HomeMy WebLinkAbout165671 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
0 CHECK AMOUNT: $2,063.02
CARMEL, INDIANA 46032 iziz wnnAlN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 165671
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990. 8039 1,954.55 OTHER EXPENSES
651 5023990 8039 108.47 OTHER EXPENSES
NAPA Auto Parts of Carmel
111 Medical'Drive'• Carmel, Indiana 46032.317-844 -3973 Fax: 31.7- 844 -6220
Please.Remit To: H H Automotive Supply 1212 W. Main St .•Le6anon,.IN 46052
RICULTURAL EXEMPTION CERTIFICATE
r
AG agricultural use_.
APA
'I NDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby cenifyunder the penalties'of perjury that the personal-property purchased by the use of this exemp tion certificate will be
directly used in direct production of agricultural protlucts for resale.'
Please examine these parts at once: Errorsshould be reported before,using or installing. Returns 'The factory warranty constitutes all of thewarraniies wah respect to the saleof this demBtems. 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; including any.imphed 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 i any liability in connection with the;
has been added to the price. ALL RETURNS'SUBJECT TO 10% RESTOCKING. CHARGE. sale of this iteniritems.,i.
NO RETURN ON ELECTRICAL PARTS
.ACCT SOLD TO DATE _.TIME STORE EMP'# u
t_TY O� CPRMEL -'Wf ITER 7 �:a /i::� /t: >R ts���� 1�1�.� {:1�:aE,� a?
ryit�t? =i
M
SR'f '='�i 0 W' -31 ST'' PURCHASE ORDER ATTENTION
r. WE1�TFIELD IN
8f
TAX EXEMPTION:
AGE
TERMS 110 S Vic -d l to 1 t�� h, ''t�l ll1F�13C. 5�1L�';
15. DEL:LVERY: :I+
PART NUMBER f .LN DESCRIPTION QUANTITY PRICE- NET TOTAL
200 Chevi .p'let: Ii -Itcl(. S 1k1rera.0ot 3500 .,1 Tan R' 8..
1 Nlw I "rRESSLItE HOE
1. �ac3. 530 SC�fa 37 990, 99
{3290, ftlSP REMAN P15:. 1=111 r i N
U BE,. c� �t3 E,,S, ,9 ;7'
8 1— fi r.; 89
8 9 N5F?,' u RE 1 E.1= 'L�:,IT; 1 06, 6 Sc CY a. ,t} P
81 NSA+ CORE DEFIOS1T R 1 00 55. 560.: �Ic� ,5s7C:RU
°8::;r�: PEE PWR STEE,Fi Z 1'JGi ,F 4_:— ?,c_ i ��ln a. '39 79th 4 79
25% RE FEE. I c
rc r
G� t
REMII: .'TG.e I� lit I1A1 0-00
LEBANON I N'q 4.F
i.
s
y SIGNATURE
TOT L_
ALL GOODS RETURNED MUST BE�ACCOMPAN/ED BY THIS INVOICE
1'18GH edit ®Itl ®t1Ve Supply NAPA Auto Parts of Westfield
1212 W. Main Street (317) 896 -5615
Lebanon, IN 46052 -2324 1;4 (317) 896 -1820 Fax
r ;N�aiq NAPA Auto Parts of Noblesville
V r (317) 773 -3180
(317) 774 -0932 Fax
Remit to:
(765) 482 -1180
(800) 924-6831 Boone County Automotive, Inc NAPA Auto Parts of Carmel (317) 844 -3973
(765) 482 -7398 Fax 1212 W Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax
fkrx ".rkM1eGv%..sWWWasN,i:+wv.RHe NEVThY.KfiiIJw. .14.NM']v J.�: ...rti?r.'v. -s. .:w. z:^t 'R:.,c W. hx'. w...+ s:: K..! 3xx�. s..'- s?kSfi v.sCT:ifiY.'dA.Y,r..1 +tiT. ctcd�! A IW uR±e.. vr^ i1., xsw^ v R: s'.rv:fa?r»- 3:...1.'..:,, .di.w..'.S:v S...
BILL TO
CITY OF CARMEL -WATER STA
3450 W 131 ST
WESTFIELD, IN T WSM1 EW"
8039 43 1
46074
MR
09/02/08 Inv 708158 5.98
09/10/08 Inv 708926 17.94
09/10/08 Inv 708942 66.20
09/15/08 Inv 709285 74.39
09/17/08 Inv 709484 236.18
09/17/08 Inv 709555 123.98
09/17/08 Inv 709556 149.00
09/18/08 Inv 709665 100.00
09/22/08 Inv 709903 69.51
09/22/08 Inv 709952 170.68
09/22/08 Inv 709954 75.49
09/23/08 Inv 710034 8.07
09/24/08 Inv 710211 8.29
10/06/08 Inv 711298 52.98
10/07/08 Inv 711338 41.96
10/07/08 Inv 711361 4.80 Cr
10/08/08 Inv 711502 81.80
10/08/08 Inv 711504 89.52
10/09/08 Inv 711543 64.93
10/15/08 Inv 712061 108.47-
10/16/08 Inv 712130 79.40
10/20/08 Inv 712376 31.08
10/20/08 Inv 712385 91.83
10/20/08 Inv 712433 71.39
10/22/08 Inv 712688 40.94
10/23/08 Inv 065893+ 132.45 WATER DEPT.
10/23/08 Inv 712742 69.69
10/23/08 Inv 712756 2.49
10/23/08 Inv 712775 3.18 JIM HAAG
DATE Y% z"R"M
TERMS H c1n�xze� si pgtF
STORE
:s H 3':- l` Y ,.'a£ 3 t.: ...'.S F Y', .;3 ..r.3 3.r3 ;33.. Y Ff TWx;.�. er;
Mw
s
CLOSING DATE 10/26/2008 si' (T1
s.7
BILL TO CITY OF CARMEL-WATER STATEMENT
3450 W 131 ST
WESTFIELD, IN
8039 43
46074
MEMO P0.027777 NOMMOBIGHECK
Summary as of 10/26/2008
Previous Balance 1285.79
Payments 180.08Cr
Purchases 957.31
Current Balance 2063.02
Future Dated 0.00
F y ow w.. D. UJ: Eg AST
RREi m '142, BlEi. X, S
I A 69 D W.f T.QUE"
962.11 1100.91 0.00 0.00
RON
2063 .02
0
DATE 10/26/2008
TERMS Nb svc due 10th g g
STORE 100006128-0004 2063.02
M
BOONE COUNTY AUTOMOTIVE
1212 W. MAIN STREET
LEBANON INDIANA
46052-2324
M.
8039 CITY OF CARMEL-WATER
CLOSING DATE 10/26/2008 j
E
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 INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 712061 $108.47
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
a
Date cer
VOUCHER 086576 WARRANT ALLOWED
354200 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
LEBANON, IN 46052
i.
J
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
712061 01- 7500 -02 $108.47
i Voucher Total $108.47
_r
Cost-distribution ledger classification if
claim paid under vehicle highway fund
NAPA
TOTAL DOLLARS PAID $1901.57
9/l/2008
WATER
INVOICE AMOUNT ACCOUNT
708158 5.98 620.6
708942 66.20 620.6
708926 17.94 620.6
709952 170.68 620.6
709665 100.00 650.4
709556 149.00 650.4
708285 74.39 650.4
709555 123.98 650.4
709484 236.18 650.5
709903 69.51 650.5
709954 75.49 650.5
710034 8.07 650.5
710211 8.29 650.5
TOTAL 1,105.71
October 26, 2008
WATER
INVOICE AMOUNT ACCOUNT
711502 81.80 620.6
711543 64.93 620.6
711504 89.52 650.4
712376 31.08 650.4
712433 71.39 650.4
712688 40.94 650.4
711361 4.80 CR 650.5
711338 37.16 650.5
712130 79.40 650.5
712385 91.83 650.5
65893 132.45 650.5
712742 69.69 650.5
712756 2.49 650.5
712775 3.18. 650.5
TOTAL 795.86
IL
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220
Ell APA Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE •SALES TA %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
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 '7he 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 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
t CITY OF CORMEI._._WATE:R9 1.8 /("a ,3 °1 �4� 1 00006133 :sJ ryt_9865
450 W 131 ST PURCHASE ORDER ATTENTION S
SR W STF I EL-D, IN
TAX EXEMPTION:
AD TERMS, o vc o tte ri l.! sh4KUL bt- Lt
DELIVERY:
PART NUMBER LN DESCRIPTION (QUANTITY PRICE NET TOTAL
700 BK ABS BRAKE SCAN t.00 850':l`o *2 249.00
Above Item an Salto
7002499 s,K 3BD 1 1 SCAN TOOL 1. 00 030 i 4 000 14S4. Or:)CR
Above Item on Sale
2_5% RLSTOC K FEE 100, t _)C
RE TO 12 12� W MAIN Tax 7 TAXTABL.E: 3 0
M P
LEBANON IN, 46o52
SIGNAT,UFiE TOTAL CHARGE SALE 1, t� 0. tom 0 0
ALL GOODS RETURNED MUSTBEACCOMPANIED BY THIS INVOICE
I
NAPA Auto. Parts of Carmel
A: 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
NAFA AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use I
I hereby certify under the Penalties of perjury that the personal property purchased by the use of this exemption cenihcele will be LIMITED WARRANTY PLEASE READ
fined used in the direct production of agricultural products for resale.
Please examine these pans at once. Errors should be reported before using or installing Returns "The lectory warranty constitutes all of the warranties with respect to the sale of this IleMtems. The seller hereby expressly
M be made within TEN DAY and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or Implied, Inclutling
efinite understand the any implied warrenry of merchantability or fitness for a particular
Property is sold to you with the ding t It is purchased for resale, unless tax Purpose and the seller neither assumes nor authorizes any other person to assume for it any y connection with the
liabilit in
has been added to the prtce. ALL RETURNS SUBJECT TO 1 D %RESTOCKING CHARGE, sale of this Item/items. NO RETURN ON ELECTRICAL PARTS
u 2rt115. ffi! rt"+ ^.�SE,7cur3ctf��!iCL�fBEtlGti.:' .Fa+IDaRBVaui•R�I
"r'
a"ess°aaxt
4. iyk•� a d �,.cns .t�5. rr '�:,�rE� i 4- A �•.;.w,.� r Y.f'^�4'k t� is r1fir�: r �,s K
,AGCY'# s, 4 'kk...' x44v� xr ti. j '4;e 'i, ..t. ..ae t it .4�'• ,e. 5..; Ut�Y 'Y' t a`kk N,
'm:t A P t' s ,.5. �.c :5�...e.N pZ iti4J'x"a`irri5
TiME �'i TORE�� 4
€�f�Fii�'lEr:l...- €J(� °f'C:!''t
C-) f .3
tt
f 5' V wJ L v.7 1
h' _1 i .I S W t' Fat t z
t aSR �,PURCHASE'11ORDER# ,1Fk�'AiTTEiVT10N
�TAXEXEMP3TION
TER'IN v t C.l C 1 s F° S
DELI1/ER F
4 zit
NUM �I���n'k a,�,�� r�..,•.���; u u�1
a. g a,� r „M�
ail PRICE S NEa�” p
C)C Lk t o Ct 1 C,) /f r `C ^)C,`IC)E) 9 4 t r a 00
rry
1* �A Q i 5
4µ
cw
3 p t F 5 3 �ti
13YA
ti Llr h j`k N�a V i,
f,I....M I T 1 L'''! tJ lYlt "1 :1: i'':I
Ct,r`• xy 1 w 1 �i s`L`� IMt x x�il. ;Yvi; 0. (X
!_111::1f -'4 10114 w�
ft >s'; S ra 'it`YltrF�a l t r�•.�Ye )a k- y���i�a r t t i
i p2,, e ,Z "E .fir 2 �'rai'"h''�i 7 r �a 4 ��t,
..c.ri �`ta h' -�i .eCT� e.. e,�,"x 1 C., 5? r „e
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: 317 844 -6220;
IiA%k Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION agricultural use i LIMITED WARRANTY PLEASE READ
a
I 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.
'The factory warrant constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly
Please examine 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 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 itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
08039 CITY OF CAF- 9! 17/08 t)8 9 .[:ii7!;JOf:,13 3 3 70948.4
.3-i `its W 131. ST
PURCHASE ORDER ATTENTION
SR
t19CwSTF I ELD, 1:1:1
4,� w6-0 TAX EXEMPTION:
i
AD TERMS:jo _,try 10I.Ae HlL
15 DELIVERY e�
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET "TOTAL
A691.4 JP DISCBRAKE ROTOR (:lNII -Y 2.00 1.88. 94,0 4 L 18e 090 c36. 18
1z
i,
Q I:
f+
7% RESTOCK FEE 5 3( 1.8
W FEE �.l V .A 1 Ir ...7
REMIT TO. 1212 W IYIAIN Tax 7% TAXTABLE• 3 o.00
LEBANON IN, 46052
SI I TO fn CHI- iR(;E. SALE 2,.:,F�n 1
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
1 Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052V,
I AR AGRICULTURAL EX REVENUE EMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OFSALES 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
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 itetems. The seller hereby expressly
C7 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. sale of this itemhtems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP INVOICE NO
c CITY OF C�IRMEL I���TEF? ..r, r,
PURCHASE'ORDER W ATTENTION'
SR 3�i 0 W 1.31. S T
+r WESTFIELD TAX EXEMPTION:
AD TERMS:[- 1 1 %4-h I -Lliin n/S C-' v ll c
�r:l DELIVERY: J "£'FlI(IS
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2003 Chovrgl e•t: �Tr"tACk A 14 ar °tdo 2500N1~i Tort G.
-)C :=,1= ARK PL.UG S. 00 15.260 6.890 0 'i5. 12
3481 11... 1AF"I(•- GOLD FUEL. F I l._TE R 1. 00 2 180 1't 90 14.39
60_
J
25 RESTOCK FEE al_tbto,tal 69. 51,
REMIT n T O e h 1�1212 W IYIAIN Tax 7 Ti�l'r,TADL.E 3 0.00
SIGNATURE C
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE T S A LE. 6 9 .5 1
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
El l AN AGRICULTURAL EXEM CERTIFICATE agricultural use El
INDIANA DEPARTMENT OF REVENUE VENUE •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
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
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This tlisclaims 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 item/items. 'r
NO RETURN ON ELECTRICAL PARTS. �1
��WUV
ACCT SOLD TO DATE TIME STORE EMP 91=10
CITY OF CARMEL.-WATER 9 I r -:r_ 1 �•rtnc,�:!,
SR 3,( W 131 ST PURCHASE ORDER ATTENTION'.
WES TFIELD, I. N TAX EXEMPTION:
AD
TERMS: ,-f t,; +M, rL_InQr_C r.ni E.
DELIVERY).3R TRUCK.
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2003 Chevrolet Tr°f.( -7k Silvn;� 2500HD 3/4 Ton 6.
7ri( 989 EEL EIMX IGNITION WIRE SET 1. L c5o 820 75. 490 75. 4 +9
0'
25% RESTOCK FEE Subtotal 75.4-9
REMIT TOt 1212' W MAIN Tax 7% TAXTABI -E 3 0.00
li-EBANON IN, 46052
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTA �.'Fi SA 7 5 s
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220 u
Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
E l PA I hereby certify under 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
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
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBERThis 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
h 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#1 INVOI
r,•)Sc').: CITY OF C�1R1�1t_L_4J tl "ER c) fix8 I)'� a; =Ft c')C,f.)t)"r1 1 t` 0. ',4-
SR 131 ST PURCHASE ORDER ATTENTION
WE�STF� I ELI3, IN
1i. °a 4-6 )*7 4 TAX EXEMPTION:
AD J TERMS5ln =;ur if+ch 101-h t"HORSF. Rol h q
I. DELIVERY:ia:'
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL.
8700 MAC. CH(IKI_ CL NR 1307 (110 3. 2 2 2.690 Lau 07
REMIT" TO: 1212 W MAIN Tax TAXTABLE
LEBANON IN, 46052
mf SIGNATORE TOTAL CHARGE ALE 8.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 0
�Fi Ev�
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 a Fax: 317- 844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 M AGRICULTURAL EXEMPTION CERTIFICATE agrE S 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
directly used in the direct production of agricultural products for resale.
"The factory warran constitutes all of the warranties with respect to the sale of this itemftems. The seller hereby expressly
Please examine these pans at once. Errors should be reported before using or installing. Returns t Y
C7 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This tlisclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for aparticular
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 itemritems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP LIT161 LN a
080-39 9 C I T OF t,f ?kbiEL 3ATER 9 i ES
0.-31 00t°xt 7E 1 33 1.9 1 710 211
34- W ST PURCHASE ORDER ATTENTION
SR WES°ITF I EL.D 11\1
4i 460 "�I TAX EXEMPTION:
AD TERMS ?Icy ;'c. I -te 10t L.F�HHUE 154 -1
DELIVERY I R
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1 SF MOTOR TUIVE: —UP 1602 1. 1 0 40 8. 290 8..29
x_
FE111T T 0 121. W [IA IN Tilx 7/ T`I'- 1XTiQEfl_.E: 3 0. 00
L.EL'ANDN IN, 46t-a52 tI
X== TOTAL_ CHARGE SALE: a.
SIGNATUR
ALL GOODS RETURNED MUST BE AC &AWANIED BY THIS INVOICE
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 agricultural use
NA
PA[ 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
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
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This tlisclaims 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. 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
080 CITY OF CO RMEL.-- WATER rlr 1.5/08 t7rjoOG1:=3 19
13450 W 131. ST
SR PURCHASE ORDER ATTENTION`
WE FIELD, IN
3 4E,07.4 TAX EXEMPTION:
AD TERMS:!o svr- dl_te 1.0th CHARGE SALE::
13 Utili TRUCK
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1036 I E_ '4APAGUL.D 01 L f= I L.TEI'R 1. OC) 10. tU 6. 490 6. 4.9
10-42 l l_ cliff "IAt: OLD OIL 1= I L TER 2: 00 12. 410 7.290 14. aE
1372 I L_ %IAPAGJLU OIL FILTER 6. 00 1 1., 650 G. 990 41.94
7060 IL. 14AIDAGOL D OIL FILTER 2. 00 10. 1 0 `I. 690 11.
L
g oi,
25% RESTOCK FEE 74.
R`EmI "r TO; 121.2 W Mr -11'N. Tax 7% TAXTABLE 3 0. 01 0
LEBANON TA, 46052
SIGNATU l E7 "rAi_ CHARGE SALE 74.39
ALL GOODS RETURNED MUST BE A OMPANIED BY THIS INVOICE
ii.
AP Parts Carmel
NAPA Auto a is of Ca a
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
1 E 1 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
thereby 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 itemltems. 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 added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemltems.
N RET O N ELE PARTS.
ACCT SOLD TO DATE TIME STORE EMP
f "?Gi:►:s'J
CITY OF 1:�(�1tRMEL--WO TER F3/17/Q8 4 :t2 ?f?+: 061.33 +]'���5
450 W 131 ST PURCHASE ORDER ATTENTION
SR WESTF I ELD, IN
*r 4 F, 0 7,4 TAX EXEMPTION:
AD TERMS':o S.V cif_te l,ii�,t► _,4.ARGE: SALE
1.,`..r DELIVERY01113 TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2007 F''orc Tr.ic. -:�1 5 0 1/2. Ton PiL.F<f_p
.yE_..7915 JP D I S►X B RAKE PADS 1.0-C) 90. 0 0 x,14 9 6 1 u `:3`•.3
AE:- _7916M JP DISC BRAKE PAD 1.00 90.66() 61. 61 a 9
f�
RIESI OCK FEE C..�. w,4. ,,.0 -'1
1 23 98
:MIT TO. 1212 W MA T a>c 7% TAX i ABLE a 0.0o
Bahl €)N IN, 4'E05
ty
�f
4 SIGNATURt/ 1 "OT' L CHARGE SA LE 123.98
ALL GOODS RETURNED MUST BE AC�MPANIED BY THIS INVOICE f
I
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220
E AN Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use I hereby certify und INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
er 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/ilems. 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 implietl, 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 item/items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
r1 �14 ?..V l:., t3 Cf1f�tYlEL L�lf11E� �!�iic�i��a c�c� ?c�061,:^,;_; 1`3 7 ;��'1
SR ��IESI'F" T E!_L}, 1
PURCHASE ORDER ATTENTION
450 W 1- ST
TAX EXEMPTION: C Hp r..r..r r.•rtl r.°
AD
TERMS r11 lln jgu
DELIVERY: u
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
r�ac c.,L�.+_t Grt rtn- C: Uar... I.. ,r 1. _r. _rc e s t..t 12,. 5:?
782- 2I. ELI-, r.L17 o F l E 1. Or) 4.010 2. '.fir; 1 0 903 r
A�
L
::I IA L1 t, U t,:a
REMIT TO: 1211 W MC41 N Tea ?t 7 T'A:!TABLlw 2 0,, :'JO
i._I_ Bf1N0N 1114, 460
,.rlirtri7r_ .;t-
SIGNATU
j ALL GOODS RETURNED MUST BE AC AN/ED BY TH/S INVOICE
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220
III Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
J APA hereby certify under the pe EXEMPTION CERTIFICATE agricultural use
r
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION �4
I 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.
'The factory warranty constitutes all of the warranties with respect to the sale of this ite�tems. The seller hereby expressly
Please examine these parts at once. Errors should be reported before using or installing. Returns tY
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 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 iteMtems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP =0 61a dle
0803 CITY OF C- W(:1TER 1 .3110/08 111i'37 1 30 708942
SR 34'50 14 131 91' PURCHASE ORDER ATTENTION
Wf.:.'STF I ELD, I N
4G0 TAX EXEMPTION:
AD TERMS�lo svr clf_ae 10th CHtARGC SALE.
DELIVERY _IR TRUCK
L PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
°701. 00PF KT I 3 4 CHUCK DRILL ,)oc ro 1 a 00' 66.2 E,E:,. 20 Di=g
X1.5 RE.STOC:h, FEE 6(5. 20
REMIT TO. 1212 W MAIN Tax 7:A 3 0.
LE:BANION I N, 460 2
SIGNATURE TOTA l__
CHARGE aF�L_E 66.
ALL GOODS RETURNED MUST BE ACCOMPANIED BV THIS INVOICE
r
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
NA PA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use E
INDIANA DEPARTMENT OFREVENUE -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
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 itenVitems. 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, 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 itemltems.
NO RETURN ON ELECTRICAL PARTS. iij
ACCT SOLD TO DATE TIME STORE EMP
080: C IT OF C; f 1=t M. L-GJ F3T C". Ft r
SR 3z, :50 W 131 ST PURCHASE ORDER ATTENTION
WE STF I ELD, IN
.r 4f-;+_)76 TAX EXEMPTION:
AD TERMS: at_,r ri!IP 1 0'I-h r'..E-1�.:1rR F
t� DELIVERY ILJR TRUC V
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
782- Bc 00 5,, ._,fit 2.990 5.98
'782-2121. i-, UCiC 00 w 3(.":,0 2. 990 5. 98
`r'.52.._r_'1`2 BI- 'MX- 4(.*.) FUSE I',. 00 .:;Eo t3 5.98
N
A
25 RESTOCK K F EE: Sttbt of �.A 1. 1 `=J4
REMIT TUa 1212 W MAIN Tax 7% TAXTALL.E 3 0.
LEBANON 1114, +E:,052
SIGNATURE TOTAL C;HnRGE'� SALE 1.7. a4
ALL GOODS RETURNED MUSS BE s1 CCOMPA N/ED BY THIS INVOICE
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 A MR AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE 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
Gf 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 itemfitems.
NO RETURN ON ELEC PA t
ACCT SOLD TO DATE TIME STORE EMP
0803 CITY OF* CARMEL..-- •WATEE ->�riR� M• r "grit °tiriC.i "a. t rr,c_�_� �.;3
SR 3450 W 1.3 ST PURCHASE ORDER ATTENTION
WESTF I ELD, 1 �4
1 0 7 „I TAX EXEMPTION:
AD TERMS I r w N• DELIVERY 11111 r:- r�' 1 c
Fly -Jf� ?'RLI L L..��..
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
BY, 1 ,lBF-I T•RI —P;: WER IND 1,1.._DEL T 2.00 29. 020 16e 390 32.
B'X,`•)3 NBH TRI-- POWErR IND V°•- DELT Ea 0(3 46. 4() 27.:: 54. 7G
r gDVI TRI-- PO•JER INI: V--BELT' 2. 18.120 10. 20.
6L",ra,,,�... S Sf1S SLOVE 1.00 1. 7. 07 0 1.6. 090 1 G. o9
F, C-1 3 EAS; 3LOVE 1.00 1.7. o7O 1F:rn 090 15. 09
i 1 4':,'5 NIBH V-•-BE=LT {7 26.860 15. .30. 3 8
RECEIVED BYL /-J
DATE
PO#
ACCT# 610, ID
USE
25 RESTOCXk I EE SLtbtotaal 17o.68
REMIT TO-. 1 W lylATN Tax 7% TAX 3 ti
LEBANON`S d, 46052
SIGNATURE- TOTAL' CE•I!✓lRGE” SALE. 170a 6
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
H &H Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street (317) 896-5615
Lebanon, IN 46052 2324 INAPAD (317) 896 -1820 Fax
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 Wain Street, Lebanon, IN 46052.2324 (317) 8 44 -62 Fax
BILL TO T E 00 T
CITY OF CARMEL- WATER
3450 W 131 ST
AGO WESTFIELD, IN T? M .F PAGE
8039 43 1
46074
OM MTEREN MPEa WREFEREINICEWM P.O: /C ECKIJ.E
08/06/08 Inv 705805 7.57
08/06/08 Inv 705806 27.48
08/19/08 Inv 707022 27.48
08/20/08 Inv 707149 42.99
08/21/08 Inv 707253 17.57
08/21/08 Inv 707273 56.99
09/02/08 Inv 081 8 8•
09/10/08 Inv 708926 17.94-,
09/10/08 Inv 708942 66.20
09/15/08 Inv 709285 74.39
09/17/08 Inv 709484 236.18.
09/17/08 Inv 709555 123.98,
09/17/08 Inv 709556 149.00
09/18/08 Inv 709665 100.00%
09/22/08 Inv 709903 69.51-,
09/22/08 Inv 709952 170.68-.
09/22/08 Inv 709954 75.49
09/23/08 Inv 710034 8.07,
09/24/08 Inv 710211 8.29.
Summary as of 09/25/2008
Previous Balance 180.08
Payments 0.00
Purchases 1105.71
Current Balance 1285.79
Future Dated 0.00
NWA� "21C URRENT' PAST D.UE.30 DAYS. ..PAST'QUE 60'DAYS. .PAST..DUE'90 DAY,SH
1105.71 180.08 0.00 0.00
DATE 09/25/2008 u T o a 1. a w e d 1285.79
TERMS No svc due 10th
STORE 100006128 -0004 T o t a l D u`e 1285.79
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
A N 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
directly used in the tlirect 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
C must be made within TEN DAYS and must be accompanied by this IN
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. sale of this iternfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
80 CITY OF CIARMEL.- -WATER 0107/08 1 'l "14' 1 000 i6:l. 33 1 19 1 7 113 G I
SR 3450 W 131. ST PURCHASE ORDER ATTENTION
WC.0 #TF I ELD Y 11\1
43 ilG074 TAX EXEMPTION:
AD TERMSJ17 Eivc' di -te loth CREDIT MEMO
7 DELIVERY -j-1 d TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
60-020-1. W I P I1L: )DE oo 1 E. a 50 9. 290 37. 1 G
c,w 1 t -1IP BL_A1Ch ---4.00 18. 350 10.490 4.1. 3E,t:R
25% RESTOCK FEE ;late ,cr a 1 4. 80CR
REMIT TO: 1212 W MAIN Tax 7! TA X TABL -E 3 0.00
LEBANON IN, 4-6052
SIGNA URE TO TAL y RED l I MEMO
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
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
N
AP A INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
LIMITED WARRANTY PLEASE 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 itemltems. The seller hereby expressly
Gt 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 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 itemritems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
i ?,f:� i .T.'TY OF i "iF:l i_ aal� i1'h Ft r a:'r =r7/ rep 5 =a 1 c_ti tir:�c_t r J. j. •71 1:�3E]
SR
W 1 1 ST PURCHASE ORDER ATTENTION
WE:STF I E L D, I
i
fr? %I•607 TAX EXEMPTION:
AD TERMS Jo avc. dk.te 10th CHARGE":. c3PL.E_
°T JUR TRUCK
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
'4
s
CQ
,k
r
25%." RESTOCK FEE 1. G
REMIT 'TO. 1.21.2 W ,MAIN Tax 74p TOXTABL.F_. t7. G
4
LEBANON IN, 4•E,r 52-
r
x
SIGNATURE TOITAL. —3 CHARGE. 'aA6..E 41.9
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
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
APA AT agricultural use
INDIANA DEPARTMENT OF -SALES TAX DIVISION
I hereby certify under the penalties of perjury that the personal property LIMITED WARRANTY PLEASE READ
y ty p p I ry p p p y 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 itemltems. The seller hereby expressly
G+ 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. sale of this ile�lems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
!:!t3+? `a C; T T`t C3� Cf l l 1 +tE! -WATER i rEl,` f 1. t c:}0 x= 6 :I.3'3 3 r 'L 1 �i
SR 3 50 W 1 1 S7 PURCHASE ORDER ATTENTION
4 ES'TF° T EL_D, I N
TAX EXEMPTION:
AD TERMS':dcf ar itxe 10th CHARGE 6(-
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
SL_3150 st- tqi -I I TE MP GR a CORI' L7.10. 00 4. 95s� 4�., 090 81. BO
1J
RECEIVED By L �v
DATE
PO#
ACCT# k 40
USE 21- Pt
i RESTOCK FEE 91 a 80
R>_:.M I T -T!] 1 W 11P I N T La x 7'g. TAX TABLE". 3 01
SIGNATURE TO TAL C HARGE SAL.E 81.80
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
r
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 a i
I NAN 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
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
Q1 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, unlass 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 ite�tems.
N O R ETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
riEI+._, `3 CITY OF Cf�1thlEl t�)fIIEP s; {af,'c:�3 t,u4;_;;:?;;;';i;C�i.:s y "71;1
SR 34 W 1-21 ST PURCHASE ORDER ATTENTION
WE STF I ELD, IN
12-3 TAX EXEMPTION:
AD 1 r.
TERMS::t`r Svc cil.�e .L1 }tht i.;l-I�',rCE ..�fiL.E'
S DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1 7 1.5-1230 BK C F:SE GUN 1.00 `-2. E%3( 2-f;:;. 490 33.49.
G- 1,"341 BK BUG 'TAR CF'ON E 1.01j) Fr. rr70 4 ?90 4.1. 99)
55 'r_.C:; l EILCH WHITE:. 3 QZ 1. 4. 4) 590 3.59
2 0 0 6 Chte 1r!_tr_k Tr•-.:+.i.:1.B1_tzer
60- 4:t22 --1 W I P BLADE 2. 00 I B,. 3'50 10. 490 20. 98
G-0-0 i Fl— 1 WIP BI.J.)DE" 1.00 13.810 7. !'910 7.89
00ro Ford Tv I.xc k F1.50 1/2 'Ton Pickup
s,,f „I •1'1 f_;" �l.,i 1�} w: fli i l 6., i "1!.j T y i 18.5
RECEIVED BY L
DATE 10-
PO#
ACCT#
USE ��z� �w KV 4 c p
23' RESTOCV FEE
REMIT 1 1 i" 1 i- 1. 1' .I Tax 7;: TAXTf 3BLE m, 0.
LEBANON' 1-605;;1
U SIGNATURE TOTAL- _1 CHARGE SALE 89;
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
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
A R 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
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 iteMiems. 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. sale of this itern/items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
C)8(. CITY OF C:f- 1l�MEL.— !�ll�•aTER s}ii';r�,�i;�; j. at ";c���t1C;a� 3:3 7�.� 43
SR
3at5o 4-J 1,31 S1 PURCHASE ORDER ATTENTION
WE TF I E:LD, IN
L1.3 460' TAX EXEMPTION:
AD TERMSE40 VC- di.Ae 10th CHARGE SALE
t
DELIVERY:��,.+�?
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
33)X.335 NBH SUPER, P• -IC INN V— BELT 4.00 18. G00 1( 42. 36.
A3; NBH HI PWR II INN V --DELT 1> 00 11.5 F s ;590 G. J9
A NBI -I H! PW R 11 I ND -BE L I" 2: 00 1. 1.4 100 7..990 15.98
8
RECEIVED BY -2 1
r DATE
r,.rf
PO# y
ACCT#
USE &k lar
�{-V 11 O��craF a v. r �r
25 RESTOCK FEE IJ UT, C} ;---A IS 4 c:} 3
REMIT' TO 1212 1.4 Mf.) I N 'Fax 7% TAX TfIBLE. 3 C;w ()0
LEBANON IN.46052
U SIGNATURE' T'tl�T FBI w_ R"I i(- �ItiE �F.r -31
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
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
PA 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
irectly
d used in the direct production of agricultural products for resale.
Please examine these parts at once. Errors should be reportetl 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, 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 tern/items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
08039 CITY OF CARMEL..°-14ATER 10/16/ )8u l00006133 1 3*7
SR "2A50 W 131 ST PURCHASE ORDER ATTENTION
WE GTI I E l_.D, IN
46074 TAX EXEMPTION:
AD TERMS:lo syc dl..ce 10th CHARGE SALE
iF DELIVERY ]1 -JR TRUCV
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2006- Ford Trltc_1, E'250 S l-tp ,r. C }I_it Y ;:,/4 T:rn 5. 4 3
6804 FAIL hJAI= rAGOLD A IR FILTER 2. 47.840 CE 5. 14'0 50. 2 R
1-;72 EIL NAPAGOL._D OIL FILTER 4,. 00 11. 7.290 29. 1E,
25% RESTOCK FEE al_k 7`3.40
REMIT TO: 1212 '•1 MAIN Tax 7% TnXTABL.E 3 o.( -)o
LEBANON IN, 4-8052
V SIGNATUREe' TOTAL CHARGE SALE 79. 40
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
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
AN I hereby certify under DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use E
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 ite�tems. 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. sale of this itemlitems.
NO RETURN ON ELECTRICAL PARTS.V
ACCT SOLD TO DATE TIME STORE EMP
U 1 Y tar t_1....1 rt l`1t.L_ 1 41 -11 t- ti 1..t i a 1t,l t_ l_I I. b 13 1'J !.1. !t
3 1 50 W 1 ,3 1 1. s I
SR WE STF• I EL D, IN PURCHASE ORDER ATTENTION
TAX EXEMPTION.#, r i (')t: h f .."APRF C.tA P
AD TERMS: f TRUC
C
DELIVERY:
PART NUMBER LN DESCRIPTION GIUANTITY PRICE NET TOTAL
kATh lti ?•1i 1.lt 11Y6+1r-r'1./ ?t' dtr'1r •)t
r a +w.�. r rvrw ../...0 ..�...._u v.c /ter/ a. /..a r .r r...r •y/..+ a a f../ tp
filVa
a.. L.. 81 l lJUti F t...- �J SA 4.f l/4L'C:i J. ..JLv 'N
REMIT TO^ 1212 lid MA IN Tzkx 7% TaiXTABLE tit 0.
I_.EBf1NON I NI, 46052
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: 317 844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE`
J N
AN
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
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
directly used in the direct production of agricultural products for resale. �•r
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
41 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 i41
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item/items. �A.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE,. EMP^
i <ttrix.Cl r`T ti; i"'_C7 ..r.f'.A=r tli..!r>!r "�rir r1.' rr
3 W 131. ST
WEE3Tt" ELM, I!\I PURCHASE ORDER ATTENTION
SR 014
TAX EXEMPTION: -te 10th I :HARGE SPILE
AD TERMS: I_i F, 1. 1L,
DELIVERY:
05121, PLRT NUMBER MLN LADY F IQESCRIPTION QUANTITY 4PRICft l .GNU -3o 24 TOTAL
7 F 12 8 9 B!~. F i3L. 1. 00 1 t;i, d4 t-; 6.990 6. 99
26340 MMM 233 MASKING TAPE 1. CIO 13. .3 4C'I (1. 9 1 30 1 30 6. 99 t'
Abc) ve ?:tem c n Sr: le w
46,"3, MNIM 3 41N X E-,o YDS 2.00 ao 140 4.890 9.78
:3101. BK RES I N 1.00 6�`,u '390 43. 980
Ca:
RE MIT TO.- 121*2 Ian I��t= IN Ca3t c:: 'i`hax i t r 0. 00
LEBANON IN, 46-052
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
r
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
APA AGRICULTURAL EXEMPTION CERTIFICATE 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 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 merchantafiilitybr 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 arty liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemftems.
NO RETURN ON ELECTRICAL PARTS. !l'h
rACCT,# CITY FEEI 10 rDATE,S 13 TIME
RE' 3 EMP_,#
34-50 W 131 ST "4
FdEr; T T k =1_D" IN PURCHASE ORDER ATTENTION
SR, d4E.07ai
I. SAC' 1t.r k,II 4.. L'.
TAX EXEMPTION:., ARC- At
TERMS: -��,IZ tc��l r, t�'
dD
DELIVERY:
PART(N.UMBERJr aIeLNTruc k TDES:CRIPTIONr QUANTITY PRICE NET TOTAL
AT?•°••8282 ADO DISC PAD 1.00 0 135„ 7.. 0 '71. 330 71.3
/YIN
25 RESTOCK FLEE SLIL'tOtal. 1 71.39
REMIT TO: 121.2 W I'yAI!`.I r per °rr.v r.^Irat_� Ci,, 00
LEBANON IN 1 4605E."
7'fiTCJI t`w g r_rta r. 71
SIGNATURE
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
A R INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
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
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 setter 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 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. tt,�
NO RETURN ON ELECTRICAL PARTS. r
ACCT SOLD TO DATE' TIME STORE EMP e s
��,f)° CITyr`. CARME1 IJ(�'1EF? 0 /x:2 i 8 15N1 1',.� LF:rt`yt:,0 :I.� 3 13 i'126
ST PURCHASE ORDER ATTENTION
43 tt?,+_ r, ^I TAX EXEMPTION
AD TERMS.io sv6 di 1.0th CHARGE r-'1LE
DELNERY. SR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1031F, I= I L NAF= IA130LI) b I L. F I L TE R 2.00 10µ 970 6.690 13.38
i 2 F I L 1\11 01L FILTER 2. T ?0 11. 650 7.290 14. 58
?.,,48 F °IL IVAPAFi01 -0 OIL_ F:f.l... 2.00 1.0. i t:0 (5.490 12.9a
V
REMIT TO: 1' 12 W X1 7% T ABLE 0. oo
LE.F'ANt:1N x91, r4:,c_!5�:' 4
/J SIGNATURE TOTAL CHARGE SALE 40. 4
LL GO� RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
H H Automotive .Supply r
1212 W. Main Street Lebanon, Indiana 46052 -2324
765- 482 -1180
M
INDIANA DEPARTMENT ENT OF F E CERTIFICATE agricultural use
-S 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
ect
directly used in the dir 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
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
NAPA r
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item /items.
NO RETURN ON ELECTRICAL PARTS. d Y e
ACCT SOLD TO DATE TIME STORE EMP
e,.
-4
08039 CITY OF CARMEL WATER 10/23/08 11:06 100006128 6 65893
�F
SR 3450 W 131 ST PURCHASE ORDER ATTENTION
WESTFIELD, IN WATER DEPT.
'13 46074 TAX EXEMPTION:
AD
TERMS:1 Na svc due 10th CHARGE SALE
23 DELIVERY: OUR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
MIXDBC04 PPE 2000 BASECOAT 1.01 71.85E 71.85
OC300004 PP- HIGH VELOCITY CLEARCO 1.0C 39.40C 39.40
DC1430858Z PP- MID TEMP HARDENER 1.0e 21.20e 21.20
7
-5 i b t u wa` 132.45
Tax 7% 1 0.00
X 2
SIGNATURE--" TOTAL CHARGE SALA 132.45
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
Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
AP A INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use El 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
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 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 for a particular ?M,
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. E
NO RETURN ON ELECTRICAL PARTS.1I y
ACCT SOLD TO DATE TIME STORE' EMP
0 E�;;! :�T4'. OF Cj'ltihll L.- irJA1Ff t ;��..�/08 ;<<�:c:: 1.cF�7-)O? ,t t "a ;x1�,7
SR -3450 tnl 131 ST PURCHASE ORDER ATTENTION 4:
WE TF I C= L:D, IN
43 460 7 4 TAX EXEMPTION:
AD TERMS':�o >'w'c due 10th CAM ARGE SALE.:
DELIVERY-5
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
7 5 E,5 BA`[" BATTERY 1 00 127. `.;110 69. 690 69. 69 R
RAT CORE DEPOSIT 1.00 12.500
G OAT COR DEPOSIT j.. 00 12.500 12. 50CRD
I
25% RESTOCK i'E:;E 5 V .Ita:t
REMIT TO. 1. 1.r W 11AIN T-ax 7% TAtTA5LE
LEBANON IN, 460521
2::: A
SIGNATURE-"
TOTA ___..__._j C 1 A RL7F xA E
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ``r
4i Tom^
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
N
AN 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
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
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 for a particular
properly 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 itemfnems. e
NO RETUR O ELE PARTS.
ACCT SOLD TO DATE TIME STORE EMP 1
08039 CITY OF C�- RMEL_.- WATER '.t-i /23/o8 10.- 1.�; c.�<:�'ac ?5! 7'127 6
},c i•1 1 ':rT PURCHASE ORDER
SR 3 ATTENTION
WESTr t l.i y r.r�1
4607A TAX EXEMPTION:
AD TERMS 10 T vc t_il.te 1 O L I`I CI IARCC SALE
2 DELIVERY:
ii •i� PART NUMBER
t +_a l LN DESCRIPTION (QUANTITY '.PRICE NET
cc99 TOTAL
MS C)CI'. RAG L. r. 0 9 a.:
0 490 t'. 49 �I
21
i9
f
:::...I,n RESTO FEE al_taa1.c.r11: 'tJ V
R EMIT 1"O 1. 12 W 01AI1\1 Tax TA XTABl- E 3 01,00
17�
SIGNATU,RE' TOTAL_ CHARGE* SALE r
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE y`'"
NMI
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 riH AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
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
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
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. sale of this item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP 0
0803 CITY OF Cf)RIIEL- WATER o 23 /()S L 1 e 00 1 1 0Sr)[" 0 6133 T a? 712.775 r::
3 }�5 �J 1 ST PURCHASE ORDER ATTENTION N
SR 4a'
WESTF I EL D, I N .."IM HE~ AG JIM !-IAAG
4 4G074 TAX EXEMPTION:
AD TERMS ati alt- di.te 10th CI °IARGE SALE.
DELIVERY::°
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
074 MMM rSAND PAD 2.00 1. 6*70 1.590 3.18
n�
E RESTOCK FEE 3.. 8 1
REMIT TOW 121.2 W MAIN Tz.? `pus T€- XTABLE 3 `'yP
L-ESANON IN, 46052
1� �r
X 6�
SIGRATUhE TOTAL- AL- i CHARGE RGE SF1LE
IL 3.18
L GOODS RETURNED MUST 6E'ACCOM►ANIED BY THIS INVOICE
HiH Automotive Sup ply pp y zr:_� NAPA Auto Parts of Westfield
1212 W. Main Street JAPAD NAPA A (317) 896 -56 "Im
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
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 -62 Fax
BILL TO T
CITY OF CARMEL WATER STAMENT
3450 W 131 ST
WESTFIELD, IN .ACCT SM PAGE..
8039 43 1
46074
DATE
TYPE REFE ENCE AMOU.NJ ,`:.,P.O ICNECK/J.E
09/02/08 Inv 708158 5.98
09/10/08 Inv 708926 17.94
09/10/08 Inv 708942 66.20
09/15/08 Inv 709285 74.39
09/17/08 Inv 709484 236.18
09/17/08 Inv 709555 123.98
09/17/08 Inv 709556 149.00
09/18/08 Inv 709665 100.00
09/22/08 Inv 709903 69.51
09/22/08 Inv 709952 170.68
09/22/08 Inv 709954 75.49
09/23/08 Inv 710034 8.07 yS
09/24/08 Inv 710211 8.29
10/06/08 Inv 711298 52.98
10/07/08 Inv 711338 41.96
10/07/08 Inv 711361 4.8OiCr Z C O g ZIO
10/08/08 Inv 711502 81.80. 0 ��ql(�
10/08/08 Inv 711504 89.5"' X00 0 g00 6
10/09/08 Inv 711543
10/15/08 Inv 712061
10/16/08 Inv 712130
10/20/08 Inv 712376
10/20/08 Inv 712385
10/20/08 Inv 71243'
10/22/08 Inv
•0
10/23/08 Inv
10/23/08 Inv o Qrv ii
10/23/08
10/23/08 T 5
0 0 �o
X9 0 2
0
BILL TO TAT
CITY OF CAMEL—WATER
3450 W 131 ST
WESTFIELD, IN A T M
8039 43 2
46074
<QATE TYPE REFERENCE AMOUNT P.O.ICHECK/J.E
Summary as of 10/26/2008
Previous Balance 1285.79
Payments 180.08Cr
Purchases 957.31
Current Balance 2063.02
Future Dated 0.00
t�4
b
YS PAST.QUE 90 QAYS
0. O
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 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 92508 $1,105.71
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 Aff7W
VOUCHER 083544 WARRANT ALLOWED F
:354290 IN SUM OF
NAPA BOONE COUNTY A VM�DTIVI
1212 W MAIN STREET
LEBANON, IN 46052
Carmel Water Utility
f
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
92508 01- 6200 -06 $260.80
92508 01- 6500 -04 $447.37
92508 01- 6500 -05 $397.54
Ibzte C Qe
o
Voucher Total 4� bt 5.7 $1
Cost distribution ledger classification if
claim paid under vehicle highway fund
NAPA Auto. Part's -of Cari�nel
11
44- 22 0
"2 317-844-3973:o F x:• 17 -8 6
Medical Drive Carmel Indiana 4603 a 3
P /ease Remlt H H Autoinotive:Supply:1212 W. Main St. •L'ebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT &REVENUE SALES TAX DIVISION agricultural use
E
AP 1 hereby certify under t LIMITED WARRANTY -PLEASE READ t
he penalties of perjury that the personal, property purchased by the use of this exemption certificate will be
directly used.in theduect proifuction'of agricultural products for. resale.
Please examine theseparts et once. .Errorsshould,be'reportediietore using or in Returns',' The factory warranty constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly
musflie.made.within TEN DAYS and must be accompanied by this INVOICENUMBER. This r disclaimsall warranties; either express or implied, including any implied of merchantability or fitness for a
pa
rtcular
property is sold to you with'thedefinite understanilinq that it is purchased for reaale,.unless.tax purpose and the seller neither assumes nor authorizes any otherperson to assume for it any liability in connection with the
sale of this'itemltems 4�
has been added to the price. ALL RETURNSSUBJECT TO 10 RESTOCKING CHARGE r t
i, NO R O N E PARTS
ACCT SOLD TO DATE TIME STORE %E MP
c +C3s_Y19 f. I FY' CIE b At,1Y1 L� I,lt�TLf �s t °!6/0a� fG: 1'6 I.r�c1cas:i613 L'�. 711.c98
SR �SU W 1;?;1T.'.. PURCHASE'ORDER:# ATTENTION
9 ,E aTFI E�LD,
3 t
4 i'�-7+ ,TAX' -EXEMPTION:
AD MS ho =.4�� •rcl+�e''1t� .,.CHARGE 5AL C;
TER
DELIVERY UR ;TRUCK P
.:NUMI3ER
k LN DESCRIPTION GIUANTITY::,+ PRICE, i NET TOTAL
PART
.Fln -)�t I {4_{;t; Ft,x ge a.► ,u :L 1 G tD V
I i H E« Rl �k:hlT f i�lE� �1E 1 .1 r_�c 7 3 160 414 99�:t 44 s�
lCa 14t yea AY RFID -CAP >1 fO(T- 1.1 a i50 l.a 99 th '7.
r r i
L.•_I ra RE• L §"T}�..,�Kt FEE. r V .Sj..t 7.1t c1
r J rY.e .7Q
R[ hM IT TO i:c' 1E:- W MA.1N Ta 7% 7AkTABLE= ry tjc�
L:FE►Al4�(JI 1 T. iV .,�t EJ05�
x lam.
v ..SIGNATURES TOTAL ChdARC�� ale 9
ALE: £i
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
H&H Automotive Supply s NAPA Auto Parts of Westfield
1212 W. Main Street (317) 896 -5615
Lebanon, IN 46052 -2324 NAPA T (317) 896 -1820 Fax
NAPA Noblesville
rErr ef ft, Auto Parts o (317)773 -3180
(765) 482 -1180 Remit to: (317) 774 -0932 Fax
(800) 924 -6831 Boone County Automotive, Inc. NAPA Auto Parts of Carmel
(317) 844 -3973
(765) 482-7398 Fax 1212 W Main Street, Lebanon, IN 46052-2324 (317) 844 -6220 Fax
BILL TO STATEMEN
CITY OF CARMEL -WATER
3450 W 131 ST
WESTFIELD, IN A a
8039 43 1
46074
DAT P IC J.,
09/02/08 Inv. 708158 5,98
09/10/08 Inv 708926 17.94
09/10/08 Inv 708942 66.20
09/15/08 Inv 709285 74.39
09/17/08 Inv 709484 236.18
09/17/08 Inv 709555 123.98
09/17/08 Inv 709556 149.00
09/18/08 Inv 709665 100.00
09/22/08 Inv 709903 69.51
09/22/08 Inv 709952 170.68
09/22/08 Inv 709954 75.49
09/23/08 Inv 710034 8.07
09/24/08 Inv 710211 8.29
10/06/08 Inv 711298 52.98
10/07/08 Inv 711338 41.96
10/07/08 Inv 711361 4.80 Cr
10/08/08 Inv 711502 81.80
10;08/08 Inv 711504 89.52
10/09/08 Inv 711543 64.93
10/15/08 Inv 712061 108.47
10/16/08 Inv 712130 79.40
10/20/08 Inv 712376 31.08
10/20/08 Inv 712385 91.83
10/20/08 Inv 712433 71.39
10/22/08 Inv 712688 40.94
10/23/08 Inv 0658931 132.45 WATER DEPT.
10/23/08 Inv 712742 69.69
10/23/08 Inv 712756 2,49
10/23/08 Inv 712775 3.18 JIM HAAG
0 WW 22 ZRASIMMMMY7
DATE
TERMS
Cars��nu�d can'• p�gt� 2
STORE
F
CLOSING DATE 10/26/2008 AMOUNTNCL��EC7
'a s.:
00" BILL TO CITY OF CMU4EL—WATER STATEMENT
3450 W 131 ST
TA, PAGEA
WESTFIELD, IN
8039 43 2
46074
0" WRE NT
Summary as of 10/26/2008
Previous Balance 1285.79
Payments 180.08Cr
Purchases 957.31
Current Balance 2063.02
Future Dated 0.00
AS
�Dws=&"PAST
P
T DUEM� E90-DAYSi
962.11 1100.91 0.00 0.00
IDATE 10/26/2008 T o t a,l O w e d 2063 02
TERMS Nb svc due 10th
STORE 100006128-0004 T ci 1 D u, 7, 2063 02
m imbed by State Board of Accounts
orrn No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
1
ADDRESS
I Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Acher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
`Jnni��A n Favor Of
t2/,Z w A;4„, s t
4eko,vo ,TN V6 652
Total Amount of Voucher
7 /2QFl Deductions
s
a 6 .07
Amount of Warrant
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325