155213 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 3W90 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 w MAIN ST CHECK AMOUNT: $4.68
��foh ion LEBANON IN 46452 -2324 CHECK NUMBER: 155213
CHECK DATE: 1110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 ACCT 8011 4.68 680517
s
H&H Automotive Supply NAPA Auto Parts of Westfield
W. Main Street a APA (317) 896 -5615
Leba
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
(317) 773 -3180
(317) 774 -0932 Fax
(765) 482 -1180 NAPA Auto Parts of Carmel
':(800) 924 -6831 Remit to: Boone County Automotive, Inc. (317) 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052 -2324 (317) 844 -6220 Fax
BILL TO TAT
CARMEL —CLAY PARKS /RECR
1411 E. 116TH STREET
CARMEL, IN A T� SW #-I, PAGE
8011 41 1
46032
QATE TYPE REFERENCE: AMOUNT PLO`. /.CHEGKI:lE
11/26/07 Inv_ 680517 4.68
:2 D E C 2007
Summary as of 12/25/2007
Previous Balance 104.99
Payments 104.99Cr
Purchases 4. 6'8
Current Balance 4.68
Future Dated 0.00
NO CURRENT RAST DUE 30 DAYS 'PAST „DUE 60'DAYS PAST DUE 90)`QAY.S'=
4.68 0.00 0.00 0.00
DATE 12/25/2007 t a I 0 wed 4.68
TERMS No svc due 10th
STORE 100006128 -0004 E o t a 1 D.0 e 4.68
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 U K
A GRICU L T EXEMPTION CERTIFICATE agricultural use
DEPAR
INDIANA DEPARTMMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I 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.
Please examine these parts at once. Errors should be reponed before using or installing Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this itemlitems, 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 connection with the
has been added to the pace. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item/items.
NO RET ON ELECT PART
ACCT SOLD TO DATE TIME STORE EMP
.0801 I CARMEL -CLAY PARKS /RECR 11/26/07 14 >43 1 1C)0006133 19 68053.7
143.1 E. 116TH STREET PURCHASE ORDER ATTENTION
SR CARMEL, IN
41 46032 TAX EXEMPTION:
AD KEEP COPY INV TERMS 1 s ve oue 10111 1..NF'1MC311M Shi_C_
E. DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2001 Ford •ruci: F350 Supev, D1_it y i Tc n P
3157 1_1 4 BULB I. 6C 1.62C 1.09C 1. ray 4.
'770-1757 BK LEN TAPE 1. Qc 4. 49C 3.59C 3.59
f:
'25% RESTOCK. FEE 5uu' u L i 4.69
REMIT TO: 121.2 W MAIN Tax 6% TAXTABLE 3 0. 00
LEBANON IN, 052
sIG,NAT T OTAL 1:HARGE SALI 4.68
At I- GOODS- RETURNED MUST BE 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.
:354290 Boone County Automotive, Inc Terms
1 1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/07 680517 Truck repairs 4.68
Total 4.68
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