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163637 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 E` ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CARMEL, INDIANA 46032 1212wMAIN ST CHECK AMOUNT: $366.79 LEBANON IN 46052 -2324 CHECK NUMBER: 163637 CHECK DATE: 9/17/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 ACCT 8048 23.77 705601 651 5023990 ACCT 8048 43.85 705608 651 5023990 ACCT 8048 73.10 705989 651 5023990 ACCT 8048 62.16 707017 '651 5023990 ACCT 8.048 67.94 707097 651 5023990 ACCT 8048 95.97 707564 f i H&H WAI$ ®11'1 ®$IVe Supply Q NAPA Auto Parts of Westfield 1212 W. Main Street A (317) 896 -5615 Lebanon, IN 46052 -2324 (317) 896 -1820 Fax NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 482-1180 Remit to: (317) 774 -0932 Fax (800) 924 6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel (317 844 -3973 (765) 482 -7398 Fax 1212 W Main Street, Lebanon, IN 46052 -2324 (317) 844-6220 Fax TOOL SALE* *LEBANON 9/10 11TH *NOBLESV. 9/24 25 BILL TO T CITY OF CARMEL- SEWAGE DEPT 1 CIVIC SQUARE CARMEL, IN A CIT ;SM #n PAGE 8048 53 1 46032 N DATE�> TYPE ,REFERENCE': .,AM(OIJNT .WP /CHECIUI E 08, %06/08 Inv 705601 23 "77 08/04/08 Inv 705608 43.85 08/07/08 Inv 705989 73.10 08/19/08 Inv 707017 62.16 08/20/08 Inv 707097 67.94 08/25/08 Inv 707564 95.97 Summary as of 08/26/2008 Previous Balance 286.33 Payments 286.33Cr 'Purchases 366. 79 Current Balance 366 "79 Future Dated 0.00 CURRENT° PAST`D.UE30 "DAYS ;;PAST O:UE>v6,0DAYS PAST DUE'90 "GAYS =;r'. 366.79 0.00 0.00 0.00 DATE 08/26/2008 T o t a] 0.0'V! d 366.79 TERMS No svc due 10th RK STORE 100006128 -0004 rte, T o t a 1 E 366.79 ..=...b :..;3 NAPA;rAuto Parts .of 'Carmel 111 Medical: Drive.e Carmel, Indiana 46032.317- 844 -3973 Fax: "317 844 6220 Please Remit To; H H Automotive Supply 1212 W. Main St L.ebanon IN 4605.2 y AGRICULTURAL IFI EXEMPTION CERTCATE agricult urapuse INDIANA;DEPARTMENT OF REVENU E- SALES -TAX DIVISION'• 7• .,t LIMITED PLEASEREAD, J life y'certify undertFie penAies of perjury thal;f er persona6 property purchased by the use of,this exemption ceddtcate will be tlirectlY used I'll direc6 production of agilcultural products for resale. The fac warrant onstitutes�aB of the warranties with respect to the sale at this itemfitems:. The'seller herel expressly Please examine these parts at once`Ei m be be reposed befbre'usirig or installing Returns tory c Y C i must be mad. within TEN'DAYS and must be accompanied by this INVOICE NUMBER Th s: isclaims all warranties, either express or implied, including any implied wa4anty aP merchantability or fitness far a particular property,is'sold to yowwifh the definiteunderstarididg [ha[ It is purchased far resale, unless tgx purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the has been addetl to the price,' ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this femlitems. tZ Fit NO RETURN ON ELECTRICAL PARTS >w 7 7 ACCT SOLD TO DATE $TIME STORE EMP`# °k }48 0 IT �1 IrS2 IC�,�r vEWAG LL 1) r PURCHASE ORDER ATTENTIOIW SR C 1:'z1.r, CiG!Ut�rR� C ARA1EL IN tSc r Jt TAX. EXEMPTION: 'AD TERMS DELNERY "1LfR T I k1CN PART'NUMBER LN.= s; -.DESCRIPTION' ''v QUANTITY 'PRICE NET tO -ALA T 1. 3R f l.! W'1 Wr1X HA RD :SHI s�IL� 1 .'2 t� 79( 7g t s' i'. 1R llnJf t 11 X FI _AI I141UI�I "r'A IC L a:: f F0 Sa S ,90 17, S t P "i•..: of t,f. 2 R. ES I OM, P E M. iElgi I T i:c l c.. 4;! I YiA I I\1 T_ 7-W" '1 A7 I'f»�i C w' r l yt t 2 A JJ SIGN4TURE TOTAL: CHARGE LL4GOODS RETURNED MUST BE ACCOMPAN(ED.BY THIS IJVVOICE p rp r IOUC r i .F fY �pry.'�Q f 111 Medlcal..Drlve a Ca.r.rnel, Indlana.46032:• 317- 844 -3973 'Fax: 317- 84.4.6220 Please Remrt Toc H H'Automotive Supply •.1212 �W Main St .Lebanon, IN AGRICULTURALEXEMPTION CERTIFICATE agriculturaLUSe` F�� �'�'0 INDIANA DEPAgTMENT�OF REVENUE' SALES TAX DIVISION N F q 1f� "t UMITEO WARRANTY- PLEASE READ t, L 1 hereby cert fyunder the penalties af. perjy shat the personal properly purchased by the use of lhis exempLOn corti to will bey A 11111 i 2 di rectly used iri the direct produc tion of agric products for resale. �h Please examine these ails a(once.;Errprsshouldbe repoitedbeidre iisin or installing. Returns The tactorywarranty constitutes all di the warranties with respect to the sale of this iterNltems. The seller hereby expressly must be made within -�EN "AYS and must Ike accomp,"ietl by this INVOICE NUMBER. This disclaims all warranties, either express or implied, inplutling any implied warranty,of.merchanfability or fitness for particular. 'R propeny Is to you with the "tlefnife thal'.itis purohased for resale; unless lax purpose and roller 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 thls,itemhtems. NO RETURN ON ELECTRICAL PARTS q' `A ACCT g SOILD T0. DATE TIME D, STORE EMP 0. CITY .CIF CFali €Y1 I_ S &WA6E .L}Cf�° a rr.'rs r, a f nr,�tr�� i �r, lC t U('iEt PUh RASE ORDER ATTENTION AFIIP3,c 1 TAX EkEi111PTlON.'d I TERMS K In r tr 'r rn 1't0•MI i_Wj �11I ♦r f RY UR Trl�1rD[ DELIVE PART?NUM$ER LN,, t ,DESCRIPTION QUANTITY;:'o- 1 PRtiCE k NET >t. ,•TOTALf r f l1 SOW hl t€ t�li TIr� 3ELT :v 001 `Jj� (t 11 41E,►� €J j IV�hihl'. }.�(JG1€t F17 BELT t 17 �t Fs t ySV i 3 r f �i W L Y d: a 7 r s r r r• r t t Y i a iCry! 7 REq'T0QX% l +_E}7 C} t` yn a r �h i `.`l'� i ;'i: d iJ:' r_.., *9, h� Tc r€'s ti'<tY^I A:. (.l �.l'� S� q In E SIGNATURE 1. 1 C1TF�I„' ;r- C4IF.tG� o SALE ALL GOODS RETURNED MUST'BE ACCOMPANIED BY THIS INVOICE. r NAPA Auto Partsof Carmel j `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 AGRICULTURAL EXEMPTION CERTIFICATE �11 N AN agricultural use w r• i INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION t•' ;LIMITED WARRANTY PLEASE READ I hereby ceNfy under the penalties of perjury that the perIsonal property by the use of this�exemption certificate will be j directly useb in the direct production of agricultuml products for resale. 'The facto .warrant constitutes all of the warranties with respect to the sale of this itarMtems. The sells, h ere .Please examine these pails at once.Errors should be reported belore using or,installing Returns ry Y O 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 part expr icular ssly "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 price. ALL RETURNS SUBJECT TO 10 i !RESTOCKING.CHARGE. sale of this itemlterrs. a; r 1t ',A NO RETURN ON ELECTRICAL' PARTS. AiCCT SOLD TO DATE TIME .STORE'# EMP f?q!i!r8 C]'TY'.(� Ct�t�l�l L;� [;W�-tG I?EF' PURCHASE ORDER ATTENTION S R i.: C I' :Q 1C SO U AR C ARh1iw t TAX. EXEMPTION: `AD TERMS jr,' r. r, .+,r, a +-,a H, r „lC3C�t F Ctrl' r DELIVERY. ;JFt TRUCK PART NUMBER LN DESCRIPTION: a0UANTITY RRICE ip NET TOTAL 114 NDL�• NAPA iHEAVY �'!•�TY...:,4VT. 18 sJ�t� r co,8�iil 24.94". ;.Ta' 48- tItt ll.- 03 FIL qSL. FI.I_TEi t_3Lt q� 77U 4,890 4.'Es7 1372 F 7 L b l L F11 L -2.'00�” .:.11 0 6a. 490 551E r L' COIL- !°IL. .,ti uci' 1'i:�.; 4z�0 5a, 990 ;��7,'S7 t .fir. .iii. d, Y. kE ST©Cf;, FEE. �jabt 7 3. RL:M11 0 irtc_1 ..W MAIN Ta 7 %.'TAX`i'A$I-:C..W LEAnlora I ray ().52 U SIGNATURE F DOTAL GH�1RGE SALE 78„ Icy ALL GOODS RETURNED MUST BE ACCOILIPANIED BY THIS INVOICE-t' r .n 1. ,yit '71� of h�findaw• ti ✓t Ir.: yy ra�a- „�,,.1� }'e h�.'":�'p'.�t 1 3 .T�r,.; �...5 ai NAPA Uto of Carrel 111 Pease RD m!t�To•H H Autemo i s gupp03212 2 n banon,3N 4 052-6220' h AGRICULTURAL EXEMPTION CERTIFICATE T NAP INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION agricultural use{. •,f F LIMITED WARRANTY PLEASE READ I I 1 hereby certity'untler the penaNies o} perjury that the personal properly�purchased by the use of. this exemption certificate wilLge direcEly used in the tleectprgtluction of agricultural Qrdtlucts for resale. P 9 9.. ressly yPlease examine these pensat once:. Errors should be re oned before using or inslellin Returns "The factory warranty bons[itutes all o(the warranties with respect to the Sale of1h15'..Itemfitems. The seller hereby exp &must be'mabe within TEN DAYS and.must.be accompanied, by this INVOICE NUMBER ::This tlisclaims. all warranties, either express or implied, including any implietl warranty of merchantability or fitness for a particular :proi is sold to you.with the definite.undeirstanding that'it is purchased for resale, unless lax Purpose and the seller nedher assumes nor.authodzes any other person to assume,for it any liability in connection,with the ;,has been added lo,ihe price. ALL URNS SUBJECT TO 10-/. CHARGE, sale of this item/iHims.. .:.1' 4 .NO RETURN ON Ei,ECTR I CAL PARTS. A A CT STORE 'SOLD TO ry GATE_' TIME EMP. o r p t Gss1:^tt3 't Y S Of' F3F2t 1 U r 1vIF1,ADE 'DEk'"6Ir' AZ 1 9 1t'�8 it. 4A 1 r !tlt3t�� 9 7f! Tt'!1 S 0 UTA"KE PURCHASE.ORDEf ATTENTION ("A El,. N �I iU.'J. TAX EXEMPTION: AID t ti at' TERM$ n y rll i7thi L517tr& T K ;r DELIVERYc)I1 T UL} PART NUMIIER h 1 LN of t a: IDES,CRIPTION FQUANTITY- .EFiIGE a NET TOTAL. lL��•• �•5, -I T i gyp Kltj iNr1 H- p. A SH- ry y 'i f UG W 3 l T 7 3' fix �LF'.ca C`lfI�IC '11_'i(,' 1' �T3 �i' m it f w ;.57 a 1 h T 1 f' 1 T n tt L 1 7y //••��FF �,��51hh�d qqtn LZ �"Yd�'�LJ[V d lal .r 1, t t ALL GOODS RE STGNATUAE 77- TQTAI C:}-1ARGE.' S�1t�.E., TURNED MUST BE ACCOMPANIED HYTHIS INVOICE f NAPA Auta Parts of Carmel• 111 MedicaLDrive,'• Carmel Indiana 46032 317 -a44 397 Li Fax: 317- 844 -6220 y Please Remit'To: H &•'H Automotive Supply 1212 Main 'St. etanon, IN'46052 4� t AGRICULTURAL EXEMPTION CERTIFICATE ,a ncl utural use 1 INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION f 9 t ".LIMITED WARRANTY- PLEASE READ f I,hereby cedlfy,uritler the hes of perjury that the personal pmperty purchased by t he use penal of this exemptiop certificate will be_ t directly used in the duecipioduction.of agricultural products far resale. 'sPlease,examine these ens of once.`ErrorS should be reported betore usin or installin Returns •The factory warranty cohsttlute$ all of the warranties with respect to the sale of [his'dernrlems. The Seller hereby expressly'" "mustbe made whhinTEN.DAYS and musbbe accompanied, by INVOICE NUMBER. This 'disclaims all warranties, either expre3s or implied, including any implied warranty of merchantability or fitness fra particular ;property is'sold t0 you with tha definite understandinggthat it.ispurchased fbr resale, unless tax_. 'Purpose and tho'seller neither issurnes nor authorizes any Other person to assume for it any liability in conne with the has been addetl l0 the pnce. ALL flETURNS SUB ECT TO 10 RESTOCKING CHARGE sale of this Ite�tems rs t E NO RE O N ELECTRICAL PARTS $0 I .R r�Y u ig y ACCT h ,j 1 D'TO TIME 'r �r DATE STORE EMP PsIt'6', w;t rv rt� <t 1 ;J:,. 4"r�iit r F w�. SR 4 P,l1RCH14SE O_RDERx# ATTENTION x TAX EXtEMPTION i tE` J1 th.. CHARGE a 7 ML:.E: AD Q.UF� T�tUI;�' T .ERNS L t DEIVERY: PART_NUMI3ER LN DESCRIPTION QUANTITY d InfEl" RI aW OM E AiE3T fl _Y i $'a'Y4 7 It r f 1 ©TG. 44- a '49 V 41 11 4 III i ,wr v" A ti f y r �r r I Y it 'te r r• �r p���+, V T.. pY �-y 5_.�J /r 1'i�'..'i �R; �P 1•..'� "1 G 'tif I: !'T�'�'! .a- 2 y •7 r ice. 6 RE1T "'I'y�� TI`:'c r rig �,ra�� ,a is ej� ry L F 1h1�1hC z n i *It�R s r 5.. X37 u 1 SIGNATMt f j ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE :f; j r l 4 1 t ,�y..� f t; ,t o 'n� w e NAPA Aut®sPar .-me l� 111 Medical Drive Carmel, Ir diatW46032` 317- 844`3973' Fax: 317- 844 -6220 Please Remit To: H H Auton ive"Supply •`1212 W. Main`St: Lebanon, IN 46052 y hl p AGR RAL EXEMPTION S A L PTE gEP y p LIMITED WARRANTY pricultural use 111llallll�r f! 11 f 1 j INDIANA AATMENT OF REVENUE SALES TAX DIVISION LEASE READ _„�.L 1 here Corti under the penalties of e u that the erspnal roe umhased b the use o! this exam t!oncenificate will be, directly used in the direct production Of agricultural products for resale t °I? Please examine these pads at once. Errors should be reported before using or installing Returns "The factory warramy constitutes all of the warranties with respect to the sale of this ite�lems. The seller hereby e p essly? -Y' must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warrantee, either express or implied, including any implied warranty of merchantability or Illness if a penicuVar -w 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 P has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this iteri'Vifems. NO RETURN ON ELE PARTS 3 s r ACCT s SOLpTO J g m �L.. f `e c DATE TIME STORE EMI? ASR t PUA0H' SE'O;RDE1=t` ATTENTION TAX'EjXE- MPTION; i 3 I i t t AD TERMS.` rt K DELIVERY :s e: �ra PART NUMBER LN DESCRIPTION (IUANTITY PRICE N1T TOTAL i i 4 7 y {•i., g GUAT URE f 1 !'�i_. Pf r _}i'I s... 1: 'F u�� +`4 '�z,f��� �1 ".._ALLGOODS 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. Payee 354290 NAPA BOONE COUNTY AUTOMOTIVE INC Purchase Order No, 1212 W. MAIN STREET Terms LEBANON, IN 46052 Due Date 9/9/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/9/2008 707564 $95.97 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 VOJCHER 086266 WARRANT ALLOWED 354290 IN SUM OF NAPA BOONE COUNTY AUTOMOTIVI 1212 W. MAIN STREET LEBANON, IN 46052 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 707564 01- 7502 -06 $95.97 707 01.7502.0 b2.1 765gal 01-7502-06, 73.10 705401 0(, 23.71 70560$ O(. 7502,0 4315 70704'1 D1.7500. 67.9` -97 Voucher Total `Cost distribution ledger classification if claim paid under vehicle highway fund