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HomeMy WebLinkAbout168373 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC 0 4 CHECK AMOUNT: $385.78 CARMEL, INDIANA 46032 7212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 168373 CHECK DATE: 214/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 7996 385.78 REPAIR PARTS 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 INAPAD NAPA Auto Parts of Noblesville 0® (317) 773 -3180 (765) 482 -1180 Remit to (317) 774 Fax (800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel (317 8443973 (765) 482 7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax FILTER TOOL SALE AT LEBANON *FEB 24TH AND 25TH BILL TO AT T CITY OF CARMEL -FIRE DEPT 2 CIVIC SQUARE CARMEL, IN SM# ''`aF...PA E., Kz 7996 41 1 46032 r.. DA7,E r .aT..PE REFERENCE YANIO.UNT P:tJ: /CHEC.KlJ.E MA 01/08/09 Inv 719107 v32.45/ 01/09/09 Inv 719126 ,/9.291 BOB 01/09/09 Inv 719179 ,/47.78 E -46 01/12/09 Inv 719336 ,/25.42' 01/12/09 Inv 719402 /34.00/. 01/13/09 Inv 719445 \/33.97✓ 01/13/09 Inv 719501 /31.55 PUB ED 01/13/09 Inv 719502 ✓6.79 BOB 01/15/09 Inv 719672 41.34 BOB 01/23/09 Inv 720386 ,/116.03 JASON 01/24/09 Inv 720465 17.16 Summary as of 01/25/2009 Previous Balance 413.18 Payments 413.18Cr Purchases 385.78 Current Balance 385.78 Future Dated 0.00 P:AST:.DUE 30::DAYS, x P.AST� DUE 60 DAYS... .mPrAST4D.U.E 90YDAYS 385.78 0.00 0.00 0.00 DATE 01/25/2009 3To t 1 Gw e d S' 385.78 TERMS No svc due 10th F F g STORE 100006128 -0004 X�T� ota 1�D ue F 385.78 *INVOICE BOONE COUNTY AUTOMOTIVE 111 MEDICAL DRIVE PHONE 844 -3973 FAX 844 -6220 CARMEL, IN 46032 -2922 Acct Sold to Date Time Invoice 7996 CITY OF CARMEL -FIRE DEPT 01/15/2009 12:36 719672 SM# 2 CIVIC SQUARE Store Em 41 CARMEL, IN 100006133 33 (12) 46032 Purchase Order Number BOB Attention: BOB Tax Exemption: IN Terms: No svc due 10th Item Ln Description Quantit Net Total BP894 LMP BULB 6.00 6.890 41.34 Subtotal 41.34 Tax 7.00% TAXTABLE 3 0.00 TOTAL CHARGE SALE 41.34 *DUPLICATE COPY TO /TO 39dd Q_13Id1S3M d0 dddN OZBT968LTE Oc :TT 6002/6Z/TO Please Remit To:.H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION agriculturaluse NAPA LIMITED WARRANTY PLEASE READ 1 hereby certify under She penalties of perjury that the personal property purchased by the use of this exemption certificate will be direct) Used in the direct production of agricultural products for resale. Please examine these pads 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 G1 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 padioular 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 io 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 itemlitems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 0799F CITY CIF CARMEL- -FIRE DEPT 1/09/09 12057 C�t7f }51 ?u �;I� ?f719179 CIVIC, SC, DARE f PURCHASE ORDER ATTENTION SR CARMEL IN E 41 46C132 TAX EXEMPTION:. AD TERMSI.au I V c: lJ .ae IIlk,i L, 1`11 °1 i rH L E. f DEL ~IVERI( TRUCK PART NUMBER LN DESCRIPTION "�YOUANTITY PRICE NET TOTAL, BF SL)pPORT j L+ 25% RESTOCK F'E'E 47. 78 REMIT TOW 1212 W MAIN Tax. TAXTA LE '3 0.00 LEBANON I N, 4605 t (q P r SIGN TOTAL CHARGE SALE= 47. 76' ALL GOODS RETURNED MUST BE ACCOMPANIED 8 Y THIS INVOICE Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 i0i �hereby certify under the penalties of EXEMPTION CERTIFICATE agricultural use El INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ 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 exam 'The facto warrant constitutes all of the warranties with respect to the sale of this itemftems. The seller hereby expressly ine these parts at once. Errors should be reported before using or installing. Returns Y C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims a 1 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 s. has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this item/tern NO RETURN ON ELECTRICAL PARTS. MP ACCT SOLD TO DATE TIME STORE E 07996 CITY OF CARMEL —'FIRE DEF 1 /1 /tt'�1 IIQr• r 1� �i �rL�� SR '2 CIVIC SQUARE PURCHASE ORDER ATTENTION CARMEL, IN 46-0 TAX EXEMPTION: AD TERMS: t, t a i rte- h C H [t0f;G c nI G 1 t.a DELIVERY: JR TRUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 07 498 IMM 3T R I PE OFF WHL KIT 1.00 45. c:r ,J 33. 970 33.97 t {t fey G't F r 25% RESTOCK FEE Subtat.al 33.97 =EBA T TO. 12 W; MAIN! Tax 7% TAXTAL�LE 3 0. tit: ON IN, t 60 2 X P'SIGNATURE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL. CHARGE SALE 33 97 Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052 1 E1 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 rectly di used in the direct production of agricultural products for resale. warranty constitutes all of the warranties with respect to the sale of this itemltems. The seller hereby Please examine these parts at once. Errors should be reported before using or installing Returns 'The factory 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 A ll 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 iternfitems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP•# 1 37996 CITY OF CARMEL —FIRE DEFT 1 .a /r )q 5!! CAA C) 0 C) 0 A i 33 7 1 71 C31501 SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION CARMEL, IN I in .x: n 460 TAX EXEMPTION: AD JTERMS.. e rr ir'ih i` C 10 DEL•IVERYO JR 'TRUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL ,'ia)0 ChevrolLt T'- 'U, Silverado 2 51.0 3 Ton 2 W 6. ''5- 060930 `dBH 3E'RPE NTI NE BELT i 1. 60 76'. E50 31`. 550 31.55 :rah E5% RESTOCK FEE Subtotal 31.55 REMIT TO.- 1212 W IYIA I N Tax ?7% TAX TABLE 3 0. 0() LEBANON I N, 46052 r X 66 SIGNATURE TOTAL CHARGE SALE 1:55 ALL GOODS RETURNED MUST BE ACCOMPANIED B THIS INVOICE i II NAPA Auto Parts. Carmel 111 Medical Drive •Carmel, Indiana 46032.317- 844 -3973 Fax: 317 844 6220 4 Please Remit To: H H Automotive Supply 1242 W: Main St. Lebanon, IN 46052 APAAGRICULTURAL I EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ L hereby codify 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 pads et once. Errors should be reported before using or installing ^Returns "The factory warrant constitutes all of the warranties with respect to the sale of this itemlitems. 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 merohantabiliry or fitness for a particular. property is sold to you with the definite understanding that it is purchased for resale, unless tea 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 itemlitems. yl NO RETURN ON ELECTRICAL PARTS. t+ A ACCT i SOLD TO DATE TIME STORE EMP )7996 CITY. OF DEPT 1 4 f r79 c.r.P 14 1 ,000061g 2 3 3 7c:s 46+ SR C I V IC SQUI F:E' PURCWASf ORDER ATTENTION ;F• cnRMEL, IIII 4 1. A6 32- TAX'EXEMPTION: .AD TERMS to Svc: l 1l CHARGE SALE 20 DELIVERY:. .PART NUMBER LN` DESCRIPTION QUANTITY PRICE NET TOTAL R `dW TEST LEAD W CL I B'S 1 e 00 13. 6 5.0 7-160 7. 16 '25% RESTOCK' FEE tr_ tof w tr i 1 74 16 REMIT TO c 1212, W .MAIN Tax 7Y TAXTABL -t LEBAi \i.qN I N, '4Et_i3 i�7 jr9 X SIGNATURE TOTAL. CHARG SAL.E 7.1 ALL GOODS RETURNED MUST SE ACCOMPANIED BY THIS INVOICE Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052 1 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use J 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 AN tlirectly used in the direct production of agricultural products for resale. I>! 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 or this item/Items. The seller he 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 fora particular i. 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 ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP (_)7996 CITY OF CARMEL- -FIRE DENT 1 CIA Irlrl t A r iR 1 1 Nl t1F.1 iq 7Ig SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION CARMEL, Inl TAX EXEMPTION: AD TERMS',_ err i r,+ run rr_ an1 c 6 DELIVERYO 'T'RUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL LIMP BULB 5. 00 12.12 0 6.490 32. 4 h 25% RESTOCK FEE S1„1• bt'G.ta1 32.45 REMIT TO'.- 1212 W MAIN Tax 77% TAX TABLE 3 0.00 LEBANON I N, 461156' X SIGNATURE TOTAL CHARGE SALE 32e 45 ALL GOODS RETURNED MUST BE ACCOM PA NIED BY THIS INVOICE r Lliff Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 Ai I AGRICULTURAL EXEMPTION CERTIFICATE agricultural se I INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY, PLEASE SE READ f hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption cenificals will be directly used in the direct production of agricultural products for resale. Please examine these parts at owe. 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 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 ar 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 SOLD TO DATE TIME STORE EMP G CITY 0F' CA RME.L.• -FIRE L7F �'T l L 6 a 06 L c',c� 0061-..,; 19 I �,i=. CIVIC a?lARk. PURCHASE ORDER ATTENTION SR CARMI-L IN 41 4E032 TAX EXEMPTION: AD TERMS':'L' �t u 4I1 F[KD1 S G DELIVERY: T R K PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL MMM 2 D I SC y 25. 1 680 1 a 360 07480 34.'00 T 34. 00 REMIT Tb 1.2 18 W MAIN Tax 7. TAX TABLE 3 0.00 LEBANON I N, 4605 SIGNAT TOTAL CHARGE SALE 34. 1 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE. I NA P Please Remit To: H H Automotive Supply 121'2 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agurel use 1 INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY •PLEASLEASE READ 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' G1 must he 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 understandingg 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 it n items. NO RETURN ON ELECTRICALIPARTS. f ACCT SOLD-TO'�,' DATE TIME STORE EMP e s a799S CITY OF CARMEL. -»-F I RE DEPT Y-1/12/09 f �a e C�4700F, 1`33 -317 7197,36 2 CIVIC. SOUP R E PURCHASE ORDER ATTENTION SR CARMEL, IN ti ill 4G032 TAX EXEMPTION: AD j eve due 1 0Ft CIIARC3I" SAI__Et DELIVERYtI�UR T kRaCN PART NUMBER «;.r„ -LN; DESCRIPTION QUANTITY PRICE NET TOTAL r 819-- 5621 UK E;I.IPPORT'� �`'1. 1.00 33.1-10 2 -94 42(v 2b. r A t t 25% RESTOCK FEE i,. ;7 ►k £1 r`Ey G r� 1 23. fi 2 REMIT T W MnIN Ta)( 7% TAXTARLE 3 ti 1:aa 01) L_EHAN 1 15-+ t ;X SIGNATURE TO TAL. .ti CHARrE. SALE ALL GOODS RETURNED MUST BE ACCOMPANIED 9 Y THIS INVOICE �f Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE AR agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY •PLEASE READ 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 itemritems. The seller hereby expressly O 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 fora 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 itemltems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 01996 CITY OF CARMEL -FIRE DEPT 1 1 ?!0q 0q nor e.7 I 71q5,0':' SR c CIVIC SQUARE PURCHASE ORDER ATTENTION CARMEL, IN Inn.. 4603 2, TAX EXEMPTION: Kb. TERMS'i cvr- ri 1 ttiih ..N Pr.r. qCN G 10 DELIVERYD JR TRUCK PART NUMBER LN DESCRIPTION "s QUANTITY PRICE NET TOTAL NGGM519 DC: VICTORY RED n 1.00 S. 4- ,G. 7'3 ,,6. 79 Fv l� 1 25% RESTOCK FEE St.t tat to t a 1 G. 79 M: REMIT TO: 1212 W MAIN Ta x 7% TAXI 3 ().60 LEBANON IN 46052 SIGNATURE r ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL TAL CHARGE SALE. 9 el NAPAAuto Parts of Car E 111 Medical Drive Carmel, Indiana 46032 317 844 3973• Fax: 317 844 -6220 Please Remit To: H H Automotive Supplyo 121.2 W. Main St. •Lebanon, IN 46052 AGRICULTURALEXEMPTION CERTI AXE S agricultural use INDIANA DEPARTMENT OE`REVENUE' -SALES TAXyDIVISION LIMITED WARRANTY PLEASE READ I hereby certify under the penalties of perjury Ilia. the personal property purchased by the use of this exemption certificate will be directly used in the direct production of agricultural products for resale:' �j. y r' Please examine these parts al once. Errors should be reeS;rted before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this itemAtems. The seller hereby, expressly, C must be made within TEN DAYS and must be- accompanied by this INVOICE NUMBER. This- disclai@ s all warranties, either all 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 lax 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 itemlitems. NO RETURN ON ELECTRICAL PARTS.;' i ACCT SOLD TO DATE TIME STORE EMP Yk 079 9E CITY OF CARME L--F I RE DEFT 1L;. 3, 09 �'l9 1 t10iJc_�61 �3 33 720386 SR 2 CIVIC SOUAPF PURCHASE ORDER o?�--AT.T_ENTION CARMEL •I rl _TA- SON 41, 46032 TAX EX. MPTION AD T:ER'MS:Ia svc dfae '10th aRbS..SAL_E 1 DELIVERYP R TRUC;k; PART NUMBER LN DESCRIPTION I QUANTITY PRICE NET JOTA BR93� 075 O RG UNIT I, 1. CO 197. 2 70 1 1 G. 0730...11 G t if V v 1 S LK 25% RESTOCK=, FEE a 1 116 REMIT TO: 1.212'. W MAIN Tax 7% TAX TABLE 3 0.00 LEBANON IN 46052 SIGNATURE TCI1 A1_ L HARGE SAL_!^ 11 6.03 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE T r Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 E F i A PA L AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 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 tl irectly 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 itemfitems. The seller hereby expressly 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 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. ,ale of this itemftems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO 'DATE TIME STORE EMP 44 =41 07996 CITY OF CARMEL -FIRE DEPT 1 /i" �r" rt f� Try 1 �x 1 c- i'ir "►r'IF.1 71 z71 SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION CARMEL, IN TW gr in A' 4 TAX EXEMPTION: AD TERMStan ,v d I1 P 1 0th CHARGE R AI E 7 DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 7 70 -1763 BK TAPE 1.00 0 11. ao 9. E2go 9.29 y b 25% RESTOCK FEE Sladtc:4:a1 9 REMIT TQ.-' 1212 W MAIN Tax' -7% TAXTABLE 3 0.00 LEBANON IN, 46052 X v SIGNATURE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL CHARGE SALE. 9 9 Prescribed by State Board of Accounts City Form No 201 (Rey. 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)) Misc. Repair Parts $385.78 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' WARRANT NO. ALLOWED 20 Boone County Automotive IN SUM OF 1212 West Main Street Lebanon, IN 46052 $385.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 370.00 $385.78 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 EEB 2 2889 z- --T Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund