162651 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
I' CHECK AMOUNT: $35.74
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 162651
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 8011 17.78 REPAIR PARTS
1125 4238900 8011 17.96 OTHER MAINT SUPPLIES
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NAPA Auto Parts of Carmel��`�
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220.
IIIr t Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
N
APA L AGRICULTURAL EXEMPTION CERTIFICATE ag rural use
INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION LIMITED WARRANTY PLEALEA SE READ
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be
direct) usetl 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 itemltems. 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 lax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the ...ess���...
has been added to the price. ALL RETURNS that TO 10% RESTOCKING CHARGE. sale of this item(tems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP 0 =1 0 Le
11411E L_ i✓[._FlY C PF't�R 71 :`Ji 8 4 a- ?G i,i_rcat a 1.3 37
-1411. E. 1 16TH STREET PURCHASE ORDER ATTENTION
SR wnRMEI IN
41 460 3
TAX EXEMPTION:
AD h; Et�.P Cr py I N'J TERMS: I r' is +_ie i, t i i r CHARGE l+tu ;�r +i c
t—C) r
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
NL;6 !41 "iykjF. HL—L.. 1IV' 1 LJHM 4.(-)(-) ..I. 4-50 cl.. Z 1. E:,
REC DYED F
JUL 3 0 2008 PT
BY:
DI dsc—O—Ny I
PES FLEE t 7. 96-
RE T TO. 1 cM 1. W MAIN T Ax 7°% TAXTr -fB -fir :3 Q., ()0
LERANUN IN., 46052
X TOT I AL, CFIt RGE SAI_ -E 7, '57E.
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
1 APt -1 hereby certify under DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ El
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 shoultl be reported before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this iteMtems. The seller hereby expressly
G7 disclaims all warranties, either express or implied, including any implied warranty me f of merchant
purpose and the seller neither assumes nor authorizes any other person ssu
ability or fitness for a particular
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This d to aor it any liability in connection with the
property is sold to you with the definite understanding that it is purchased for resale, unless tax sale this has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sae o s the ems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
0801.1 CARME:L.°-CL_nY DARKS /RECR r/18/ {.8 f7D,18 I L 00006133 1 :60 1 7()4066
E. 1. 1 6TH STREET PURCHASE ORDER ATTENTION
SR C ARME_L IN, TAX EXEMPTION:
AD F E:E:C) C O IL' I IV 'J TERMS:I O S V C cue z uti l Lt- HHL-irr bHL-k_
1'
DELIVERY: IJ_IH I HLIL.K
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1. 4-59 F I L OIL. F I L 1 i �c:'� E.0 2 0 11 E'`?o 11.
1372 F°TL OIL F11- 1. 11. x:,30 Cro 490 Er. 49
A d,
F D C E:I V E D
UL 2 2 2008
DEPT
LINE 3 BY
25% RESTOCK, DkAIJliU 1, =k J. 17.78
REMIT 1 "0: 12 W MAIN Tau 7% TAXTABL.E=- 3 I_!„ 00
SIGNATURE TOTAL. C HARGE SAL_Er 17.78
ALL GOODS RE`U 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.
l� 354290 Boone County Automotive Terms
,s 1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7118108 704066 Oil filters for chipper truck 17.78
7129108 705097 Tire foam to clean vehicles 17.96
Total 35.74
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5 -11 -104.6
20_
Clerk- Treasurer