HomeMy WebLinkAbout167272 12/23/2008 �.f 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: $971.97
LEBANON IN 46052 -2324 CHECK NUMBER: 167272
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1110 4237000 7983 971.97 7983
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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 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 1'L ►}3
J NA PA INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby certify under
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
'The factory warrant
constitutes all of the warranties with respect to the sale of this itemltems. The seller hereby expressly
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 itemAtems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
983 CITY OF Cf-I1�,MEL_:`t�'01 -ICE: DE^r .2/01/08 13 1.� ?cet_?t }Gi.:�� ?:1��1�;
3 C, E:'�I I C. ;�?L.Jj'� ESC:
i=
SR C'nR�IEL, IN PURCHASE ORDER ATTENTION
E:t.F' COPY II`i:, TAX EXEMPTION: J. tr- t.A4
J TERMS:' �I�fr F
DELIVERY:
ELIVERY
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
Y L,iJr,1 uLf -•Um I 1 "__1. t..rt 1
z s.>
HL I C31. K I- L.L. :tli7t: rtir. 88. S. ?QUH
REMIT TO. 1212 W Mr, I N Ta.x 7 TnXTABL.E 3 (0.00
LEBANON IN, 46()52
X
SIGNATURE r'CT�•�I__ CREDIT MEMO
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
is
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 11 rAa
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use IA N INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ IJJJJ Y
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 itenditems. 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 iteMtems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07983 CITY CIF CORMEi_!i•= L�EF IS itlfs °,�i�41 l cir "ii )t1�.1 1 rl °1�'= 1gt�1''
SR 3 CI V IC SQLJ(IRE PURCHASE ORDER ATTENTION
C 1N
.j a
460 3G TAX EXEMPTION:
AD Er-.. :'P C0Py 11 TERMSt,in sw- ;•Fora 1 0f.- h '(7 OPRP C;0I P
DELIVERY: TRUCK"
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
19•, -7D BAT BATTER' F "rC; 12'E,r, 8 E,0 67. 9' 0._5.3 R
842f4,�76 BAT 1:G DEPOSIT 2. 00 J.2. 25 ()0 D
BAT C0RE� DEPOSIT 00 12. 1 t)(11t 75 00CRD
7534 BAT 1'A1 "'f'ERY C)o I ois. sesio J. E. 1. 1.7.::,8 R
IW
;`534 BAT C;nRf DEPOSIT 00 12.500 0 25. 00 D
'7`: 3/� Df ORE' DEPOSIT I T 0(. 1. 5t`at°.} 75 00CF;D
25% RESTOCK FEE SI.tbt 0 a1 153, 36
REM To: 1212:' W MIAIN T amar 7 TAXTABL.E 3 0. 00
L.E_l. t�lf)ha 1 h3 4•E,C
X 1IJ�.�.
SIGNATURE TC)T(�L. '._._.._`t C1AARGE SALE 1�i�;�
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
AiRi 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 c onstitutes 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 iternifitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP INVOIC E NO
07913:3 CZ I "Y L1: CA} EYICL.i�!t7L dint L)EI'1 :.c:!c�� lt:�9 it": act ti_�c�t��_�rJ1_JJ 3�� ?i'��Es;i
CI V I C SQUARE PURCHASE ORDER ATTENTION
SR cr -IRMEL IN
I
TAX EXEMP
AD i :,.I r rnr r•r- r
TERMS:' rhr rn s ru of
DELIVERY:
PART NUMBER LN I DESCRIPTION QUANTITY PRICE NET TOTAL
!.1€— TJ l E)CE3 t(( --IKt. NU I U K UNIL. Y 'J,6. 4 1 -till_) :i ai 1. Q if 1. ,5. b4
2 0 cyr C eV -1-a1 et flipa1-!
1
v =17'- HEtj 1 I li. li FL iii ri 1 2 F,
REiYI TO: 12: 12 W 11AT 7 TAX TABLE 3 0. 0
L_EB(� ION
SIGNATURE I7 f—IL t c N`I( I� -7F��_ 1 3 k
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 use
J AGRICULTURAL EXEMPTION CERTIFICATE 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 fora particular f,
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.
N O RETURN ON ELE C TR ICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07983 CITY O t, AR EICE -P1" 0. j�,: +:1.!s ?t3 1, "1,; c: ?f ?t?!:) 12; 3 1`� 71.59 1 7
'.t I V I C CCII.IARE PURCHASE ORDER ATTENTION
SR IN,
4603
TAX EXEMPTION
r.C:f: P CO3V"t' �:l�.it'
AD I,rcl cjl..cc� .Lt.:t�;;n c..,r Ir.�al:: �►••�L .r_.
TERMS:
1
DELIVERY:
PART NUMBER L DESCRIPTION QUANTITY PRICE NET TOTAL
t'0 i'.If; L� I LI I„ d
1
i Wit° t•tL.`c.711..lt_'!: t h. E rt1` n 4- --a 1 64
REMIT TO 1...'! W 11f) I 'Tri 7% TAXTAML..E: 3 Q. 00
LEBAJ ON IN, 1 +6052.
��SIGNATURE IrOT•�al_. 1 CHARGE SALE 1 54
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
l 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 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. Ffit
ACCT SOLD TO DATE TIME STORE EMP
I "ITY. i;l" i nF /1 DEfjT 0/2.`?/064 1.'3 t. 1.ot':00151. 1 71.- _—J271
3 CIVIC Sts19.1A RE PURCHASE ORDER ATTENTION
SR C =ln F I__ M I N
1 1 TAX EXEMPTION:
AD REEF C;DI.: °4' ItlV DELIVERY: ERMS �Io s „Ft� dlte 1()t h CREDIT PtlEMID
t:,
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
13 -9 3 9 RAY CORE DEPf i:3 .0 1' -1n00 -+9u 500 49. 50c1F?D
I
25% RE L,3” 1C.K FEE ?I.ttTt- QT: a 11 49 0C R
Fit M 3 °f TO I F- f 2 W lylA I I`.I Tax 7°t TPV TAL -1LE 3 0„ Or)
L.EBAl',IC)N IN, 46052
SIGNATURE l C:)TAL .__..._.__..1 E_:I ?IMT.:s.I:T tv'1 040 49e 5oGR
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 agricultural use
A N INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
LIMITED WARRANTY PLEASE READ
I he reby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be
dir ectly used in the giMe 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 disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular 0.
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. t
►.1 NI'
ACCT SOLD TO DATE TIME STORE EMP
?13 CITY OF L: S �1FaMCL. /'UL..TC DEPT fr /_t. 'r'iF1 1 rt. W1 C- °rtt =..rG
CIVIC ty t)ti F PURCHASE �ORDER ATTENTION
C ARVIEL, 1N
4603 TAX EXEMPTION:
AD t I TERMS-
ftin 1r`gj• i !.-ll:�f),-F.. cQ! F'
i DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
0
1 WIP BL..nDE: 1. 1.8 .:350 ra /+Go a.. 1
60-019.1 WIP BLADE: 1, 14. 1.E.o 7. 090 7. 09
1, ia�d
RE;1I 1 ro :b L f -t I IV Tax 77c T f1X1 "A +L.L 3 +.r„ 00
0:
L.EI:!ANvtti's 1p 6i1`:
SIGNATURE SA ALL GOODS RETURI�IED MUST BE ACCOMPANIED BY THIS INVOICE CAL_ C., HA R C-3E A LE 1 S a „3'.7
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 4605.2
AN 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.
G7 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 PART
ACCT SOLD TO DATE TIME STORE EMP
07983 CITY OF' CARMEL_. DE F-IT t 12 J08 :���3t 1 0500 3 33 71.696-4
3 C IVIC SQUARE I I
SR i"ARIYiEL v IN PURCHASE ORDER ATTENTION
43 4603
TAX EXEMPTIQN -.i r• r,r r •�.r:
:EEP COPY INV
AD n,
TERMS:
ti
DELIVERY:
PART NUMBER LN' DESCRIPTION QUANTITY PRICE NET TOTAL
..e t V}-}L- ILA I ta Y 14i L,'C: Tit N V OT C: s•h» 'J
1_I if 4 b. 1 4 ,1) i 't M. DO
.r
2.5% RESTOCK K F E:Ev r I h+- r, 1 148.5
REMIT TO. 1212 W MAIN Tai 7% TAXTABLE: 3
L_EBANO IN, 4F.:,t 5f2
X c
SIGNATURE TOTAL •u___..__.} CHARGE SALE 148.
f1
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 ®`w
A Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 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 itemftems. The seller hereby expressly
G7 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all 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 itertt(tems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
C'I7Y (?1= C�1F;1�iEL /i'tl;_.ICE UC.�!
7i
ca., 1�= r...,r� tt`Yi'}t °Yt`Y,1...;? s E1t_Y i. !i
T c I PURCHASE ORDER ATTENTION
SR I tJ a. (1 UA RE.
l.:FiPMEi_, I ha 1. 1 'F;' ?rl
j.:
4150-3; 7 TAX EXEMPTION:
AD I 'a
E:EI'= CO r IN TERMS:,in avr dud C' I''I T ME MFI
.a' DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1.334/78 11i-T .'f A-1i'TERY -1r, f-"1 t 126. 860 67.990 67. `9CRR
843-'1-/78 78 BAT CORE. DEPOSIT —.1.00 12. 500 1.2. 501,
i
t
REMIT TO,. 1212 w MAIN 'Fax 7,u TAxTABLE 3 i::Y 00
LEBANON D1, 4.6-052
SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL CREDI T 11IEM0 80. 49CR
Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
rNiA A L
INDIANA DEPARTMENT OF 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. -5li lY rr
'The factory warrant constitutes all of the warranties with respect the sale of this itemltems. The seller hereby expressly
Please examine these parts at once. Errors t be a be reported before using or installing. Returns to p p g y p y y p p-{'
O must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including an implied warrant of merchantability or fitness fora articular i
r
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
07U83 CITY OF' CGRMEL/POLTCE: DEPT 12/11lij:I8 14:15 IoO00r_ 33 1.33 3 71fa91 5 (D`
CIVIC SI ?llf -1FtE. PURCHASE ORDER ATTENTION
SR CARMEL, IN
1 13 46032
TAX EXEMPTION:, -w,. r-
AD .F "EFL COPY TPaV a,: 4.,•.,u G;',rrr GE Gr,...E
TERMS
DELIVERY u
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
i s :i i
U1 I ULF. °i-11- le. )80 Rattle .ial. 68
2005 Chevrolet Imlja5:l.a 3.8 L 23 CID VS
ti
145
35.
REMIT 'TO. 1212 W MAI1\1 Taftx 7/ TAXTABLE 3 0.00
LEBANON JN
TOTAL CHARGE: SAI-E s:M. b
U SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY' HIS INVOICE Sf u
Please Remit To: H 1, H Automotive Supply 1212 W" Main St. •Lebanon, IN 46052
A N
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
I 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 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 item items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP o =V
07983 CITY OF CARMEL /POLICE DEPT' .2/1, 1/o8 14-.16 1 ],t_; 1 71.6916
C I V I C SQUARE PURCHASE ORDER ATTENTION
SR' CARMEL, 'IN
43 46032
TAX EXEMPTION: i r•r Innr.r r ..t W {'.EEC' COPY INIV a
AD TERMS: n T t, ,nt
ur
A. J.
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE TOTAL
rs. I_,td iris IL.. t.:ILHZ:3, a (_•LMH1 180Z I Lam. tjt? 4+. r 4 k) 3. 8 tic:. 4 1.
3 700 M AC CARD— CI-•IOKE. CLNR 13O 12. 3. 901 3. 080 80 36. `96
081880 MMM NON—CHLOR BRAKE CLNR 4.00 4. 2:30 3. 630 1. t. 52 01
f
S
ti_ J Mt.E:, 1 t...;' "�'i Ir I I t"i n t.. 1 95
='t'
REM I T TC.! 1.212 W MP N Ta:t "T �3`
r AX1 °P1 1._Iv 3 0.
LEBANON r ,46052
SIG"TURE y C HARGE •A.
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
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. it
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 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 item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
t17983 CITY OF CARMEL_ /ElOLIC;E DEPT 12 /11/oa 1. 'l. „50 10(-)t.)06133 1 3 0 716,894)
SR 3 CIVIC SQUARE PURCHASE ORDER ATTENTION
CCARMEL IN
4. /4-6032 TAX EXEMPTION:
AD E.F E�' t.`Cl1t`r' TI�i.� TERMS�o ;;r_ di-4e 1.01 F1 CHFiRC,I: SFtI_E
11 DELIVERYQUR TRUCK.
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
75 BAT BATTERY *'a. 00 10 8. 560 5 8. 690 117.38 R
75341 BAT CORE= DEPOSIT 2e 00 12.500 25. r_u0 D
AD- -7574 ADO WARRANTY -.2> 00 135-460 67.970 135. 94CR
AD-7574 ADO DISC f`tAD 2. ].0 5 460 674 970 1351. 9 Z
1
I it
REsTOCK FEE Sl -t total 142. 38
REMIT TO.- 1212 W MAIN Tax 7} T "AXTA IaE 3 i)r,t'o
X i
\SIGNATURE TOTAL_ CHARGE 7A1._E 142..78
C'
ALL GOODS RETURNED-MUST BE ACCOMPANIED BY THIS INVOICE
Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052 I&E
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 itemlitems. 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
propert y 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 ite items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP INVOICE NO.
07 )83' CITY OF CARMEL_ /POL_ICE DEPT .2/15/08 1 .)g.: 05 100006133 JCS 7 7171. 14.
CIVIC SQU ARE PURCHASE ORDER ATTENTION
SR
CARMEL_., IN
43 46o,32 TAX EXEMPTION: ii a
AD L'.E:EP COPY INN TERMS: In svic dt_te 1(.) C ill G SAL
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2003 Chevrolet I mpaI:a 3.8L 231 CID V6..
13- ..9379 RAY REIYIAN ALTERNATOR 1. 4 5 J.. 10 272. 272.01.
13.. RAY CORE DEPOSIT 1..00 49. 49.50 D
25 RESTOCK FEE S 4 t a u zn. 1. .x,21, 51
REMIT TO: W MAIN Tax 7;k TA X TABLE 3 t I„ CIt"f
LEBANON
SIGNATURE TOTAL CHARGE SAL-_E. 321.1 1
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Boone County Automotive Purchase Order No.
1212 W. Main Street Terms
Lebanon IN 46052 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/18/08 payment for repair parts 971.97
Total
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 NO.
ALLOWED 20
B orne County Automotive IN SUM OF
1212 W. Main Street
Lebanon, IN 46052
971.97
ON ACCOUNT OF APPROPRIATION FOR
p olice genera !fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 x- 971.97 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
December 18 20 08
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund