159244 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $414.04
CARMEL, INDIANA 46032 1212 W MAIN ST
}u LEBANON IN 46052 -2324 CHECK NUMBER: 159244
CHECK DATE: 5/14/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
_651 5023990 8048 414.04 ACCT 8048
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H&H Automotive Supply 0 M 0 NAPA Auto Parts of Westfield
1212 W. Main Street (317) 896 -5615
INAPAD
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
0® (317) 773 -3180
(765) 482 -1180 Remit to: (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(3177) 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax
BILL TO N
CITY OF CARMEL— SEWAGE DEPT
1 CIVIC SQUARE ACCT SM'# PAGE
CARMEL, IN
8048 53 1
46032
DATE `TYPE" REFE AMOUNT P.O. /CHECK /J.E
04/03/08 Inv 693692 "110.32
04!04 /08 Inv 693810 15.69
04/17/08 Inv 694991 260.73
04/25/08 Inv 695849 27.30
Summary as of 04/25/2008
Previous Balance 179.66
Payments L79. 6C'r
Current Balance 414.04
Future Dated 0.00
CURRENT PAST "D.UE 30 DAYS..- PAST`.DUE.60 DAYS PAST DUE 90 DAYS
414.04 0.00 0.00 0.00
DATE 04;25/2008 T o t a l O to e d. 414.04
TERMS tNo svc clue 10th
STORE 100005128- -0004 T o `;t a 1 DI.Ja e 414.04
NAPA :f &Oast armeG
Of,�
111 Medical. Drive::'. Carmel,.•Indiana M
317 -844 -3973. 'Fax: ;31 T- 844, 62201.
r AGRICULTURAL EXEMPTION CERTIFICATE 1 r t
APA I NDIANA DEPARTMENT OF REVENUE'- SALES DIVISION n ;F agricultural use
.I hereby certify under the enaltiesof au that the ersonal ro ert r LIMITED WARRANTY PLEASE READ
y fy p p 0 ry p p p y purchased by the use of thls certifi8te will�be
directly used. in the direct production' of agricultural products for resale. i7 .I
Please examine these parts at ohce..Errors should be reported before using or installing.'Returns 'The factory warrar t 'constitutes all of the warranties with respect to the'sale of this itemlitems. The seller hereby expressly
C must be made within TEN DAYS and musCbe accompanied by [his INVOICE NUMBER. This disclaims all wamantes, eRher express or implied, including any implied warranty of merchantability orfitness,for a particular r r
property is sold to you with the definite understandin8 that it is,purchased for resale, tax' •Purpose and the seller neither assumes nor authorizes any other person to assume.forvit any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO -10% RESTOCKING CHARGE. le o
s rtemfitems.,
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD•TO DATE:' TIME STORE EMP
0Afi�NS CI TY C. S WAGE, "DEPT 4/03/08 1 u 44 1��f�t�06 133 -.33. E��3�,E,92
cl 1 VII" sbUA "kE
PURCHASE ORDER AT
.SR
.CARMEL T,t�t
TAXEXEMPTION:
ATTENTION
9
u !ff l.�t
AD'. TERMS
o 5 v t I., I .C' B i, c
f DELIVERY: I .If 1 0
PART N BER, LK.'? -DESCRIPTION QUANTITY• PRICE -NET 'TOTAL
FIL OIL F` IL.,: t y /+.`00 7�if:� 0.`i96 A -2.36
o-
:OCN �•F °E CC a, lc�a
1 321.
REST
OEMIT T'O"e 12y:2, W'. MAIN.. Tax `�•F�XI "ABLE 3 tan f:�t:�
LEE ENO N 6 65u....
SIGNATURE TOTAL C:HLaRGE'. SALE 106 3,
ACL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts ,Of Carmel N
:t
411 Medical Drive' Carmel, lndkina 46032 a F a
7- 844 -3973 Fax: 317; 44 6220
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AGRICULTURAL EXEMPTION CERTIFICATE.'.
agnculturafuse El
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
AP E �'4 LIMITED WARRANTY- PLEASEREAD
I hereby certify under the penalties of perjury that the personal property purchased by the of this exemption certifcate will be
directly used in the direct production of agnc for resale.
.'Please examine these. parts at once. Errors should tie reported before using or installing. Returns'. "The factory warranty constitutes all of the warranties with respect to the sale of this iterrditems. The seller hereby expressly. II
must be made within TEN DAYS and must be accompanied by this JNVOICE NUMBER. This disclaims all warranties, either express or implied,including any implied warranty of merchantability or fitness fora particular
property is sold to you. with the definite understanding that it is purchased for resale, unless tax Purpose and the seller neither assumesnor authonzes any other person to for it anyliability in connection with the
has been added to the price. ALL RETURNS.SUBJECT T010 RESTOCKING CHARGE saleof this iteMile� s
NO RETURN ON ELECTRICAL PARTS.
o
SOLD TO DATE I TIME
STORE. i EMP L
�'t�'04•Ea Y L RxT Q :GARI?IEL= SEWAC7i��DE�tT l +f.t�r ry i j ci�
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a -1 .I U,G: SQUARE y
SR*` PURCHASE ORDER ATTENTION
Gr'i�ti =L IIU 4 y, r
TAX f�T
AD
y TERMS s
DELIVERY:'
LN DESCRIPTION QUANTITY PRICE `NET E; TOTAL
STE3j EC H aCll._ENU T'I 1 (M ,3.: cC� 15 69f ti 1 -,i. 69 Ft
�N
1 t
53` RESTTVCN. FEE
FdEMT TO,.: 1'I� f W IY1AN r Tex 7/ T(XTf>4,BL J" ca� 00
LEA Pd W N,:= +E,0'5E 4i y
yy
to QHARGE SALE
J. lb1 A RE
ALL GOODS RETURNED MUST BE ACCOMPANIED BYTHIS INVOICE ,�i' r F
`�J i a,. e..>�i q 1/ 1 4• iG t 1f 11
NAPA Auto Parts of Carmel
111 00ical .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 z
1'. AGRICULTURAL EXEMPTION CERTIFICATE-, W+� agncultural,use �r
�1
AP AI INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION 3 s LIMITED WARRANTY PLEASE READ,
Fherebycertify under the penalties of perjurythat the Personal property purchased by the use bill exemption cenificatewillbe..., •e
direct) used in the direct production of agricultural products for resale.
Please examine these parts at once. 6rorsshould be reported before using or installing Returns 'Ttie factory warranty.constitutes allot ihe.warranties'with respect to the salebt this iteMtems. The seller hereby expressy I
C .must be made.within,TENDAYS and must be accompanied by this INVOICE NUMBER. This disclaims all war or implied, including any implied warranty of merchantability or fitness for
ranaes;;either express ar.
prbperty issold to you withthe definite understanding that it ispurchased for resale, unless tax Purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connect on particul
pnwith the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING.CHARGE. sale of this itemltems
NO RETURN ON ELECTRICAL PARTS..:
i
SOLD,TO DATE 'r�TIME STORE:# EMP ,h;
!45 _c "t" tlE C:t�RI�EL GEFWAGC zUE:F'T 4/ 17/U8 1Ci,R. i 6lbe- t_ 81 3 3 694 1
1 t' T V 1 L SDUARE E TTE ON
SR :.�k'RME L'i� r
P.URCHAS RDER�# A NTI
X Y k. ar 4
3 r rFJc:> r TAX EXEMPTIO.Nt
AD r n TERMS ty'u ,uc Ptae t n crjF)Rt5iq
R
DELIVEY: t
.r
1PART'NUMI3ER LN. ..DESCRIPTION QUANTITYw. •:•PRICE NET TOTAL
C5- •Uai)g Q NBH SE:RPENI N!~ `k E4. C 1{� t a w 9`� 7ti� 4th,
r_ t f l I s
.Ci 1 8. 15� a r o 148 C3�
5Ci7
HE' 6A 1L:. h1C, ARE 1.5W4t;� trF i'4 e 990 1 J `'(I.' 71 �4
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REfl1 tT Tt7d.: Via~] W MAT i Tex 7� TAX1LE t
LEHANbN r�jN; 4 U` 2
SIGNATURE T[JTAC 'CHARGE SAVE i�f, 73..
ALL GOODS RETURNED MUST SE ACCOMPANIED BY THIS INVOICE
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NAPA Auto Parts of Carmel
=111 Medical: Drive Carmel, Iridiana .46032 317- 844;3973 Fax 317. 844 -6220 r
-k' Please Remlt To: H H Automotitie Supply •.1212 W. Mam`St •Lebanon,AN 46052
AGRICULT
EN (ura� use
URAL EXEMPTION CERTIFICATE' ag
AP ,INDIANA DEPARTMTyOF REVENUE -SALES TAX
r '..LIMITED WARRANTY PLEASE READ
Y r� I hereby certify uhder ilie penalties of.perjury that the personal property purchased by the use of this exemption certificate will be Y i
directly used in the'direct production of agricultural products for resale.
b h R
f lease examine these parts aCohce. Errors should e repdrted before using or installing: Returns Te factory warranty, co „nstitutes allot the warranties wiih respect to the sale of this itemhtems. The seller hereby expressly_
must be'made.within TEN ,DAYS and must be accompanied by this INVOIQENUMBER. This disclaims all warramies, 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 tai
'Purpose and the sellecnerther assumes nor authorizes any other person to assume for it ahy liability in connection,wrth the
has been added to the price. ALL RETURNS SUB sale of this rte tems
JECT TO 10 RESTOCKING CHARGEr'.
j NO RETURN O N ELECTRICAL PART
r
t'
ACCT y SOLD TO DATE TIME STORE EMP.#
1 T 2 5
08048 8 tlt :OF .CARREL. SSE 1_WAGE IDFP 4��5l�y8 l�r^;5� j �i jCrt�F 133
1�T V 20 S;GiIDr�R” SE'OR a
'P,URCHA DER ATITENTIO,N
TAX' EXEMP_T•IQN• v
AD r TERMS
n l rr r�v�wL.
DELIVERY
T NUMBER LN DESCRIPTION:J_ :QUANTITY. .-PRICE"
PAR "NET r
TOTAi
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RESTOCK FFE
rt
REMIT lq 12 W h1A`Th! Tex 7fd': i�{�3;fH E 3
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:,SIGNATURE TQTA r CHARGE SALE c .?C
•,'-:ALL GOODS. RETURNED MUST BE .ACCOMPANIED BY THIS
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER .r
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 INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 5/5/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/2008 695849 $27.30
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 085410 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
LEBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
695849 01- 7500 -02 $27.30
6C1g0t 01.�500.0z 2 60 1 3
tg35to 01. 5o�.o6 15.bq
6 �t36�� GI. j5pa•t56 I Ib.3 �2
Voucher Total' 3 U
Cost distribution ledger classification if
claim paid under vehicle highway fund