160769 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 wMAIN ST CHECK AMOUNT: $138.85
LEBANON IN 46052 -2324
CHECK NUMBER: 160769
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
X 1125 4238000 ACCT 8011 138.85 699226
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032. 317 844 -3973 Fax: 317 844 -6220
Pease Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
A R AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY PLEASE READ
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 a e warranties w respect e sae o
ttitutll of the ect to the this itemltems. 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 for a particular
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
property is sold to you with the definite understanding that it ECT TO purchased for resale, unless tax 10 RESTOCKING CHARGE. s item/items.
sale of thi/i
NO RETURN ON ELECTRICAL PARTS.
tip I;tl•�
ACCT SO
OLD TO DATE TIME STORE EMP
08 01 1 CARME::L-•-CLAY PARIKS /RECR 5/ 30/00, 11 e I'S 1.00006133 3 i 699226
SR 1.41 1 E. 1161 STREE PURCHASE ORDER ATTENTION
CARMEL, IN hNDREW
41 4603; TAX EXEMPTION:
AD KEEP COPY INV TERMS:1N 5VC Cil_ce 10th CHARGE SALE
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
45811 X MATS i w Ctt t '79. 923 64- 11 "fie 0 DF-I
ER T FREIGHT 1. 8 fd 95 D
1
FUND
CEIVED
D ��i
JUN 0 5 2008 LI
B C'
w' RE 1 I;1CK EEC: S u u i 13F3> E3 I
-2;
FRE'M1T TO% 1� 1'2' W MAIN Tax TAXTABL.-.0 ii
LEBANON IN,46052
t' SIGNATURE rOTF1L CHARGE SALE 138.85
ALL GOODS RETURNED MUST BE ACCOMPANIED 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 Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/08 699226 Floor mats for trucks 138.85
Total 138.85
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
.y
Voucher No. Warrant No.
(NAPA)
354290 Boone County Automotive Allowed 20
E� In Sum of
1;
138.85
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 699226 4238000 138.85 1 hereby certify that the attached invoice(s), or
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
19 -Jun 2008
sl i
11� (r'Al 'nA Ll
Signature
138.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund