162271 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $153.31
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 162271
CHECK DATE: 8/7/2008
&EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2120 4237000 7996 153.31 REPAIR PARTS
H &H Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street 4APAD (317) 896 -5615
(317) 896 -1820 Fax
Lebanon, IN 46052 -2324
NAPA Auto Parts of Noblesville
(317) 773 -3180
(317) 774 -0932 Fax
(765) 482 -1180 Remit to:
NAPA Auto Parts
(800) 924 -6831 Boone County Automotive, Inc. Carmel
(317 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fa
*LOOK FOR UPCOMING TOOL FILTER SALE AT LEBANON —SEPT
BILL TO STATEMENT
CITY OF CARMEL -FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN I✓.CT w SNit ?1PAGE`
7996 43 1
Af
46032
NDXTE mow_ WfRE-i MREFERENGEc. AM "AM07 UNTO.- 3 w_- PK0:'l.Cr1EC'r<tJ..E
06/26/ inv 702055 73.81. Cr
06/27/08 Inv 702196 24.75
06/30/08 Inv 702402 19.87
07/03/08 Inv 702720 20.52
07/14/08 Inv 703596 47.96
07/14/08 Inv 703652 37.12
07/17/08 Inv 703961 7.98
07/23/08 Inv 704509 14.48 GATOR
07/23/08 Inv 704545 9.24
07/24/08 Inv 704607 39.98
07/25/08 Inv 704833 5.22
Summary as of 07/25/2008
Previous Balance 252.13
Payments 252.13Cr
Purchases 153.3
Current Balance 153.31
Future Dated 0.00
URRENTIN
153.31 0.00 0.00 0.00
DATE 07/25/2008 o :Ga �10zwed., 153.31
TERMS No svc due 10th
STORE 100006128 0004 �ss�� T o f a1 D u e` 153.31
r 1
.,NAPA Auto Parts :of Carmel r
111:Me'I" V Drive'• Carmel, Indiana 46032'-311_844- Fax: 317- 844 -6220
lease.-Remit-To.- H.& H 'Automotive;Supply io'1212 W. Main St •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agriculfwalvse
AN INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
Thereby certify untlerthe penalties of perjurythai the personal property purchased by the use of this exemption certdicate will be
directly used inthe directproduction of agricultural products for resale.
r Please: examinethese parts at orice. Errors should be}epoAedbefore. using,or installing .Returns "The factory warranty constitutes all of the warrantieswith. respect 10 the�sale of this itemltems. The seller hereby expressly'
C t' mu54.be'made:within TEN.DAYS:and must be accompamed _bythis1NVOICE NUMBER: This r, 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, unle any other person to assume for it any
ss tax .Purpose and the seller neither assumes nor authorizes .liabdity 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'.
T
ACCT Y' ':SOLD TO r DATE, TIME::. STORE `EMP F,=_ Fa CIT -Y '0 C�FtRMEL EI_ gym I ;.cti7 lUttc1CjE,I -3U
SR fat�f1R PURCHASE "ORDER# ATTENTION
,Ct' RMEl.,, J l�l
lt;a atj ',c.. TAX ,EXEMPTION::;
AD TERMS t3' It .di=i£a::� t� h C 'FtET1 IT ME 'i! C)'''_
26 IIUR.' TRUCK
DELIVERY:
PART'NUMBER LN DESCRIP,TION QUANTITY r P.RICE NET:
ET ;TOTAL
u` 513 BFI CXHAUST 4 1 NX550F"� :I tat CC?� 490 49e 99 J`
49'n 99CF;
gII
6440 iET AIR F11 R K t:} c a 51
tt' �tt� a.z;fa•C Rte
Gr:�+f37 �,F'I.' faTf FALTER —F t�ty 1.7n 4#3� Ta ;tt�a
RE�1 °C)Ck- f EF_ ar_�:u. L T �n A 1 CR
REMIT TO ,]�1 W MF�Iht Tr 7 Tt�XTAPI.F 1^E1hEfJrr} T I�1 4 t a
Y
SIGNATURE
TQ,TAL C f.2ET�I1 MEMO `�3
ALL 606DS BE ACCOMPANIED BY THIS INVOICE
:NAPA Auto Parts of, Carmel
:;111' Medical:Dri�e.• Carmel;' Indiana 46032•:317- 844 3973'• Fax: 317= 844 -6220
Please Remlt To: H &''H,Automotive Supply 1212 VU: Main St -l_ebanon, IN 46052
r •AGRICULTURAL EXEMPTION CERTIFICATE agriculturallse Fj.,
I N A PA I undINDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
f LIMITED WARRANTY PLEASE 'READ
I hereby certify 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'agr6liural products for resale.
Please examine these partsat once, Errors should be reported before using br installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this dem/items. Tfie sellechereby expressly'
must be made I DAYS andmusI be.accompamed'by this INVOICE NUMBER: This disclaims all warranties either express or implied
lincluding any implied warranty of merchantability or fitness for a particular
pproperty issoIdto you with the definite understanding that it is purchased for resale, unless tax Purpose antl the seller neither assumes no authorizes any other person, to assume for it any liability m connection
with the'
has been added9othe price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE.,,' sale of thisitetems:
'.'..INO.RETURN ON ELECTRICAL' PARTS.
r ACCT i SOLD TO DATE 'TIME' .STORE: EMP
DEf /r:7'�!! 1�r ai 1:t�t�tt-a��,1�ti'"
$R'# PURCHASE:ORDER •ATTEN
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TAX <EXEMP�TION
°AD TERMS: 1 t t�F-1HHUL
t'? e
DELI 171 IFS P ►JI:K
4 s
?PART. NUMBER L'N DESCRIPTION QUANTITY:.,,' 'PRICE NET TOTAL_
n 4 3 3 ,:lTFf T:1 RC a���_ -T�1 ()O: rye 5 (3> tip 310 ��j M
q.
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SIGNATURE- TO I i1L; CHI RGE_- SALE L jF
AL G GOODS RETURNED 'MUST BE ACCOMPANIED BY THIS INVOICE
t
1
NAPA Auto -N rts:bf Carmel r
Medica(biive:.• Carmel, f6diaria 46032. 317 -844- 3973 Fax: 317 844- 6220:
Please Remlt To: H &.H Automotive Supply 1212.W. Main St •Lebanon, IN 46052
i .AGRICULTURAL EXEMPTION CERTIFICATE
r 'agricultural use
N
APA r INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION: LIMITED WARRANTR- ,PLEASE READ
I hereby certify�under theperialties of perjury that tha,peisonalproperty purchased by the, use of this exemptioq certificate will be
the dvect production of agncullural productsfor resale.
+`Please examine these'paAS at once.. Errors should be reported before'usuig or installing.',Returns °The factory warranty constitutes all of the warranties with Fespectao the sale of this Itemltems. The seller hereby expressly -f
%musYbe :made within •TEN'DAYS and,must be.acdompahiedby 1hisJNVOICE NUMBER. This 'disclaims all warranties, either ezpiess or implied, including any'implied warranty of merch2ntabiliry:orfttness fora particular
property.is,sdld to you with the definite understanding that iCiapuictiased4or resale; unless tax Purpose and the seller neither assumes nor authorizes any, other person to assume for it anyfiabihry in connection with the
has been- aiided tome price. ALL RETURNS SUBJECT TO %`RESTOCKING CHARGE: sale of this itemAtems.
NO RETURN ON ELECTRICAL PARTS
ACCT l I SOLD TO n DATE t TIME STORE. EMP`#
1. 7 RE �?ErC�T t xt I fl?
PURCHASE ORDER ATTENTION. T
L'
ee
43 W fit:} TAX EXEMPTION:
AD TERMS:'io s��c d tP AOth ;CHARGE., SALE
r ,.t7 ter" 'DELIVERY: IJR?'. T�;L!CF' R
t k
PART NUMBER LN
DESCRIPTION QUANTITY „PRICE"` ;NET TOTAL
r
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TOTAL
i SIGNATURE
t ALL GOODS RETURNED. MUST BE TH/S /NV,OICE
W
NAPA.'Auto Parts of G arm el
A
317 844
1��zll 1 M6'd'i '844-3973--- Fax: �0
Please RemiVTo:. H .&'HUto
tive Supply •.1212 W."Main t- L ei ban6n IN 46052
F
ral use, N APAI
AGRICULTURAL EXEMPTION CERTIFICAT�
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricullui
niby CiIhi� 6nder LIMITED WARRANTY PLEASE'READ
I p6iIlfle�� perjury that the'�es6�51 proloSrty purchased bydh
',of e
use of this exemption certificate will be
in connection 6r installlrg� Returns he w arranties with respect to the safe ;f t his iteimitiir�s. The seller hereby expresil�
dire��u�6di6tHbdl�6�t'omdbcti6nof:agricultur�lpr6di�t�!orre�ale. 1. .4.
P Please examine these Errors"!3h '�e' r4 o
prte before' usin d T factor" �Snantycohsth. a o I �Sr i
disclaims all wafrafifies,either expres or impl[ed, including any implied warranty of morchan!albility*w fitness for a paparticular. m u s t be made w�jfl�in,TEN DAYS and must be ac �mpaniecl by this-INVOICE NUMBER..This
stand g that it is,purchas6d.for re purpose ane seller neither assumes nor authorizes o th e r f i
orzes any oer person to assume for a liability tion ��th the
'NO RETURN ON ELECTRICAL PARTS:
1I with the definite under in sale; unless tax I pab
li
property IS Sod toryou N d the th
Sale of this item/items,
h.s,been added to the price: ALL RETUR SUBJECT TO, 1 0.%. RESTOCKING CHARGE;
E
SOLD
7.9.
DAT
_AC it ".711ME' jlj STO A E Emp.
C1 7 3 D L It 5'g-1'1 j. 000-06
SR 1Y i0
j:F� QARME L.*i"FT�� M 7,11
:t ON
PURCHASE
A t 4 ATTENTION
1 _31,
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PART'NPM C ;,.,:OU'AN Y". PRICE NET'!:'
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4
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ALL GOODS RETU B E ACCOMPANIED BY THIS INVOICE I 1
777
41
w r a 1i31 a s r
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NAPS► Auto Parts of Carrel r h
111 `Medical :Drive ±Carmel, Indlana;46032 317- 844 -3973 9'FaX 3,17 844 62201
Please }Remit To: ,H H;Automotive.:Supply •:1212 W. Main St •Lebanon;;IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
,'INDIANADEPARTMENT,OF REVENUE- SALES ?AX DIVISION'• agricultural use
NAPA f LIMITED WARRANTY,- PLEASE READ
I hereby certify under the penalties of perjury,that the personal property Purchasetlby the use of this exemption cerhhcate will be`
dictly re used in the diiect, production of agricultural products for resale.
Plesse examine these arts at once:: Error's should. he re orted before'usin or insiallin Returns.' "The factory wairanty constitutes all of the warranties'mth respect to the sale of 'this itemmems .The seller,hereby, expressly'
must bemade within TEN DAYS and musfbe accompanied by ihis.INVOICE.NUMBER. This disclaims all warmnties, either express or implied, includind any implied warranty of, merchantability or time" lgr particular
property is sold to'youwith' the definite understandin that it is purchased -tor Fesale, unless tax P
has been'added to•the'price. ALL RETURNS SUB urpose andthe. seller netlher assumes nor authorizes any other person to assume for it any.I abilRy m connection with the
JECT TO 10 RESTOCKING CHARGE., sale of this itemAtems.
NO ON ELECTRICAL PARTS.i:...'
ACCT SOLDTO, g 'DATE' TIME 3 STORE# EMP u
k r a a,.
t"Caf�t�ii [E tJF'� 7 f. �a �.�8' F i'� t t �sz” 9 7 a
Ll RDER;# TT
PURCHASE'O AENTION
6(t TAX EXEMPTIONi'
j
AD TERWS VC d i'c�th CWARk
`W r IP fiRUL�N
RY
DELIVE.
PART N
41�
UMBER .LN DESCRIPTION QUANTITY,' PRICE
t�l
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F'
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1.
o
i
.47 AF
4
ni
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REi?t�T Tin f tTt�i 'i`s�RLE- Iyr�a
4 y
SIGNATURE'
TOT-AL' rwra 6E sIaL.E c44M
ALL''G00D S:FfkTURNED MUST•.BE ACCOMPAN/ED BY THIS INVOICE
,-tea„
t
W.
NAPA Auto arts o arme
111 Medical Drive'• Carmel 46032.• 317- 844 3973 •:.Fax 317 -844 6220
Rlease Remit To; H &;H Automotive Supply •_1212 W: Main .St •Lebanon; IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE i
e' L INDIANA DEPARTMENT OF REVENUE,: SALES TAX DIVISION' agricultural use
N
AP& LIMITED WARRANTY PLEASE READ
1 hereby certify under this penalties of perjury that the person property purchased by,the use of this exemption certificate will be
°.i'.- directly useilin production of�agricultural p
he direct roducts fob resale.
.Please examine these:' ans atonbe. Errors shouldbe re ortetl before usiri of installin .Returns The factory warranty' constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly,
mustbe.made wlthim.TEN,DAYS aridmust be accompanied by'this INVOICE'NUMBER. This disclaims all warranties, either express'or implied, including anyimplied 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 t liability in connection with the
'has been added to the puce. ALL RETURNS SUBJECT TO 10% RESTOCKING. CHARGE. sa e of this itemrtems
1
'.NO RETURN ON ELECTRICAL PART5+
ACCT r SOLD TO r` DATEi. .TIME STORE EMP e
f �1':!tlU13':
f'Cff+lEl: F I FEE TJET
SR T 1 1 �G?lJ�i�C PURCHASE,ORDER z :A N
TTENTIO
i 'ME I i gg,
j,F i' �'C.JS„ f r 44 13
TAX EXEMPT ION 7
A
t� :AD TERMS
f �u.
DEL'1VERY.
f
I
j ;,PART'NUMBER LN DE$CRIP.TION,' QUOfffY; PRICEv ,;tNET TOTAL t
t+i TCH 7u0 :6 x.140
E,M Ri
t 4,7sa i��. ,t v R
J h t
y
4.
x
i
-'REM iglu i�I�Thi rti 7/ T�XT�ISLE
L �,Y�At`itJl.`l J lty'��Ctl 3' tt 3 i
5
X R r
SIGNATURE
70T AL GH�2RGE S�1Lr; F7..3tt- F
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS ,INVOICE,
NAPA Auto Parts :of Carmel
11,1 Medical Drive Carmel, Indiana 46032's;'.317-84 Fax: 317- 844 -6220
Please Remlt To`.H H.Automotive Supply 1212 W. Main St •Lebanon, IN.46052
'AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
AN
AN A
C INDIANA DEPARTMENT OF REVENUE.,SALES TAX DIVISION
LIMITEDWARRANTY PLEASE READ
bhereby certdy under the penalties of perjury that the personal property purchased bythe use of this exemption certificate will be,
directly used in ih`e dvect'productiomof agricultural products fdriresale. t'
:Please examine these parts at once.. should be reported before usirigbr installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale'of this neMitems. The seller hereby expressly
must be made within TEN DAYSand must be accompanied by' this INVOICE NUMBER: This ,disclaims all warranties, either express or.implied,.includirig any implied warranty of mercfiahtability or fitness for a particular.
�..proparty is sold to you with the de ite'u rstan c that it is purchased for resale, unless tax Purpose and the seller net assumes nor authorizes any other person to assume for it any liability .in connection with the j
:has been added to the price: ALL RETURNS SUBJECT TO 10 /`RESTOCKING CHARGE. sale of this itenl<tems.
NO RETURIJON ELECTRICAL PARTS:!�
SOLD TO DATE TIME S EMP.
y ?TY,:i C( feMl;t FIF? I�i"F'T F r� 7fJ:7�C >�w. t�taE 4�F�13 s .:3: y Z� 4 61
SR',#
—1 V- !.Fc s UA 2 PURCHASE ORDER ATTENTION
fi�tRt� EL A N
l:
TAX. EXEMPTION:
AD k. TERMS lo: svc �J�� :1.t�th. QHARGE; SALE
DELIVERY.
PARTNUMBER LN= DESCRIPTION QUA'NTITY' i :.•PRICE' NET '4t,, T,OTAL;1
i &rl!FJ T �ti:B`..R! F STER 'PEi'�!! »i��'tA\IT cp �)E� gad �a1tJ 3
t��3
A i:1 L3 U I` A lil C1 Cl
4F
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1 e 1 :3 8
REM T T 'a i 14 W hfiA;I lu T: ii 7 TAX'TfSL E
X fir.
a. SIGNATURE
TOT(lk ;CH SAt:E 7a 98
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE;
4
NAPA Auto Parts of Car-rnel
111 Medical Drive Carmel,, Indiana 46032.317- 844 -3973 Fax 317-844-6220
Please Remit To: H H Automotive Supply 1.212 W.. Main St •Lebanon; IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
N
APA s INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
LIMITED WARRANTY PLEASE READ
`�I hereby certity untler the penalties of perjury that the personalproperty,purchased by theuse of this exemption certdicate will be
directly used inrthe direct production of agricultural products far 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 s
G7 must'lbe made' within; TEN DAYS -and must be accompanied bythis INVOICE NUMBER. This disclaims all warranties, either express or implied; including any implied warranty of merchantability or fitness fora particular;
property is sold to yo S u with the definite understanding that it is purchased for resale,.unless tax Purpose and the seller neither assumes nor authonies,any other person to assume for it any liability, in connecti on with th
has been added to the price. ALL RETURN SUBJECT TO 10 RESTOCKING CHARGE. sale of this ite�tems:
'.NO RETURN ON ELECTRICAL PARTS.: q Y'
ACCT SOLD TO DATE TIME' STORE E,MP
67 E YC ll Y <LJF CF�F2ME F xF?E DEPT .7/2 /0, 3�ar• 1 Lc� ;�t:0613:3
pSi
C1�V SQUARE, pU ATTENTION 5 r
SR RCHASE ORDER#
t �1Rl/I L il�t C �t.1 U
TAX 'EXEMPTION:
Ap r t r rlo .vC atxe x >i; t� 1-1 as K L-
TERMS Iy 1"
Ma?j1 k3.
DELIV
ERY
TOTAL
PARTNUMBER DESCRIPTION QUANTITY -.1 PRICE„ ,NET„ gr
4> Flt FIL.' 1 005: 4'1
f
e F
J
6 y5
4
P
ti
Sl RI; 1flGF�i CEf C-.A0:,.Vk
1 �a< +F�
7a 7% TAX T.�B F 00
LERAN
r
'TOT Chl�#P.GE SA E 1 �+n �o-�3t �'r
SIGNATURE'
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 1
tea, ?N M t r,;;
NAPA Auto arts of _arrnel I
1'11 Medical:D,riye o Carmel, Indiana 460320 317`844 3973 0 .Fax: 317 844 6220 x a
Fiease To. H Autdmotive Supply a .1212 W: Main St_ Lebanon; IN 46052
I( AGRICULTURAL EXEMPTION CERTIFICATE I agricultural use
AP�I f
INDIANA DEPARTMENT OF.REVENUE ;SALES TAX DIVISION: LIMITED WARRANTY PLEASE READ
I L hereby certify under the,penalties of that the personal property purchased by the use of this exemption certificate will be rr#.•
tlirectly used in the direct production of agricultural products fo4resale. y
,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
Cr 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 issold to you with the definite .undersiending that it ispurchasetl.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 pdce. ALL 'RETURNS SUBJECT TO 10% RESTOCKING CHARGE. .sale of this rtetems.
NO',RETURNON ELECTRICAL PARTS:
a,
ACCT SOLD TO DATE TIME STORE 4 EMP o
t t f' ra 1 Ut C 1 Ttdtr t t l hf t�E.1 s I iG P? l 1 1'9 4b4b
SIIIARE
PURCHASE ORDER ATTENTION
SR iCGRMEL Tril v'•I
4
n• .fF1 tlu� r I�..
TAX EXENiPTIOR. a rt•�,�r,rnr r,,, r
AD
TERMS W
r-u In rrts try
r DELI'VERY:
PART'NUMBER
DESCRIPTION QUANTITY "'.PRICE' NET :TOTAL
t-/L "i^7 .r'_;; itfJ"E. lift[," YI'�t.,% h• 'F� QQ Z4. l80.
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ta i
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tp�c� t •S °.,rr U EVE; s :L i i �j i
I1E i' T i j. I L
TOTf -1L. �#IHRGE �:�tLE:
SIGNATURE.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE t t
'2;`:f tfi�+ .ti�"•4,tP+ P -�-��r i, r r.
_4r.:'•' 'tea
5 ;r
NAPA to ,Parts of 6r`rnel
.Au
111 Medidal bnv e •Carmel;" Indiana, 46032. 317= 844 -3973 .Fax 317- 844 -6220
Please Remlt Tq: W &:H Automotive:Supply 121'2 W. Mal. St •Lebanon;.IN, 46052
l f T AGRICULTURAL EXEMPTION CERTIFICATE agrlculturel use
AP �L INDIANA DEPARTMENT OF REVENUE SALES.7AX DIVISION LIMITED WARRANTY- PLEASEIREAD
7711 Thereby ce rtif y under ihe:penalhes of perjury that th e personal propedypurchased by the use of.this exemption certificate will be t'
directl u the direct producllon of agricultural products fonresale. ra
ry
used in
Please examine these�ppads at once. Errors should bereponed before using� or installingg. Returns. "The factory warranty. constitutes all of the warnties 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.. cis claims all ivarmnhes, either express or implietl, including any implied warranty of merchantability or fitness for a particular `r.
property is sold to you with the definite understanding that it is purchased for resale, unless tax Purpose and the seller.neitheir 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 neMtems. Ip�
NO RETURN ON ELECTRICAL PARTS.
ACC# T r t SOLD TO' DATE' TIME'. STORE 4 EMP
I I 't f?fi�IEL F I Chi= DE Ja 8 t�$ X6 ruff+ �C 1 3 {c�!+-6�p
SRL I �1 f t S ►LIAR r P.,VRCHASE ORDER ATTENTION
AML Tl�
V
TAkEXEMPTION
4P
qp
TERMS h
l
..ii"e .I k1� h -ARG,..L. y
C!
u rtuc/J t
I DELIVERY•' i
PART'NUMB'ER LW a DESCRIPTION QUANTITY,'.' PRICE' NET TOTAL
7�t1� °�57 13f: ITCI?UF LT.CE'f S5 PAME 2 00- 24i;, 9911 lrau 9�1 1 1 9a'9$
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iri 1 I SIGNATURE l'UTAL:' Gt�I RGE :SALE "W9, 9$
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ALGGOODS RETURNED MUST BE.ACCOMPANIED BY THIS INVOICE 1
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'AGRICULTUR EXEMPTION CERTI
f agricultural use
INDIANA DEPARTMENT,OF REVENUE SALES TAX DIVISION,'
Lli�,;T PLEASE READ
AP iIyo under the penalties of Iiaijbry.that th.:p.rl;66 purchased byjhe,use of�this exemption c.rtificae be
dq!ir6��bsed in jh� direct productionof �`griculftural products,ior,j�saie.'
2.
h at on6e�.Err6rs should b6'repc beforeu�ing installing: Retuin e facto f the vv� safe of this ftern/iterns. The seller hereby expressly
y warniinty con;titut�sall'o rnsAies with is spec
ease examine t ese parts s imp o the
'-miriust be made wilhin'TEN DAYS and must be by this INVOICE NUIVIBER: This .purpose' claims 611 warranties,'either express or impl!ed,,including plied warranty, of merchantability.or fitness for a particular
and the seller neither assumes nor authoris6s any other person to assume for.it any liability in connection with the
f6r.resale: unless tax property is sold t6,you with the defnite'understandmg7that )dt is purchased!
sale of this item/iterfis.
aseh added to the price! ALL RETURNS SUBJECT TO 10% CHARGE.
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N,ON�IELECTRICAL: PARTS:
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':ALL GOODS RETURN��PMUST BE :A'&WmiA BY THIS I)VVOICE
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Misc. Repair Parts $153.31
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
Boone County Automotive
IN SUM OF
1212 West Main Street
Lebanon, IN 46052
$153.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
kvy' 9 9�
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42 370.00 $153.31 1 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
Klto
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund