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Home My WebLink About165669 11/12/2008 CITY OF CARMEL INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $347.34 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 165669 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION 1120 4237000 7996 285.34 REPAIR PARTS 1120 4238000 7996 62.00 SMALL,TOOLS MINOR E r. i a s Y f a a �Bn, HAH A utomotowe s uppoy D NAPA Auto Parts of Westfield 1212 W. Main Street (a y (317) 896 -5615 Lebanon, IN 46052 -2324 (317) 896 -1820 Fax g NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 482 -1180 Remit $o: (317) 774 -0932 Fax (800) 924 -6831 Boone County Automotive, G99c. (3 WAWA Auto Part of 99 17) 84 3 4 3 97 7 3 3 (765) 482 -7398 Fax 1212 W. Main Str eet, Lebanon, IN 46052.2324 317) 84 -622 F ax BILL TO CITY OF CARMEL -FIRE DEPT 2 CIVIC SQUARE CARMEL, IN A ..GT M PAGE 7996 43 1 46032 DATE TYPE REFERENCE A MOUNT.: P.04GHECK/ .10/01/08 Inv 710930 46.52 10/06/08 Inv 711264 12.05 10/06/08 Inv 711272 56.34 10/14/08 Inv 712014 93.00 STATION 41 10/17/08 Inv 712234 70.02 FRANK 10/17/08 Inv 712276 1.29 10/20/08 Inv 712395 28.38 10/20/08 Inv 712428 13.70 10/21/08 Inv 712478 24.26 10/21/08 Inv 712549 1.78 Summary as of 10/26/2008 Previous Balance 1096.59 +l Payments 1096..59Cr Purchases 347.34 Current Balance 347.34 Future Dated 0.00 CURRENT'; '"PAST DU 30.DAYS PAST DUE 600AY5 PAST D:UE "90 DAYS 347.34 0.00 0.00 0.00 DATE 10/26/2008 T t> t:`� U w'e d 347.34 TERMS No svc due 10th STORE 100006128 -0004 D 347.34 fV utd PeltIft ofd I� tv �0 111 Medical. Drive; o Carmel, Indiana 46032 a 317 844 -3973 Fax !317- 844 -6220 Please:R&ftiit:To H wH Autoinotive''$upply,:o 1212 ;W Main:St`oLebanon;•IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agri cultural use .d. INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION f LIMITED WARRANTY •.PLEASE READ Ibereby certify,undecthe penalhesnf perjury fha4the personaLpropedy purchaseii'by tha use o6this exemption kficate will be a uectl usetl irithe direct roduction 6f,a ricultural rod d ucfs for resale.' j'•' o w of this item/items, Y P, 9 'P" T The factory warranty consti7utes aN f the warranties �dh respect to the e .Theseller hereby expressly s s' Please examine'he.. ar 'a' oh.e.,Eirors should he r'aported'before using oilnstallfng: Returns C must be made withinTEN'iDAYS antl rnust be acbornparned,byttiis INVOICENUMBER. This. .disclaims all warranties, either express.or implied including any impliedw of merchantability or.fitness for a particular property is sold to you with,the definite understanding that i1 is purchased.forresale, unless.tax '.Purpose antl the seller neither assumes nor,authorizes any other parson to assume for it any liability in connection with the has been added to the pnc'e ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this itemltems. A r f NO RETURN ON ELECTRICAL PARTS:: y:lil &I M ACCT r d's� SOLD TO r• ,i DATE TIM STORE EMP s o )7'" r l f f EJ( ti ;P CHASE ORDER gTTENTIfJN S m k, y ri R v TAX EXEMPTION TERMS DE IU RY <:P�4RTIVl1MBER x LNr= DESCRIPTIONS �`.;'QUe►IVTITY PRICE" iVET TOTAL 1tC� q q ;1`G�, ry 1.S i ^f �C tiT 1^ q d t� —y r t 1 T� t .I iJR 6 ':1.� L R t X ,z'�J'�o S Y �...k7 .:`r.: C �a.� t �s 1. R idM# ;'J�'. 4 ?F��,P s'. LF"� y i x C,n 4E#d a;'r ��h a t+ id l IG I? rF' w -L �j '1 f �n f3 m: S 1. a; R ry 'i 4WF� ,"t "i L,+}i Iq A G:.1 P ,7. t ,.L a �Gd fv'�.+w1 .r� r a t.�iJ R F�41° i,li fa IfIT;, f1C7.1Z,fifT�7 ,ia x �)t' 3 3ti'�i 'H1-17'�?} k7EN �3 EJ 4� ictn 16 �;n t��' R >3 c 1 I J�1 �i <T D ,F l ITS y 1 00 �'d"� o d 4 a ,t_)�y, R 3xL� :I tJJI� WhI i U i ,;d 6;+ El R 1 P a �~lC• {�I�'` �f u t�� F0 7L a �t�J �s 3 fit; i'Z R �I i N'Tiri RANTY; 4141 'l.w J "n r J;, 1 5 RR M to 1 f i r} dg t b tC3 I'•, EEC J f y I 1 u P I!�LT 7I3• i:L �L? ,l ifa7td `fn 'T XT S 3 4 1 U f E 6 ®gyp r �I 9 F ;C 5'P -.y e SIGNATURE -1 `r9Af2CtiE ''�SALtr i` ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE I NAPA Auto Parts of C6rmel rr 1 i 1 Medica f Drive Carme1;•India6a,460324 317 844'3973:e Fax; 317- 844 -622'0 Please -Remit o T .H' &.H Automotive Supply 1212 W MamSt •Lebanon, IN 46052a� -r AGRICULTURAL EXEMPTION: CERTIFICATE f• INDIANA DEPARTMENT OF .REVENUE -SALES TAX DIVISION n 1 ,agNculturel' use `"11 p_ 1 Ap'' LIMITED WARRANTY PLEASE READ F hereby cerlify,bnderahe penalties of perjury, that the personal property purchased,by the use of this exempboo-certficate will f,• Y duectly usedin the direci production: of agricultural'products for resale. 'r..,, Please examine these arts at once: Errors should be re ortedbefore usin orinstallin .Returns The fact all of the warranties with respect to the sale?ofthis iJemJitems The'sellenhereby expressly r p p g g 'disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular •must be made within TEN DAYS and'must accompanied by thi us[ CENUMBER.,This property.is sold [o you with defiNte:understanding that it is purchased for resale, tax Purpose and the seller.neither assumes nor. authorizes any other person to'assume or it any Lability in connection the a NO RETURN ON ELECTRICAL PARTS URNS SUBJECT TO 10 /;RESTOCKING CHARGE.' sale of this rtemhiems Y 4 ;t" T g ACCT a ,SOLMTO 4 ;DATE TIME I�?`�'C�"Y�Qf C�F'I�1EL7R DF'1 c�fc� ✓'c "ail ��rir: iVl)�1�'a �r��3 :l1r'8 w. t PURCHASEORDEF;# ATTENTION R`# AS L r dot TAX} EXEMPTION 'ry J AO TEFiIVIS'ao. a {;csl.ze zc�en G FitxG*L DELIVERY NUMBER 3 LN` t DESCRIPTION r QUANTITI(d PRICE t ,NET ��TOTAAL 1R g 4; 1 "iad` Gt NH i•. 1�� •f. �t•� 1 l';LY"'t...Y�: MM It s 4.r E, };G!•t.� !3.:; f fc M ,fJF31Y1 {`1! 1s1 S4� l.:3 �'Dh� Pt.LE8h11�! rrtY!s '11a i)C�`�- tvtr�l 7 ;•tr Pt31�IL _t i M hIF T'. S; T J �`•I)PLr -if D�•'i C'14MM h 1 p� at m fit D 1 a a� `,c tuh[ E,t 3Fi1 h 12 F: Fjk-� 1 i 'f6k �r E' llal t�t�c. c;a t c �t� fJFt 4� 6 r y ti f 1 t ,L'fD 1` dwj; r 7 t i Y 1 !t y r r j a L 7 fry'C w t�Y.�r 1 r k i p�r /y 1� E eJ•#'+ iJ. t. ieC.S, j�. ,�S �y i ':i i{.�.�}4 �aY'�Si:}L AND. 5 a 5;- SIGNATURE,- a. TC1T t C �aE�LE ALL GOODS RE URNED MUST BE ACCOMPANIED BY THIS INVOICE f r M? ;r .4 r•F'.y ...r. n.. ..r ..�In.. ,NAPA •Au of Car'mel if 1 Medical Drive'• Carmel; Indiana 4603'2:**. 317-844, '3973:• Fax:-317 =844 6220 k... Please Remit, To: HA H A.utomotive,Supply IM-W. Main •Lebanon;. IN AGRICULT 46052 qa�,' URALfEXEMPTIONCERTIFICATE f' -.'e rlculturaluse INDIANA N` .DEPARTMENT OPREVENUE -SALES TAX DIVISION ;'1 LIMITED WARRANTY PLEASE R _EAD ET I S I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be r directly used indhe diiect production of agricultural products for resale. N _Please examine these parts at once. Errorsshould tie reportedbefore using.or installing. Returns -'The factory warranty. constitutes all of the warranties with respect to the sale: of this itemltems. The seller hereby expressly. s4 s• musttbe made within TEN DAYS and mustbeJaccompanied by this INVO,CE�NUMBER. This, disclaims, all warragti¢s; either,express or implied, including any implied'warrpnty of merchantability.or fitness for opamcular r tq d, propertyis`sold to you with the definite understanding that it'is purchased for resale, unless tax purpose and the set or neitherassumes nor authorizes any other parson to assume for any IiabAity in connection with the F." has been added to the price.. ALL.RETURNS SUBJECT 70 10 %'RESTOCKING CHARGE. sale of this item /items utr' NO RETURN ON ELECTRICAL PARTS. i c :f+ ACCT ;r SOLD TO DATE' ,TIME STORE EMP CAR CE FI'F r Er~'T t►r: r :a j 1.�t 1 <�t�t °try!' i'�r ;r r t ;`x'l SR c l,L 4' T L SG►1JAR PURCHASE'ORDER. ATTENTION t y f TAX EXEMPTION k, -,AD F TERMS ,1� d ti- 6 M4 0PI C'Q1 P DELIVERY t ''PART NUMBER LN DESCRIPTION: „QUANTITY PRICE. NET ETOTALy "a fi�M .E, ►6i�1' N10. Sh T'] DR,6r'T'LE9'i+�M 9 0 c. fdPD`- n'r GiIII7.11"l �+II�I~'Tll?t. rfi�(t�l a .;,E i i�t_; �32t* G1r °c> r..� r 1I�rr k� I�IYI 1„ 0 .,c Iq iVM� T.I 4Dr`iE!:'TDI�! C1�71�1h1 t�ls�., 3 tat F� 1 4p i 1 L f 1 .j M. Ff 9 .r.��•e 3. F2EMT CK FEF� �;ubtat �3 1 ..7�1 J i�h�tl T :TF:� 1 i c IAI Nlfl7i�f I Tex 7/ T X-TAUL 3 `t�Q 1 j S `fi ".a SIGNATURE TOTA CNAF2GE.. S i }r VOICE ALL GOODS RETURNED MUST DEACCOMIANIED BY THIS s!,— v T C 0 .,.!;NAPA,Ad 17r844-62' me n iana 4603 1 1,11 Wj� i i D�ivd` p'. C 'a r 2'�'3'1-7'84 Pie'a's� i& utombtfite SUp M Lebainoin. IN 46052 01�. o, 1212 W. aiwSt' 4GRICULTURAL EX'EMF�iION 6E M�NT OF REVENUE SALESTAX Dlvisi6 INDI"4 DEPART' N I'll. WARRANfY- PCtASE READ I her�by'ceN p6rty 4ur6hased b �ify under tlie penTlIti6s of perj6ry tl�at the persc�mit pn� this 6xenipii8h certiii6ai6 will'brii y the use of eftorted 6�for`e using or install directly used in t66 direct procktion of agricult6al product's'f8r resale, lkar all of the warranties with respect to.the salk of th,s �em/;t.ms s xfilr I' -please examine these parts atonce.-Eiro�s shoiuld be r ing he fa�tln must be made Withih%TEN DAYS and must be accompapieq:1by this INVOICE NU MER Xhis disclaims all armnfies,,eitherexomss or implied, including any implied waua�ty of merchantability orfitnbss for a particular ji i, i l� �roperty is sold t6you'witfi the definite understanding 165t it a purchased for resale. uniesi tax �-purpqse and the,s�jler, neither assumes norauthorizes any person to Jssumejor it any liability in conne�tloq with the' m/iternsic FINS SUBJECT TO�10% RESTOCKIN ICAL P a bee, added to.lhei fp ALL RETY, G CHARGE... .�sa!q �tthis ite RE ON.ELECYR q NO =T'RN ARTS, W X 7� '4 gL ziSOLDITON", MPA C 't Nst 4� 0 OV �C. 0: A' TT- E k �H L C -'s LAME, J-sk 110"! TA �A R JE Ilk U C Y., .,WER x 'IT-7 !NM!R� 4NJMM��ES"[P N, TRA ART Tyl i. 14 L R,.' F ki F -1, UT-A' `:t'A k R F.I'LTR--'"-- 7 1,' lT, z �6 r i P, ruo 4 Q) YA ywy 'p VA R" ix, T i, r,' X 1A I, M A t v" j� "qla z W, i- V i T P V, e 4 'PTEMM f;: `2 U ME 1 2 1 W j vt T� 1� tj I y lit f., TION �A -A q �i -R j A TOTA" g ALL G66DSIR E TURNED MUSTBE:ACCd1WPANjED By I E If v� NAPA A u to Pa�°�� a�° el 1.11 Medical, Drive'A Carmel', Indiana 46032 0.317 844. -3973 m Fax: 317 -844 6220: Plil -Remit To H A H'Automotive Supply m 1212 W Wdp St °,Lebanon, IN 46052 r1 AGRICUL LIMITED WARRANTY PLEASE READ, EXEMPTION CERTIFICATE 1 agricultural use A P A S INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION I r ,Thereby certify. under the penalties of pepury,tliat the personal property purchased by the use of this exemption certificate will be directly used in the direct production of agricultural products for resale. f. i 6 Please examine these parts al once. Errors should be reported before using orinstallingg. Returns 'The factory warrA y constitutes all of the warranties with�respect to the sale of this itemAtems" The seller hereby expressly ®:f t ,must be made within TEN DAYS "and must be accompanied by this INVOICE NUM BER. .This disclaims all warranties; #Ner express or implied: including any implied wairanty of mercharitability or fitness far a- .particular 7 property is sold to you with. the definite understandinglhat it is purchased for resale, unless tax: Purpose and the sellegneitne� assumes nor authorizes any other person to assume for It any liability in connection with the, has been aAded to the price ALL RETURNS SUBJ _CT TO 10% RESTOCKING CHARGE. sale of this rtemAtems., r•R t NO RETURN ON ELECTRICAL PARTS. r `n ACCT #r ,�f SOLD,TA :fir DATE' TIME STORE'# EMP tt7`�, 1 1CT�( t7F C�F2MFl- FT. Ft( DST tt {t76 /t? 1-33 t }t }t 7 t..}�.� a O ATTENTION SQUA,R P S E RD ER TERMS "1 +�4r3 ti��yh} Ch'(t�FC� aAI�E 1I} +�4I TR pELIVERY�U ,z RUCK r PART` NUMBER L'N,` DESCRIPTION QUANTITY' RRICE NET TOTAi az y t S f I L' IF�f°�.v�tIiQL 3 n I.f� L'Q R tai 1..F3t;t C t }5�' y 1 t 1 h l fj t 4• 4 y' Jy+,r h 2 �n �e4ryyF 1 t� �;b I f 1 I PY F•� r$,t Y �'F� Rl t mi l, i 1t 1 i, i t t ,d', "1 l! ,i' I, e t r. h 4s'n t �t1 7 ;v t a S y f .r iy I� L l I x i sh !r r'. 0 t rav 6. t}t� r' *.r' THIS s} GNATpF(4 INVOCE �1 TUfr "mot :HAR(iF" SA ALL GOODS L' �.�:'4`t��' AD BV. I r t ,.1 Y f t 1 v RETURNED MUST BE CCOMPANIE a ',idr i��f -��Y' y �bkr'• t 1,,. yr f tl ..J. .,.:.I! xl ''a� t 1 VL 1 sr7� r r j 4 K f ?r NAPA Auto Parts of 111 M •Carmel, Indiana 46032.•,317 844p3973 Fa 'Please':Remlt To -H H Automotive Supply 1212M. Main St r.Lebanoi. :.AGRICULTURAL EXEMPTION ;CERTIFICATE AN AP A.. INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMIT ti hereby certity under the penalties of.perjury -that the personal property purchased by the use of this exempiioon'dertdicate will be 4 t 1 directly used in the tlirebt production of agricultural products for resale: i l '.Please examine these parts at once. Errors should be reportedbefore usingor installing Returns "Thefactory warranty 'constitutes all of the war Y� must be made within TEN DAVSrand must be adcom anted b this.INVOICE NUMBER. This disclaimsall warranties, either express or impll p y purpose and the seller neither assumes nor autt v propeny is sold to you'w rh the defimte'understanding that it is purchased for resale unless tax Yhe. In added to h been a te pace ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. le o items J NO RETURN ON ELECTRICAL PARTS. sa is rte ,t ACCT t 'SOLDTO DATE �rTIME S .1 G- J 'YD� t:�1F2h4F1 I"Rl� UE(�T t� /.I. v i9 'e 19 �'t r t 1 V 2G�IJAFE PUR CHASEORDER CAI i�lELp ::I.ha STATION 41 •43 �3�0 2 TAX- EXEMPTION., AD f; TERV1& 1�u Zvi. r��t� :1C}t r Lt 14 DELIVERI(�UR TL PART'NUMBER LN DESCRIPTION' I UANTITY PRICE G, t fx �.IFF� TOWELS Gt.J g t, G1 L' Ab�V.Ii C y ie -i` b�•j r d:' R9` I I T 8 W MA 7 f*! Tax 7 "l fAK` taHt k r i' SIGNATURE` r 1T. y ALL GOODS RETURNED MUST BEACCOMPAN /EDBYTH/SINVO/CE. G NAPA Auto Parts of Cannel 11 i/ Medical, DI•Iv'e Carmel,, Indiana 46032 317-842f;-'397 F6x;317-844-6220 Piease Remit To H &:H Automotive Supply,* ,1212 W Mai'' t •Lebanon, IN 46052:. I ,-[AGRICULTURAL EXEMPTION CERTIFICATE lhe` pe AR7M DIAN I ES TAX DIVISION purchased NADEPENT OF REVENUE- SAL i agrlculture LIMITED l� use d 5 WARRANTY .PLEASE I I hereby certfy ury _thatrsonal property by the u se of this exemption ce rtificate will be READ A irectly used in the direciprod under the penalties of perj uction of agricultural products for resale. .y(.?�4" A" Please ezamineSfiese, ens at once. Errors should be re onetl befdre usin or installmg'Retuins The factory warranty,constitutes all of,the warranties with respect to the sale of this demlitems. The seller hereby expressly, must be matle within TEN DAYS "abd, must be accompanied bythis.INVOICE NUMBER: This disclaims all warrahties, either express or implied, including any.impl[ed warranty pPmerchantability or,fitness fora partcular :property issold to you with the tlefinite understanding that it is .purchased for resale-unless tax purpose and the seller neither, assumes nor authonzes anyother person to'assurn for it any liabrlity in connectmn witti the" I has been atlded to the price ALL RETURNS SUBJECT TO 10 /o RESTOCKING CHARGE. sale of this item /items A. NO RETURN ON ELECTRICAL PARTS Ax ti 'I Y 1 K6 ACCT t SOLD TO DATE° t `TIME STORE E,MP ;Tl� :CE OARMEL F,[R DEPI 1 0 L006� T' �y r.. s t I' I!� aiG?LTC1Ft -'PURCHASE ATTENTION C f1h111 141" F'FdAfiIN, F"F2Ahlf. t TAX EXEMPTION *Et" ..K TERMS l a a vi lA 10th C1RPG" ,SALT 3 I y�,J fF;IJCI' DELIVER w lr+'r x r f �s d3#t;, t PARTFNUMBER LN DESCRIPTION QUANTITY -PRICE NET d r TOTAL, a Pd t (t_TER' it �i t i r t'y: 7t� o l j 70.o 0r 1 t 1 I r t y. 6 d o+ t�y• yg., r+I�t a c I Wi J 4 4 "f y .iF. r 1 t <t i r tit'' 4 t a� w ,:f PE I ICE!✓`_ ty .ate% r> 7. AC j t b r z hY p SIGNATURE y c x t t; fO A C1-1�'iF��E. t ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Ir k x 3 RYt*t. Y t r v', xd�� 93" °.7 �'ti;. 1M1,, g� �a+ NAPA Auto Parts of Carmel 111. Medical' Drive.•. Carmel Indiana 46032 317 844 -3973 .Fax: 317-844-62:2O Please RemltTo• H.& H Automotive Supply 1212M MaiwSt •Lebanon, IN 46052, AGRICULTURAL. EXEMPTION CERTIFICATE.. 9C. t agricultural r l use N A PA S INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ Y I hereby certify under tfie. penalties of perjury that the personal property purchased by the use. of this exemptloemficate will be u direct ,used in the'direct production' of aghculttirel,products for resale. y n'c Please examine these parts at once: Errors should be repo before usin disclaims °all or installiri Returns ".'The factory warranty�constltutes all of the. warranties with respect to the sale 6f this its must be made within TEN Mitems. The seller hereby�expressly, O DAYS and must P be accompanie d by this I warranties; either express or implied, inclutling any Implied warranty of merchantabili or fitness for a particular .M.� '"'"NV ICE.NUM ER: This ry l property is sold to' :you with tfie definite understanding that d,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 f has been added to the price ALL RETURNS SUBJECT TO t0 %.RESTOCKING CHARGE: Ivx l� sale of this temltems NO RETURN'ON ELECTRICAL PARTS ,p� "J r f 11�• 4 i f'f1L CT O 0- spy SOLD`TO s w DATE ITIME STORE'# :EMP# taw E, I? f IT c7 9 1� i t G.i 1 c�E.a +x)06• 7 a3�U '7 i 7� SR r 0T :V I C Q1 -JAFdC F `PURCHASE O RDER NTION ATTE C�R{*��L, I itii 4 1 r +te r :ate TA)CEXEMPTION TERMS 5; r t' "club .loth CHARG� L AI .E n n 7 DELIVERY Gt3F, 7 R1L1' s PART NUMBER LN" DESCRIPTION QUANTITY' j PRICE NET TOTAL hp �ti t 7� FMK F�TLX Tl -i�tl E�3lw'.l "r"iPE S 1 '54 i. �8�:) 1.4 �GU°" Vii:, tit Nl L ?zt tax• i:rw. .4� L l y I S�rr ti. ��.K FE ws1lC) C. l y L x 22 rrl� .Tta�` it W I ]Irl ��ixf>L 4"r t SIGNAT y 1'L3TAEW =1 ,:CHART SALE ALLIGOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE t t t X 097b 7. •i' r 's�j ,n.,. t �'�14,�r��c}�'t' NAPA' Parts'of Carmel 7 4 111 Medical •Drive,•° Garmel,:.Indiana 46032 •,317 844. 3973'• Fax: 317- 8446220 ease:Remlt.To :H H Automotive Supply.1212:W Main St ":Lebanon,'IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE' agricultureluse PH INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I L I certify under the,penalhes of perjury that the personal property purchased by the use'of this exempllon will be. u directly used,in the direct production, of agricultural productsfor resale. ,,��..11 'The factory warren .constitutes all of I"e rranties with respect to the sale this itemltems. The seller hereby expressly, >Please examine these pads at once.. Errors should be leported' before using or installing. Returns tY ,r �musbb0 made within,TEN DAYS.and.must be accompanied' by this INVOICENUMBER 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 iteMLLems. NO RETURN ON ELECTRICAL PARTS. tl ACCT q SOLD TO "DATE TIME STORE# EMP t rr' ter I c�l c3 /iiF3 1 L.: 00006133 Wf�l�1i^L xPL L "T 7 ,�35 L•; R I' V�UFFE PURCHASE ORDER ATTENTION LIIPMEL, 'IN TAX EXEMPTION AD f 'ta a. d1 e; •1c�th CHARGE SALE s r TERMS J DELIVERY lFl I'H 's 'PART NUMBER LN �DESCRIP.TION; (QUANTITY PRICE :NET 't', TOTAL a n. �i 2' 1 LMT`. F00— I r i g i A 1 A C I Z i s �9 w q 1:5 6t a 1 r l t'a W i+{ -41N tR T ix ";t' T 7€ 8L..l� S LE14ANON '1 460" L t0 SIGNATURE Al T'Ct f OHORGE Sf�t�$hS ALL GOODS RETURNED MUST BE/AQQOMPANIED BY THIS INVOICE 7� mm N APA 111 ;Medical Drlve.. Carmel,16diarn,� Please Remlt To H'& H Automotive t N AP DEPARTMENT ,OF AGRICULTURAL EXEMPTION CERTIF t INDIANA REVENUE 'SALE a .I hereby certify under the penalties of perjury that the personal proper" directly used in the direct productionoYagricu�tural. .products for resalf� Pleas examine these pans at oncer Errors should tie reported beforeusing or in R 4• :must be made wdhin TEN DAYS and must be accompanietl by this INVOICE 13 ,roperty is to y'wi[h'Ihe definitednde }standing p that rt is purchad se for re '.i has been added sbld to du the price ALL RETURNS SUBJECT TO 10 RESTOCK NO RETURN'ON ELECTRICAL' PARTS. t Y �1 B ACCT "SOL D TO ra `S':}E,��Y': O F G1��l�7Ei� F T:I�E UE'Tti r� ,S�I.1FaF7E" �a dl's O'F Y 3i n ,I PART<'.NU,MBER LN i DESCRIFxTION y i R '*5 RP_STDCK 1=EE X Z,: S JJ SIGNATURE 4 v ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Prescribed by State Board of Accounts I 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)) Misc. Parts $285.34 Tools $62.00 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 NO. WARRANT N ALLOWED 20 Boone County Automotive IN SUM OF 1212 West Main Street Lebanon, IN 46052 $347.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 370.00 $285.34 1 hereby certify that the attached invoice(s), or 1120 42- 380.00 $62.00 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 NOV 10 008 r Title Cost distribution ledger classification if claim paid motor vehicle highway fund