160262 06/10/2008 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: $205.04
y r LEBANON IN 46052 -2324 CHECK NUMBER: 160262
CHECK DATE: 6/10/2008
D EPARTMENT' ACCOUNT PO NUMBER INVOIC NU MBER AMOUNT DESCRIPTION
601 5023990 ACCT 8039 63.34 696188
601 5023990 ACCT 8039 -22.96 696208 CR
601 5023990 ACCT 8039 12.49 696215
601 5023990 ACCT 8039 14.18 696521
601 5023990 ACCT 8039 28.36 697406
601 5023990 ACCT 8039 92.35 698239
601 5023990 ACCT 8039 5.38 698431
601 5023990 ACCT 8039 11.90 698595
Qd &N filet ®oreotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street INAPAD (317) 896 -5615 NWAMW Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
(317) 773 -3180
(765) 4821180 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
CITY OF CARMEL -WATER ATEMEENT
3450 W 131 ST
WESTFIELD, IN ACCT SM f P AGES
8039 43
46074 J
TYPE REFERENCE AMOUNT I P.O. /CHECK /J.E
69(,11 8 i 63..4
i G4.29, 1 riv 691_;208
04/29/08 Inv 696215 12.49
0'/02/08 Inv 696521 14.18
05/12/08 Inv 697406 28.36
05120!08 Inv 698239 92.35
05/21/08 Inv 698431. 5.38 JIM
05/23/08 Inv 698595 11.90
j s
I
I
s I
1
t
Sununary as of 05/26/2.008
I Previous Balance 328.50
Pa 328.:.00
L.U.LiE.Ta
suture Dated 0.00
CURRENT::. PAST DUE 30 DAYS PAST.DUE 60;DAYS. "PA DUE 90 DAYS
305.04 0.00 0.00 0.00
I
H ATE r 008 I O C a 1' U in 7 C� -Od
ETERMS i' b_;e "loth
,OR i_0 C C 0 1.14 `C
NAPA Autos Parts'.of Carrel
1.
111;, Medical• Drive:• Carmel; Indiana 46032 317 -844 -3973 Fax:.317 =844 6220'.
.Please Remit To: H AGRICULT &•H Automotive Supply 1212'W. Main St. •Lebanon;'IN 46052
If INDIANA DEPARTMENT OF REVENUE U RAL E %EMPTION CERTIFICATE agricultural use
A PA SALES TAX DIVISION LIMITED WARRANTY PLEASE READ d
V I'liereby certdy under the penalties of perjury that the personal property purch_aseilby the use of this exemption cerpficatewill be'
directly used m the dvect production oPagncultural products for resale.
Please examine these parts at once. Erors should be,reportad before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this item/items. 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
propert y 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. L SUBJECT TO' 10% RESTOCKING CHARGE. sale of this ite�tems. r
'NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD -TO DATE I, TIME STORE EMP
CITE' O� t ARMEL WA i ER 4/29/08' 11'. 7 1t:i�ii:�trE,1a 7 9 �E fir:
`PURCHASE. ORDER ATTENTION: a
j
TAX EXEMPTION rhlnc,r c
AD M W
c TERMS r.3'tr
DELIVERY
NU 13th. LN DES.CRIPTIO.N' QUANTITY PRICE, NET ;TOTAL
t�1� ?t „t L.lI E? V i'Q E' G• Y °1ACSI'( w11. 1 v e r. a.0'O r=Z)td1_i .qz I,Q• s+V1
FIE:- -76v2M 1J4-�' AUTOMOTIVE PARTS 1 t:�s y 12 0, 63 ACY 34
e/.
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y FRE:STOC:K FEE s �h �a E-3. 34
F EMJ T :TO 1 1 W MAJ 'T La 7 TAK ABILE to t�t"a
SIGNATURE: 'TOTAL RGk SA1_E fs 4
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Via.'. 1 'S
t y a„ t 11 •t -G"�p t,. 5 4 i. `�t s+
V
NAPA Auto. Parts of.Car.mel
111 ,Medical Drive •;Carmel, India6a 4.6,032 •317 84443973 a; Fax :.317- 844 6220 w
P /ease Remit To H, Automotive Supply,e 1212'W Mam'St •ba 6052
non; I N 4
AGRICULTURAL EXEMPTION CERTIFICATE l.:j
l INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION egriculturaf use
I
Le LIMITED WARRANTY PLEASE READ
.I hereby certify' the penalties of perjury4hat the personal property purchased by the use of this exemption certdicate wilt be
directly usetl in the tlirectprotluction ofsgripulturei products for resale: f i `f.. r•
Please examine these parts at once. Errors. should be repor(ed' before using or installing. Returns "The factoryry warrahty constitutes atl of the warranlies'with to the sale of this iterrAtems The seller hereby, "expressly
G1 mus4be made within TEN DAYS and must be accompanied.by this INVOICE NUMBER: This .disclaims all warrahiies euher, express orimplied, inclutliag any implied warrahty,of merchantability or fitness for a particular 10
proper yyls sold to,you with the definite understandingg that it Is, purchased for:resale; unless tax• and the seller neuhe tassumes 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 deMltems'r
NO RETURN ON ELECTRICAL PARTS..
i °aC -k, o I iii rt�
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ACCT f ;SOLD�TO DATE TIME, STORE: EMP
C17rY— OF 'CARI�IEL lnlfATER k %1�9/�)H 1 "1 1 aU�) �G1';� r B E,9 E�St ii
d,
��r., W i ai1' PURCHASE:ORDER ATTENTION
z
$R4, r WE.6T 1ELll Z'i?J
JA 'i 1
u TAX EXEMPTION
y�.l •.S Yt...,. �a I.LY• 1�>..�1'1 4..+( \LR.l .a' 1IL
AD TERMS.':,. �.rp3
t IuR. 1 I�IJVII
DELIVERY r
PART.;NUMBER LN- a DESCRIPTION QUANTITY;' PRICE NET r TOTA Y
.Iftc:bGQ :3/4:- tx.Ck Q p
UP L
F`IC. _..'IJ taiti'1 R
AAt4E' h 17 O h�a T �1
A -7G� 'i�# (-�O' b OT [V �PAR�T.S 1.'t 4.2 ESU E-3 X40
T
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1�y1^C 1t �J t_ i�•t �-fp Icy
�J n, fTG- 7l�i l".iv4 7-CfG C._T
X
6CR
LEBAI�l�' N 7 i+19 s+C,���ic, r
f ai
TOTAL" L'R U
,SIGNATURE/ y,
ALL GOODS RETURNED :MUST BE ACCOMPANIED BY THIS INVOICE r
K
NAPA A UtO Parts of Carmel
1111 Medical• Drive Carmel', Indiana 46032 317-844, •Fax: 317 -844 622'0
Please Remlt,To: H H A. utomotive.Supply 1212. W Main St Lebanon, IN 46052 t
AGRICULTURAL'E %EMPTION CERTIFICATE
N
APA D INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agncultural se EJ
LIMITED WARRANTY PLEASE READ N
hereby certify under the penalties of perjury.that the personal property purchased by the use bf,th+s exemptwn;certihcate will be
tlirectly in the direct production of agr .reportetl before or installing. Returns icultyialproducts for resale: warran ry 'r' consttes e to ct the sale of g; this ite
t
'The facto itu. all of the warranties with res terns. The seller hereb "ex ressl �r!
�Ebors
Please examine these pads at once. shoultl be ry P Y P Y
C 1� 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
propedy is sold to you with the definite tinderstitnding [habit is purchased for resale, unless tax purpose and the seller nenhei assumes nor authonzea any other person to assume for it any liability in'connechon with the
has been added to the price ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE.. sale of this rtem/it6ms.' S, I
NO RETURN ON ELECTRICAL PARTS. a;; +�,Y
ACCT r L SOLD TO ,t' DATE TIME STORE EMP
A»I0 (1k, L '1Y till-.' l kIhSEY G 'VJf1 t t� til /(:ti 1 `ro (P' lL4�t,trl ►Yr1 pia r tr 01b r✓. L,
1 W 1.T 7 S:.I✓ tr
SR. �lF F 1 M �1] I W h `PURCHASE ORDER AT,TENTION i
r, TAX.EXEMPTI,O a
AD nM •c r, +u, rw ,�rrc. ycr�I' c
4 r TERIVIS:j r1I.IC]. P5I Ir v
DELIVERY
i,
PART NUMBERS ti LN DESCRIPTION QUANTITY r PRICE NET TOTAL
r Iaerf Z31.I vL aC11 UCI rl i I bf, i (311 0a
c'. 07 c74 ?1�3 ldlBl�f �il`C:F'EI`JT T hGi4. SCLT 1 0,
l: tt
A 2. 4
F�ET�TClx .1 yi"; W ihAll "fix 7%,
crC�
I EL►� 1N d 1�I9 052
X SIGNATURE TOTAL CHARGE SALE 4 i� :2 4 �a
ALL GOODS RETURNED MUST BEACCO IP IED'BY:THIS INVOICE:. <t x
d y NAPA Auto Parts of Ganmel
111 Medical Drive Carmel,'Indiana 46032 •.317 844'3973•. Fax: 317- 844 -6220
Please Remlt To: GR H HAAuEom agricultura use.
o t cEe CERTIF
1212'W Main St :Lebanon, IN 46052
I :'INDIANA DEPARTMENT ,OFREVENUE SALES TAX'DIVISION 9 Y.� l s LIMITED WARRANTYPLEASE.READ I herebycertify under tfie penalties'of perjurythat the personal property purchased bythe use of this exempgon certdicate will be directly used in the direct production of agricultural pioducis for resale: Please examine these parts atonce. Errors should be reportetl'beforeusing or installugg. Returns The factory warranty all of the warranties with respect to the sate of this itemAtems The seller hereby: expressly be made within TEN'DAYS and must be accompaniedby this.INVOICE NUMBER.•This disclaims all wairantiesr,eaher expressor implied, anyimplied warraory of merchantability pr fitness.for aparticular roperty -is sold toydu wiihihe tlefinite understanding that it ispurchasad for resale, unless "tax purpose'antl the seller neither assumes nor authorizes any other person to assume for iLany liability m connection wi[h the has been added to the price: ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sala of -this de�tems. "r' {NO RETURN ON ELECTRICAL PARTS.
ACCT $C3LD TO DATE TIME STORE EMP
4.. i s, c F..,
£it'_� C I Y,' DF` CAr�iI�IEL WATER Uf�tlU6.1 33 1? 6`�Ey`,`
W T v
A
PURCHASE ORDER. TTENTION
WC°TF• T ELD T`iiI
x Y� TAX
TE13MS:
IF DEL!
VERYW"
PART. NUMBER LN .DESCRIPTION QUANTITY I PRIGE NET F TOTAI, R4,t4'
I-! SIMADE
t a'.
I V� qj
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>5 r�aat
t .a J1 RES Y4..11,rf'r. t--L: �'rr 4- -4-
1 i�Ta 18 e�
REM l 'TQ y i 9 2 W MA r iv .n,. Tax ••7 ^,4 TAXI t48L. -F
I' I.' 17AF4 �ti'•I, 114q °VJ k,�5l t'? y ry a t
t. 5
A t i
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iAL avSIGN E s.
ATU Ck�f�P'�Uln lr 1�3 8
ALL GOODS RETURNED MUST. BE �CCOMPAN /ED BY THIS INVOICE r s a.'
NAPA "Ut® Parts Carmel +r
1f, Medical Drive e.Carme,l,:lndiii 46032 •.317 844 3973 ••'Fax 31`7 -6220
Please Remit:To •H'& H:Automotive Supply 1212 W -Main St "�Lebarion, IN 46052
AGF ICULTURALEXEMPTION CERTIFICATE.
.INDIANA DEUE- SALES DIVISION TAX D egrlcultural use r
LNJAI PARTMEN T OF REVEN, LIMITED WARANTY PLEASE READ r I hereby certfy underthe penaltlesofper }ury thatthe,personal propedy purchased bythe use oftfiis exemption certificate will tie
directly used in the direct production of,agnculiuial products for. resale. ,Please ezemine these $rt5 ai once: Eirorsshould be reorted beforevsin 'or irutallin .Returns 'The factory warranty cdn54tutes alt of the warranties wilhVespect to the sale of this item /Items. The seller hereby expressly mush be made within;TEN:DAYS and.must tie accompanied by this INVOICE NUMBERi This' disclaims_alf warranties, either express or implied; idcludirig: any implied warranty ofinerchantability or fitness for aparticular property is sold Yo you defiMte understanding; that it is purchased for resale, unless tax 'Purpose and the seller neither,aesumes nor authorizes any other'person to assumeaor it anyllablllry m.00nnection with the has been added to the.pnce: ALL RETURNS SUBJECT TO,10✓ RESTOCKING CHARGE sale. of this itematems NO RETURN ON ELECTRICAL PARTS
,SOLD TOg,,, DATE TIMES STORE EMP a
Ft IEk bJgTC.R l20/,08' `�B 5
4
I EI A b PURCHASE ORDER °r ATTENTION h u
t' I
4a y7fr` kr TAX'EXEMP.T:ION
a TERMS:.. y
t L V f DELIVERY {ta lt I'11UU
PART NUMBER LN s x, DESCRIPTION1 QUANTITY' PRICE NET z TOTAL r, t
t `tf ytl:C7I,�1 r EG3..St I.TC:i 1 4,a L {14f `S 4 4'S> 1 S' v:
:ut.1 ()3 r ttt
1 DIL F IL `r {a�3' 1ta 4i�c� 4 7 cry f3cr FBI is
i y y p f ti; 1 y 1 �1
P I r r j S F�I y p 1 I I�•~- A f r 1 {J A b.. 4 M 1 CF J: 3 Y �J,-'L
t Y )r I"•1 1.1'1 k, 1 L 4...� H {'t "'t''��{ 1 5� 4. 0,1 0
I?Lt�SI° t:7 1` �i ul��l'It'll :ft qk IVLt �a
V. 99 ii 1.
l to e 1 c r< F>,.•` ,,4 W�,'
"lnE 417±' l J. .t.,p� T
-t 1 yy 1 ±�1 1 +�•h •I' 2- 1 C :T6)� '.:7 TA Y'iBL C.
i. .'1«T' L��'il Y4..�1 �I 1.I M� '�M L?. G`x yv W 4.. i 1 .f ,d r }.t,
V r SIGNATURE TC L HARGE
ALL GOODS RETURNED:MUST BEiACCOMPAlVIED'BY,THIS INVOICE' �l
d r4 S ,r ftfi 's l'
NAPA Parts ®f Ca�°r�el
5
111 :Medical Drive Carmel ;Andiana 46032.0 317- 844 3973 Fax: 317- 844 -6220
-1 Please Remit To: H H•Automotive Supply ®_1212., W Main; St °Lebanon, IN•46052
AGRICULTURAL EXEMPTION CERTIFICATE e
I�A1 5 INDIANA DEPARTMENT OF REVENUE =SALES TAX DIVISION R agricultural use 7F.
JJJ a LIMITED WARRANTY PLEASE READ
I hereby cenify.under'the penalties of perjury thatthe�personal property. purchased by the use of this exemption certificate will be
tlirectly used In the Aired production of agricultural products for resale.
Please examine these parts atonce. Errors should be reporteA before using or installing. Returns "The factory warranty constitutes all of the warranties with respect tb the sale of this itemAtems The seller hereby expressly
O "`must be.made-within,TEWDAYS and must be accompanied by 1his1NVO,CE NUMBER.-This disclaims all warranties, :either express or implied, including any implied war merchantability or fitness for a.particula¢
?property,is sold to you with'thedefinite 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 a r t
has been addetl to'the price ALL RETURNS SUBJECT TO 10%. RESTOCKING CHARGE. sa to
NO RETURN ON ELECTRICAL PARTS-
e of this I items.
J... ..,a 1
SOLD TO DATE' TIME STORE, EMP' o
;CITY- OF '..CA"RMEL ►nlr4tER /�:1 /C�Ei 1 r,erJ i':' i r
345 W 31 C .PURCHASE ORDER ATTENTION
SR lalE"1 7CL_l?ry It�l gym.
tg:
f �at77i TAX EXEMPTION
�a �vr, �tkF 1 x ni 'I. H H to Fit t.
TERMS.
^DELIVERY:'ru�r i rcu4
PART NUMBER j LN, I DESCRIPTI QUANTITY PRICE. `NET t TOTAL
FU�aE` FIh 2. G:t in.8C3�� 3 1.. G,
't 4
l t
t
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y k
yy
I.
sax i F'1«STCI.!� SEE r_tirti.ui.cxt r.'
REfifIT 1�, TO 12? W MAI— I i Tex 7i4 Tf XTA1 LE
X `cam
SIGNATURE TCII AL `j I:F`9f�'RGE SAL 5. a
,aa
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE:
F r�3 t +s ,'cti i�� i d l�. :era r ti' .;r.4 y�y,:.
4 NAPA Auto PArts of .Carmel �r
111;Medical Drive Carmel 46032 844 =3973 Fzbc,317= 844 6220
Please Remlt To HH Aut "omotive Supply;'• 1212 W Main •L`'ebanon, IN 46052
t y�
AGRICULTURACEXEMPTION CERTIFICATE t r 8 {y1
NAPA nt. 1
e rlculturaYOse
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED`WARRANTY PLEASE READ
.=1 hereby certity under the penalties of perjury that peisonal property purchased bgihe. use of this exemption certificate will be r
d'rectly used in the direct production of agnculturaf for resale.
examine these pans abonce. Er_rorsshoultl be'reportedlbefore using or.installing ?Returns. The facto, .warranty all oflt6 warranties x✓ th respect to the sale of this ite�tems The seller hereby expressly y
G1 t ;must be mad ithurTEN;DAVS and must tie accompanied;by this INVOICE NUMBER. This ,disclaims a I warranties; either express or Implied, including any implied warranty,.of merchantability, or fitness for a' particular.
properly is sold t' you with ,the definite understandingg that it is purchased for resale;.unless tax Purpose and the seller nelthar assumes nor authorizes any other person to assume for it any liability in connedtion with the j t
ass tieen added I the rice. ALL RETURNS SUBJECT TO 10 %RESTOCKING CHARGE. e
p sal of this item /'terns
"N O'RE7U RN ON ELECTRI PARTS. 77
'Y.. 'J i
c
h
y 5'tt ..:3Y+.
ACCT SOLD TO A f i DATE TIME r STORE EMP
'taBCa 'C7l U CARM WA fEf� t �%2,3I Ci p� c�c� ur �a r'� r
SR r:
TAX EXEMPTION PURCHASE ORDER 01rENTION
611I✓ 1ELP
r AD IVY ".SVC'' dltk'" �.1icn l.HA G `.�RLF
TERMS:
t tJ I K :Jl t �.r
r DELIVERY
PART LN
DESCRIPTION. QUANTITY 'PRICE, NET TOTAL
i
D DRY
VI
5. 9Si
i r F
c t.�1 R
F
/tE= S"i FEE.':
,REIYIT p�,Yy t w`3.c IIJ l9ATi'1 .i'x 7 "l 7tXi AIL 4i'a`c�tt
CHARGE SPI,' 1,1
2 SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ld",? s, k..a._.,t s ..t. _i ,d ..eec.�,. r t:a
NAPA
TOTAL DOLLARS PAID 7b
WATER
INVOICE AMOUNT ACCOUNT
696188 63.34 650.5
696208 CR -22.96 650.5
696521 14.18 650.5
696215 12.49 650.04
698239 92.35 650.04
698431 5.38 620.6
698595 11.90 620.6
TOTAL 176.68
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc. r
Payee.
354290
NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 6/2/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2008 696521 $14.18
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
4GG /v.
Date Officer
VOUCHER 081961 WARRANT ALLOWED
354290 IN SUM OF
,NAPA BOONE COUNTY AUTOTIVI
1212 W MAIN STREET N
LEBANON, IN 46052 Q
0. A�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
A 3 y Board members
PO INV ACCT AMOUNT Audit Trail Code
696521 01- 6500 -05 $14.18.
Cl e-cA A
4�N3� 61 •�aD��. 5.3
095545 6c.��•� 9D
0
Y
ti`s-
Voucher Total 18
Cost distribution ledger classification if
claim paid under vehicle highway fund
i 7 1: y i., .tY 1 4�vI F •Nt
r NAPA Auto Part f M- �.I I�• 5
tn s o Carmel r
,111 Medical Drive Carmel, Indiana 46032:• 317!.844-3973 Fax: 3117444-6220
Please,Remlf To: H H;Automotive Supply 1212 W. Main"'St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
NAPA INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agncu use El
I hereby certify.under the penalties of perjury that the personal ro en LIMITED WARRANTY•- PLEA'
SE READ
p p y purchase_ d 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 item�tems. The seller hereby expressly'.
C1
must made within TEN'DAYS and roust be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including "any implied warranty of merchantability or Illness for a particular o
property is sold to you with the definite understanding that it is purchased for resale, unless tax. Purpose and the selleoheither assumes nor authorizes any other person �o 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 rtetems t
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
a8F'rw"3 C: Y OP CfaF�t�iI L
'M T A 5 r' i /(�R Ca' L q I 1:' y yCls�E 1 's „1 69�d+ .r
SR +1 12, PURCHASE ORDER ATTENTION
Z.
TAX EXEMPTION'
AD Svc QUE -1
I i�
TERMS.jvc.� OT; �.,rtir�a �r•aL..r..
I DELIVER
rPART NUMBER i LN: °DESCRIPTION; QUANTITY '1,. •.PRICE NET TOTAL
WI 'BLADE ka�'t! 1.3. 45Q" t ex'�rl 28L 6
k W
4 v
1. I� I �@,5
TLJ{..�K rE f"..Li i�!
t ..1 >.I V V k :5 J. i t 'i 2 40 3 b I
F2EM1 �1. A`t1�1 a T' ,x 7r TA7t"1"'ABLE t�, t_rc3
LEBAN x N, 4 6 052 r
t. r
r,OTAL CHARGE iSALE
SIGNATURE /f
ALL GOODSRETURNED�MUST BE A O MPANIED BY THIS INVOICE
H8tH A1Jt01110t6o1e $lLppe)/ �,,,�;aA NAPA Auto Parts of Westfield 1212 W. Main Street (317) 896 -5615
Lebanon, IN 46052 2324
M A M (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
OR 's (317) 773 -3180
(765) 482 -1180 Remit to (317) 774 Fax
(800) 924 6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(765) 482 -7398 Fax 1212 W. Main Street Lebanon IN 46052.23 (317 844 -3973
�....,�A,•. �7)�844 -6220 Fax,.:.
BILL TO
CITY OF CARMEL —WATER STATEME
EME
3450 W 131 ST ACCT SM P AGE
WESTFIELD, IN
8039 43
46074
DATE TYPE REFERENCE AMOUNT P.O. /CHECK /J.
)6
696215 12.49
05: 02;'08 Iriv 696521 14.18
0 i 2 %08 Trty 697406 28.36
It1v 6,98239 92.35
1. 08 Ttw 698431 5.38 JIM
8 9
I
8 1 n 63�, 11.90
I i
I j
i
j f
I I i
I i
Sununary i)5.� 20
Previous 13a]ance 328.
'r I ut arc. ed C
�dldI P
Dated 0l
CURRENT PAST.DUE 30 DAYS PA T'DUE 60. DAYS PAST DUE 90.DAYS��
04 0.00 0.00
YJA.TE o t a 1 0 tnr e d 205.01
TERhv1S
Ci�ti)CiC) c) _i0ilz c o 1 u. e (i5 c;
r �UT0110'IIVE
!2 NOi i 7 NDTAINTA
it
I ACCT I BILL T
r TOTAL NOW DUE
J CTTY OF CARMF:L- INATEu 205.04
CLOSING DATE %'�IUB AMOUNT ENCLOSED
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 5/30/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2008 697406 $28.36
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 082002 WARRANT ALLOWED
.;3;54290 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W MAIN STREET
LEBANON, IN 46052
rt e
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV �A/jC�CT�# AMOUNT Audit Trail Code
697406 01- 6500 -07 $28.36
Voucher Total $28.36
ost distribution ledger classification if
claim paid under vehicle highway fund