163156 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $24.61
4 CARMEL, INDIANA 46032 1212 wMAIN s7
LEBANON IN 46052 -2324 CHECK NUMBER: 163156
CHECK DATE: 913/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
2200 4231500 8032 24.61 707567
t
�4.
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
NAPA ADRICULTURALEXE VENUE CERTIFICATE agrEASErREAD
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY •PLEASE READ
i relay 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 he 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 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 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 liabtlity in connection with the
has been added to the price. ALL RETURNS SU6JECT TO 10% RESTOCKING CHARGE. sale of this itemftems. al
NO RETURN ON ELECTRICAL PARTS.
ra',6,
ACCT SOLD TO DATE TIME STORE EMP
080".J0_ CI1 "'r', iii= CARMEL. ENGINEERING 8 L 3, Lin 1.v 1.Si I .7OT567
ONE CIVIC .8QUf1RE PURCHASE ORDER ATTENTION
SR CPHRMEI._, .T. t'l
'a 1 1(; CLIO1312 TAX EXEMPTION:
AD L:,GPY INV TERMS:1t:1 S;vc r_11.(o 1i Urtf• HUt... )H!! L.
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL.;"
75050 1 NAPA QUART 51430 7. ()o 2. 800 2. 290 i. G,. 0.,?, 1i Al,
0
REMIT TO.- 123., LEI IY1A I N I aux 1R T F )3L_ 3 o. 00
LEBANON IN, 46052".
r, r a
I s.r I r�,l.... r..r•u sr,ac: :err- +r_,r.,:.
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
illy
R'pscribed by State Board of Accounts City Form No. 261 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice oice or bill td..'be properly itemized must show: kind of service, where performed, dates service rendered, by
whom,'raies r day, number of hours, rate. per hour, number of units, price per unit, etc.
Payee
Boonet:ouhty Aptornotive
Purchase Order No,
1212 W' Main StriBet
Terms
Lebanon, IN 46052- 2324--
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/25108 707567 Oil and oil filter $24.61
U4.61
Total
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.
20_
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
salmon IN SUM OF
1212 W. Main Street
Lebanon, IN 46052-2324
$2
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
R 03 Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 707567 2200-4231500 $24.61 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
20
Sin re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund