Loading...
HomeMy WebLinkAbout166584 12/10/2008 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: $1,947.57 LEBANON IN 46052 -2324 CHECK NUMBER: 166584 CHECK DATE: 12/1012008 DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION 1110 4232100 7983 291.64 GARAGE MOTOR SUPPIE 1110 4237000 7983 1,144.13 REPAIR PARTS 1110 4351000 7983 511.80 AUTO REPAIR MAINTEN L �e H&H Automotive Supply NAPA Auto Parts of Westfield 121'2 W. Main Street (317) 896 5615 1APA (317) 896 -1820 Fax Lebanon, IN 46052 -2324 NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 482-1180 Remit to: (317) 774 -0932 Fax (800) 924 6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel (317 844 3973 (765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844 6220 F ax BILL TO TAT T CITY OF CARMEL /POLICE DEPT 3 CIVIC SQUARE M CARMEL, IN 7983 43 1 46032 DATE TYPE REFERENCE AMOUNT P.Q:I.GHEC}f!J E T.: 10/27/08 Inv 713004 321.96 10%27/08 Inv 713005 321.51 10/27/08 Inv 713047 51.56 10/27/08 Inv 713051 120.36 10/28/08 Inv 713136 72.67 10/29/08 Inv 713271 49.50 Cr 10/30/08 Inv 713304 19.19 10/31/08 Inv 713433 20.10 11/03/08 JE 001008 27.15 Cr 2 PCT ACCESS DISC OCT 11/11/08 Inv 714298 26.80 11/14/08 Inv 714573 50.99 11/14/08 Inv 714654 227.20 11/17/08 Inv 714828 58.69 11/20/08 Inv 715082 50.99 11/21/08 Inv 715231 6.37 11/24/08 Inv 715387 111.24 11/24/08 Inv 715451 334.04 11/24/08 Inv 715453 194.67 11/24/08 Inv 715463 35.88 Summary as of 11/26/2008 Previous Balance 1397.09 Payments 1397.09Cr Purchases '1974.72 Adj 27.15Cr Current Balance 1947.57 _Future Dated 0.00 CURRENT PAST DUE "30 DAYS PAST'DUE .60 DAYS PAST -D:UE 90 DAYS 1947.57 0.00 0.00 0.00 DATE 11/26/2008 T t Q w'e c 1947.57 TERMS No svc due 10th n STORE 100006128 -0004 T© a 1 B u e ?,i 1947.57 'NAPA:AOto Parts` of armel 2 111 Medical Drive Garmel, Indiana 46032 •317- 844 -3973 •Fax: 317 =844 -6220. Please-Remit H.& H Automotive`Supply 1212 W' Main.St: Lebanon, IN 46052 t'AGRICULTURAL EXEMPTION CERTIFICATE NAPA INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use j LIMITEDWARRANTV .PLEASE SE R R use I hereby certify under the penalties of perjury that the personafpropedy purchased by the use of this exemption ceddicate will be A directly used in gjMc production of agricultural products for resale. Please exa itemhereby acory wariant contitutell of the warranties with respect to the sale of this fts. The seller em expressly mine these pans at once. Errors should be reportedbefore using or installing Returns 'The ft Y G1 must be matle within T�NDAYS and must be accompanied by this NUMBER. This disclaims all warranties, s either s a express or implied, including any implied warranty of merchantability or fitness for a particular ,property is sold to you with the defioite'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,.11ebdiry_m connecuonwRh the sale of this itemltems. has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. F I f, NO RETURN ON ELECTRICAL PARTS. 4 F ACCT s:,.' SOLD'TO DATE TIME STARE, €MP e 7T'r`,:.t( CARI�It.LfFIi�LZCEs I7EF`T, t�fEi_ Oa ��_�4 IC��rUC?Ei33' 83 `Y 71 ,r_1 SR'# C'I'a'I C S ►iJflR PURCHASE ORDER ATTENTION CARMEL PC 46C TAX EXEMPTION: AD Ir ks-ti :LOPY ".INIF TERMS -FO -Svc CIL(ef I t h. .L.H a�:t ML DELIVERY.: rr PART NUMBER LN, DESCRIPTION.; QUANTITY PRICE NET J TOTAL', 1 W 4 RA t` Gd R.Ew 7t}F`A0S,t 7 500 fi '-1,,, S0CRD. 's _y q f� T ,y 1 ter% RE 5l "OCI't ,FEE af_i i.e �JL Vf- 5t'CR REf+�Ti JO i:�i�. W h1t -32h1 T 7"IAABL L,E BANQN IN y 'Li.865 v it v X TOTAL CRET?S T i�IEMC] ��ia �t7t'rR SIGNATURE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS.INVOICE C NAPA Auto Parts :of Carmel X111 Medlcal;DrlVe`• Carmel, Indiana 46032.317- 844= 3973:`o Tax: 317 -844 6220 Please Remit To H M Automotive upply.•:1212 W. Mam St 'AGRICULTURAL •Lebanon,'IN 46052 x T EXEMPTION CERTIFICATE t agricultural use INDIANA DEPARTMENT OF REVENUE, SALES TAX DIVISION, LIMITED: WARRANTY PLEASE READ'. 1 A pA .hereby certify un the penalties of perjury that the personal property, purchased by the use of this exemptionbortificatewill be; directly used in Ole direct production of agricultural products for resale. Please examine.ihese ads at once, Errors should tie reported before usmor installin Returns:' 'The factory warranty'constitutes allot the warrantieswith respect to tFiesale of this item /items`The seller,heieby expressly' C in at he made within TEN DAIS and must lie accomanied bythislNVOICE NUMBER. This disclaims all warranties,either express or implied,.includingany implied.warianty of merchantability odfitness for a padiculary property.is sold to you withihe,definite` understanding that itis purchased for resale, unless tax Puryose anof the seller neither assumes nor authorizes anyother person to assume for it'any liability in connection with the' has been aildetlto the price. ALL RETURNS:SUBJECT TO 10 RESTOCKING CHARGE. sale of .this deMrtems. NORETURN ON ELECTRICAL` PARTS. .:_....r_. it it `ACCT M SOL'� TO DATE TIME STORE EMP c fiaTY.OF C;�a�M�:1. lF"'fJi�.TI t °UEP:t" i /E4 /.t.?��3 �#t,;;,? �t }t)t?t13 1'9 f'f s k: SR �PURCRASE °ORDER# ,.<A ATTENTIONS PARMEI..., 1 *1N TAX:: EXEMPTIOW AD h E_EP C0PY. II TERMS`��:..: S �tUe DELNERYuI� I KI1Lt f °'`PART'.NUMBER LN DESCRIPTION:' QUANTITY: QI „PRICE 7 BA B A7TiW RY 1 tit'} 108. 560 690 B.: �9 F :CQ E, DEPOS: T 4- 1a 0t 1'. BAT Ct�f�E I7E1 I t�t�, is e: ,t��a`� It�� irF 7B F�t�T' L�(l 'T Fib' t)t M` 1 ;RS. 86 F7.' -99'0 3 5. 98 •:R Flt �4f7B Btu t, CO RE BEP0cs f.l 2 ��s` 12 c..5()CI fe w t�tt p r c }y14 i7B BIT CfJFdE.'L3 tt� 7I1 t r }0 t t I 9 1 f -1L a7 4 E a1 flGf�i' FEE 194 F fi�EMIT T:CI i 2� -1 {�IAICd Tr 3. 79F _Tiw!''TE �I I qv t} tits i F ANON €N 4E,tr is F �"SIGNATGRE 1 C]TL i�'rl�IRGE SALE' ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE d ��I .r.•., r t'/:_ ....Jr.0 4 i'k1,. .c NAPA Auto Parts of Carmel 111 Medical Drive Carmel, Indiana 46032.: 317- 844 -3973 *,Fax:. 317- 844 -6220 P...lease Remit To; ,H H Automotive Supply •',1212 W. Main St Lebanon,'IN 46052: AGRICULTURAL EXEMPTION CERTIFICATE u t ji agricultural use v.ee A PA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I hereby certify under the'penaliies of perjury that the Personal property purchased by the use of this'exemption certificate will be t directly used in the direct production of agricultural products for resale. Please examine these parts at once. Errors. should be reported before using or installing. Returns 7-The factory warranty constitutes all of the warranties with respect to'the sale of this itemptems. The seller hereby expressly C7 disclaims all warranties, either expresser implied, including any implied warranty ofinerchantabilily or fitneas, or a particular. r must be made within TEN DAYS and musLbe accompanied by this INVOICE NUMBER. This Purpose and the seller neither assumes nor.authonzes any other person to assume foeit a_ny liability in connection with the' 1 props is sold to you with the definite understanding that it is purchased for resale, unless tax has been added to the price. ALCRETURNS SUBJECT TO 10% RESTOCKING CHARGE. .sale of this iternritems." NO RETURN ON ELECTRICAL PARTS. 1 ACCT TO TO DATE +TIME STORE..# EMP o e f,. x� 3 I TY'' 7 C1PhIE l C)L T LE DEPT, 1 1. GO if: FF 1 .3 3 acs ?tai �8'? C T!`T' SntJpR PURCHASE ORDER ATTENTION SR, CARMEL, :I i .to( PTIO TAX EXE N. t'iwEi `CC3K'Y 'Ti'JV ar�M�dc _atcc a MHi1XIit AD DELIVER act TERMS? A Y PART NUMBER LN DESCRIPTION QUANTITY PRICE NET x TOTAL„ x. y a9c74c�1 `1J�I HIiI��E STE.R•- YLIhII7ER nt_�c, '1''"a:.11�: 11io240 tiroe�4.s ri ir.t3t:�..., �h "e+rr Icntaa•1 a r _T Tv• 1' I. i? zl�l REMJ IYi�3T3�I "ZAX7'AgUt ,3 1r �ac3 J t X SIGNATURE TG;TfL C11(1RC£ SALE; `t AL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE d c NAPA Auto Parts of Carmel 111 Medical 'Drive-• Carmel, Indiana 46032:• 317- 844 -3973 Fax,.- 317 844.6220; F f Please`Remlt.To:•H &,H Automotive Supply., •:-T212 W ;,Main St..•Lebanon, IN 46052' PP Y AGRICULTURAL EXEMPTION CERTIFICATE a� INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION R agricultural LEASE R use f lAN't "LIMITED WARRANTY PLEASE READ 'Thereby certify under thepenalties�of perjury that purchased,bythe use of this exemption certificate wtll'be directly used in the direct production of agricultural roducts for resale. p The facto warran constitutes all of the warranties with respect t the sale. of this rtemhtems. -The seller hereb ex res Please examinethese'parts at once. Errors should be repoheti before using or installing Returns ry ty o p y sl p y' must be made within TEN DAYS andmust 1be accompanied by this INVOICE'.NUMBER. This disclaims 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 taz purpose and the seller neither assumes'nor:authonzes 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 ELECTRICAL PARTS t t ACCT 3 a SOLD T,O DATE 7 ,TIME STORE HEMP #ti e bo' I IG�. L'itr l`. i f,'4I��C4 I�t., E. itit�tyctr9 t. C` I V1 C' SC ILA RE R ATTENTION t °PURCHASE ORDE TAX' 'EXEMPTION C;CI(�z' •I�f'J TERMS"" x41 I�NtHtttat t�� rtu TER th DEL li h t I tU4 �t'�l NERY; 1 L r •t p ..PART NUMBER DESCRIPTION ;,1 QUANTITY; PRICE t .NET "TOTAL P t 11 NE'.F' EtiICI: l 11 T DDS J GAL fit? c Zr,r, F�f?t7 1CVlLiV s� 1rpS "iy rah OR 4 BG�T GCtF�E L EF�OS I -f c5ti l,r �x 50 p M 84 ;4 7� S�� t��T Tk R1� �t �h vet C}R T S TA C DRE" DEFIDS T T' s F c 12. 5c �t a c�< HST'.' C 0R E:'; DEPOP I':1 �3 CDC �;AT CORE: Dl P0 Wc4 S�n,5t W t �r RS1C)G` F'F'�;R'a�. K ;�a 'RL.I�i I 3'D is i c hl�t ICI Twat 1'n 'TA TP6[.,.E. f3 f I' EBA "l y si GNAT U RE TO AL C H�iF�uE SALE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE V NAP Parts of Carme[. 1114 IT,:M. Drive .Ih ha A Medical 46032 o--317-�844r3973 Fbx'3117 H H'�qt upp y o t 'i Please:Remit: S' I Om W. Main S �,iiebiinlbini N 46052 EXEMIPTIONCERTIFICATE agricuttural use INDI DEPARTMENT OF REVENUE- SALES TAX D)Vls16N LI MITED WARRANTY I PLEASE READ PA I-hereby certi� nde 1�,`e',' �f perjury ihat lhe'�ers�naf ropbh purchased by the use of this'e�empt� ce will be pena t, p directly n ge dr,rac a9m, used ultural,proci for resale.- Pleaso'e,am E i onstiturtes all of the to the sale of this ftam selle, h6;eby expressly`.,',,` !...I be ade.w The factory warranty 'jine llhin ese parts at once. nors should acco or. u�ing or inMafiing. Retum. y c t be disclaims all'warranties; either expres or implied, including any implied warranty of merchantability or fitness for a particular' TEN DAYS'6md�musl'be ac !this 1.010E.NUMBER_This� s either assumes nor authorizes any other person to assume for it any liability in connection with the property is sold toyou with the definite understanding that it is by purchased for resale, unless .tax sale and the seller f this:ite./,�eTs. has been I added:to the pric SUBJECT N A RGE 6. ALL RETURNS SUB CT T0,1 0% RESTOCKI CH L e 9 NO RETURN ELECTRICAL PARTS. 5 7 t JO E P 4. TIME ST O R E DATE T t 7) A: 1­.%.-� ill r I J� Y 0 P x F_ r V/( Ij 1 .0 1 �S "AMNUDW P U R C HA'S 50 R b t R _0 'ul: A R'MEL; I N TAX- EX C _)32 t r j i 4 AD LIP' E bi:'`f .,T yv� TERMS 1n j r In' .1 r)r- r. Y VERY .7 w OTA DESCRIPTION t QUANTITY ""NET" t 50 k— PAR �MIVIBER,,. IJV x.17' 'g� P —8,'S T Z 0: :A:*, f. kh REM 4, C L q 7- RE CK 7; T b iR W H O ARS T -_64i 7 X T A JB I ��1 IT A 0 E n,o .6 NON 4 152 C)T A L 1 3ALI AL L Y GOODS RETURNED SIGNATURE AC IN VOICE f4ED 101USP46E A660 S 0 Ci NAPA Auto Parts of Carmel 111 M6dical-.Drive C6rmel,..lndian6 46032 •317=844 -3973 Fax:.317- 844 -6220 .Please Remit To: H &'fi Automotive Supply* 1212 W. Main St -Lebanon, IN 46052 i p r 'AGRICULTURAL EXEMPTION CERTIFICATE agricultural use N A PA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY -PLEASE READ I hereby certify under the penalties of perjury that'lhe personal property purchased by the use of this exemption certificate will be.' •r in the direct�producficn of agricultural products for resale. se le •Please examinetheseparts at once. Errors should be reported before using or installing Returns•' 'The fact warrant y constitutes all of the warranties with respect the sale of this nem /items. The seller hereby expressly G1 must be made within TEN DAVS.and must be accompanietl by this INVOICE NUMBER. This. disclaim warranties, either express'br implied, including any implied warranty of merdhahtabiLty or fitness for a part icular propert y is sold to you with the definite understanding that it is purchased lot resale, unless taxi. purpose and the seller neither assumes nor authorizes any other person to assume for'if -arty liabiliyin. connection with the has beenaddedto the price. ALL RETURNS SUBJECTTO 10% RESTOCKING CHARGE. sale of this ite�tems. y. NO 'RETURN ON ELECTRICAL PARTS.' r ti•. r r ACCT w SOLD TO DATE_ TIME STORE EMP 07 ur .Ci TY: OF CAf2ME,L,. /ItbL.ICI` F�Ei =!T .t /.2{_x /06 ,6 09 1{_s {,I {fit ?E1.JJ 19 �1J{15� t SIR 3 C T ti'. I C SQUARE" 'PURCHASE ORDER ATTENTION 4 6I_C� TAX EXEMPTION: AD t FEI" C•C)FY 0lj �i TERMS 10 5vC 'dUe. .�{)th QHA- -AGE— t? DELIVERY djLJ R .:.T0IJC:I', PART,NUMBfR LN DESCRIPTION QUANTITY,.• PRICE t: ,r; NET ;i, TOTA hdC'.:`QL1Ef? TIF FtCln FhJD 1 3o U{� �tc�, ��j, X13 r. A Lit P 5 FtE5TC1Ct�. FEE Sse•E t o1 al ':5t i x f�hMl lIAI Twit 75 .'TA7C`fAPLE 3 BA '.SIGNATURE P? 1 �ALLGOODSRETURNEDMUSTBEACCOMPAN /EDBY THIS 'INVOICE TOTAL i .'GHZ RGE .SALE r NAPA Auto Parts: of .Carmel !n. 1 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.- INDIANA DEPARTMENT OFREVENUE ;SALES 7AX DIVISION agricultural use l A PA S LIMITED WARRANTY PLEASE READ f I hereby certify under the penalties of.peilury that tbe,personal property purchased by the useofthis exemption cemfipate will be dvectly used m the' of agricultural products for resale: r Please examine these arts at once. Errors should be reported before usin or installin Returns 'The factory warranty con §btutes all of the warranties with respect to the sale of this item /items. The seller, hereby expressly 1. O m ust made within TEN DAYS And must be accompanied by,[his INVOICE'NUMBER: This disclaims all warranties, either'express orimplied, 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, unles's tax purpose and the seller neither assumes nor, authorizes any othef.person.to assume for.it,any liab ility in connection with the been een added to the prlde.'ALL' RETURNS SUBJECT TO 10 RESTOCKING CHARGE sale of tHis item /items "NO'RETURN OMELECTRIGAL•PARTS :;i l i ACCT 3 s SOLD 470 DATE N. ":TIME 1 STOR is I TY t I IFt(�1�.L �t�L I CF D���� i i �i }8 f 1 t �s i�_)061 .6ta PURCHASE =ORDER A 8 1 TTENTION .�Ib 4 SR C I Z C S Q.UrII RL C 1F2t!IE I R 0� XE PT N G x TAX E M 10 A►D EE� CSC F'�t �Ih�1:. TERMS a� e�': rllR 1. tit h i If�RC� SLp DELIVERY UJR: ICI' y, PAR7'NUIUIBEFir�a 'QUANTITY PRICE NET `k �,TOTAL DESCRIPTION; f e M x �cw�t r F E 'I E�FaT'�ERN:. �I�3� E,� R r 7 3 G ll'fT f}Fl` I3! tr f:"rc 1: 5C I� r 7;1?�+ I !T Ct I E T?E F'C}S:Ir7 r� 5N 1 `�i}OR1) pit Yli3 a f t t v I a yy 5 FdE.C�TL`1 I"I E 1 ivy T f FCM1L;:, IT t L L.. 1 �rrt 1't i RA "1 lI.. Y 7d SIGNATURE c ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE y a ;F,.alv.. `l L• Y :fit 'j' r 1.. s NAPA Auto Parts. of Carmel 111 Medical Drive ,Indiana 46032"•317- 844 3973• Fax: 317- 844 =6220 Please Remlt To. H H Automotive Supply 1212 W Main St. Lebanon; IN 46062 'AGRICULTURAL EXEMPTION CERTIFICATE agricultural use N AP A I NDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION a 'LIMITED WARRANTY PLEASE READ tr 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 q[2§ Lt 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 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 uhderstanding that it is purchased for resale, unless tax purpose and the seller neither assumes not authorizes any other person to assume for it ariy,liabiliry in connection with the has been added to the price. ALL RETURNS SUBJECT TO 10 .RESTOCKING CHARGE ...sale of.this.item(tems: NO RETURN ON ELECTRICACPARTS:' r' i� ADCT SOLD TO E DATE- TIME STORE EMP CFT tIF CfaRl /G'f7u 7�E; L)EP1'. 't 4T- Z0 '`ft� I r'r?Crr� rt' 4 w�y�. M J ,�C T V T C SQ iA# E 4 ATTENTION PURCHASE ORD ER ChRM €L :1.: IhJ TAX EXEMPTION -AD' .;.Elr' C�]pcR" 'Ihd'd TERMS 1 lb n; ci�r. 'rltt.r� '1 hli f .LIC�GJf'i C Gi 4 DELIVERY ,tUR I RIJGN PART NUMBER L' N DESCRIPTION i! QUANTITY PRICE NET ..TOTAL hl i. UTE 1G f(!!{i 1IdJ lY S��.f ��LJ� ti 0a� �7¢� r 8006 Ch -g ar 6:11 Xrnq��1 t F Iji STDC FEE.:'. S�el�t o.+.l i RC,�t 'f0 itcic W: r1ArI T�a;ac 7. TFtnl"f�B#*�.� n�� '(fir) �1tl�r: v�: SIGNATURE 71 ail CH ARGE SALE ALL GOO INVOICE, DS RETURNED MUST BE ACCOMPANIED BY THIS NAPA Auto. Pads of, Carmel 111 Medical Drive •Carmel, l'ndid' 46032:• 317: 844 3973 Fax: 31.7-844-6220 Please Remlt,To: H H Automotive:Supply:•.1212 W' Main St •Leb'anon, IN 46052 .AGRICULTURAL EXEMPTION CERTIFICATE ,LIMITED WARRANTY PLEASE READ, l A PA J 'INDIANA DEPARTMENT OFREVEN agricultural use UE._ SALES TAX DIVISION I hereby certify under ihe penalties of' pequry thatthe personal property purchased by,the use of this exemption certificate will be t directly used in the ract production agriculturatprbducts 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 itemhtems..The seller he expressly. 'must be made within TEN DAYS and'mustbe 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 so you with the definite understanding that it is,purchasedfor'resale, unless laic Purpose and the seller no assumes nor authorizes any other person to assume for deny liability in connection with the hash added to the price. ALL'RETURNS SUBJECT TO 10% RESTOCKING CHARGE.' sale of this nemfrtems: 'r NO RETURN ON ELECTRICAL PARTS.. ACCT SOLD TO DATE TIME i STORE EMP jury f 1 I {yi r W. CL Y OF CARMFL F DE I ,1,1108., tip .51 1t�c 33 1.b �cs8 w r Q4 `0Ih P.0 DER :11�LJFaf�E ,RCHASE OR TAkUtMPTION ATTENTION •y AD_ ,E Ff DOPY ,'J hi�l TERMS'.n.,: svc .:due 10th. C} N.RGE BA J DELIVERYIlI; TRtJC'F• 1. f: .ART _if LN DESCRIPTION' QUANTITY PRICE NET TOTAL L' S F n rKci 1 I� F r2. T cf r� t F Fi kcl O�rl' a 00 15� 07Q 17'x37 TF {hi SEAL -01 t"� 4 Ct�c!. :ro1 Cm}wal, W1!^� �L�F7DE 18e 357 8.'4 r E�t is E F rc c'SY ICE TUFF:. E tr.r till DX0Val a Ef 8`j ti REM I T .0 1 E iii M M T �s';. '.TFI}fTAB E C SIGNATURE' 'TO AL CliARC>^: BSI E, J a $t3 kALL' GOODSRETUFNED 'MUSTBE ACCOMPANIED BY THIS INVOICE t r r'. NAP A.,Auto Parts ,of Carrel 11'7'.Medlcal` Drlv6 CArmel,Andiana 46032 •3317 -84 -4- 3973• Fax: 317 =844 -6220. Please Remlt To: H H'.AutomoUve Supply 1212 W: Main St •:Lebanon, IN 46052 �AGRICULTURALEXEMRTIONCERTIFICATE agricultural, use, r INDIANA -0EPARTMENT OF REVENUE -SALES TAX DIVISION,.- LIMITED WARRANTY PLEASE READ r A f hereby certdyunder [hepenallies"perjury that.the. personal property purchased by the use of this exemption certtlicale will he directly used in the dik production of agricultural, products for resale. Please examine these parts'at once should be reported before `using or installing Returns The factory warranty constitutesallof the warranties with respect to the sale of this nem�tems'The seller hereby expressly O must be made withinrTEN DAYS and mush be accompanied by this INVOICE.NUMBER. This,, disclaims all warranties,.eith u express or implied, including any implied warranty of merchantability or fitness for a particular "propekyis sold to you with the definite understanding that if is purchased fof resale, unless tax Purpose and the seller neither assumes nor authorizes any other person to assume for it 66y liability in connection with the has been added to tFiepnce.ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE: sale of ihiscem/items: f NO RETURNON ELECTRICAL PAflTS"`'h r c Y ACCT DATE F, 'TIME, STORE EMP;# C TY'.CJF tF+f1 =L�F' lLjt t...DEP' T cat :I �t� °sli �i� t r SR, PURCHASE<ORDER`# j ATTENTION C T u:'I I QUARE tI1rL sta Y f.: rE MPTION: AD 41r;;,3� TAX XE EEC..'Q�"! Y, '.:I �+tV� TERMS i� 't r i r �a H� r^wr carry 'car t' DEL'IVERY. PART NUMBER LN`; DESCRIPTION a f E M, QUANTITY: PRICE �l� NET TOTAL Q0J 5.4 E187 'a Ep r. 9 R tl?alt{ 00 1. �6r °T£7` 1;7' E3F; HAi�1D�..E QR",1V:E-R 1�'!� 14 t� s:, Sa.S c'. ?a 7 a I t 1a7 �hti RA'r't1H T t 4 fl,'� 1 c�tf,° 21. 7 2 �tL�� t t i r i yid t r r 4+ r r c l Y I t3� 3 rzI✓ S 3 TtJbly FEE S ►A13Iy 0 t a'I 3 *c�t� w MAAa TJ rAXTA.P L Cie! 1 bra SIGNATURE CHARG SALE y ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE t r x s ate" NAPA Auto: Parts of Carmel t 1'•11 nd Medical. Drive: a Carmel, In'dlana, 46032 •317= 844 =3973 Fax 3 7m8447'6220 Please Rerhd To:_ H H Au6inotive Supply 1212 W Main St •Lebanon, IN -46052 AGRICULTURAL EXEMPTION CERTIFICATE i IND agricultural use ANA DEPARTMEN T.OF REVENUE 'SALES TAX DIVISION. w LIMITED WARRANTY,- PCEASE READ f AN I hereby certify uer tho hegenalties of perjury that the personal property purchased by the use of this exemption certificate will be directly used in the direct productionbf, agricultural products for resale. Please exarninethese.' arts atonce. Errors shoultl be re orted befoFe usin or installin Returns• .The factory warranty const Lutes all of the warranties with respect to the sale of this item/items.The sell hereby expressly, p p p y g g disclaims, all warranties, either express or implied, including any implied warranty of merchantability on fitness for a particular must be made.wrthln TEN DAYS and:must be accompanied b ,this INVOICE'NUMBER This; purpose and the seller neither assumes non authorizes. any other person to assume for it arty: liability in connection with the'. property soldto you with fire definite understanding that rt is purchased forresale, unless tax. sale bY•ttiis iteni/items. has been added to the price. ALL RETURN SUBJECT TO RESTOCKINGAHARGE.' '..x NO'RETURNON ELECTRICAL PARTS:'.*- I 'ACCTf# II ,SOLD TO DATE TIME STORE �j EMP 7� p t I a; C ITY:'C1E� C =i F�1 l�.:L:f ffICE'..I2FP �yl.�t7 'vt3 r E cF �}s t`�, 1 C L V.I C tits UA'R PURCHASE ORDER_# AT t t r tot �L,r� T'AXEXEMPTION AD1=f} t�t]I 1 1� ti�i TERMS`�n ,r� �Ie 11��_ L t >>Mtvt3L �F�s {a LJUK 1 h(IJLIM Y VERY; DELI r t a.,. PART`NUMBER` LW i DESCRIPTION} QUANTITY 'PRICE NET TOTAL'�F t.,., iS5 THM Ti WEIZM0ST AT ter awa.GiC t r p...j 8 1`�?�• Ch-e; v r a'1 I m w: L_ C T L� V Ct t`iJ s av a. r l; u f r oI 4F� 1 x f 5 RESTOCK OCK F 1 (4Eim1T .h# iA1 -N T t C KTi E" g. a a w t s u, e I C.'3Al�Cd 1� e j X SIGNATURE G 1 OT�iL F�CaE SAL FT, A ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE .a �nrn :l� .nn b ,:.•.V t..... ..t r _Y' 3�. r. t! 4 y S, NAPA Auto Parts of Carmel 111 Medical.: Drive Carmel, Indiana 46032.317= 844- 3973'o Fax: 317.844 6220 Please Remlt T6: H -H Automotive Supply •;1212 W. Main St. Lebanon, IN 46052 r -AGRICULTURAL EXEMPTION CERTIFICATE f 1; INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION' raI EAD rlPA 9 0 a ncultu y :LIMITED WARRANTY PLEASE.R hereby certify under the penalties of perjury that the personal property purchasedby the use of this exemption certdicate wilPbe" directly used in the direct production of agricultuml products for resale., Please examine these arts at once.' Errors should bete ,rted before usin or iostallin Returns 'The factory warranty constitutes all of the warranties with respect to the 'sale of this item /items. The seller.hereby expressly G> 'riiust be made within DAYS and must be accompanietl by this INVOICENUMBER .This'- 'disclaims all warranties; either express or implied, including any implied warranty of merchantabiiby.or fitness for a pamcular property issold,to.youwith thedetiniteunderstanding that it is purchasedforresale, unless tax purpose and the seller neither nor authorizes any other person to assume for Ranyilia6i6ty'm- connection withthe has been'added to thepiice: ALL:RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this iter /items. NO RETURN ON ELECTRICAL PARTS t ACC _.5� ,SOLDTO DATE TIME EMP o T TYf 01r G PiafEL I�'QL_ 1 GEE .L}E�"'T t c 1 I c�B a t 1 t ���t.:�C�L 3.,` SR C I V I C�UARE P,URC.HASE:ORDER ATTENT10,N CiffIR fEh, 46s w TAXIEXEMOTION- pop L'ap� AD 7 fry C0 Y I lxl if TERMS' n ti t 10 ht CI7IA RC2E '.S�1�.I_-' y• l.1 1:TRt:lM DELIVER .4 R TOTAL 14. v r PA`RTMUMBER„ e ;s LN _j t DESCRIPTION QUANTITY PRICE NET 6,9. AlG ;r 8;} 4,,. ADO'- D3 PAS. t�� a �1 10t1 �i� rAJ3 7 f�IJC D ISC i AO: •5`'` s X if -7 T 1 t r l ESTOCI FEE F2L1'fI C l i .W IYIt t�I T f x. it 1 E. AI�lQN l IV E zt t 1 k L X `(t r SIGNATURE TC�:1(!L Y CH(tR E, _SAS. F 2 i t t a ALL GOODS RETURNED`MUS_T. BE ACCOMPANIED BY THIS INVOICE�'� L .ri .'a... :.+:4T... a�:' i Tl�y '(biz. f NAP A Auto .Pants of Carrriel 5 ,111 Medical Drive`• CariteI Indiana 46032,• 317- 844 3973,`•'Fax: 31:7 844 =6220 Please Re To; H. H Automotive Supply 1212 W. Ma+n St •iebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE a ricu t SE R use lND1ANA'.DEPARTMENTOF REVENUE SALES TAX DIVISION, g l NAPA 1 LIMITED WARRANTY. PLEASE READ I hereby under the penalties of perjury that the property purchased bythe use of This exemption certificate will be: f ea directly used in the direct production oPagriculti ral products for resale. P h r ..;g lse axe inattiese arts at once. .Errors should.be: re orted before using or installin Returns The factory warranty contit sutes all of the warranies witespect to the sale of this item /items. The seller hereby expressly;, 41 mus4 be made within TEN DAYS and musPbe accompeniedby,this INVOICE NUMBER. This i disclaims all warranties, either express or impli ed, including any implied warranty of merchantability.or fitnessfor a part icular. propertyis sold to you withthe definite understanding that it is, purchased for resale, unless tax r purpose and the seller neitherassumes nor authorizes any_other person to,assume for rt any� T,ty in connection with the ,has been added to tne` price, ALL RI= URNS SUBJECT TO 10% RESTOCKING CHARGE i sale of this item /items.. t i. •,.`NO RETURN.ON ELECTRICAL PARTS." ""+Pn ra'n r }w a s r 3 ACCT t r SOL DTO a DATE i r'' TIME} STORE EMP e o S'I`T`; UE L'EibzlLl�'I�LICE I7EF °T t�1 P'URCHASE`ORDER r ATTENTIONS .ASR #IU.L�lJA2.E I CI ZMEL TAX A E'Ef -.CC) :'II'd�! TERMS I 1 1rr .rltr�t 1 i1I ht' lcitni r x DELIVERY: IJP 7RU F PARTNUMBER LN DESCRIPTION t QUANTITY f PRICE NET x TOTAL n a J, r c�3E Chjl e I arf IL? V� 4} I MAN G TEldTn t Utz ft5•1t.y.; ..y r7S RC�Y GI )RE' Df` t ;D i J r p� i ty Z1 f,Y RES7C)Cfv' FEES. +.t „aI hll pp 7 tyyryry '.'CD g n hh� r lc F rr l� !�l lVI�I <hl Tars 7Y= tT,E' 1 �CSpt�43tY Ilrl+' Catl,�j E t •r ',ha e k rte 2 1 k i k r4 4 far 3 k 2• i SIGNATUREL r r &r q ALL' GOODS RETURNED MUST BEACCOMPANIED'BYTHIS INVOICE es NAPA Auto;Parts of Carmel 1111 MedlcaPb VLi' -tt rmel, I rid i na 46032' 31'7 =844 -3973 317 -844 6220 P /ease ReMit To H.& H:Automotive_Supply;•�212 W. ain St �l:ebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANADEPARTMENTOFREVENUE SALES TAX DIVISION' �:r A LIMITED WARRANTY PLEASE READ APA I hereby certify under the penalties of perjury.that the personal property purchased by the use of th ex Ado certificate will be directly used in the direc produchori of agricultural products fopresale: r -r ect t the I f i .The seller hereby e x p, Please examine these parts a(once! Ercors'should be reported before using or installing Returns •The factory warrantjconstitutes all of the warranties with resp o e sa e o this item /items y p y, must be made within TEN DAYSand:must be accompanied by this INVOICE NUMBER. s This ,disclaims all warrantsg�, either express or implied, including implied warranty of merchantabilityor fitness for a particular. pFoperty is sold to you with the definite undersfariding that it ispurchased,for resale „unles tax .Purpose and the�selleT 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 Remlrtems a 7 NO RETURN DN ELECTRICAL PARTS i 7 }1tl ACCT# ,.ri ;ell c SOLD TO DATE h TIME STORE# e 1 TT` `CSI C'1F�i'�ICI_ -PDL ICI }EI�T, R ..OY2'8/0.1 11 ;w !t LO C)c c�F1 1 SFI3# 3 CiV;:tIC.G�I�(E PURCHASEORDER:: ATTENTIONx CARMEl I I I r•_ r� ,�i >3a TAX°EXEMPTION: aREpAII'a AD EL' "'GtJa+NI�a�: TER HA�RfiE F S Jl; .l•Rucv 'DELIVERY %t "LN r DESCRIPTION QUANTITY f PRICE NET i :T r WI c 14. fG der- Sc rk, �c I I tL�1.E 1 :0( "f 1 8 o .�5f �1.':rt It�aicier 4 1s;ttt S!"I r�RC] FL�:�T t7CL E.]L7EI2 fis �A1��' _a �;�a °4 4 Z. ..,r E RE T 4C.I': EE 4 Ala° a� c T 67 RD.1 l T 'U 1 c 1 :W MA I N Te�SI�E L'E I AN 4h! I N, y E,05 .t SIGNATURES TC;TfL CEiAF�L,L S LswE .ALU GOODS RETURNED MUST BEACCOMPANIED- BY,TH/S INVOICE NAPA Auto Parts of,Carmel 11.1 Medical:Drive •Carmel, Indiana 46032 31;7 844- 3973'•,Faz:-317 .844 -6220 ease R emit To: H Automotwe Supply'1212 W. Main St .Lebanon, 'AGRICULTURAL EXEMPTION CERTIFICATE agricul[uraLuse INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ NAPA t d hereby certify under the enalbes of er u that he ersonal property purchased b the use of this exemption certificate will be Y Y P. P I N P P P y P P in the direct production of agricultural products forresale`, Please examine these aits'a( once. Er}ors should be re orted beforeLsin br installin Returns The factory warraQ constitutes all of the warranties with respect to the sale of this item /items. Th let hereby expressly G7 must be made within TEN DAYS and must be accompanied by.this INVOICE NUMBER. This. r disclaims all warranties, either. express or implied, including any implied warranty of meichanta6ihty or fitness for a particular s per .is sold to you with the definite understanding that it is purchased' for, resale; unless tax' purpose and the seller neither assumes norauthorizes any other person to assume for it any liability inconnection wrtti4he z, has been added to the price. ALL RETURNS SUBJECT TO 10,1 RESTOCKING CHARGE.y.., sale of -this aehtams: y I Gi t i N ELECTRICAL PARTS: a t ACCT SOLD TO a� b DATE TIME STORE EMP 6 C'ITY`'`LlF .'G 6}1EL' °tlLICE :D 'l r� 1t► 1. ,a i AT TON` SR C I V:� G StJfiE 'PURCH�\SE.ORDER:. #TEN7 CIRPMEL I.IN t Y ra`� 4��isc TAX�EXEMPTION� l �r AD7E TERMS crf h i F1af?t ti DELIVERY fl�i�N I. r �bPART'NUMBER LN. r DESCRIPTION QUANTITY .PRICE 7 NETTOTAL 543 --!a/7 F�f�T �AT�FRY {�0;. I ��u SGca �7 Ct E Di OS f.: r�Ja�t 7 sabtot-al CE Fr 1 4 Ef I �p y O �1 L L tH�I T h f[/J^Jff T 7 i 3 3 1" E t 1-.EBh Yt4 1`.1 A ALLGOODSRETURNEDMUISTBEAC 0 THIS T.Q I ��l ,'S1LC, .�4'+ 1 NAPA Auto Parts of Carmel 111. ca' I Drive •Carmel; Indiana 46032 •31.7- 844, -3973 Fax: 317? 844 =6220 Please Remit To H &;_H Autoinotive'Supply •:1212 W Main St Lebanon, IN 46052 Y AGRICULTURAL EXEMPTION CERTIFICATE any'liability DEPARTMENT O in INDIANA. OF REVENUEt SALES DIVISION agricultural use LIMITED WARRANTY: PLEASE READ NAPA 1 cerlity under the penalties of perjury that the personal property purchasedey the use of this exemption certificate will be directly us'd in the direct production' of. agricultural products for resale. Pleas e'examine.these, arts at once. Errors should be re orted before Using or;installin Returns "The factory warranty constitutes all of the warranties with'respectto the sale of this item /it ems. The seller hereby expresslyi must be made within,TEN.DAYS and must be accompanied: by lhis'INVOICE NUMBER. This disclaims all warranties, eiiherazpress or implied, including any implied warranty of merctiantabiliTy or fitness fora particular 'property is sold to you with the defihite understanding that it is purchased forresale, unless tax Purpose and the seller neither assumes nor authorizes any other person to assume for ft connection with the has been added to the price. ALL R ETU RNS.SUBJ ECT TO I0 RE STG CHARGE: T ..NO RETURNON ELECTRICAL PARTS.' OCKIN sale of this itemltems x r SOLD TO DATE r TIME STORE EMP o t S n {M °,s• `Cl1",y. =bfF 7 i Lt rCaL..ICE .i ili'�fiaA t��� i�ac�t�t`_)F.1 3:� ��a ���<���'F ATT ENTION 'x 4E,i) TAR,EXEMPTION'w QD �EE� N�1 TERMSd ,vt `rllir� "1t)tfi C1= 1Rt;FF�1 C4 i t DELIUERY.F I {R TRUER.. ti PART NUMBER 4 C�UANTITY k f .PRICE NET E, TOTAL ti DESCRIPTION 'air'' ICJ k L�Ii�L r "?t✓)� �a �,'t�t) 4' �.0t)�� ctivr r•p {tfPtS c t]W IJ 1. #T� R la l Fd LCI:DE aw't) nc3 t 10. E3 C�'1 e v 01 tit 7rl l 3 u f Ff rN 2, a ;r `c REST{ CF SCE Iat'6 ,:7 ;fit, 1 REMIT. TO 1 2t M htl�` 7T' 77ff t l h1 ?Af vT,�.' Vi Lt4 y': 'a Ci �k.1 d a I i 1 (SIGNATURE T.GTAI. S ALL GOODS RETURNED MUST BE ACCOMPAN/ED:BY THIS INVOICE Ilk J t p NAPA Auto Parts of Carmel ;111 Medical 46032.:• 317- 844 -3973 Fax: 317- 844 -6220 Please Remlt To:.'H H Automotive Supply •.1212 W: AGRICULTURAL EXEMPTION, :Main St. *Lebanon- IN 46052 ta: CERTIFICATE 'agricultural use INDIANA DEPARTMENT ?y OFREVENUE SALES TAX DIVISION WARRANTY PLEASE.READ AN RP I hereby certify under the penalties of perjury that the personal property purchased bythe use of this exemption certificate will be directlY in'the direct production'of agricultural products for resale. Please examine these parts at once. Enors shoultl ba reportadbefore using or installing. Returns: 'The factory warranty constitutes all of the warranties with respect to the sale of ihls itemltems. The sellerherebyexpressly must be made within TEN DAYS and.must be accompania by this INVOICE NUMBER. This disclaims all warranties, either express or implied; including any implied warranty of W� hantability or fitness fora particular, property is sold to youwiih the'definite understanding that it is purchased for resale, unless [ax Purpose•and the seller neither assumes nor authorizes any other person to assume for,it any liability in connection with the •has bean added to the price. ALL' RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this ite tams: NO RETURN ON ELECTRICAL PARTS.: t W. ACCT SOLD'TO DATE f TIME STORE EMP C 0F' 'CARMEL` E`'DEPT 1!r-�+l'0t 15:2 �1t�S�c>c�G1 ".,J ?�E�? 3 Q1 v C SCUM R.# t TENTIONIF SR:# CARMEL IN TAX EXEMPTION: PURCHASE ORDE AT:' EFR C✓LIf Y Ihl4� TERMS, Svc ,clue ifatrz l I JF-HUL. .ta Gtt AD i DELIVERY: C t PART NUMBER LN. DESCRIPTION (QUANTITY i! PRICE '1, :NET TOTAL y r a. rF,'' F IL, l�ifl °illJC]LD; C1SI� YI�TER i_= t? 9 7ci 4n;{J.o'H0 L7R c57o h2E TCICF�,: FFL L, v 35 Cog x RFI F .Cl 1,t 9 rW tH l h{ i 1'� it .t' T�XTAIL t rau it'r LED NON X \SIGNATURE TOTAL CHARGE SALE. 1 A GOODS RETURNED MUST DE ACCOMPANIED DY THIS INVOICE NAPA Auto Parts,of. Carmel i t 1.1'1 Med.ical'Drive'• Carmei,'lndiana 46032:• 317- 844 =3973 v Fax;.317- 844 -6220: G. Please �Remit &H Automotive Supply• 1212M. Main�St: •LebanonIN:46052 AGRICULTURAL EXEMPTION CERTIFICATE gricultural use E AN 3 INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I hereby certify under`the penalties of perjury that the personal property purchaser) by the use of this ecertificate will -be F directly used in the direct production of:agncultural products for resale. Please examine these parts et once. Errors should tie reported before using or installing. Returns The factory warranty consatutes'all of the warranties with'respect to the sale of this.11emAtamslThe seller hereby expressly,- must be made within TEN DAYSandnustbe accompanied by this INVOICE NUMBER, This disclaimaall wadannes; either eXpiese or implied,'including'any In,plied.warranry of merchantability or fitness'for a parlicular properly is sold to you with the definite understanding that it is purchased for resale; unless laic purpose and the seller neither assumes nor authorizes any other person to assume for n any'Ilatilliry in connection with the has been added to.the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE: -sale of this ite�tems. NO RETURN ON ELECTRICAL PARTS.' ACCT I r, SOL D TO DATE 5 "TIME $TORE'# EMP T G.I F' bARME L `F'� GI �t= pEF! r►t.:�l7 t r�i17 R"# a PURCHASE.ORDER ATTENTION S 3 CI,V1C 9QUARF=. f l# CA MEL, I f`! TAX' EXEMPTION F DELIVERYUR TlUCK PART!4 L`N rDES.CRIPTION 'QUAN TITY f ORICt NET :TOT f.f {1..1�: I:. lS.1'! 'f�C Y14'S:7 R t 't.,��. tea:: X47 L' S'F I IU SELCGT £]IL 3' 'F1LTR i:co.f 0 f4 c�i� °i `p -s8 5, RESTOCK' FEE Subt of a1 56 r1' RAM I T 74 i. E i c W Mfl t T�I `x 7 `i"AxTi�$f�I 0i T�e,� X 1- SIGNaTURE TO'T AL G1- fARGEA�E y t ALL.GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE A. C 0 INDIANA RETAIL TAX EXEMPT PAGE 1 Ca ��CERTIFICATE NO. 003120155 002 0 1i PURCHASE ORDER NUMBER .y Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1896 3 NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4'r nt bier 17 l e nato VENDOR Boone County Automotive SHIP City of Carmel Police Department 1212 W. Main Street To 3 Civic Square Lebanon, IN 46052 Carmel, IN 46032 .CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION alternator car 23 272.01 4 C 911 B 0 ro �x 0 i 8 Send Invoice To: 3 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 370 repair parts PAYMENT l• A/P'VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY b """777 o PURCHASE ORDER NUMBER MUST APPEAR ON ALL 1 �4 4 rs*Y,t�t �r'7�T �5 a SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 1 9 CLERK- TREASURER DOCUMENT CONTROL NO A•• COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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.-..._.--_......-------....'........................ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. 18962F 1212 W. Main'.-.Street Terms Lebanon, IN 46052 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/5/08 payment for repair arts-and oil /air filters 1,947.57 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 oone County Automotive IN SUM OF 1212 W. Main Street Lebanon, IN 46052 1.947.57 ON ACCOUNT OF APPROPRIATION FOR p olice general fund W 3 Board Members l Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 321 291.64= bill(s) is (are) true and correct and that the 1110 370 872.12 materials or services itemized thereon for 1110 510 511.80 which charge is made were ordered and 18962F 370 272.01 received except December 5 20 08 &t"t P -b Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund