161733 07/23/2008 F 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: $414.75
LEBANON IN 46052 -2324
CHECK NUMBER: 161733
CHECK DATE: 7/23/2008
ISEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4237000 ACCT 7995 278.46 701767
11192 4237000 ACCT 7995 8.65 701777
1192 4237000 ACCT 7995 127.64 701867
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NAPA Auto Parts•of armel
..11+Medical brive Carmel; Indiana 46032 317- 844 -3973 Fax: 317'84476'226
Please Rem/tTo. H. &.H Automotive Supply.• 1212 W. Main St -Lebanon,, IN 46052
AGRICULTURAL EXEM R PTION CERTIFICATE agricultural use
INDIANA, DEPARTMENT OEVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
APAI f he penalties of perjury that the personal propertypurchased by the use of this exemption certificate will be
Bimecf used in the B!r production of agricultural proBucts fonresale.
Please examine these parts at once. Errors should be reported before using or Installing. Returns 'The factory warranty constitutes all of the warrahties with respect to the sale of this rtem/itema. The seller hereby expressly
C must be made within TEN DAYS and must be accompanied by;ihis INVOICE NUMBER. This .disclaims all warrantees, either express or implied; including any emplled wa"my of merchantability or fitness for a particular
property Is sold to.ydu with th`e definitetinderstandin that it is. purchased for resale, unless tax Purpbse'and the seller neither as nor authorizes any other person to,assume for et any liability en connection with the
rhas'been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale otthis tie terns:, }I
NO RETURN ON'ELECTRICAL PARTS:_.
ACCT SOLD DATE TIME STORE I r EMP e
1`
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�a c�:.:I.1 1 '�T r:WET CHASE "ORDER,# ATTENTIO �xlilt
i7Al r, TAX EXEMPTION: t 7lj
App TERMS.,i �Irt I,r�,'. R' ear�r�
I C CJRy 1 l+tl� f
DELIVERY:Ili,;..'.'TPt f(•h'
PART :'NUMBER LN DESCRIPTION QUANTITY PRICE NEfT VT TOTAL
I E#`C!' r r�': F r`�Ic t K2 00 Tort `+aril} P 1 ef li
q. I7Ff r r t ti' �.ea.,. 1�.
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;SIGNATURE T T�1L r H RCE
ALL GOODS RETURNED'MUST BE ACCOMPANIED BY THIS INVOICE ..I
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NAPA Auto Parts'.: o'f:C'a*
1_1 1 .Medical Drive. e0 A
,Carm,ndian,a 46032 *.317-844=3973 efa"x-.3 844m6220
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Please RemitTo:'H &Automotive Supply-�'.1212 W. Main St 46052:
].IA RA AGRICULTURAL EXIEMPTION.CERTIFICATE
A DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use
IN DIANA t LIMITED WARRANTY PL EASE READ
I diiy the penalt�es�of 56,juryrlhal In. per;oral pr x mptioncertificat�willbe.
di,2E!
�e,.�, ce pur.hag; bythe use of this a 6
used in the producii& of agricult6ral products for rasalelo�
must be ma�e within TEN DAYS and mu
PI ase examine these parts at once. Errors s 'hould be reporeported bai6ra us6g or installing Reiums The factory warranty constitutes all of the warranties with, to the ;ale of this ilernfite,r The seller hereby expressl a disclai ties, either express or implied; including any implied warranty of merchantability or fitness for a particular
m us t be accompanied by this INVOICE NUMBER. Thi ms a warranties,
property 1s sold to y6u with the clefinite'dndei�standm*g that it is purchased'for resale, unless tax purpose and the se neither assumes not authorizes any other person to assume for it an I a bility in conneection with the
b een added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE.
has b sale of this iternrite
Ts.
N O R ETURN ON ELECTRICAL PARTS.
466T i
DATE TIME
I _1 t
-SOLD. TO*'-, .:STPF,t
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tm 11�o6o 3 '1
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EE PURCHASE
ORDER :':ATTENTION
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TAKEXEIAPTION.
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t A M S ifi �6 'S v A UE�, 1 5 t "(-:HARGE- A L t
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PART NUMBE LN �'6ESC'RIP'TI0N_: 1.
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SIGNATURE Q L SAt.iE: 8. ..65
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
77
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4
APA Auto Parts o arrne
111 Medlcaf=Drive Carmel,,lndiana 46032 31.77844 =3973 •Fax !317'r844-6220
Please Rem/t To H H Automotive Supply 1212 W. Main St Lebanon, IN 46052
.AGRICULTURAL EXEMPTION CERTIFICATE
r ,.agricultural use
INDIANA DEPARTMENT.OF REVENUE SALES TAX DIVISION of thiexemption 1 LIMITED WARRANTY PLEASE READ
LN A pA Thereby certi yfunder thepenalfiesof perjury lhat the pe sonal progeny puchasetl 6y the use s certificate will be i
directly used.inthe duect production of agricultural products for resal 'T
e.. '3 a r
1 ,1 "Please'ezamine these aitsal once:.Errors should he re oned betoie.usm of e,. lin `Ret`urns he factory warranty canstitutes.all of the warranties with respect to the sale ofthis item /dins' The seller herebyexpressly,
inustbe madewithin TEN DAYS�and must be accompanietl_by this INVOICE NUMBER: This' disclaims all warranties, either express or implied, including 'any
Pu implied warranty' of merchantability fitness 'for a particular
property is'sold to yddwith, the definite understanding [hat it is purchased for resale, iinless4az
purpose 'and seller neither assumes nbr authorizesany other person to um
asse for it any liability in connection with the
has been atlded to.thepnce: ALL'RETURNS SUBJECT T0,1 0 RESTOCKING CH sale ARGE.', jt', All
of this nemftems
a t;NO RETURN ON ELECTRICAL PARTS' i r �Y
ACCT #`F 3, <t ,SOLD TO ,DATE t TIME STORE #r
TY �Ll C' �F LLB r7f i"T 'L�Efi'T Lt, .�4 O 7� u 1�`
;1 R. T URC,HASE ATTENTION.
TAX EXEMPTION:
AD :Iw€J C:CiF�Y hiV TERMS
a
DELIVERYILIR Ftt1ICFi i a
PART'NUMBER LN, q DESCRIPTION h QUANTITY; PRICE r S NET
f P NEW L T ERN A f.lE 6 1�� rr is L� °64
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f 41 st r
SIGNATURE j TQTAL CFtARC£� t L� 4
r" ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE It
-H&H Automotive Supply ANIR NAPA Auto Parts of Westfield
1212"W. Main Street (317) 896-5615
Lebanon, IN 46052 2324 (317) E396-1820 Fax
NAPA Auto Parts of Noblesville
(317) 773-3180
Remit to: (317) 774-0932 Fax
(765) 482-1180 NAPA Auto Parts of Carmel
(800) 924-6831 Boone County Automotive, Inc. (317) 844-3973
(765) 482-7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844-6220 Fax
BILL TO "TATEMENT
CITY OF CARMEL-STREET DEPT
3400 W 131ST STREET
ACCT# I SM#:�:]f PAGE
WESTFIELD, IN
7995 43 1
46074
DATE P.O./GHECK/J
EE REFERENCE. ...AMOUNT
4 "3
<;C 1 42.93
j-0
7 59981 5 8 5 1
22.00
659959 83 .09
V 7('qzj1
-3 4 .93
1 W-) 7 00 4 90 42 .98
I nv 700 546 158.28
4.69
0 6.49 (I C 7'1
3
1 V 11. 78
7 6 5.95
'nv
t 50C
76 7 7 R 46 1
C; 36 64
I q D115
Summary �s of 06/25/2008
Previous Balance 688.
ei"
Dcte
GURRENT PAST DUE 30 DAYS PAST: DUE 60 DAYS PAST DUE 90 DAYS
0 00
IF e 0 886.70
T: t 1 0, W.
M S
(1 0
T :0 t tai I D e 886.70
L F TE.
A
T
BJLLJ0 TOTAL .NOWDUE'
DEPT 886 70
C.11-P117 OF" CARP"ILL-STREET
DATE
06/25'%008 AMOUNT ENCLOS.IED
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
#hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Pavee
a n ou� o Purchase Order No.
f
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
N _70170 TjLt� 78.
y -70/-77 1 8.65
�aro 6 io)16V
aL
Total yJq, 75
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
VIC IN SUM OF
q L1, 7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
oZ 7 01 3 d 18 q(p bill(s) is (are) true and correct and that the
qa 70) 370 B b 5 materials or services itemized thereon for
q 7 70 IQ 7. 1pq which charge is made were ordered and
received except
11 7L21 1 200e
Signat re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund