161282 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
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ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $446.77
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 161282
CHECK DATE: 7/11/2008
D EPARTMENT AC COUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
601 5023990 ACCT 8039 442.98 OTHER EXPENSES
;651 5023990 ACCT 8039 3.79 699274
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032.317- 844 -3973 Fax: 317 844 -6220
IIIr Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
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APA L AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
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
direct) 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
C7 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 10% RESTOCKING CHARGE. sale of this item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP e
08039 CITY OF GARMEL- -WATER 5/ 30/08 14. -4,3 100006133 1.9 1 69'=.274
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W :3 45 0 r r 1-:.I�.D M I I'� PURCHASE ORDER ATTENTION S
43 46074 TAX EXEMPTION:
AD TERMS:I�q o v c: a I_t e 1 0th I..1 Kbt W-IL
30 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
335 VAL MAX PSF" STOP I,._EAKi 1.00 4.730 3. 790 3. 79
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25% RESTOCK. FEE 5,.kLo1,u Ca 1 :3.79
REMIT TO: 121.2 L IhAIN Tax 7% TAXTABL..E 3 0.00
LEBANON I 1\1 460
SIGNATURE 0T AL e Ct -1RCE SALE 3.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc. p `f
l�
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 7/1/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2008 699274 $3.79
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
Date Officer
VOUCHER 085838 WARRANT ALLOWED
.x54290 IN SUM OF
'NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
EBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
699274 01- 7500 -02 $3.79
Voucher Total $3.79
d 'Cost distribution ledger classification if
claim paid under vehicle highway fund
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NAPA �4ut® Pants of Ca.rmelr
'..'.111 Medical Drive 0 Carmel, Indiana'46032.• 317 844.3973 Fax".317- 844 -6220. 4
Please Remit To' H H Automotive Supply o 1212 W. Main St. LebirI6 IN 46052 H p
AGRICULTURAL EXEMP710NCERTIFICATE agricultural hse
�APA ption ce
INDIANA'.DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED_ WARRANTY
PLEASE READ
L I hereby certify under the penalties of perjury that the personal property purchasod.by the use of this exemrtficate will be
directly used in.the direct production of agricultural producisrfor resale.' f
Please examine these.parts ahonce.' Errors should be re rted beforeLSin or. installin Returns The factory warrany constitutes t to te sa
all of the warranties with respechle of this uerrtems.'Tfie seller hereby expressly
C7 must be made w_ ithin 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 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 thi5itetems:
NO RETURN ON ELECTRICAL PARTS.
ACCT r SOLD TO a DATE TIME :STORE EMP
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111 Medical Drive Carmel, Indiana 46032 317 844 Fax 317 -844 6220 w
Please Rem/t Td. F�.,Automotive Su I •1212 W. Main St •Lebanon 1N.46052
PP Y, At
AGRICULTURAL EXEMPTIONCERTIFICATEt agricultural use, 0
OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
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NAPA I hereb certify under the enalties of er f that the perso aI roe urchased b the use of this exam t"on ceru6rate will be I
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directly. used in'the'direcf production of agricultural' products for- resale. ',_•,4l'
'•'Please examine these parWit once: Errors should be reported before using or installing: Returns The factory warranty gonstitutesall'ot.the warranties with respect to the sale of this "te tems'The selleY or y expressly
C 'must be made withih 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.
roperty is sold.to you wrthth`e definite'understandin 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
p g sale of this itertUrtems.".
.has been added to the price. ALL' RETURNS SUBJECT TO 10 RESTOCKING CHARGE.
°..J'}}' NO RE TURN ON ELECTRICAL PARTS.
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NAPA Auto Parts ®f,.Car'mel
.1 Carmel, Indiana 46032'.o Fax: 317m844=6220-
Please Remit_To:,H H A EXEMPTION _CERTIFICATE
Automotive Supply .e 1212 W. Main St- Lebanon IN.46052
AGRICULTURAL t1f
agriculturafuse ❑F�ri��
APA INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby. cemty under the penalties of perjury thatthe persgnat property purchased by the use of this exemption certficaie will be
directly used'in the direct production of agricultural' products for resale.
Please examine lhese 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,
disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular'
must be made within
'TEN DAYS and mus[be'accompanied by Ihis NUMBE
piop y is sold to you with the definite that it is purchased for resale, unless tax R. This purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with [he'
art sale of this iyemltems.
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has beon added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE.
?;yf NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD,TO DATE..`' TIME STORE'# ;`EMP 7
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111 Medical. Driver• Carmel' *iana.46032 w317-844 -3973" Fax 317 -844 6220 t
Please Remit To H H A "utomotive Supply 1212 W Main Lebanon,, IN 46052
1 F AGRICULTURAL EXEMPTION CERTIFICATE I
A PA INDIANA DEPARTMENT,OF REVENUE= SALES TAX DIVISION Y agncu It ura use
LIMITED WARRANTY PLEASE READ
1 hereby cer ifyunder the.penalties of perjury that the'personal property purchased by the use of this exemption certificate wil(be
directly used in ffi dq ect pioduction of agricultural products for resale, r
Please "min
exe these' arts at once: Eirot`s shoultl be reported befoie using r installing ..Reluins 'The factory warranty cdnstitufes all of the warranties will respect to the sale of this iternhiems. The seller hereby expressly
O 'must be.made within TEN'DAYS'antl must be accompanied pnied bythisiNVOICE NUMER. This 'disclaims allwairanties, either express or imphed,.including any implied warranty of merchantability or fitness for a particular
property is sold to. you with the definite:uriderstandiog that it is purbhased;for. resale, unless tax purpose and the seller neither.assumes nor autno -es any other.
ECT TO person to assume for it any IiaMlityin connection with the
has been added to the price ALL RETURNS SUBJ 10% RESTOCKING CHARGE: sale of this imlitems.
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NAPA Auto Parts of Carmel
111 Medical Drive Carmel; Indian' 6 46032,• 317 844.3973 Fax „,317- 844 -6220
Remit To: H H Automotive Supply 1212 W MaifiSt :•L•ebanon, IN. 46052
AGRICULTURAL EXEMP,TIONCERTIFICATE
A
f� INDIANA DEPARTMENT OF'REVENUE SALES.TAX DIVISION+ agricultural use LIMITED WARRANTY PLEASE READ
6hereby certify underthe penalaes of perjury that the personalpropeny purchased by the use of this exemption certificate will be
i directly used in the Airec( production of agricultural products for resale
Please examine these' parts at once:,Errors should be'reponed before using or installing Returns 'The factory warrantyconstitutes all of the warranties with respect to the'sale of this aem/items. The seller hereby expressly
C1 muss be matle within TEN DAYS and must.be accompanied by this INVOICE NUMBER, This disclaims all warranties,eitherexpress orimplied,;iricluding 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 sellerneithei assumes nor authorises 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 itemftems
NO RETURN ON ELECTRICAL PARTS. S
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1'11 Medical: Drive. •Carmel, Indiana 46032, 317:844 -3973: Fax 317 844 6220
P,Iease.Remrt'To: H H:Automotive Supply •:-1212 W. Mam St •Lebanon; IN 46052
AGRICULTURAL EXEMPTION-CERTIFICATE t ,L
''k q ;agricultural use 0 1 i t
INDIANA DEPARTMENT OFREVENUE:SALESIAX DIVISION! "4. tis:j x
J LIMITED WARRANTY- PLEASE READ
I hereby certify under the penalties of perjury that the personal; property purchased by the use of this certrf,cafe will be
directly used in tfie production of agricultural products for resale: RESTOCKING CHARGE t L',
:'Please examine these parts at once. Errors should be, reposed before using or installing Returns" The factory warranty constitutes allbf the warranties with respect to the sale of this item/it'erns. 7 hB 5 BII8JhPJPbyP,YN �ff� r
G1 "`must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This diklaiims lll� h �ranhes,.eithei express or implied including any Implied WaFranty 0( mefC(12nlablh�! Of ItInQSS I rI rr
roperty. is sold to you the definite understanding that it is purchased for resale, unless tax f P rpo e a d t e sellecnerther _assumes nor authonzes other person YOBSSUfna (et if an liabil In COnnB tionpa'�ular
has been added to the Once. ALL RETURNS SUBJECT TO 10% sale of this ode terns. Y ly
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NAPA; Auto Parts of Carmel
:111 Medica[DrNe Car i 6i Indiana 46032 •3'1,7' =844= 39,73 •Fax ,317 =844 -6220
T Please Remit To: H H Automotive Supply 1212.W. Main St. *Lebanon, IN 46052 z°
AGRICULTURAL EXEMPTION CERTIFICATE
AN INDIANA DEPARTMENT OF REVENUE= SALES: TAX DIVISION use
agricultural LIMITED ..PLEASE READ
I hereby certty under thepenalties of perjury .that the personal propenypurchased by the use of this exemption certificate will be J:•:,;"
directly used,iri theuect _d production of agricultural products for resale. 4"
e' Please examine these parts at once. Errors should be:reported before using or installing. Returns 'The factory warranty constitutes all of the warranties with respectio the sale of this iterrNems: Tfie 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 mercfiantability or fitness for a particular
propany is,soId 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 r
sa of this de�ems
t
'has been added to the ET pace: ALL RETURNS SUBJECT TO 70% RESTOCKING.CHARGE'. le
'Y NO RURN;ON ELECTRICAL PARTS l r pN�tt
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NAPA Auto, Parts of' Carmel
111 Medical Drive Carmel, Indiana 46032.317- 844 =3973 Fax 317 -844 6220 L
Please Remit To: His, H Automotive Supply'• 1212 W Main Sf •I- banonJN 46052
N 'AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT,OF REVENLIO SALES TAX DIVISION LIMITED WARRANTY PLEASEREAD A I hereby certify. under, the penalties of perjury that the personal property purchased by the use of this exemption certificate will be ,r
directly used in the direct production of agricultural products for resale.
Please examine these parts at once: Errorsshould be reposed before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the of this itemfilems. The seller hereby expressly
C must bexmade within TEN DAYS and must o accompanied bgthis.INVOICE NUMBER. s tax purpose and the seller neither assumes nor This.. disclaims all warranties: either express or implied, inclutling any implied warranty et merchantability or fitness for a particular
roe is soltl to ou with the definite understanding that it is purchased for resale, unles authorizes any other person to assume for it any liability mconnecbon with the
p P rty i Y sale of this iteMitems.
has been added to the pncelALL'RETURNS SUBJECT TO 10 RESTOCKING CHARGE...
t� "y'.• NO RETURN,ON ELECTRICALPARTS.'
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NAPA Auto Parts of Ca.r:mel s,.
111 Medical,Drivet• Carmel,tlndiana 46032 •317= 844,`3973.• Fax :;317- 844 -6220
P /ease Remit To: H &,H Automotive Supply 1212 W. Main St. •Lebanon;`:1N 46052 +r
AGRICULTURAL EXEMPTION CERTIFICATE agricultwal use
A P A S INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION ARRANTV PLEASE READ
'LIMITED,W
I hereby certity uriderxhe penalties of.perjury that the personal property purchased by the use of this'exemption certdicAte will be
directly. the. direc[ production of agricultural products for'resale: ,'fi' i
"Please examinethese pans'ai once. Errors should be reported before using or installing. Returns The factory warranty constitutes All of the warranties with respect to the sale of thisitem /items. The seller hereby expressly.
C 'must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, eithei 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 seller neither assumes nor authorizes any other person to as for it any liability connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this ite�tems
_ham. NO RETURNON ELECTRICAL PARTS. 7;,
SOLDTO DATE i� TIME ORE ,EMP#
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NAPA "Auto `Parts of Cannel
a. 1:11 M..edicaf Drive'•. Carmel, fndiana 46032 $1.7- 844.3973 Fax -844 6220
Please Remit To: -H H Automotive Supply •'1212 W. M6i'h" t •Lebanon; IN 46052
r.. AGRICULTURAL EXEMPTION CERTIFICATE 7 i, !i agriculturabUs.
INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION. a
11 EUP—A l LI MITED WARRANTY PLEASE READ
I hereby certfy,under the penalties of perjury that,the personalpropedypurchased'by. the use of this exemption certificate will be gire useB'in the tliiectproducuon oKagricultural products for resale. "'Thefactory warran constitutes all oEthe warrantieswtlh respect to thesale of this itemfitems. The seller hereby ex Please examine Ihese:pa Is at once.Errors should be reported befoeusing or installing Reurns ry must a made.with p a r DAYS and must be accompanied by,this INVOICE NUMRER This disclaimsall warranaes, either express or implied. inclutling any implietl warranty of merchantability or fitness for a particular is sold tolyou with the definite understanding' that it is purchased for resale, unless tax purpose and the seller either assumes nor authonzes any other person to assume font any liabi6ry m connection with the has been added to the price. ALGRETURNS SUBJECT TO 10% RESTOCKING CHARGE.
sale of this ite terns, I
NO RETURN ON ELE TRICAL PARTS
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ACtr GOODS RETURNED MUST BE ACCOMPAN /ED BY TY A
NAPA :Auto -Parts c armel
11:1 .Medical Drive��• Car.niel,`]ndiana 46032. 317= 844 -3973 •'Fax ,31.7- 844 6220:
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Please Remit To: H ,H Automotive:
INDIANA REVENUEr- SAESTX DIVISION Supply'• 121.2 W; Main St ,-Lebanon, IN 46052
AGRICULTURAL EXEMPTION
CERTIFICATE
fJr DEPARTMENT;OF LA agricultural....
LIMITED WARRANTY PLEASE READ
hereby certify underJne penalties of perjury thatthe�pereonal property purchased by the use of this exemption oertdicate will be
directly used in t6 direct pFotluction pPagricultural products`fpr resale.
Please examine these parts al once.'Errors should be reported before using or installing. Returns 6 The faclory constitutes all of the warranties with respect to the sale of this rtemltems. The seller hereby expressly
must be made within'
T.EN DAYS andmusObe accompanied by this INVOICE NUMBER. This disclaims all warranbes, either express or implied, including any implied warrantyof merchantability or fitness for a particular
.property is sold to you With the definite undersianding'thabit is purchased for resale; unless tax. purpose and the seller nertherassumesnor autnonzas any other person to assume for it any liability in connection with the
has been added to the price. ALC RETURNS SUBJECT TO 10 RESTOCKING CHARGE..' sale of lhis'iteMitems:
$ti NO RETURN ON ELECTRICAL PARTS.
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ACCT SOLD TO DATE TIME STORE EMP
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SR C;,!~ �TF IEL L�,t�: PURCHASE ORDER ATTENTION
44 TAX EXEMPTION:
nljct4l.t L.M4 •L}t1h.
TER
w t_r DELIVERY:
'PART:NUMBER LN DESCRIPTION t QUANTITY PRICE NET �-.TOTALr
a,
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I H Automotive Suppl 0 NAPA Auto Parts of lRl 11,11
(317) 896 -5615
W. Main Street
L anon, IN 46052 2324 4 A PAD (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
J (317) 773 -3180
Remit to: (317) 774 -0932 Fax
(765) 482 -1180 goons County Automotive, Inc. NAPA Auto Parts of Carmel
(800) 924 -6831 (317) 844 -3973
(765) 482 7398 Fax 1212 W. M ain Street, Lebanon, IN 46052.2324 (317) 844 6220 Fax
BILL TO "T
CITY OF CARMEL -WATER
3450 W 131 ST ACCT# I SM.# I PAGE
WESTFIELD, IN
8039 43 1
46074
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DATE TYPE:.. REFERENCE:. r VvIOUNT P.O. /CI iECK lE
7 1�.` r 6 <)8` 3 0.69 .1
0 08 1 nv 6': 9) 2'7 4
06/02/08 Inv 699422 136 .99
061 03;'08 Inv 699546 18.67_
Oh %041 Inv 699673 33.96
08 Inv 699931 28.99
Ot� /09 %08 Ins. 70021.1- 7.55
Inv 10054 2 12.50
6, 08 700640 64.07
1 /M illy '7 1()6
0, On 1. .`v 71.)14 8.69
j il 0 LnV %0'.922 30.39
i
a
i
f
4 Sununary as o 06!25/2008
I Prev10Us Ba1ance 2
2 awn EIitS [,l) J4._
t���e d n t,�, i
E
i
CURRENT PAST DUE 30 DAYS PAST" D DAYS PAST DUE 9 DAY
1 ;1i ;%7 0.00 0.00 C.00
1
a i VV El
,T)0fc o U6128 0004 T o a a 1 D.. u'e 446.77
-y.. t...
r
NAPA
TOTAL DOLLARS PAID $442.
WATER ACCOUNT
INVOICE AMOUNT 650.4
S,} 699546 18.61 8.69 650.4
701459 650.4
698943 70.69
701922 30.39
650.5
12.50 650.5
e. 700542
700211 27 650.5
s=
699673 33.96 650.5
699931 28.99 650.5
699422 136.99 620.6
700640 64.02 620.6
701065 10.59 620.6
t
442.98
TOTAL
:n
NAPA
TOTAL DOLLARS PAID $442.98
WATER
INVOICE AMOUNT ACCOUNT
699546 18.61 650.4
701459 8.69 650.4
698943 70.69 650.4
701922 30.39 650.5
700542 12.50 650.5
700211 27.55 650.5
699673 33.96 650.5
699931 28.99 650.5
699422 136.99 620.6
700640 64.02 620.6
701065 10.59 620.6
TOTAL 442.98
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 of service rendered, by whom, rates per day, number of units,
t
price per unit, etc.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No:
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 6/30/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2008 699546 $18.61
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IG 5- -1 1- 10 -1.6
Date Officer
VOUCHER 082220 WARRANT ALLOWED
354290 IN SUM OF
N BOONE COUNTY AUTOMOTIVI
1212 W MAIN STREET
I LEBANON, IN 46052
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
�1
699546 01- 6500 -04 $18.61
1 01 D 6sr o L>+
`S'gY3 of -1, 014' 70.
6994
d t ��=Q
1 r,U(o40 t 59
1010 (05 t (oat v�
Voucher Total
Cost distribution ledger classification if
claim Paid under vehicle highway fund
J