167273 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $1,173.80
5�=a CARMEL, INDIANA 46032 1212w MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 167273
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NU MBER AMOUNT DESCRIPTION
•1205 4237000 7995 15.92 716803
1205 4237000 7995 -27.41 716973
,.2201 4238000 7995 ,,-996.29 717304
X2201 4238900 7995 189.00 717442
t
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
P t AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
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.
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 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 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 101 RESTOCKING CHARGE. sale Of this itomaAA.ms.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP o �5'
o79':?5 CITY OF CARMEL._••- STREET DEPT 1.9 717: F
�t 1� 1. i;8 13 u L 1. {,ll.:){:.i {_1Er 1 :r,� r
0 W 131ST STREE.1
SR WESTF I EL.D, IN PURCHASE ORDER ATTENTION
f r 4Ct a 7 I TAX EXEMPTION%
A.0 TERMS E C I PJ 4� I titJ V L- :1 l,tC J. t: I t i_rl /A R 4._ 7f 1L. E
DELIVERY: ti
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
NH l -f+Pl,':SAF1-RL .;SI ZEL;C)h'iBGW 2.00 146. 110 73.233 146. 4 OR i
94 NIAT 4PCMETLRGSI ZECOMBGW 2.00 0 146. 1. 1.0 7;3. 22 3 1.!x1, r 0 R
20 VG 8PC ROLL BAG PACKAGE 3.100 173. 1. G0 I {:Y9. 000 327. 00
7 E'K SCREWDRIVER TOOL_ SET 3.00 44.82o 4. 99C-) 104.97
NMT613 NHT 1.3PCTOR XF I TSrKTSET 1.00 0 74. 960 36.734 x'34 36. 73 R
68 11G SE LOCKING PL IERS 2.00 0 104. x'332'' 59. '390 J. 19. 98
35 336 SPC HAMMER 1. 00 41.000 35.890 35.89
L_VH32 NHT BP HA!'$II•+If_ R-- STEEL._ HANDL. 3.00 54. 990 2G. 2E: 1: 78.78 R
25 RESTOCK FEE 996.
REMIT' TO.- 1212 W Mrt l hi Tax 7%. TAX TABLE 3 0„ 0
LEBANON IN, 1 +6o52
SIGNATURE TOTAL ARGE SALE
�ALL�GO�ODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE v "i
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))
12/16/08 717304 $996.29
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Boone Co. Automotive
IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$996.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# bept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 717304 42- 380.00 $996.29 1 hereby certify that the attached invoice(s), or
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
Wednesd y, December 17, 2008
c
r
Street o missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
vrr
r
l Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use AR INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
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 item /items. The seller hereby expressly
C 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 particular t
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. sale of this itennftems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE €MP P
I
17x135 CITY OF CARMEL_ °ST•REET DEPT 12/1.7/08 ],5: 1 717442
SR ";400 W 1 31ST STREET PURCHASE ORDER ATTENTION
WESTF I E E D, IN
411 46 TAX EXEMPTION:
AD i-`..EEP COPY INV TERMS`. o s tire_ dLte 10th CHARGE SAL.E.
17 DELIVERY0' -JR TRUJCV
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
M14V1001 lJW I WINTER WPR SI._ADE ASST 1.00 a13. 9 18`Jrr 000 :i.S 9a ()o U
JAM.
i
t
25% RESTOCK F=EE a >_t a� �r��:�;� 189a
REMIT TO.. 9.2112 W )ylAIl%1) Tax 7% TAXTABLE. 3 c,)„ 00
7
L..F DAI�iCjiW I iu 4•C,c�)
I H SIGNATURE TOTAL_ CHARGE SAL -E 169. 0
t
I ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
v Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052
JP A I AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
[F�N INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
alties of perjury that the personal property purchased by the use of this exemption certificate will be di hereby certify under the pen ectly used in the direct production of agricultural products for resale. 1 Please examine these pans 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�tems. The seller hereby expresly 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. sale of this itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP o
79 a E LTY OF C ARMEL. ST RE. E:T DEPT 1. E oG lo p 1.0 1. t���'1t?061 �33 30 716973
.7-:4 W
•?,4�� 0 W 131ST STRE E"T
SR j# 1+1C STF I ELI), I P1 PURCHASE ORDER ATTENTION
4 46,074 I'' 7 �y 1 TAX EXEMPTION: t_. r, r, r••r, v •s- e.a r^ wr,
V, EP COP INV IY f aY LI <.l 6srtrii i f. 1
AD TERMS:
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL``
tK:a t L.H R(JLA'%1 to IbWJ. I Ut if. e_I1) J.tin _=.'Q a., f,:.IQ I t. Z)I. ,HH
784613 NW FUSE HOLDER •7a 2 3.790 3., •39CF�
78442:E, NW RING TERMINAL —2.00 5.850 1. 0E: 0 6. J.IL't:IR
REMIT "TO.- 1212 W MAIN =i Tax 7% Tf- XTA LE 3 0.00
X TOTAL _.....y CREDIT ME1YIO
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
I
NO
A PA L INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION agricultural use
hereb certify under the enalties of perjury that the personal property LIMITED WARRANTY PLEASE READ
y ty p p l ry p p p y purchased by the use of this exemption certificate will be
directly used in the direct production of agricultural products for resale.
hou 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
Please examine these parts at once. Errors s Id be
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 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 foi'it any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this ite�tems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP 7 .11
1 CI TY OF C�'� F?IYIE.L l RF F UEI �T 1:21 1 t:)! t zS 1. 6 i. c;}: "�c:i� 1 3 r 1 SR 3400 W 131ST STREET PURCHASE ORDER ATTENTION
WESTF° I ELF}, IN E 'x
4.N i 3 74 TAX EXEMPTION: I if
AD =P COPY INV TERMSilo avc ciue 10th CHARGE SALF
1 DELIVERY -CIUR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
782-5316 BK ATC FUSE BLOCK K 1,. Ewan 121. 240 15. 920 15e 92
25% RESTOCK FEE Subtotal 1`J.9
REMIT TO: 1212 W MAIN Tax 7% TA?: TABLE 3 0.00
LEBANON IN, 4� 052
S
SIGNATURE TOTAL CHARGE SALE 15. 92
1 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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))
12/17/08 717442 $189.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Boone Co. Automotive
IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$189.00
ZON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 717442 42- 389.00 $189.00 1 hereby certify that the attached invoice(s), or
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
Thursday, December 18, 2008
Streemmissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
A 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
NAPA Auto Parts
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/12/08 716973 CREDIT
12/12/081 716972 Fuse Holder, Ring Terminal Rocker Switch
716803 ATC Fuse Block $15.92
Total $25.46
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
VOUCHER N2f49/08_WARRANT NO.
Automotive Supply ALLOWED 20
1212 W. Main Street IN SUM OF
Lebanon, IN 46052-2324
$25.46%
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 ADMINISTRATION
Board Members
Mi or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 716973 370 $27.41 materials or services itemized thereon for
which charge is made were ordered and
received except
1205 716803 370 $15.9 2
i
20
i
ald re
6
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund