176147 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $238.41
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 176147
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4232100 734699 238.41 GARAGE MOTOR SUPPIE
NAPA Aut® Parts of Carmel
q
11 -1 Medical Drive Carrnel,:Indiana 46032 317 844 -3973 Fax: 317- 844 -6220
Please Remit.To: H H'Automotive Supply'e -1212 W. Main St. Lebanon, IN 46052•
AGRICULTURAL EXEMPTION CERTIFICATE n
tly
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION .,agricultural use Hit
1 E LIMITED WARRANTY.- PLEASE READ it
I hereby certify under the penalties of perjury that the per property purchased by the use of this exemption certificate will be
direc used in the direct production of agricultural products for resale. I
Please examine these parts at once. Errors should he 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:
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 merchantabiliry'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 RE ON ELECTRICAL PAR
ACCT SOLD TO DATE. TIME STORE �'EMP W7;;
07983 CITY OF CARMEI_ /POL.IC L}EPf 7Y96/09 1'0: X451 {.�c:,r�c:61 3F, 73' 4899
3Ft CIVIC SQUARE PURCHASE ORDER ATTENTION
CFa tMEL y IN C DI�'I._:CENTE.R
43 TAXwEXEMPTION: ry
:AD KE COPY INV TERMS: 4 v c A ue 10th h CHARGE SALE_
DE
LIVERY: .IR TRUCK
PARTNUMBER LN DESCRIPTION' QUANTITY PRICE NET TOTAL
2007 .Chevro I. �t T ,I_cck TahOe
-)DO I:SC PAD 1. it ;:49a 1?�� 740 830+ 74�.Q?
8( )c79 JIB TSC (RAKE f1C1 OR ONLY,'-,. c e,t fX_ 163.; 5 301 8�
94j 1F;,,0 5$
w.
2 ESToCK FEE t Cat i
OEMIT TO. 1212 W 'MAIN Taxi 7/ TAXI ABLE 0.00
LEPANOI\I "IN, 4605
X TOTAL CHARGE SALE: 238.
SIGNATURE
ALL.GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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))
07/06/09 I 734699 I I $238.41
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
20
Clerk- Treasurer
VOUCHER N WARRANT NO.
ALLOWED 20
H
IN SUM OF
1212 W. Main Street
Lebanon, IN 46052
$238.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1115 734699 42- 321.00 $238.41 1 hereby certify that the attached invoice(s), or
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
Friday, August 14, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund