HomeMy WebLinkAbout174235 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $210.46
sR LEBANON IN 46052 -2324
CHECK NUMBER: 174235
CHECK DATE: 7/8/2009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTI
601 5023990 8039 21.99 732080
601 5023990 8039 19.44 732940
601 5023990 8039 169.03 8039
H&H Automotive Supply NAPA Auto Parts of Westfield
(317) 896-5615
1�12 W. Main Street (317) 896-1820 Fax
Le b anon, IN 46052-2324 N A PAS NAPA Auto Parts of Noblesville
(317) 773-3180
Remit to: (317) 774-0932 Fax
(765) 482-1180 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 46052-2324 (317) 844-6220 Fax
BILL TO CITY OF CARMEL-WATER STATEMENT
3450 W 131 ST ffingT�x�w
WESTFIELD, IN 8039 41
46074
EFERTIN
06/04/09 Inv 731977 27.33
06/05/09 Inv 732080 21.99 TRK-89
06/05/09 Inv 732093 26.41
06/08/09 Inv 732295 21.18
06/09/09 Inv 732315 49.10 TRK-115
06/11/09 Inv 732667 22.69 Cr
06/15/09 Inv 732940 19.44
06/15/09 Inv 732952 45.01
Summary as of 06/25/2009
Previous Balance 82.10
Payments 8 2- 1 O.Cr
Purchases 187.77
Current Balance 187.77
Future Dated 0.00
PA UEOU
187.77 0.00 0.00 0.00
'M
0
1 LIN I
DATE 06/25/2009 1 1119 11, 187.77
TERMS No svc due 10th 187.77
STORE 100006128-0004
I
BOONE COUNTY AUTOMOTIVE
1212 W. MAIN STREET
LEBANON INDIANA
46052-2324
NN
SIMM6 ON M
r70739 CITY OF CARMEL-WATER
N
I FIA'AMM 1
CLOSING DATE 06/25/.2009
NAPA Auto Parts of Carmel 4,1
111 Medical Drive *e Carmel, Indiana 46032 317444 -3973 Fax: 317 844 -6220
Please Remil To: H H Automotive'Supply 1212 W. Main St.,,* Lelia' no n, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural.-. N
APA l- hereby certify und er INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
the penalties of perjury that the personal property purchased by the use of this exemption certificate will be i 8
directly used in the direct production of agricultural products for resale.
j 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, includingany 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 it-- items:
NO RETURN ON ELECTRICAL PARTS. 4
ACCT SOLD TO-
DATE "TIME,. STORE EMP
08039 'CITY OF CARREL —WATER J105/09 t' °z'4 crt�006133 r6 732`80
34 0 W 131. ST
SR PURCHASE,ORDER ATTENTION
ff k
WEEiI FIELD, IN RR t+t
41 46074.
TAX EXEMPTION
AD. TER
MS!:Ia s vc> due 10th CHARGE; ;SALE
5 DELIVERY: TOTAL
PAR' UMBER
LN DESCRIPTION„ ".QUANTITY. PRICE N
f;
1 ,38 ,Ford Tr uck R��nyer'
TS�75 cM TS BRAKt PADS 1 Utz: 40i, 900 21,990" 4 1 99
k
J
t
25% RESTOCK FEE ut a z 2 1.99
REM-IT TO.- W MAIN TG�a 7 :TAX TABLE. u a 04 (�0
LEBANON 1 N, 4605
4��:?
7V
sic'NPi URe TOTAL CHARGE SALE".. 9
ALL GOODS RETURNEDMUST"BEACCOMPAN/ED BY THIS INVOICE z
NAPA Auto Parts of Carmel
111. Medical Drive?• Carmel fidiaha 46032. 317 844 -3973 Fax: 317- 844 -6220'
Please Remit To: H.& H Automotive Supply 1212 W. Main St: •Lebanon IN 46052
NAPA AG PARTMENT[OF XE VENUE SALES agricultural use.
.INDIANA DEPARTMENTtOF REVENUE -SALES TAX DIVISION
LIMITED WARRANTY. PLEASE READ El
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 'T he factory warranty
be.made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This express or including any, mped warranty merchantability or lness.
constitutes all of the warranties with respect to the sale of this item /items: The seller hereby expressly,
C must disclaims all warranties, either implied, includi implied of fifor a 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 itemltems.
NO RETURN ON ELECTRICAL PARTS.
AyCT SOLD TO d' DATE TIME- STORE EMP•# =1
081)39 •C l:TY..OF CARMEL —WATER 1 6/15/09 18 00006 19 1 732940
SR 3450 W 131 ST PURCHASE ORDER ATTENTION
yea
WESTF IELD, I N
41 48U74 TAX EXEMPTION:
AD TERMS. a Svc d tae 10th CHARGE SALE
13 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY: PRICE NET TOTAL
.7203 =IL dAPAGOLD OIL FILTER. 4e 00 9.260 4.861 19.44 R
25Y RESTOCK FEE SubtuLcal 19. +4
x
REMIT TO: W MAID! Tax 7% TAXTABLE 3 0.
LEBANO W IN,•46052
X
4
SIGNATURE TOTAL.: CHARGE SALE 19, ra4
Y THIS INVOICE
�A�� ODD S'RETURNED MUST BE ACCOMPANIED B
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.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 6/29/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/2009 732080 $21.99
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 D
Date'ffic
VOUCHER 092247 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W MAIN STREET
LEBANON, IN 46052
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
732080 01- 6500 -07 $21.99
Voucher Total .99
Cost distribution ledger classification if
claim paid under vehicle highway fund
NAPA Auto Parts of Carmel
11:1 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 31.74844 -6220
Please Remit To: H H.motive Supply •1212 W Main St •L
W. ebanon IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
A Auto agricultural use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION �t N
LIMITED WARRANTY PLEASE READ i, t 1
I hereby certify under the penalties of perjury that the personal property purcha3ed.by.the use of this exemption. certificate will be Iy
directly used in the direct production of agricultural' products for resale. MMMttt
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 itemlitems. The seller hereby expressly
G1 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims 211 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 itenVitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE t .EMP
08039 CITY. OF CARREL- WATER. 6.04!(6 9 48 L 00&'133 36 731977.
.._,450 W 1 ST PURCHASE ORDER ATTENTION.
SR WESTF I ELD, IN
41 46074 TAX EXEMPTION':
AD TERMS: v c_ a 1_I a Ia n t., r, t NHL
t�_ r
DELIVERY: ui�r, Yfl
7 1
PART NUMBER LN DESCRIPTION, QUANTITY PRICE NET ;TOTAL
BR77 TECH BLOWER RESISTOR 1.- 00% .54. '790 27..31. ��L 7. i?, R
0�
A u rr C Ile I
RESTOCK FEE ti 7. 33
RE 1212 W MAIN Ta 7% TA'XTABLE. 3. ant 0
LEPAhI6N IN, 4865
WIVI
C
X TOTAL CHARGE SALE 27.33 *at
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel.,
.111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 31 7- 844 -6220
Please� To: H H Automotive Supply 1212 W. Main, St.,* Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE t
N
AN I hereby certify INDIANA DEPARTMENT OF agricultural use
REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ r
under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be r I
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 iteMitems. The seller hereby expressly.
C1 must be made within TEN DAYS and must be accompanieii by this INVOICE NUMBER. This disGaims all warranties, either express or implied, including any implied warranty of merchantability or fitn s 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.JO 10% RESTOCKING CHARGE. sale of this itemAtems.
NO RETURN ON ELECTRICAL PARTS.
c
ACCT SOLD TO DATE TIME. `STORE EMP`#
08039- CITY OF CARMEL- •WATER 6 05/oq I i. c:,►cac: 06 1 33, 1 732093
SR 3450 W 131 ST PURCHASE. ORDER ATTENTION
WESTF I ELD, IN
41 460*74 K TAX EXEMPTION:'
AD TERMS:10 s r• df_te 10th CHARGE;'SALE
.5 DELIVERYJR. TRUCK
PART NUMBER LN DESCRIPTION QUANTITY." PRICE NET TOTAL... y
2(-01 .Chrrvr Impal k 3..4;; L,= 7 CID V5 O
EC397 E:CH PIGTAIL 1.00 52. 93.0 2E. 410-• 26.41 R
4
2`i/• RE:ST,'OCK FEE L c 6. 1
RED T-* TO: :1212 W IyiAIN Tax 7 TAXI ABLE 3 0. 90
0
..If E ANON I N, 4665
`s►GNAf e y( TOTAL CHARGE SALE 26.41 i
ALL GOODS RETURNED MUST BE ACCOMPANIED 8.1' THIS INVOICE
NAPA Auto Parts of Carmel: 4
111 Medical Drive *-Carmel., Indiana 46032. 317- 844 3973..• Fax: 317 844 =6220
Please Remit To: H H Automotive Supply 9.1212 W ¢Main St. •Lebanon, IN 46052
APA I hereby certify under the penalties EXEMPTION CERTIFICATE
agricultural use-
I NDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
II t LIMITED WARRANTY PLEASE READ
of perjury that the personal properry•purchased by the use of this exemption certificate will be E� 4
ine these Y�
s directly used in the direct production of agricultural products for resale. f *VV
Please examese parts at once. Errors should be reported before using he or installing. Returns "T factory warranty dor stitutes all of the warranties witespect to he sale of this itemfitems. The seller hereby expressly'
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all waiFanhes either express or implied, including h r any implied t warranty of merchantability orfitness for a�particular*�_
nl
property is sold to you with the definite understanding that it is purchased,for resale, uess'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 itemlitems
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO "PATE TIME STORE EMP,,#
0883,9 CITY OF CARMEL -WATER %t�jB /t_'� E, .,:08 L0000613
7 ?c c:`]�
SR W 1 ?,1• ST 'PURCHASE
.'ORDER ATTENTION
WESTF I ELT?, -.IN
r,
Wit' k.
41 46 x'74 TAX EXEMPTION:
AD 'TERMS la Svc" clue '10th CHARGE`". 51LCA
7 DELIVERY R TfdLICN, T t,
PART NUMBER LN DESCRIPTION, QUANTITY r•'_ PRICE': s NET `TOTAL
795X LMP BULB :,.•d
s
C 1.5a 380 1Ua cy 5" �;1. 18
e1V
f�
iz 25% RE K FEE s ubtotal 21.18
RE +4'I T 1 "0 1 c i s W MAIN
Tax 7Y. "M
X TABI_E 3 0.0o
LE- PANONI 1 101.4.605
v SlGN CHARGE BALE 21. 18.
ALL GOODS RETURNED M
MUST B BY THIS INVOICE r-
w
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 1212 W.* Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
NAPA INDIANA DEPARTMENT-OF use OF REVENUE SALES TAX DIVISION 41 LIMITED agricultural El
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be t
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 t
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.merchantabiliry or ftness 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 itemf[ems. e
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO P DATE -TIME STORE EMP'# t
08039 CITY 'OF CARMEL: -WATER 6/15/o9 :.3:.15 '.00006133 ..L36 732952
SR 45 0 W .131 ST PURCHASE`ORDER ATTENTION
WESTFIEL_D, It\I
41 46074. yc TAX EXEMPTION:
AD C o sve ue 1
13 DELIVERY: J. U
PART NUMBER LN' DESCRIPTION QUANTITY PRICE NET+ TOTAL
1996: Chevrol et 'T uck K2500 3YA4 Ton 414) Picku 5.
04 -1.359 K ASKET `i 00 .3. 670 79 7 1 1. 16
35 -1 i11 \{HF Rl�. FL_4J I-D LOOT 3 -GAL 1 00 19. 3617 17. 87) -17'. 87
403015 W "I`EFR -X 2.00 9.990 7.990 15.98
25% REST t7CK FEE A 45. 01
RE T TU,n 1212. W.MAIN .Tax 7% TAXTABI -E 3 0. 00
L_ NON `INN 4�052 j
x .2s A
SIGNATURE' TOTAL CHARGE' SALE. 45.0
ALL GOODS'�RETURNED MUST BE ACCOMPANIED BY THIS INVOICE i
NAPA Auto Parts bf Carmel'. r
111 Medical Drive Carmel, Indiana 46 317- 844 -3973 Fax: 317 844 -6220
I Please Remit To: H &'H Automotive Supply 1212 W:,Mai'n St. •Lebanon, IN 46052 A PA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use*
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION •.E' 1
I hereby certify under the penalties of a 'u that the personal property LIMITED WARRANTY PLEASE READ
y ty p rl ry p p p y purchased by the use of this exemption certificate will be:
irectly
I 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 factoiy warranty constitutes all of the warranties with respect to the sale of this itemltems. 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 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 i
has been added to the price. ALL RETURNS SUBJECT TO 10 %RESTOCKING CHARGE. sale of this itemfltems.
NO RETURN ON ELECTRICAL PARTS. t
ACCT c' k SOLD TO DATE' TIME STORE EMP,#
.08039 C I T.Y OF C:ARMEL- WATER 6 11 /IJS L 5 9 L U� 006133 732 667
SR 3450 W 1 ST F� PURCHASEORDER 'ATTENTION
WESTF I ELI), .'I N
41 46074 TAX EXEMPTION:
AD TERM svc due 10th CREDIT MEMO
10 DELIVERY:O JR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY, PRICE 'N Et. TOTAL
O:.
HR%:75 ECH RESISTOR C?t� 454 480 4�e 6�C� "C:e E9CRR>
't ai
25 FEE Subtu 22. 6tJCR
RE041T.)TO.- ,.1L1c. W MAIN. Tax, '7%. TAXTABLE 3 0.('-)0
LHAANON, I N, 46052
X C'
SIGNait'1,RE "TOTAL CREDIT MEMO F e2.63CR'
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto 'Parts of Carmel
111 Medical Drive Carmel', Indiana 46032 317- 844 -3973 Fax: 317 844 -6220_
IIIIr Please Remit TO: H H Automotive Supply 1212 W: Main St. *Lebanon, IN 46052
NAPA 'A GRICU LT URAL DEPARTEPART MENT O ENTOF E REVENUE -SALES VENUE- C ERTIFI CA T E
SALES CA TAX X DIVISION
INDIANA agricultural use`
I hereby certify under the penalties of perjury that the personal property purchased by the use of.this ezemptioncertif LIMITED WARRANT PLEASE READ
cale will be
directly used in the direct production of agricultural products for resale. `y
Please examine these parts at once. Errors should be reported before using or installing. Returns 'T ithin TEN DAYS and must be accompanied by this INVOICE NUMBER he factory warranty constitutes all of the warranties with respect to the sale this itemAtems. The sellerherebyex ressly,:
G7 must be made w: This disclaims all warran ties, 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 'RETURN S SUBJECT TO 10% RESTOCKING CHARGE. sale of this ilemlitems...
NO RETURN ON ELECTRICAL PARTS. "T
ACCT SOLD TO DATE TIME STORE EMP`
OL�c'�39 CITY ,(]F CARMEL,- WATER 6/09 aT'a'32 ocj(DOG133 12 732315
SR 3G 5c W 1 1 ST', •PURCHASE ORDER 'ATTENTION
WES *TFIEL_B, IN. t 'RK_1.15
41 460'74 TAX EXEMPTION:
AD s TER Svc ",thee 1Oth•. 'CHARGE. °SAL.E
DELIVERY:O R TRUCK
PART NUMBER., LN; DESCRIPTION QUANTITY:.+ PRICE NET 'TOTAL
2003 Chevrolet Truck cai :;58 `50OHD 3 /4.Ton;
BR275 ECM RESISTOR 1 00 4 4 @0. 22. 630; 22.69 R
EC39 ECN: PIGTAIL �1 5r.30 46. 41 E6. 41 R
1 elf'.
Jf
25Y. RESTOCK FEE i, ta
4.9: 10
.RE4IT;70-,. 1212 W MAIN Tax 75' :TAXTABLE 3 0.00
LE ANON I-N, 4605c
�7
SIGNAp;Ult TOTAL CHARGE 'SALE 49a 0
ALL GOODS RETURNED,MUST B BY THIS INVOICE
H &H Automotive Supply NAPA Auto Parts of Westfield
1212 W. gain Street INAPAD (317) 896 -5615
-2324 (317) 896 -1820 Fax
Lebanon, IN 46052
NAPA Auto Parts of Noblesville
(317) 773 -3180
(765) 482-1180 Remit to (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052 -2324 (317) 8 44 622 0 Fax
BILL TO STATEMENT
CITY OF CARMEL -WATER
3450 W 131 ST
SAW
WESTFIELD, IN
8039 41 1
46074
BATE u P ,,.R FERE C EW UNT 0 E J
yk
06/04/09 Inv 731917 27.33'
06/05/09 Inv 732080 21.99 TRK -89
06/05/09 Inv 732093 26.41'
06/08/09 Inv 732295 21.18\
06/09/09 Inv 732315 49.10` TRK -115
06/11/09 Inv 732667 22.69
06/15/09 Inv 732940 19.44
06/15/09 Inv 732952 45.01'
Summary as of 06/25/2009
Previous Balance 82.10
Payments 82.10.Cr
Purchases 187.77'
Current Balance 187.77
Future Dated 0.00
MMEM CURRENP PA T;DUEt DAY, a R DUE 60:DAY, PAST. >:DUE 90`DA,
187.77 0.00 0.00 0.00
1 Y 3 �'A T k
DATE 06/25/2009 fi R cx t~ G�r' e e� 187.77
TERMS No svc due 10th
STORE 100006128 -0004 T, o a1 A „z 187.77
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.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE Purchase Order No.
1212 W MAIN STREET Terms
LEBANON, IN 46052 Due Date 6/29/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/2009 6/29/09 $146.34
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
'd"I/
Date icer
VOUCHER 092200 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUT(A�IVI
1212 W MAIN STREET
LEBANON, IN 46052 ®�(f
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6/29/09 01- 6500 -05 0.�4
R—_
V
Cost distribution ledger classification if
claim Paid under vehicle highway fund