164616 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
0 CHECK AMOUNT: $326.15
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 164616
CHECK DATE: 10/16/2008
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8048 326.15 8048
i
H&H Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street (317) 896 -5615
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
NAPA Auto Parts of Carmel
(800) 924 -6831 Boone County Automotive, Inc (317) 844 -3973
(765) 482 -7398 Fax 1212 W Main Street, Lebanon, IN 46052 (317) 844 -6220 Fax
BILL TO "T A T EMENT
CITY OF CARMEL- SEWAGE DEPT
1 CIVIC SQUARE
CARMEL, IN 1AC CT, =SM PAGE.::
8048 53 1
46032
DATE TYPE.: REFERE'NCE�.. AMOUNT P.O. /CHECK(J.E
08/04/08 Inv 705601 23.77•
08/04/08 Inv 705608 43.85
08/07/08 Inv 705989 73.10
08/19/08 Inv 707017 62.16
08/20/08 Inv 707097 67.94/
08/25/08 Inv 707564 95.97
08/26/08 Inv 707683 1.17-
08/27/08 Inv 707763 6.35`
09/08/08 Inv 708696 5.34-
09/10/08 Inv 708920 1.79-
09/10/08 Inv 708973 18.27-
09/10/08 Inv 708985 195.50"
09/11/08 Inv 709056 7.60
09/16/08 Inv 709390 22.19-
Summary as of 09/25/2008
Previous Balance 366.79
Payments 0.00
Purchases 258.21
Current Balance 625.00
Future Dated 0.00
CURRENT PAST °DUE 30..DAYS. PAST D:UE 60 >DAYS PAST.:DUE 90' DAY.S'i
258.21 366.79 0.00 0.00
DATE 09/25/2008 T_ a la O w "e d 625.00
TERMS No svc due 10th
STORE 100006128 -0004 T t a t D u "e 625.00
l i s t Y'
-of Carm
NAPA Aluto Parts el
'111 Medical brive Carmel; Indiana 46032' 317- 844 -3973 i. Fax: 317 844 -6220
Please Remit To: H H Automotive•SPp Y u I •1212 W. Main St •Lebanon IN 46052.
4 c
AGRICULTURAL EXEMPTION CERTIFICATE r. Sad
AP ,A agricultural use, 444 ry_'
INDIANA DEPARTMENT, OF REVENUE SALES TAX DIVISION '�J� yrtl
LIMITED WARRANTY PLEASE READ 'S'
I hereby certify under the penalties of perjury, the personal property purchased by the use of this examptioncer ificate will be
directly used in the direct production of agricultural products for resale:
S Please examine these parts of once. Errors should be reported before using or installingg Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this itemAtems. 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
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. addedto the price: ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this itetems.
'NO RETURN ON- ELECTRICAL PARTS.
ACCT
trtr rz...f� t v.; tr r� wtrSOLb3p, M rye rt n •M D.A s TE a r TIME t P,; �STO.RE EMP
i1
PURCHASE''ORDER 'ATTENTION 4
3
TAX.EXEMPyTION U1i4 1 t �1
TERMS:
DELIVERY:
I i CHFtJRC�k .r a
AD
I PART-NUMBER T LN; QUANTITY" a ,NET ;;l t J TOTAL'..
i!QL lflt�PA I���,41". r ���},�ra u�t t�ta c�c� I*.v;�"�O
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tra hdtr.a l �Jt�F r I_ �»t1i�,r 6 7 e9
..11�f i -R i W I`Tq,,- N T .x 7 A TA XT (A :e, t� r;0i
U SIGNATURE t l Fi}� k
l,Cl CH SAL r
1, F -4
ALL GOODS RETURNED MUST BE ACCOMPANIED By THIS INVOICE t': r a L, t R
•I �.r .��r- :%`i'><,c�..•� k'. '�'�,r .ti ,�t lh..: I r .;n`�
NAPA A Parts of •Car.mel
111 Carmdl;.lrtdiana 46032. 317- 844 -3973 Fax. 317-844-6220
Please Remit To;' H.Automotive- ,Supply •.1212 W. Main St Lebanon, IN 46052
llfIf r AGRICULTURAL EXEMPTION CERTIFICATE r l E R use
1 INDIANA DEPARTMENT OF REVENUE =SALES TAX DIVISION PLEA SI
LIMITED WARRANTY PLEASE READ
A I hereby ceNfy untler the penalties of perjury that the personal property purchased by the use of this exemption certificate will be G
directly used in the direct production of agricultural products for resale.
Please examine theseparts at once'Errorsshould be reported before.usingor installing. Returns 'The factory warranty constitutes all'of the warranties with respect to the sale of thisitemftems. The seller he expressly \''f
C1 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
propertyissoltl to ybu'with the tlefinite untleistantling
that is purchased for resale, unless tax purpose and the seller neither assumes nor authonzesany other person to assume for it any liability in connection with the
.:.has been adtletl to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE.. sal to t 11 S�
NO RETURN ON ELECTRICAL PARTS:
e of this Items ms' 1
f,
t TIME STORE EMR.#
Y_
I t it ti4 �i 0.a 1j- Y CfIR L_ {r" WAOWi DE.I:!T, nra.a r a
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RCHASE''ORDE
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X,'EXEMPTIONt
TERMS
DELIVERY] C.6!
M PART'NUMBER :LN, `DESCRIPTION` QUANTITY'. PRICE NET TOTAL
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4S8 S3 X15 Z, a 1:. RAKE .:i�� TOR ONLY t xtT: :e •�,1 71 e �r'�C' 1 1 6CFt`
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REMIT .T:l 1 L: W ctrl I raX, 7 %.:TA")i `A3�?LlY-',: �n
SIGN1 TURE
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Th,,TGtii w CHARGE. 1f30E' SFaI.F 7 f
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, e 1212 W: Main St Lebanon IN 46052 v ?T
AGRICULTURAL EXEMPTION CERTIFICATE agricultural
use a.�,
Np INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereb certif under the p enalties of p erjury ta the ersonal,prb ert urchaseq b the use of this'exem bon certificate will tie' t
Y Y P, p 1 ry ht P. P Y P Y P
tlir ectly used.i0 the tlirebt production of agricultural products for, resale. a
Please examine these parts at'orice.Errors should be reported before using or installing. Returns `The factory warranty constitutes all of the warranties with respect to the sale of this ile�tems. The seller hereby expressly
G1
:,t must be within TEN DAYS and must be'accompahied by this INVOICE NUMBER. This disclaims all warranties, either express or implietl; iricludingany,impliedwarranty of merchantability or fitness for a particular,
property is�sold to ydu',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 any liability in corinection with the,
has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this itetems. s
NO RETURN ON ELECTRICAL PARTS..
ACCT SOLD TO DATE TIME. STORE EMP
rr8t Q' C�II �f' Cl3" C tFtl�lEt L� 4�faf�E DEPT s 1�,I �_aF ca9 t�s
_w
PURCHASE ORDER TENTION
0. TAX EXEMPTION:
rro'
Ab' TERMS. U t U :eU �.ld, H L.rIHr<UC': _7 HL
t 1
i rria�r <r r i I
DELIVERY:
F
.`PART NUMBER LN', DESCRIPTION (QUANTITY PRICE NET '.TOTA'L
7820 `d I �lIF� V I} RADI(iTC�R HOSE 1 04).•' ?8.070' x 191), yin l
i
9'
X56 /w RESTU V, FEE
A �.I 1 "3
REh1 J Y Tt� q 12l 2 l,r lv'i 1. N TCtis 7 ,.1 fJYTAHi�L fr, ?et a
L FLaf N0141. I N' e
y
T 6TAI_ CAARGE SALE =:82. i,�t
:..SIGNATURE r .y
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto'Parts of Carmel
111 Medical Drive.•.`Carmel .4.6032.317 -a44 -3973 .,Fax: 317- 844 -6220
P /ease Remit To: H H Automotive'SuppIy •'1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
I
I I I I -agricultural use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION;
L LIMITED WARRANTY PLEASE READ A
I herebyceriifyuhtler tfiepenalties otperjury that the personal propedy'purchased by the use of this exemption cenrficate will be
direc used in'the direct production of agricultural products for resale.,
Please examinelhese padsat 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 itemritems. The seller hereby expressly.
G1 must,be made,wit ,n 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 soldto�youwith the defiriite underetandirig that it 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( terns.
NO RETURN'ON ELECTRICAL PARTS..
ACCT SOLD TO DATE TIME. STORE.# EMP-#
6 C1 rV :J Cf)RMEL:. SEW0 GE DEPT 9/08 0o 3':o 69'6
SR 'V CC1(RE PURCHASE ORDER ATTENTION
��.gRME L:4
q
'tE,cnT3�.` TAX EXEMPTIONS:...
AD
TERMS a ^v1._ due I th C AL E':'
DELIVERY? R TRUCK
..PART NUMBER e' LN: ,DESCRIPTION h QUANTITY t PRICE' NET TOTAL
1 3 \180 2����LIT HT i-10S t,t� e 550 a s a�3
1' i< t1F
r r�T r #�a l :i OPJ t �tF�
.P
r e• y f'42
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RE:'•STO '1' EiI.►I t t` t
,REM I'T'; T t_ W i�iF1I{rI Tax' .7 TAX TABLE f�E�L_E 3
SIGNATURE arc., RGE, S
f /ALL
GOODS RETURNED MUST BE ACCOMPAN/ED'BY THIS INVOICE f
r .a•'r .,11.r:. '?`,h'3Fsr,... -si. ft�.��..' t�r r.,'' .td s-
NAPA Auto. Parts b Carmel
111:Medical Drlve •Carmel, Ir `di6 ia.46032. 31.7- 844' -3973 •`;Fax.:317- 844 -6220
Please Remit Tot H &'H Automotive Supply •'1212 W. Main St •Lebanon; IN �f
1 11 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPART j�
N
A P A L r DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY. PLEASE READ
I certify under the penalties of perjurythaPihe personal property purchased by the use of this exemption certificate will
directly in tfie qi producbon of agricultural products for resale.
Please examine these pans afo'noe. Errors should be reportetl before using or installing Returns 'The factory warranty constitutes all.bt the warranties with respect to the sale of this iiemlitems. The seller hereby expressly
C mus' be made within TEN'DAYSend ML beaccompanied 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'ihe 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 v
has been added to the price: Aft SUBJECT TO 10% RESTOCKING CHARGE, sale of this item(dems_
1 NO RETURN ON ELECTRICAL PARTS
TO DATE TIME r. STORE EMP.
e
ri t EI CI I`d 4JB C IRMEL SEWnGF 'T't 9 /4c�/{_)P'. 3.,uG )ti{7tj8 �3. 3 I:) 7t�S 73
I �f`IG a,G1LltRC <;PURCHASE'ORDER:'# ATTENTION
TAX;EXEMPTION:
AD TERMS E
o sVc u J Cott) GHfl.RC� SF I E
y: J! TRUC3?�
DELIVR
;,P
LN 't DESCRIPTION'; QUANTITY; PRICE: r NET .TOTAL
795 )fj 1 r 40.
<�a:19
1..'�rc�tl,' �lF J h9IG 1 ''1C1CKFt ,.al r �1 {)t�..
I�ICS,'i t. DINT T
L
_tKF�IThll'YfFaRT {�U C° 7
i t i
j r 1 t y 6.
RESTGCK F�.F•,' S4AI?,� t r 18 ,L:
4�9AI )c` 79'='.1 AXTI�I.E 00
ANON
'.'SIGNATURE n T.l�TAL t r ,a!�.) QHPRc,,E; SAI._F_' �:8�. 7
ALLGOOISRETURNEIh1UST IE ACCOMrAN /ELfYTH/S.INVI/CE 'r:,n, ti.,..<
C.a�rmel t t:
r
1'11 Medical Drive •Carmel, Indiana 46032.317- 8444973. Fax 317'844 6220'
Piease Rem/t To: H, HAutbmoUve Supply 4:1212 W. 6in.St •Lebanon ;IN 46052 r
'AGRICULTURAL EXEMPTION CERTIFICATE agricul[ural use
r'
""v INDIANA DEPARTMENT OF REVENUE SALESTAX DIVISION LIMITED.WARRANTY `PLEASE READ
NAPA
I hereby certity under the perialhes of perjury that the personal propeAy'purchasetl bydhe use oFtnis exemphoncertificate will be
directly
used in the direct producaon of agkAural prgiiticts for resale.
f lease examine these'parts t on E
acedors 'should be reported before using or. ins ailing Returnsf The factory warranty constitutes all' of the warranties with iaspect to the sale of this rtemdtems. The seller hereby expressly f
`,,must be�made witnin.TEM:DAYS and'must be accompanied by.thisJNVOICENUMBER. Thin ,disclaims all warranties: either express or implied, including any implied warranty of merchantability or fitness for a parkular
'.property,�is'sold'to you with'.the definite understandinglthat itispurchased fo7 resale; unless tax' purpose. and the seller nerthe� nor authorizes anyother person to assume for itany liability in connection with the
Chas been added to the price ALL RETURNS SUBJECT TO 10/ RESTOCKING CHARGE sale of this�itemAtems c I
i NO RETURN ON ELECTRICAL PARTS.,
4ACCTf #{AT' f�l 1 SOLD TO DATE "'TIME' 3 `STORE EM
,y.•.'y'. t .�.°v"
aEWAGE UEF' i 4- 8. ,f +.w 7G� i�B i
PURCHASE ORDER ATTENTION
.R�1L
r i t ION s AX to
T MPT
TER MS a' tae :cl�de '.1t�1 fiF1Fl�tC�lRLE
DELIVERY
't!R TUCF fI,
t1LN' DESCRIPTION QUA`NTITY PRICE NET
PART NUMBER i p,T6T4
�.r
c ra n �kW;
{y9 pp {{�,II 31�"A i y r l `.ONLY �.�U' I���. 4 T 7g 1� 71 f 427 1 1 1S-
Y`I.E' 7 7 sk 7"[F' KF 1'_ Icift h T i�{.� L'�7a �1tA
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7
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x 1 t: xAt
p �+�r IG,�{ .S�r'q' p'y s,/ ryp' .y
I'E �1 M t i s: 1 F r k'!^3 ,f�IT h s.{ 1 d s f e 0 )o
i E:F3AN43f 4r(26 5 4
SIGNATURE
GOODS c Ffl i �L i I AR F* SALE, r����ta
RETURNED MUSd MPANIED B
TBE ACCOY THIS INVOICE
Y..F 4t t.
t° 4 ',1 rr
NAPA 'Auto Parts. of Catrrel
1'11:,Medlcaf Drive Carmel, lndiana 46032 •31,7- 844 3973• Fax: 317- 844-6220
Please +Remit To: H H. Supply 1212 W..Main St ,•Lebanon, IN 46052
EA GRICULTURAL EXEMPTION CERTIFICATE ]AI IN DIANA DEPARTMENT REVENUE- SALES TAX DIVISION..
agricultural use
LIMITED WARRANTY PLEASE READ
Thereby certify under the penalties of perjury that the personal popeAy purchased by� the use of this exemption cemficate will be
direct protluction of agricultural products for resale.
Iheseparts'at once. Errors should be reported before'usingdrinstalling. Returns ''The factory warranty constitutes all of the warranties with respect to the sale of this itemfitems. The seller hereby expressly
.'."must be madewithin.TEN.DAYS and must be accompanied bythis,INVOICE NUMBER. This disclaims all warranties,,either express or implied, including implied warranty of merchantability or fitness fcrap. rticular
ro ert is sold td, du,wlthahe definite'understandin that ii is urcfiased focre5ale;'unle55 tax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the
p p y y g' p sale of this itetems. UUVyyy g)�
S,nas been added to the price -.ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE'•.
NO RETURN ON ELECTRICAL PARTS.
IT
AC'T SOLD TO
DA
TIME. STORE EMP
I��IEL' S tlAE�E iE l i. 0 i �B 1 A (�c i
PURCHASE ORDER
�C!�IAf�I`:; ATTENTION
s.
CfT�iEL I'f`I
�t }:3 T.AXEXEMPTION 4'
Ap
TERM i tai
S n �r-� t
�r'cx�.. 1 i"4 Rf;F �tll
DELIVERY? JCS 7 Rock
PART.'NUMBER LN j DESCRIPTION Q Yt f PRICE -NET, 'xTOTAL
AN T.
U TI
It'ER T J,5 BIT i t�t� =,jr o,9 o 1 ':79-
A.
1w:.7r�
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rJ� REST g i'I� .1=EE f GI Z r�.9
y
'AF I !'1i 1' 1�::W hiAIi�! Tex 7 TAXTASt
F
L
NOW'. V -'4 fit Rye' E
tx
SIGNATURE
'ALL GOODS RETURNED MUST E ACCOMPANIEDBYTHISINVOICE 1 TOTAL CHARGE SAT. I.•
B 5i
2
y P
NAPA Auto Parts of Carmel
1 Carmel Indiana 46032 •317- 844 3973 Faz: 317- 844 =6220
Rlease Reml #,To: H:;& H Automotive Supply 1212 W: Main. St •Lebanon, IN 46052
C AGRICULTURAL' EXEMPTION CERTIFICATE J
AN A PA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVIN P LE A SE R use
.,s,., .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
tlireclty used in the.dvect production'of agricultura products for resale.
Please examine thesepans at Errors should be reposed be' re using or installing. Returns 'The factory warranty constitutes all of the warranties with'respeci to the this nem /items. The seller hereby expressly
must made witnih,TEN DAVS'and.must be accompanied•by this INVOICE NUMBER. This disclaims.all warranties, either'express or implied., tiding any, implied warranty of merchantability or fitness for a particular
property is sold
toy ou with the defiriite 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 Gale of this itemAtemsr,. i r ti
-NO RETURN ON ELECTRICAL PARTS.. p
ACCT DATE ,r TIME STORE EMP
to tit 'tY O
..E PT. 8 i'` ll i_> l i a :i `r��rt ar "iC i G Q
UFiIC PURCHASE' ORDER'# "ATTENTION
TAX'EXEMPTION: M.
AD r TEAMS:Io S vr-. di.tci -10th CHARGE SAL
LIVE
'PART NUMBER r "LN DESCRIPTION QUANTITY' PRICE NET TOTAL
?CiE_'Cy5 I�fW BATTERY CAHL; i_¢J� 4e r�C`r 4
�'S r lV4�r k AT GOBB —E r taAL l r1Cy
R LIe. a.t, Lt F,e l
t E( T F TCl q 1 1 W MA I Tip 7 f TAX TARL
LERANClt�i l�[ 4Eia5� z
TOTAL
t SIGNATURE C{ {(=1 C'�E S
LL RETURNED MUST BE ACCOMPANIED BY THIS INVOWE 3s,
:i,. r4 t,.r..� t' t ,dn'7� ,'t �`ti •''a �y ir'~`.' oxa
m
�►r
riil
N PA Auto, Parts ofCarmel
:111 Medical°Drive Carmel; Indiana 46032 317- 844 3973': Fax: 317- 844 -6220
Flease"Remtt,To H &'H.Automotive- Supply •'1212 W. Main St. �Lebaron, IN 46052 a
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
N:APA INDIANA "DEPARTMENT OF REVENUE SALES TAX DIVISION PLEASE READ
;,I hereby certify.under the pepalges of perjury that the,persroperty purchased by the use of this exemption certltica[e will be.
ti directly usedin the tivecc protluction oCagricultural products onal p for resale..
Please examine these partsatoncer Errors should be reported before using or installing. Returns The factory warranty constitutes all of the warranties with respect tnihe sale of this item /items. The seller hereby expressly
C r .must be made within TENDAYS and musFtie'accompanietl by this INVOICE NUMBER: This,. .disclaims all warranties, either, express or implied, including any�implied warranty of merchantability or fitness for a particular i
property, is sold to you with the definite understanding that it is purcfased 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 I O c RESTOCKING CHARGE..,' sale of this rte terns.
+'r'`i. .;'.:r NO RETURN ON ELECTRICAL ;PARTS,
ACCT 3 SOLD TO DATE TIME STORE'# EMP a
��8►JTY `f3F Cs^1t;�1E1. SEIAGE LSE'
I V IC L?U RE PURCHASE ORDER_# ATTENTION
E- F�FrtIEL T!u
TAX�'EXEMPTION:
•?fi TERMS t t 37-1 -ti i L"df -;F C' 01 ,F'. i.
DELIVERY.
:PARTNUMBER LN DESCRIPTION QUANTITY PRICE l NET °,.TOTAL
i }M W!JRCUUM TUI�IiIC;; r tltt.: c�q�,Lic, c t'c�s 1:17
q.
rh
REMIT gyp' 1'►�12 UJ MAIN Tast �TR TA}3L1r 0. oo
0
LEHAI�dt7l�f. ,Z, h. r�,,�a �r� t>���C4�'.
TOTAL CFjARUE ,SALE
SIGNATURE;
ALL GOODS RETURNED MUST, BE ACCOMPANIED BY THIS INVOICE. s
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 INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 10/6/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2008 707097 $67.94
h
i
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
Date Officer
VOUCHER 086409 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
LEBANON, IN 46052
r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
707097 01- 7500 -02 $67.94
o934n o t. 7 562 Ok' iq
7bb6Ab o 1.-7 102.0' S.34
10$`113 o l 50c "0 18.1.1
&9 -D S
o I."15o6.o 1�C 5.5o
7o,�92o 01. 1506.01,
7077.63 01.750Z. 35
I
70 7to83 6(.7500.06. x•11
i
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund