163155 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 Of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
A CHECK AMOUNT: $27.48
CARMEL, INDIANA 46032 iz1zwrnAiNSr
LEBANON IN 46052 -2324 CHECK NUMBER: 163155
'CHECK DATE: 913!2008
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION T
1125 4238900 8011 27.48 706161
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NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 a 317 844 -3973 a Fax: 317 844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
N
AR AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
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.
Please examine these pans 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 ite�tems. The seller hereby expressly
C 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 understandingg 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 SUB.IECT TO 10% RESTOCKING CHARGE. sale of this itern/items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP To I
I"y8n11 cnRME,1_-- 'CL_AY PAPKO /RE'CR A 1 1 10A i ll a CIF., 1 •1 ?i0r-.1 5 r)r- A F.1
SR 1.41.1 E. r, 116TH STREET PURCHASE ORDER ATTENTION
CARMEL It'd
4.G 0 N TAX EXEMPTION:
AD ",E=EP COPY INV TERMS .tr czur- Heirs It f^141) P cl n I P
11 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
75—o5O NOL_ NAPA QUART 51430 1;2. 00 2. cic_i 2. 2290 27. 48
AUG 1 2 2008
BY.
Purchwe
Dimas tkn o� oit 9&
P.Q P orF
G.L. a o /-z
25-A* REST... �K ✓hat�1.�. 5 ::]I_LUt0ta 1
REIA T T Puicliaser W Mfg I1.1 Tax 7:� TAX T ABL._E" 3 00
Data
o,
X J
SIGNATURE TOTAL_ ___._._7 CHARGE SALE 2.7.45 1�
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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
8111108 706161 Motor oil 27,48
Total 27,48
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
27.48
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1125 706161 4238900 27.48 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
18 -Aug 2008
Signature
27.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund