G_5/(..)6 17:i;0 10n00061 3 38 Gr: 9E,9E"1.
``7 CI VI C: SQUARE
SR', #i'`• cARMEL, IN PURCHASE ORDER ATTENTION
i S
43 14-F.032-' TAX EXEMPTION:
AD =CEP COPY INV TERMS:IVU vVL. %.II_tt. 1M ii t..:i_i M H L. r
DELIVERY: iA YC 1 RUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2005 Cad A%1-tc IE ictal ac.Ie
WIP WIPEFr BLADE EXACT r t oo 17. 4BO B. 010 16. 02
9
f,4�- i;l1 =1 WIP WIPER, BL_A'i.)H 4 ELX&J'`f- 1. C)d 13. 1 I :Cll f',. 500 50
I
h I,
RESTOCK FEE X1 r I vcww,: 22
MIT TO 1.212 W MAIN Tax 7% TAXTABLE 0.
�F�NON
IN, 46052 I
SIGNATURE TOTAL CHARGE SALE
1 GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Total
b certify that the attached invoice(s), or bill(s), is (are)
true and correct and I have audited same in accordance II
I her y Clerk- Treasu
with IC 5- 11 -1 -1 6 20- ;g
SE SAL-
CHAR
•SIGNATUR
pL� GOODS RETURNED` MUST BE ACCOMPANIED BY THIS I
CC -2 C
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
1 r Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052
I AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
J I N IIL INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
APA
I hereby codify 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 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 itemltems. The seller hereby expressly
C1 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 fora 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. sets of this item/items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07983 CITY OF C(~RMEL /POLIC::E DEPT 5- /09 /06 10:52 100006 ti:
;{,i�1C.)(_fC,)�r1:S..'i :".,,.'.r f
3 SQUARE
SR Ct tF,IIE L h N PURCHASE ORDER ATTENTION
A-'.3 4F., TAX EXEMPTION:, ,r
Aft iE.EP COP ItI TERMS: at J v J t 471 1 tl 4 J i4.
it
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
F I L. U i L. i' 1 L I t:_ N :1.. 61�L) i.:'.0 69
75-1.30 i~It3L NAPA 101430 C >':'T 12. 0 E'.. Ei 1 2. 090 25. 08
All A
i!J% RESTOCK FEE r'r ,1-,4 1 ;t!e FEE;
REMIT 'TO r 12 W MA I N Tax 7% TAXTAlE LE 3 0.
.EBAIVON 1'14 46.0,`. 2
X SIGNATURE TOTAL_ CHARGE SALE 30. 86
AILyL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
\1
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))
05/09/08 697238 $5.78
05/09/08 697238 $25.08
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
20
Clerk- Treasurer
VO UCHER NO. WARRANT NO.
ALLOWED 20
Napa -Auto -Parts
IN SUM OF
111 Medical Drive
Carmel, In. 46032
$30.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
Iq�o
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 697238 42- 321.00 $5.78 1 hereby certify that the attached invoice(s), or
1115 697238 42- 315.00 $25.08
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
u� c c, which charge is made were ordered and
received except
Tuesday, May 20, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund