159788 05/28/2008 F 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: $41.74
o LEBANON IN 46052 -2324 CHECK NUMBER: 159788
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 ACCT 08011 30.36 697021
1125 4237000 ACCT 08011 8.48 697888
1125 4237000 ACCT 08011 2.90 697905
r
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
AGRICULTURAL EXEMPTION CERTIFICATE
APA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use El 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 item/items. ants 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 for a particular
property is sold purpose and th
to you with the definite understanding that it is purchased for resale, unless tax e 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 c RESTOCKING CHARGE. sale of this ilem/ilems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
08011 CARMEL..- CL.A'Y PARK Sr'RECR ,%1i, 08 C,.8:4;� 1 1000( 133 33 E,r)' 688
14 En 11,61 t-I STREET
SR 'CARME L, IN PURCHASE ORDER ATTENTION d
46032
TAX EXEMPTION
AD 1, a
E° ELI f��€ P INV TERMS:["'
a G DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
I'J'Id t.nevro .er rlac::FC a..1a(..v i /c_ i ory evw r
9001 Lt+P I -JAL_ BULB 1.00 11., {170 8. 480 8.48 rt`
�r-bcy
Q /vl
D
DE C, t
25 RESTOCK i EE:.f t t,Fi I a'i 0.
REM TO: 121E' W MA IN Tiax `f TA VED I C if
L..E:1:1AN0 .LN 4l^,050t
MAY 2 1 2008
X TOTAL f nL. Cti
^',SIGNATURE
ALL GOODS RETURNED'MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 =6220
E3 AN Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be
di directly used in the rect 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 itemftems. The seller hereby expressly
must be made within TEN DAYS and must be accompanie by hs INVOICE NUMBER. This disclaims all warranties, either 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 liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP#NI0kT191 60am
08( -)1 1 CARVIF L_ -CL.AY Pta fdF:S RECR 511.6108 t_)9 n 40 1 C)00,0E,13 19 697` ,05
1411, E. 116TH 61 IREE T PURCHASE ORDER ATTENTION
SR CFA RMw L. 1N
4 46032 TAX EXEMP.TION:_,.. r
4•,
F:ER COPY INV w•r .r•_,� �,r
AD TERMS:�
J.
DELIVERY:'
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1 Cllevro Ler I •r 'LLC_K K1 172 ion 1 01) h'icio,l
H6054 LMPr HAL BULB 1. +._u:) 1.5. 75o 1 1. e 380 11.38
900c, LMPI HAL- BULB -1. 00 11. 670 8. 480 3, 48CF2
FUND
DEPT
To o
LOW
DtSC 0�
RE MIT T 1,21. W IVIAThJ F= 0.00
LEBANO 1, 46052
C` MAY 12 1 2008
X tZ /i
BY:
N SIGNATURE Y CHARGE. SALE
ALL GOODS RETURN L ED MUST BE ACCOMPANIED BY THIS INVOICE
c
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
N
APA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
1 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.
•7h
Please examine these parts at once. Errors should be reported before using or installing Returns e factory warranty const itutes all of the warranties with respect to the sale of this iteMi 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 for a particular 0
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 itemltems.
NO RETURN ON ELECTRICACPARTS.
ACCT SO TO-- DATE TIME STORE EMP
080 CARMEL —CLAY PARKS/ RECR 5 /07/08 13:21 10000 6133 33 697021_
1411 E. 1 1: STREET PURCHASE ORDER ATTENTION
SR CARIAE:L, IN
V, 46 0 r.: TAX EXEMPTION:
AD :E:EP COPY 'INV TERMS: "4"' V'L_' 4.. 1 -1 N L 1 1 1 1 trim lr`ci�c =er "y' w
DELIVERY:
PART NUMBER L'N DESCRIPTION QUANTITY PRICE NET TOTAL
1998 Chevro tet 'I 0:1500 1 /2 Ton 2'WE Pirkl.t
60-0ia- I WIP BLADE 2. 00 13. 46.r} 7. 0` 0 14.18
2001 Ford .i i r_•k F Super Dlut• y 1 Toil P
60- 020 -'1 WIP BLADE 2e tit'} 1.5.:: 80 8. is 9f) 16.18
C V
MAY 0 8 008
B
d�
l ?--5
25% RESTOCI'' FI G.% c. -,ha 3C►. 3 IS
REMIT TO, 12 1c�1 Tcax 7% TAXTASLE 3 iii.}
dJ 1J C
I
r
X /lw
%f SIGNATURE TOTAL CH(ZRC-?E: SALE 3(-), 361
ALL GO 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.
H H Automotive Supply Terms
1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/7/08 697021 Windsheild Blades for 1500 Chevy 30.36
5/16/08 697888 Headlight 8.48
5/16/08 697905 Headlight 2.90
Total 41.74
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
1 20
Clerk- Treasurer
VoL',her No Warrant No.
(NAPA)
H H Automotive Supply Allowed 20
1212 W Main Street
Lebanon, IN 46052 -2324
In Sum of
41.74
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 697021 4237000 30.36 1 hereby certify that the attached invoice(s), or
1125 697888 4237000 8.48 bill(s) is (are) true and correct and that the
1125 697905 4237000 2.90 materials or services itemized thereon for
which charge is made were ordered and
received except
23 -May 2008
Sig Xei e
41.74 Business s Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund