165143 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
i ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $18.88
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 165143
CHECK DATE: 10/29/2008
,eEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1125 4351000 712365 18.88 ACCT 8011
'Jill, Zw
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
E APA 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 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 itemftems. The seller hereby expressty 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 m connection with the
has been added to the price. ALL RETURNS SUBJECT TO 70 RESTOCKING CHARGE. sale of this itetems. y,.
UN
NO RET RN O ELECTRICAL PARTS. 444
ACCT SOLD TO DATE TIME STORE EMP
?8011 CFIRMEL.- -CLAY 'Pf- 1RKS /REC:H ',0/20/08 D8t49 1.0() 0061.33 19a 71,2
1.41.1. En 1. 1.6TH STREET
SR CARMEL, I N PURCHASE ORDER ATTENTION
4.1 '1 60
�32
—EE:P CC.JPY INV TAX EXEMPTION:, 'i e 4- 1, r t_fl-1Dr.1.r C�ni C°
AD TERMS:
DELIVERY:
PART NUMBER LN DESCRIPTION r,, QUANTITY _PRICE
NET TOTAL
vJL...t'. u.L ESE J ".JVC• JV L. cl u
purchase IU
Dgscriptio or F
V11M P.O. p
OCT
G.
Budg
I line DesCr. p ate
purchases Date
Approval-
ti• t; r 1L. i tl11)T0rJA1. 1�Jnri
REMIT 1 0. 121.E W MAIN Tax 7% TAXTAEIL,E 3 o. 01)
LEBANON IN 46
X 6 TOTAL CHARGE C:AL..E 18.68
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
zex�
s
Qjq 'A
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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) Purchase Order No.
354290 Boone County Automotive Terms
1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/08 712365 Stabilizer for diesel truck 18.88
Total 18.88
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.
(NAPA)
354290 Boone County Automotive Allowed 20
1212 W Main Street
Lebanon, IN 46052 -2324
In Sum of
18.88
ON ACCOUNT OF APPROPRIATION FOR
_Z4 01 General Fund
Z/
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 712365 4351000 18.88 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
22 -Oct 2008
Signature
18.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund