156104 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $42.17
t o LEBANON IN 46052-2324 CHECK NUMBER: 156104
CHECK DATE: 21612008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 ACCT 8011 39.19 684384
1125 4237000 ACCT 8011 2.98 685213
Ali
rt..
NAPA Auto Parts Of Carmel Vim
111 Medical Drive Carmel, Indiana 46032
317 -844 -3973 Fax: 317- 844 -6220
AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use 1:1
APA I r
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 '•d
directly used in the direct production of agricultural products for resale. y 1�f Et
Please examine these parts at ohoe. 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 'yt
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' I �I
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 thi
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item /items.
NO RETURN ON ELECTRICAL PARTS
ACCT SOLD TO DATE TIME STORE EMP
08011 CARIYIEL.—CLAY F'AkKS /RECR 1/04/08 10 58 10C]C0G- 1.33 St34384
S PURCHASE ORDER ATTENTION
$R# 1t +1, i. Ise 11E,1"1�1 gal I`�t r i
C:ARMEL-, I N
4EFat jc.: TAX EXEMPTION: o`
AD 1. 'IZ-PI COPY ifrlV TERMS:uc3 sv c clue 10th CHARGE SALE
DELIVERY:
FART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
870 MAC CARB-- CI• OKE Cl,-NR 1302 2.00 2 740 2'. 360 72
50 7'3637 SHE GAL IyIC SAE 15W40 3, 00 14. 38Ca 11. 34.47
JA 0 2008
BY:—/ ao� G-rx
1L u air-/ •l
DEPT
LINE
;ti� ll
DESK
25 RJISTOCK FEE Subtatal 39e 19
REFIT 12 12 W MAIN Tax tai TAXTA L. 3
f'V ,VSfd9 TORE TOTAL. CHARGE SALE 39. 1:9 1
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
N ll
NAPA Auto Parts of Carmel 4:
111 Medical Drive Carmel, Indiana 46032 o 317 -844 -3973 Fax: 317 -844 -6220
Please Remit To: H H Automotive Supply o 1212 W. Main St. Lebanon, IN 46052
Iti
R N A XEMPTION SALES TAX agricultural use
INDIANA DEPARTMENT OP OF REVENDE -SALES TAX DIVISION LIMITED WARRANTY •PLEASE READ
hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption ceniffdate will be
direct) 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 rranty constitutes all of the warranties with respect to the sale of this itemlitems. The seller hereby sly
must is made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either expm ori2es ress 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 assues nor aulh any other person to assume for it any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 90% RESTOCKING CHARGE. wa
sale of this itemlitems.
NO R ON ELECTRI PARTS.
ACCT .:SOLD TO DATE TIME STORE EMP e
080 a11 C;ARfrlE1... CLAY 1= `ARI/.6/RE:CR I/I1 /08 14.-3 1 l_7[1006 133 37 6B
R#, 141 1. E� 1 16 STREET PURCHASE ORDER ATTENTION
1
46032 TAX EXE I:
AD' DEEP copy Iiviy TERMSN a sac date 10thi CHARGE SALE
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL il,ti �l
2004 Ford `i uck F 7 150 1/2 _r_an Pickup
921. LMP RPL BUL Cl 2. o0 2.170 1.49(d 2.98
JAN 1 1 2003
40 0
DE
J
25% RE.STCICK T "L.. �uft otaA 2.98
.REMIT TO.- 12-1.2 W MAIN Tzix G% `ITXTABL.E 3 6.t 10
L- EL�WIdC. N //1 1\� 46052
SIGNATURE
LE c�.
�ry
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL CHlll faF_ '9
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, Inc 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
1/4/08 684384 oil cleaner 39.19
1/11108 685213 light bulb 2.98
Total 42.17
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