158806 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $76.78
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 158806
CHECK DATE: 4/30/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4231500 695177 25.08 OIL
1115 4232100 695177 51.70 GARAGE MOTOR SUPPIE
NAPA Auto Parts of Cannel
�4
111IMedical Drive Carmel, Indiana 46032.317- 844 -3973 Fax: 317 844 -6220
EVA P lease Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
I AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION 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. 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 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 item items.
NO RETURN ON ELECTRICAL PARTS.
ACCT# C ITY (y� T DEPT TIME i STORE
q J EMP s
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o
C)� ?98 3 A i k»�I (�YvS41'iG� Y JI I.1.6 I~Y I T Y'! J. i)J l�Cr 1 .J ri GI�J J. Q������_�G? I 6 4
3 CIVIC SQUARE I j
SR CAFMEi_, IN PURCHASE ORDER ATTENTION
53 46032
TAX EXEMPTION:
AD -�EEP COPY :I NV "o svr_ ca "e 11_ri.�f J_riAFZGr
TERMS:
DELIVERY; Jul I rrus.,V%
R
PART NUMBER i LN DESCRIPTION QUANTITY PRICE NET TOTAL
2,000 Ford Cown VictoriR
AE UP SRK PADS 1. %pct., 94. 360 47.180 7. :L E R
2103 rte' SF I OIL_ FIL. 3.77 2.26-0 2.
1: ;F I OIL a I L. 1 3. 770 E'. 260 2. 2E;
75-12,0 it OL. NAPA 1 oW3o G ?T 12.00 2. E,1 2. €:3'= o 25.0
8
25 RESTOCK FEE c LA 76.78
REMIT" TO, 121.2 W MAIM Tax 7% TAXTA L_E: 3 0.00
L EBANON 1N, 4605
SIGNATURE TOTAL CHARGE SALE 74«
7k3 l
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS /NVOICE.-.__---�
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))
04/18/08 695177 $51.70
04/18/08 695177 $25.08
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 N WARR ANT NO.
ALLOWED 20
Napa Auto Parts
IN SUM OF
111 Medical Drive
Carmel, In. 46032
$76.78 LIZ
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1115 695177 42- 321.00 $51.70 1 hereby certify that the attached invoice(s), or
1115 695177 42- 315.00 $25.08 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
Thursday, April 24, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund