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163635 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $60.60 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 163635 CHECK DATE: 9/17/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 ACCT 8011 24.07 706621 1125 4238900 ACCT 8011 6.57 707534 1125 4238900 ACCT 8011 29.96 707807 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 f AGRICULTURAL EXEMPTION CERTIFl A agricultural use T INDIANA DEPARTMENT OFREVENUE -SALES TAX DIVISION LIMITED WARRANTY PLLEASASE READ hereby .edify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be directly used in the di rent production of agricultural products for resale. ine Please exam these pans 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 iteMitems. The seller hereby expressly must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This iscaims lwarranties, either express or implied, including any implied warranty of merchantability or fitness for a particular. property is sold to you with the definite undertanding that it is purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume tor'rt any liability in connectien with the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKPNG CHARGE. sale of This item items. NO RETU ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP X1301.1 taAF;MEL..._CL.AY C'AR4-S /RE'C R 8 /15.r`08 1 1:)8zll- 1 33 7:6621' 141. 1. E. 1 1. ��TI°i SITPE ET PURCHASE ORDER ATTENTION 7 SR C-FIRMEI._ 1 41, 46 0 31' TAX EXEMPTION- AD I- EEP C,,01 I N V TERMS`: O S V C all 10t hi CHARGE c3fAl—E DELIVERY: PARTNUMBER LN DESCRIPTION (QUANTITY PRICE NET TOTAL. 6: i.? 1 F i T r° ..tcn I' x P e e a. i::i G v? 2 t 1 l;hll iJT I f t��'tI IC Llln L C.L 1 e {14z 7. ;3w��;, +r t_r 4 Purchase C V ]E D Pay P.O. AUG 2 0 20 G.L. a a n�� 1 Budget BY: Line Derv' Purchaser Dae4� r Approval E7ate 25V-1 REST D uJt t a W 24. 0 RENI T TO 1212 W MA111 T,nx 7% TAXTADl._C 3 0.00 r+tr j V V v'^°• S1GWifiblIE TOT[ -)L CHARGE PILE t�;�n• 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 AN AGRICULTURALEXE CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE VENUE -SALES SAX 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 taclory warranty constitutes all of the warranties with respect to the sale of this IterMlems. The seller hereby expressly C must be made within TEN GAYS and must be accompanied by this INVOICE NUMBER. This tliscfaims 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 Si TO 10 RESTOCKING CHARGE. sale of this itenJitems. e t L y, ND RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP CFdIYIT,.._C_;Lf~1'r` F'iil:i? sJFI.F;Fr r, .r., r �t, ,r�,r: SR J. E. 13. I=• i`'f i T REE T f PACHASE"ORDER 4 ATTENTION TAX EXEMPTION: E:L`:FY Ca0PY is N',) TERMS;,.. r,r r•, r +r- my p.. 25 DELIVERY:i,-JLJR T R1.If''l4 PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL J I -EYIP BUL.J.3 2. 0 t: 1. 1.180 0. 7: -30 1. IYIi-1X88700 K I L' I T `•:,E I° 1 .0 0 4.990 0 4 1., 99 x iP.00 PorF AUG 9 8 2008 o.� 0? 24 REST(KIll I. t'r I .l Er. 57 RE MTCT TOE 1LPurehase►I ts�'r,� S �u� Date Twi 7% 'TAXTAIKE 1„00 LEI"s4�1'� %D I J ;gpprrn, '7`' SIGNATURE TOTAL- .w.) CHARGE C_ ALE' 6. 57 ALL GOODS RET1.i NED BE ACCOMPANIED BY THIS INVOICE �Y 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 1212W. Main St. -Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE E) AN INDIANA DEPARTMENT OF REVENUE -SALES TA %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 warrant Y 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 accompanietl 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 purchase 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 been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemlitems. N RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP �r81�1i. C(- )R1'4,L -CLAY PAF ?KS/I tx-:i' R S!y''r";f08 [3i'59 Lo()0o6l'--"3 1 3•3 1 '7078it7. �SR 1•'x.,l 11 E° iiu m 11u STREET PURCHASE ORDER ATTENTION C I)RMEL.., .IN 41 il 0,32 f TAX EXEMPTION: AD RL =EP COPY INV TERMS Jo :`Jc dl -te loth CHARGE SALE 7 DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 3"'j--032 I• DF B F'l...UID DOT 3 -3202. 2.00 6.880 5.690 11.38 7 O- -1.102 EW% S(=` R 111'. 2. 00 1:1., 1 70 9. 290 0 1 8_58 Purchaw Description I_i P.O. P y G. L. 0 dL qd Budget uneDescx EP 0 2 20Gd Purchaser J7 e v a p Approval D e "d FAY: a 2_5% R HSTOCK F'EF. ar,a i.. v u i Gt i 6 RE041T TO: 1 W MAIN {',.a:; 7:'. TnXTABLI t:3> t:0 L-EOAI ON S N, 49, 0 32 _1�. SIGNATURE TO CNAF1CiL. SALE 29a ALL GOODS RETURNER.MUST BE ACCOMPANIED BY THIS INVOICE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 (NAPA) Purchase Order No. 354290 Boone County Automotive Terms 1212 W Main Street Date Due Lebanon, IN 46052 -2324 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/15/08 706621 Parts for Expedition 24.07 8/25/08 707534 Light bulbs for skidster 6.57 8/27/08 707807 Brake fluid for trucks 29 Total 60.60 1 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. (NAPA) 354290 Boone County Automotive Allowed 20 1212 W Main Street Lebanon, IN 46052 -2324 In Sum of va 60.60 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund Alf C Gv PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 706621 4237000 24.07 1 hereby certify that the attached invoice(s), or 1125 707534 4238900 6.57 bill(s) is (are) true and correct and that the 1125 707807 4238900 29.96 materials or services itemized thereon for which charge is made were ordered and received except 2 -Sep 2008 Signature 60.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund