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HomeMy WebLinkAbout160260 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $103.86 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 160260 CHECK DATE: 6/10/2008 DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTI 1120 4237000 ACCT 7996 103.8.6 REPAIR PARTS H&H Automotive Supply 0 NAPA Auto Parts of Westfield .1212 W. Main Street 4APAD (317) 896 5615 (317) 896 -1820 Fax Lebanon, IN 46052 -2324 JR= MEOW NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 482 -1180 Remit to (317) 774 -0932 Fax (800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel (317 844 -3973 (765) 482 7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax BILL TO T T CITY OF CARMEL -FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 'ACCT'# SM "PAGE 7996 43 1 46032 DA TYPE.: R EFERENCE- AM P.O./CH /J E 04/30/08 Inv 696300 24.95 05/01/08 Inv 696432 6.57 Cr 05/05/08 Inv 696768 185.89 CAP, 4506 05/07/08 Inv 697022 13.58 BOB 05/08/08 Inv 697077 185.89 Cr 05/14/08 Inv 697726 12.99 05/21/08 Inv 698411. 45.23 05/22/08 Inv 698483 7.39 I Sununary as of 05/26/2008 Previous Balance 7')6.65 p;; mends '7 6 t n Current Balance 103. >i6 PuLure Dated 0.00 CURRENT PAST'DUE.30 DAYS. PASTVUE.60:DAYS, PAST DUE 90 DAYS 103.86 0.00 0.00 0.00 DATE 05/26 /2008 t o `t 1 0 �a e 103.86 =TERMS iqo svc due 10th STORE 100006128 -0004 o L a 1 D u' e 103.: >6 Vill :NAPA Auto Parts of Carmel. 1'11 Medical..Drive.- itarmel, Indiana 46032 •.31,7- 844 -3973 Fax,:.317- 844 -6220 'Please Remit To: HA. H'Automotive Supply 1212 W. Main St. Lebanon, IN 46052 'AGRICULTURAL EXEMPTION CERTIFICATE 'agricultural use AP A INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I.hereby certify und er the penalties of perjury that the personal property purchased by.the use o(this exemption certificate will be directly used in direct production ofagricultural products for resale.' r• i 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 ilia sale of thisitemftems. The seller hereby expressly,. i C •must be made within TEN:DAYS and must be accompanied by;lhis INVOICE NUMBER. This, disclaims all warranties, either express or Implied, including any implied warranty of merchantability or fitness for a particular',.. r "property is sold you with the definite understanding that it is purchased for resale, unless tax purpose and the seller neither a ssumes nor authorizes any other person to assume for.it any liability in connection vnth the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE.. ,sale of this iteriVitems. NO RETURN ON ELECTRICAUPARTSf ACCT #t SOLD TO DATE TIME STORE EMP a 7' "1F� :.G t TY []F AFthaE L t° I DEP 4 CDl 1 L:: t�E, .100006 3S C I V T C SQUARE SR CAkNiL.L T.N PURCHASE ORDER ATTENTION s I Y 48:' TAX' EXEMPTION. M1.1 VI Irl1�WL.,� L!'141... t, AD TERMS:. `r nr �nrf J�1 'DELIVERY: PART" NUMBER ,'`QUANTITY LN' DESCRIPTION PRICE' NET TOTAL I tip ]..JEr L'.Ye Hrll l ',�S Gq c'�4+•. l a L_ 1 1 t: q. RES F.E. �;Ilhi- ni-� E, REMTT.,TO 121,2. W lYJALN 0 .otS LE NCIN TN,.4EC ate' X s1 TOTAL CHARGE SALE SIGNATURE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE j N ,i I I t S+ f� F L M1 x S:r a 3 rk P, 4 �y 4 5 NAPA Auto Parts'of Carmel :111. Medical Drive Carmel, Indiana 46032.31:7 -844 3973f• Tax: 317 844-622 E l Please Remit To H'& H Automotive Supply •1212 Wi Mam St •Let anon, IN 46052• LEBANO AGRICULTURAL EXEMPTION CERTIFICATE agriculturePuse JNDIANA DEPARTMENTOF REVENUE =SALES TAX DIVISION': LIMITEDWARRANTY PLEASE READ',t ,I eby cenify under the penalties.of perjury that the personal proper purchased by.the use of this'exemptlon certe wi ficatll be directl y used in the direct production of agnculturaLp7oducts for resale. Please examine these parts at once. Eriors should be reponed before using or installing. Thi Relums s 'The factory warrant constitutes all of the warranties with respect tothe sale of this item4tems. The seller hereby expressly be made within TEN DAYS a nd must be accompanied, by this INVOICE NUMBER disclaims all warm. y lies,.edher express or implied, including any implied. warranty of merchantability or fitness for a,pan,cular, ,property.is sold "to'yoo. with the definite understanding tfiatit is purchased for resale, unless tax Purpose and the seller neither,assumes nor authorizes any other person to assume for it any liabihty,in "connection with the, .has been added to the price. ALL RETURNS SUBJECT TO 10 /'RESTOCKING CHARGE. sale of this itemllems -NO R ON ELE PART ACCT .f t 4.. SOLD'TO 'DATE "A TIME STORE, E M P.`# s f t�7` 9 :C 4 Y..,DE :C.AFMEL F IRE DEPT ft 4/3108 11 e 1 QQ(_)Qb1 6 u tl bj r4jC► SR'# CAf+lEL9 PURCHASE ORDER"# ATTENTION a TAX EXEMPTION':., AD TERMS w y DELIVERY:' PART. NUMBER LN DESCRIPTION' QU'A'NTITY PRICE NET iTOTAL r H fJ�Cib 1,w VI 1 1 that to t. Ts W /ESTt]K FED 24.' RItAlT fQ 1212`::W.,114— N T t 14 7Y �X r)�LE= -f c t SIGNATURE 1 C3 A1. GF IA RGG BALE r'4 fWA of �AL'L GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE t t 41 4:h 1 production of agricultural pioducts for, Auto`Parts of Cannel T .1 Medical Drive`• f diana4'6032;• 317:: 844 -3973 ax: 31T-844 0: F Please Remit To H H Automotive SuppIy •iM W. Main St 'eban6n,'1N 46052 AGRICU Y LTURAL EXEMPTION CERTIFICATE agricultural use S INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION.' LIMITED WARRANTY• PLEASE READ ;9 1, APA V hereby a qjg certify under the penalties of perjury that the personal properly purchased by. t the use of this exemption ceihficato will be. 4 tlirectly used in th t resale. Thefacory warrant cons4tutes allbf the warranties with respect to Ihe'sale of this item /items. The seller hereby expressly, Please: examine these parts at once. Errors shoyldbereported tiefore usingmr installing Returns'. Y J! must be matle within. TEN DAYS and must be accompanied. by this INVOICE NUMBER. This disclaims'all warranties; edher, express or implietl, includirig'any implied warranty of merchantability or_titness for a particular property is sold 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 'p !hest been" added Who price: ALURETURNS SUBJECT TO 10 RESTOCKING CHARGE: sale of thisaemhtemg ELECTRICAL PARTS.— :r r... h,. i. z• y t t h 9 Y• a t •rk sty" Ta et r. SOLD TO DATE �q TIME STORE EMP,�# t'� �a�JG 7 l Of 61Fti l l 1=J: Fki^ I7rvF; l �)IJ0 8 1 t� 1 t �cr�►t �Ef l F,9�ft 2 y r T t1 t L C�tUAfE ATTENTION t l� PURCHASE ORDER SR` #2 CA,F�i'lEf 9 ICI t XEM ION' r TAX E PT ADt —1 :d r TERMS raw 1x1 e.r�l...ui 1 DELIVERY 4 `PARTtVUMBER L 1 L, D L ES CR I P �1 T QUANTITY 1s;, ,PRICE'S ray L E =TOTAL, 1"7 1tiltj y t I 1.w. I w'x'1 N U:t n H Y.1 1 P L,jt G"�R ..t s+•�l 4: I, I+IP`. I IAL BBL_ Otl` a Er�t�' im .ra 14 j {$t' w, IYRX 2. 752: r'l(),i� J IhAX 4 `FUSI 1 tlt e 7ft 1 5 f F f 1 t¢ k �b. LJ F�F_S`I'C1 f G C. iC :�N •h d. 7 .i .['.ea'J t Cf'4..' x }ry AX1 r t7 t�t7 1 REMZ1 3Cia 111 W Mta,Tnl Tt i% "1 $Erl" t >"I�NCr tn�>caa.� M SIGNATURE,° �raeD I r MEMO '.ALL GOODS RN RETUED MUST. BE ACCOMPANIED BY THIS INVOICE t NAPA �►uto .Parts of Carmel 11 i`1 Medical Drive.• Carme1,16dian`a 46032`•.31.7- 844 -3973 •'Fax: 317- 844 -62N P /ease Remlt.To: H H Autti'motii a Supply 1212 W: Mam St •L'ebanon IN 46052 .AGRICULTURAL EXEMPTION CERTIFICATE w l 'agricultural 1 APA INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION' J LEAS R use 'LIMITED WARRANTY PLEASE READ Thereby certify under the penalties of perjury that the personal pmpe by the use of this exemption cedificate will be Fla ectly used in the direct production of agricultural:products for resale: h ase dir examine these arts at once. Errors should be re orted'before ]sin or installing Returns' "The factory warranty,constilutes all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly C must be made within TEN;DAYS antl must beadcompanieA by this.INVOICE NUMBER. This disclaims all warrantlesreither express 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 assumes nor authorizes any other person to assume for it any liandity in connection with the i has been. added to the pncerALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this it! NO RETURN ON ELECTRICAL PARTS: i l,a ACCT 'a'' ,t SOLD.TO DATE=S. TIME STORE'# EMP o:* tl'l.E CITY., f�F °GARl±IE1 I'T'RE 17EF �f3`r /C_> i�'�e`;'� 1Gi7rfC�E;i X18,'3 ?FA SR I`N PUHASE ORDER ATTENTION RC 4, f 46 L V E MP T I XT y a i' r r�nnr r m I•t E iV 4.� �.l i. Rr ,:rr �Gl ,1.J .,�Jr '1M- 6•w V AD TAX'.. TERM DELIVERY: J PART NUMBER LN t DESCRIPTION QUANTITY. PRICE NET TOTAL. GiiTl -rYo I.?., i t f_lck W It�'! 'C1c3tn1 7 ,7 7 _'-`31_(_1 J-; 1 an 4Vfl) 3 4,f'1 9 t f�Y. TAm F "R W:,w SULEN01 D i tJc_> i 3�:. i,t�: 1_2 1 �9 464-54 s' �iiG I�tAY CORE DEPOSII 1 u� =i 60f rOQ` 60'.5u D 4 62 f t 25.x• kRES.TDt+fa. :FEE. t_. a.. 7 .ly ,:i: a tEf�lItl ?0 1�1 li+l IYIA71�1 Tax 7l TAXTAOLE; :r t� 00 Erl,r� m f S 1 -tt, X l "0TA CHARGE SALE 185..3, .SIGNATURE ALL GOODSRETURNED MUST BE ACCOMPANIED BY THIS INVOICE y i �jnf•'eh`•'�f"P� ct .1. s,r OF.r h- •tyf5i'£Y'L G' ilGN. iA 8 fi t NAPA Auto Parts of Carmelt i "111 Carmel, Indiana 46032-• .'317-'844-3973 Fax:;31.7- 844 -6220 A .P.lease•Remit'Tb: H H Automotive'Supply •.1212 Wi Main.St •Lebanon, IN LE AGRICULTURAL EXEMPTION CERTIFI agricultural use A PA INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION, LIMITED WARRANTY hereby certify un PLEASE, READ der the penalties of perjury that the personal property purchased by the use of this exemption certdicale will be.. directly used in the direct production of. agricultural products for resale. iw' 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 itemlitems. The seller hereby expressly G, p „must be made within TEN DAYS and,must be acbompanied by this INVOICE NUMBER. This disclaims all warranties; either exp, m or,implied, including any implied warranty of merchantability or fitness for a particular property is sold to you 'withthe definitevnderslanding that if Js purchased for resale, unless tax purpose and the seller iieaher,assumes nor authorizes any other person to assume for it any liability in connection with the 'r has been added to:the pnce.'ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE: salebi this rtemltems ,ti' NO RETURN ON ELECTRICAL• PARTS; A R es .SOLD TO DATE CCT TI'ME STORE EMP 7ON• C Z I`Y ©f-. G, #�FiMEt �;1 :'DEPT /67/66: ,�/t:t7' c��`i 1 ti �,8 1l;�caCrt.��i JxC I ISQUARE PU R TT NSR,# ME•L CHASE ORDER A TAX.EXEMPTION: 1� 'sVl;. ..,L4 LrY1HKl7C �Wf! C. EAD TERMS. I r't,Ti'(1JC.:n r DELIVERY: ti �0 "PART`NIiMBER' LN DESCRIPTION GIUANTITY'`:� ,3PRICE NET TOTAL, Wife AIjE c�'ta, i3,,. 4�6 Vii. 7'3 C, tr 4. R Cta t318 -1 WTI' f�t.ADE~ x 1 >t '0,( Li,o 4 ,(i 1 rr j IA hL >r Gla?t.'.Rte7ti'C? I'i FEE' a ..a A. r 13. ;1I3 p REM 'Tta 1. 1 I4AIhI Ts3}t 7 r( tAXTASI C,. ti r t> .t�t� r SIGNATURE. 'f:CITIL ChIARG�. 5Ai_I± AL GOODS RETURNED MUST BE ACCOMPANIED BY:THIS INVOICE r >4 T. ..•r(.. M is �1., IV NAPA Auto Parts;. of Carmel 111 Medical Drive Carmel 4603,2 •317 -844 3973: Fax: 31T-844-6220 Please_ Remit To:. H H:Automotive,Supply ••1212 W. Main $t •Lebanon, IN 46052 3. AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION; LIMITED WARRANTY PLEAS y.; E READ 1 APA a I hereby certify ender he penalties of perjury that the personal property purchased by the use of this exemption ce hficate will be directly in the duecf production of agricultural products for resale. Please examine these arts at once. Errors should be re orted before &sin j or installin Returns 'The factory warranty conatRUtes all of the warranties witli respect to the sale of.this item /items. The seller hereby expressly O :'must niadewithin TEN DAYS and must be accompanied by4hisdNVOICE NUMBER. This disclaims all warranties either express or implied, including any implied warranty of merchantability or fitness fora particular property is solddo.you with the definite,undersU nding the purpose 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 L z; has been added to the price. ALL "RETURNS SUBJECT T 10% RESTOCKING CHARGE.., sale ot(his itemltems ti has RETURN -0N ELECTRICAL PARTS. c .e ACCT E SOLD TO DATE °TIME STORE EMP. if �a7`?'� i TY t�:ARMEl F I;RI DEG 1 5 C}S/ t:�El 17 `L�7 1 c ltSc ll:lEr 1 J E,S7Pr 7 r r t 1,V 1� SIURIF t� PURCHA SE ORDER.# I ATTENTION SR,# f�RI�ICI_ N 5 ttt TA' XEMPTIONt AD S �s�a aeti I•i�l *Iy TERM 5v� ;cute n ritu L I x v.f, I rcuui ti t DELIVERY.' 4 z PARTr,NUMBER' LN' DESCRIPTION `,r QUANTITY, w ?PRICE NET TOTAL x.'46 5.! J t #��Y REMAN S;TP TER Y 0C ?:q 1��2'• ��1CI 1 -�a 39ti i25. 3SC:R COR IzaE C I: i' c t x q a i c l a Ott; Ern CRD y i h S v X, r t s as y i f� r7 f y s Juµ��d R C. f E;.E', p�•�/� -T� _�.r M yv� a �y� }may 1r a I a Q -R REIA ,1 1� YV HA I .T c":�?� t�, y 4"'e� �PtS�a��.»�r .r.' x i t t 00 fir. LEBANON:' INS 4C 058";'_ p n I�1 a SIGNATURE TC6Ti�`:} CitEDI7 MFM 3CR 4F ALL GOODS RETURNED MUST ACCOMPANIED BY THIS INVOICE r o n ^��'e, x s 7 I NV 'J 'td Pat 'p �b HA ­W� lsbf Cale b 1 Wdil6a rive armet!Ari�; 844-'397 644-6�26` im 17-1 3 F6x: .317'� P gas�. t. :11, UL 'AGWI 'T6"'�'Ek&�iIO�"CERTIFIGATE agpcu tura C E�ART�EN�T�F,R FV IiNUIE'- SALES TAX IJI�60 LINTED �A D N- d I the APA thereby certify�6nd&,the jienalfies'ofperju�y that the�Pe�sonal proRqrty ur ha�� I his eka I for resale.�. 7he factor a sale of�thi� te The seller 6(eby ex m ��b i�ing or installing. Ret6rns, iscl a ims y war�anty'c nstit the w�,�anties pact to th S�Iyl r6 itability or fitness for a particular 6 te all 0 p n =eZ�p;ail 6.ca.' u iust mademithin TEN DAYS and mdst �e 46com anied liy..thj�'INVOICE NU all .6�ranties,:ejthe, expre lincludi6g anjimplied warra*,of marcher roperty is sold to you with th P purp�se and the sellw neitheir su 6 a h6 iz a ny ot r person to assume for.it any iaPil�y!n connection with i a definite understanding I n a as he the, hat it is purchasedJor resah NO RETURN ON ELECTRICAL PARTS., as be6n added to the On 6. ALL RESTOCKING CHARG c sale of this iternfitems. E 4 01 4t" i zry*�:Fn W EM .'90'LUTO" OAA ME, *MzctST F P� %�F RE, Of& HASEib NT ONPNN5��W R E` L IN 7 ta i '�77,, YEk DEL V V f-! !OTA Ug�' 1 lvt w T R ­T­ AR 17T oum N gpq" 1 1 4 H I H r- V r- 1 1% V M;�;. H1 J: fx,hv� VVY 7. W :j to I I= i 7 .7 k.X` VY 22 3 r �"4 7 1, In". n z N: 4 'g A 2 4 0*': -i :KJ ""A 5 :�8 t�V N z ",4 7FEE q I I H m -m I j F N 0- MA 1 %1' '.2 T "N �­"LERANO -J, 4605':�­" N's 5. Im""SR 7" Z�i A I, n v�,,, 1 01 A4 qqqp��REMFiNED MOST BE ACCOMPANIED BY MIS ikvibi&E. p, 1 1 Auto' Parts of Carmel .s, .111 "Medi661 Drive;• CarmdI, 46032 e 317- 844 -3973 Fax: 317- 844 -6220 r_ Please Remlt To: H H,Automotive Supply ::1212 W. Main St •Lebanon,'IN 46052 y J i AGRICULTURAL EXEMPTION CERTIFICATE AN agricultural use A PA 1 .INDIA DEPARTMENT OF.REVENUE'• SALES TAX DIVISION LIMITED WARRANTY -PLEASE READ I hereby certity underthe, penalties of perjury that the personal proper)y purchased by the use ofthis. exemption certdicate will be t direclly used in the direct production of agricultural:prodLcts for, resale. y 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; sz.must be made within TEN DAYS and must be accompanied by this,INVOIC i UMWER.,This disclaims all warrannes,•eit tness for a particula her express or implied, including any implied warranty of merchantability or fir, property is sold'to you, with the definite understanding that It is purchased for resale, this unless tax Purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connecuon with the :has been addedao the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE.:. sale of nem items NO RETURN ON ELECTRICAL•PARTS. ACCT `r SOLD TO DATE TIME STORE EM P..# 1: e l 1 {]F' :G a M L �E IRE I:7E�7' ai G? 1 /t��I t �,fi i c �caC►. yea i 3 lae�lL. ?►LIAR ;Lw SR:# PURCHASE 'ORDER ATTENTION �1r "CA. MEL rtNt 4 TAX °EXEMPTION 03~:; TERMS: ca 'CHARUI;_d.SALE' LIUR ';T RUCK' DELIVERY• ,PART, NUMBER LN .:,DESCR IPT IO N QUANTITY PRICE -:NET TOTAL' `�O r• 3 j L:,MP HE DL.AMP 7 d 190 9t� 1 AEI LMP .FIAI_ BULB­­" 8l 8.480 l fig, �o- E1 •1: Litt F[)C.LF�MF 1 0'►. 18..E, ]:3. 8 1J 7:G'9.• i r t J r i -�j w Ini FdE'MI TC1* if i�.W hiA Tic 1l fTAXI AiBt�l_, 3 t7 _�`�S �v1 LEL�ANCIPI T:i�i 4CC�0. 1yk, r SIGNATURE; CCJTAL [.F 1ARGE~ SALE' ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE d <%a- N.APA.Auto Parts of, Ctirrhel 1`�11 Medical Drive .Carmel,lndiana 46032.317- 844 =3973 Fax; 317- 844 -6220 Please Remit To: H,& H,Auto AGRICULTURA motive.Supply•;1212 W. Main.St •Lebanon, IN 46052 L EXEMPTION CERTIFICATE r PLEASE use INDIANA DEPARTMENT.OF REVENUE -SALES TAX DIVISION '7.�' LIMITED WARRANTY PLEASE.READ I hereby certity under the penalties of perjury that the personal property purchased by the use of this'exempiion certificate will be directly used in the direct production of agricultural products for resale. Please examine these parts at once: Errors shoultl bereponedbefore.using or installing. Retuins 'T,he factory warraniy:'constitutes all. of the warranties with "respect to the sale of this iteMtems: The seller hereby expressly I G1 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 ocfitnessfor a particular property i4 sold [o you with the definite understanding that it is purchased.for resale, unless tax Puryose and the t eller neither. assumes nor authorizes any other person to'assume for "it'any liability. in connection with [he NO RETURN ON ELECTRICAL PARTS 'sale of this,itemrtems has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE: ACCT SOLD TO DATE TIME STORE,# EMP e II L t. c ►7 99 C �'Y OF­ CAf iYiEi .TR TIE T 5/22/06 C3 1��t3t�C�Ei13?: VT G. SCU. RE �8 r.69 SR C"T; RD ER A ENTI PURCHASE O TTO,N 43. 6(1 TAX.EXEMPTIONa AD t g.:Uo svr'; it P_ 1�:1t.t`i iH UE` aL TERM f1Ul� TRUCK CK DELIVERY. PART.NUMBER LN. DESCRIPTION.,,.- ;QUANTITY �I PRICE NET TOTAL Ty HF °1cl1 Lmp 9l.)LB i s 1 ��.�C_ :7 SIQ 7 39 eN F" �'e RE:STbCK PE 25 �u•i:eo s i l 7 l: REKij .'t 'i21 W I�IATI�! I Tai 7%',.,TAXTA Iw 3 p,.fata LELANf�RIN", 4E,taac� s d v SIGNATURE". TOTAL CHA SALE 7 ,3r3, ALL GOODS RETURNED MUST.BE ACCOMPANIED BY THIS INVOICE i k 'i"� a 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Repair Parts $103.86 I 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 VOUCHER NO. WARRA NO. ALLOWED 20 Boone County Automotive IN SUM OF 1212 West Main Street Lebanon, IN 46052 $103.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department f 7c c r PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 370.00 $103.86 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund