156505 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
�1 t` ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 w MAIN ST CHECK AMOUNT: $61.fi0
LEBANON IN 46052 -2324 CHECK NUMBER: 156505
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 683028 31.24 AUTO REPAIR MATNTEN
1205 43.51000 684394 29.38 AUTO REPAIR MATNTEN
1205 4351000 685608 .98 AUTO REPAIR MATNTEN
i
NAPA Auto Parts of Carmel
111 Medical Drive r. Carmel, Indiana 46032. 317 844 -3973 Fax: 317 -844 -6220
Please Remit To: H I& H Automotive Supply a 1212 W. Main St. 'i•Lebanon, IN 46052
RAL EXEMPTION CERTIFICATE
IAPA AGR ICULTU I INDEANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricu use
LIMITED WARRANTY PLEASE READ
hereby certify untler the penalties of perjury that the personal property purchased by the use df this exemption certificate will he
M used in the direct production of agricultural products for resale.
Please examine these parts at once. Errors should be repented before using or installing. Returns he "T factory warranty constitutes all of the warranties with respect to the sale of this iternlilems. 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 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 in conneelien with the
has been added to the price. ALL RETURNS SUBJECT TO 1U% RESTOCKING CHARGE. sale of this itemlitems.
NO RETUR ON EL ECTRICAL PARTS,
ACCT SOLD TO DATE TIME STORE EMP e
081 C I TY OF CA RNEL.--BU I: LD NG mA T NIT- 1 1.6 00 11, 12 c�jt��00E 133 38 b8t
I CIVIC SGIL)ARL PURCHASE ORDER ATTENTION
SR
TAX EXEMPTION: w�Elw¢
AD TERMS1 ^t.,` ILA 1.11 V. n x 4 1 11 :C,~ ;�_t:.:
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
194 LVIP LAR- 6 i s ()t Q. 4'J (.1 f_1- lie
y. tit.
'4
5 RESTOCK FEE 1 0 ..:t 1 0.
REMIT TO; 1 2 12 W MAIN Tax 6 TAXTABLE 3 0.
LEBFif� h! IN, 460
ter SIGNATURE
TOTAL CHARGE SALE: 6
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
V
NAPA Auto Parts Of Carmel
111 Medical Drive Carmel, Indiana 46032
317- 844 -3973 fax: 317 -844 -6220
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
APA INDIANA DEPARTMENT OF REVENUE -SALES FAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption cedifcate will be
directly used in the direct production of agricultural products for resale. 4'.flSl It
e. Errors should be reported before using or installing. Returns e fadory warranty constitutes ealt of the warranties with respect the sale this iteh s. The seller hereby expreul IIISSS l
must be made within TEN GAYS and must be accompanied by [his INVOICE NUMBER. This di all warranties, either express or implied, including any implied warrantm y of merchantability or ftness for a part
Please examine these parts at ox
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
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this ildrin a.
NO RETURN ON ELECTRICAL PARTS.
ACCT
SOLD TO DATE TIME STORE EMP
08081 CITY OF C ARMEL.•- BUILDING MAINTr. 1/04/08 1 1 w 4C? 1Cr0t►061,r 3 ti,-, 684394
SR 1 CIVIC C6 PURCHASE ORDER ATTENTION
CA RMEL., I N
4 46032 TAX EXEMPTION.
AD TERMS:r\ir) Svc c11!v 10th CHil SALE
3 DELIVERY:
PART NUMBER LN i DESCRIPT QUANTITY PRICE NET TOTAL I
2001 Chevro .tit Truck Silverado 1500 J /2 Ton 2
2— WIP BLADE 2.00 27�110 1.4.690 29.38
S
s^
25l RESTOCK FEE +t ref 1 29a 38
REM I1�,C3.- 1;21.8, W MPI IN Tax 6% TnXTABI -E 3 Ue oc)
L.ES I N 3N, 46
64 NATURE /J
ALLGDODS "RETURNED MUST BEACCOMPA'NIEDBY THIS INVOICE
TOTAL CHARGE f-)I 213. k f'
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 461032. 317 844 -3973 9 Fax: 317 844 -6220
Please Remit TO: H H Automotive Supply. 1212 W. Main. St. •Lebanon, IN 46052
FI AGRICUL TURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OP REVENUE -SALES TA %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.
7 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 itemfitems. The seller hereby expressly
C1 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 fdness 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 4 any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this iteraidems.
NO RETURN ON ELECTR PARTS._
ACCT SOLD TO DATE TIME STORE EMP e
o8opi CI`fY OF CARtyMEL_- BUIL_DIIV6 MAINT.. 12 /1`=1 /0 10:1 100006. 133 3 683028
SR 1 CIVIC SQUARE f PURCHASE ORDER ATTENTION
CARI+EL,, IN t
r r`
t. Y l TAX EXEMPTION:
TERMS: Mlc)_ save cll.,tc Ill CHARGE SAi_E
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1394 F I L.. OIL. F I L_ 1.00 11. e,, 690 6.69
L-'MF8360 n KTI_ 12V CERAIVI I C I=tOPT FAN 1. antra 16. 990 16,. 99
-1 30 NOL NAPA 1 OW30 191' k. 00 360 1. 890 7.56
L�.111�f
f
2.5f RES'TOC V, F 91, bt of a l 31,, 24
REM TO. 121.2 W IYiAO\3 Tax 6% TAIATABLE 3 0.00
I- EBANON Ill 460
SIGNATURE T OTAL CHARGE SAL.E 31 2'4
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICEy
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
NAPA Auto Parts
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/16/08 685608 Bulb
01/04/08 684394 Wiper Blade
28 Oil filter, Oil $31.24
Total $61.60
f 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