161278 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
L ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $117.36
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 161278
CHECK DATE: 711112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
X1205 4231500 702014 117.36 ACCT 8081
i
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
l Ir AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
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 the use of this exemption certificate will be
directly used in the direct production of agricultural products for resale.
Returns
Please examine these parts at once. Errors should be reported before using or installing. 'The factory warranty constitutes all of the warranties with respect to the sale of this itenVitems. 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 for a particular 1W•
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 iternfitems.
NO RETURN ON ELECTRICAL PARTS.
fk.�W
ACCT SOLD TO DATE TIME STORE EMP
t >q 1 C;'CTV OF t;RF?IYlEC..- °F111Tf- .T!IIJCi Mf)TI`IT. {f 6 .0-. 5� !.(")0006-1:;', 1 1.9
SR 1. CIVIC SGI JARS- PURCHASE ORDER ATTENTION
C A R M E I IN,
41 4.15- 03,2 TAX EXEMPTION:
AD TERMS I O Svc c! I_te 1.0 h CHARGE SALE
r L1 1 CJR T'PUCK
DELIVERY:°
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
75 -500 NC)C_ '`syl 10W3 C! T 24. 00 I 11 4. j j
Al
25% REST FEE n kA W G IJ r.; -11 1 t 17. 36
REMIT TO: 1212 W MA I N Tax 7% l n- X ASL E 3 0.00
L C=
LL.FtAPdCth! IPd, '!•E'J052
AA
SIGNATURE TOTAL ,_____y CHARGE SALE 117. 39
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
f 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 x
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/26/08 702014 Na
Total $117.36
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
VOUCHEFbNb /08 WARRANT NO.
kl_Aut (5 ive SU ply_
ALLOWED 20
IN SUM OF
1212 W. Main Street
Lebanen, I N 2 2324
$117.36
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 ADMINISTRATION
�O E/ Board Members
PO# 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 702014 315 117.36 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund