160768 06/25/2008 CITY OF CARMEL, INDIANA VENDOR:. 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $15.43
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 160768
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.,1115 4231500 ACCT 7983 12.54 700854
1115 4232100 ACCT 7983 2.89 700854
I
NAPA Auto Parts of Carmel RA
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220
Please Remil To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052
1 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT 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 reported before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this itemAtems. The seller hereby expressly
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 'Ir 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 itemftems.
r
it NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
17,18 ,:1 I "`f „I 1 F; EL- ,`FT)L_ .T CE. DEPT T j 1,.6 1 i:+3 00006 3
CI (.2tJ A RE I lDRCHASE ORDER ATTENTION
4.3 1 4160,3 2 T.AX- E)(EMPTION:
AD t�.f_'EP t(ut:.7VY I.t "W ._TERMS: c� eY'q L tr
DELIVERY:,`
PART NUMBER LN DESCRIPTION (QUANTITY PRICE NET TOTAL
Ut-le t W T tle t) b?
)1:1__ F IL -TER 1. Js E_ ?C? a :,r 8 9 R
1., i1 ?L_ it�l ='t:I ii ?l�3ryi C,�1 S. f :�tx CJ :Lt::? cM� {,;r' 0 12. 54
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C': )'Y r( L b 1(..R.1 rti r° __J_ X11.1 tit 0 Z;t
R04 TO I4]A 2 04 Mft ff1\1 1 T ix 7% TAXTt BI 3 0. 00
l SIGNATURE
TOTAL.
CHARGE r3�1i...E� 15. 1
i'
ALL GOODS, RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
r.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1:,95)
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))
06/16/08 700854 $2.89
06/16/08 700854 $12.54
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
VO UCHER NO. WARRANT NO.
ALLOWED 20
Napa Auto Parts
IN SUM OF
111 Medical Drive
Carmel, In. 46032
$15.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
23
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 700854 42- 321.00 $2.89 1 hereby certify that the attached invoice(s), or
1115 700854 42- 315.00 $12.54
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 19, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund