156506 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 5212 w MAIN ST CHECK AMOUNT: $74.45
LEBANON IN 46052 -2324 CHECK NUMBER: 156506
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4232100 ACCT 7983 74.45 687560
I
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032.317 -844 -3973 -b Fax: 317 -844 -6220
Please Remit To: H H Automotive Supply 1111212 W. Main St. Lebanon, IN 46052
I AGRICULTURAL EXEMPTION CERTIFICATE
agricultural use
PAI y
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby certify underthe 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. Frrors.should he reported before using or installing. Returns iThe factory warranty constitutes all of the warranties with respect to the sale of this itemlilems. The seller hereby expressly
IJ 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 liability in connection with the
has been added to the price: ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT F SOLD TO a DATE TIME STORE EMP
07983 CITY Of" C ARI' EI_ /P0L_:I.CE DE: PT r /Ctw; 61 0 8: S7 1 1000 06133 33 38 687560
CIVIC ':yts?UARE_
r .RURCHASE,ORDER �►Tl ELATION. n
SR# CARMEL., II\I �:�rr;t•t�_.� ar��
EF" 0132 iN J iTAX,EXEMPTION: r n r•,�- nt
AD TERMS j
DELIVERY:w
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
"�':1`� C�t'y r a E e I r' �.t c i� I a t'i a 1,:ita S�} 1 i o fl 'ti• W LT v I. t
757x3 S3t�7�} "�E� l�lE1f i._EGE fill! 1.. t: o `:'3` 9 0 61. 950 61. 95 R
7578 BAT CORE DEPOSIT I T 1 a t t_a 12.500 1, 2. 50 D
25% RESTOCK F E.E U bt o aA.t 74.45
fL. LNON E 1.�.1.�_ W MAIN Ta G/ TXTL�LL 0 00
LE I t_► 1
AI GOODS RETURNED USG BE ACCOMPANIED BY THIS INVOICE J �!"'f `i •'F T•'t P,GE s J• AI—C:. 74.45 '';it
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/05/08 I 687560 I $74.45
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.
Napa Auto Parts ALLOWED 20
IN SUM OF
111 Medical Drive
Carmel, In. 46032
$74.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept.# INVOICE NO. ACCT /TITLE AMOUNT Board Members
687560 42- 321.00 $74.45 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, February 12, 2008
Dir ector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund