163152 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN Sr CHECK AMOUNT: $2,739.92
LEBANON IN 46052 -2324
CHECK NUMBER: 163152
CHECK DATE: 9/3/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUM AM OUNT DESCRIPTION mm
1110 4232100 7983 519.24.ACCT 7983
1110 4237000 7983 2,220.68 ACCT 7983
i
H &JI Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street
1APAD (317) 896 -5615 MMNW r Lebanon, IN 46052 -2324 (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
0® (317) 773 3180 (317) 774 Fax
(765) 482 -1180 Remit to: NAPA Auto Parts of Carmel
(800) 924 -6831 Boone County Automotive, Inc (317) 844 3973
(765) 482 -7398 Fax 1212 W Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax
TOOL SALE* *LEBANON 9/10 11TH *NOBLESV. 9/24 25
BILL TO 1 STATE ET
CITY OF CARMEL /POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN A T =SM `.'I .,PAGE
7983 43 1
46032
-DATER :TYPE
06/04/08 PMT 60408 4.18 Cr 159791
06/18/08 PMT 61808 30.86 Cr 160258
07/23/08 PMT 72308 22.52 Cr 161279
12/22/07 PMT 122207 -1 704.79 Cr 154860
07/28/08 Inv 704975 34.90
07/29/08 Inv 705045 349.60
08/01/08 Inv 705443 485.16
08/01/08 Inv 705444 135.60
08/12/08 Inv 706260 166.68
08/14/08 JE 000708 8.80 Cr 2 PCT ACCESS DISC JUL
08/15/08 Inv 706626 487.66
08/21/08 Inv 707218 233.92
08/22/08 Inv 707313 583.32
08/25/08 Inv 707501 271.88
Summary as of 08/26/2008
Previous Balance 660.42
Payments 1422.77Cr
Purchases 2748.72
Adi 8.80Cr
Current Balance 1977.57
Future Dated 0.00
PAST DUE30 DAYS,k. =PAST DUE 60 DAYS PAST DUE <90 DAYS
2739.92 22.52 Cr 35.04 Cr 704.79 Cr
DATE 08/26/2008 1977.57
TERMS No svc due 10th
STORE 100006128 -0004 �'Tf o ta; lD u ;e` 1977.57
NAPA Auto Parts of Carmel
111 Medical Drive ,Carmel; Indiana 46032 •317 -.844 3973 Faz: -317 -844 -6220
l Please-'Remit To: H H Automotive. Supply 1212 W. Main St. Lebanon, IN
I APAGRICULTURAL 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 (or resale.
'The factory warrant constitutas all of the with respect to the sale of this IteMtems. The seller hereby expressly
:Please examine these parts at once.`Errors should be reponad before using or installing Returns Y e w
C A musT be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties,eitherexpress or implietl, including any. implied warranty of merchantability or fitness for a particular
properly is sold to you with the definite understanding that it is purchased for resale, unless tax, purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the t
Chas been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemfitems, i
RETURN ON ELECTRICAL PARTS..
t
ACCT �S'OLD TO x DATE TIME :STORE EMP 7,21
C1TY -DE CnRME.L1�FOL,10E DE"PT B 8 t�r 43. crc�t�c_�E1J� �3
SR 3. C 1 C SOLl�RE PURCHASE ORDER ATTENTION
Ch6E -L i.i�
ta.E�c TAX EXEMPTION:
AD JY* SE C' 110 TERMS cur due 1.Ot;h -CHARGE, SALEy DELIVERY'.
:PART NUMBER r' -.LN DESCRIPTION QUANTITY PRICE NET .TOTAL
R86641.,L JP if l PE= O ORMf�t .CE ROTOR. :1..00 C� i c .16. gro 1"x.6.• 96 4
,.R3Gu4� f,,. 1�' 41 °9'f REsOE ?MANE ROTOR 1ttU(_), 62.•3X? fe'.9 -c-'o 14Stl.S5
d.
t
1
M
c_'.5%'! 1RL8TOCIs., F"Er. rr.{ c u;. 33tt c
REM {',,.Tu 1212 1W MG Thd lx •7 .T XTf� I_E'
s; TWT AL GHARGE SALE' �c
SIGNATURE 7
ALL'GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE t 4 r
NAPA Auto Parts of.Carmel
f- 11'1 'MedicaL.Drive Carmel, Indiana 46032 317 =844 -3973 0axA17 =844 -6220
E Please Remif To::H H Au tomotive Supply;• 1212 W. Main St: •Lebanon, IN 46052, AGRICULTURAL EXEMPTION CERTIFICATE agricultural use s
INDIANA DEPARTMENT OFREVENUE -SALES TAX DIVISION aiLIMITED WARRANTY •PLEASE READ I hereby certlty under the penalties of perjury that the peisonal property purchased by the use of this exemption certificate will be,( directly in the dhect production of agricultural pto'ducts for resale. Please examine these arts at dote. Errors shoultl be re ortad before usin or insfallin .Returns -The factdry warranty constitul all.1 tha of warranfies with respect to the sale of this ite�tems The seller hereby expressly, S p g 'disclaims all warranties, eitha.express, implied, including any implied warranty of merchantability r
must ba ENDAYS and must bet accompanied by;this INVOICE NUM ER. This ry f
y made'within ropeny is sold id ybu'with the definite understandin that it is purchased for resale, unlesslax Purpo or lilhass for se and the seller neither assumes nor authorizes any other person to assun e. for it any liabil a particular ity in connection with the
p gg CHARGE.. sale of this iteMltems.
't NO RETURN ON ELECTRICAL PARTS URNS $U&IECT TO 10 %RESTOCKING zk
ACCT •SOLD TO DATE TIME STORE EMP`:#
0795,3 CVT ti'' Off' 'CARMELlF'C1L.xCE UEI'' f h -:r n ,C1 �r x S -YC
i' PURCHASE ON ORDER Y w ATTENTI i ,J)
SRa# s
Gi 1E L 'IN l
TAX EXEMPTION: T.
A'p
Wit' R
p{-^• cop
�•y yy e+r rrtnt i^• —srtt °r^
t Ir' zpww I. o p u a v�t.,. .tea tt. a,, vt r t..rr r�{+,w� rrr r... c... r•i
c5 DELIVERY TF3UC;l
t,
PARTNUMBER LN' DESCRIPTION' QUANTITY
PRICE NET TOTAL l
t
D SC PAD �i1 71 t3a
r
i,
'7. �7 tl
A
t.
i
w5, RE$ K FEE' Stttit qt al w71.. S'
-I I
ss
REM, t 'TU,v 1�1r, .;4J i�idii�l T.i 7% Tt1XTf�i�L fir, c���
l E
I���
SIGNATURE-:: `f (�L i t'ChI(aROE. SALE u7' 1.
ALL FOODS RETURNED MUST,BE ACCOMPANIED BY THIS INVOICE,, t .,2
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •31 844 3973' •Fax: 317: 844 -6220
Please•Remit To: H H Automotive Supply 1212 W.' Main St. *Lebanon, IN 46052 t
AGRICULTURAL EXEMPTION CERTIFICATE
Jr 'r. f' E INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
TI PLEASE READN
agricultural use',
I t;LIMITED WARRAN
I hereby certify under the, penalties of perjury that the personal property purchased by the use of this exemption certdicate will be k
directly used in the direct production of agricultural for resale. J(;
i. Please examine these parts at once: Errors should.be reported befdre using or installing. Returns 'The factory warranty constitutes all�of -the warranties with respect to the sale of this itemf(ems. The seller hereby expressly.'
C1 musDbe made within TEN DAYS and must be. accompanied by this INVOICE NUMBER. This disclaims all warranties; either expressbr implied, including any implied warranty of merchantability or fitness for a par"ular
property is sold to you with the definite understanding that it is purchased for resale, unless tax purpose and the seller neither assume's nor authorizes any other person to assume for it any liability in connection with the
has been added to the price. ALC S RETURN SVBJECT TO 10% RESTOCKING CHARGE. sale of this itemfitems.
t l: •,:NO RETURN ON ELECTRICAL PARTS.. y
t
ACCT SOLD .TO DATE 'TIME 'h STORE EMP'# e
c9 FdME
9 3 C L �Y OF i_",AL '�'l��_ I CL DEPT A /:='2 i0A Y G 3 r ,r "4r "tir 1 r `_Y 7r� i �t►.►a
PURCHASE. ORDER ATTENTION
SR,# Q1 V S[?UAIIri
TAX EXEMPTION:
Ab T✓�C' copy. II`�V TERMS,:e., a,, 1.r 4- np_r_
DELIVERY:) JR TRL)CN','°
PART'NUMBER LN" DESCRIPTION QUANTITY, PRICE NET TOTAL.
1L2.,.IY t�-I F�� a t.,,.;.F Y"tDtJ' "`LT 4•Jiy:'';t*"'ARJr i r' .C"... 4+�.r� 7fd, 6 ,4$u i'.97.64
20 �J7
ADO- DISC .GAIL C►. 00. 12 :`000' 60.710 h 2,.84
cC3D7�'Gt�� TmP,,at I
D`.! $2 691 ADO D 1 SC PAD c C.)O t 2l 000 60.710, 2'42.
°a
x:
yrac. t1. i 77
rY� rx ST�JI"I EE_ -Hr} f,t Ot a 583.3
fZEi�l� -.1.r V M AI N Tex 7 Tex r�i ABLE 3 N
ew-4',
1.1.4; 46052
I, i
SIGNATURE r 70TAL t,Cl lf�ROE' SAL.. a$.�,n
fy ALL GOODS RETURNED
MUST BE ACCOMPANIED BY THIS INVOICE y •t`L
NAPA Auto. Parts of Carrnei
L 111 Medical Drive- Carmel Indiana 46032 •,317- 844 =3973: Fax 3:17- 844 -6220
F /ease Remit To: k& H Automotive Supply •x•1212 W. Main.St. •Lebanon, IN 460
1
INDI I AGRICULTURAL EXEMPTION CERTIFICATE ION
r gdcultural use 1 ❑i r 4
l
NAP& ANA DEPARTMENT,OF,REVENUE -.SALES TAX DIVIS
t LIMITED WARRANTY •PLEASE FiEAD
I h6bby cerlify under the penalties of perjury that the persoriet property purchased by the use of this exemption �cemhcate well be
t illrectly used in the direct protluction of agdcultural products for resale.
r Please examine these parts at once. Errors'should be reported before using or installing.. Returns The factory warranty constitutes ell of the warranties with respect to the sale of eerWtems.'The seller .'hereby expr.
C
must be made within TEN DAY. aA must be accompanietl by this'INVOICE NUMBER. This tlisclaims all warranties, either express or implied, including any implied warranty of merchantatiillty or fdhess`foda par cula
pproperty is sold to you with the defitiite understanding that it is purchased for resale, unless tax Purpose and the seller neither assumes nor authorizes any other person to for It anyiiablhry m dorinectfon with the
has been added to the
price. ALL SUBilECT TO 10 %'RESTOCKING CHARGE: sale of this itemltems. x v
NO RET URN,ON ELECTRICAL PARTS.
ACCT r SOLD TO DATE TIME STORE EMP e
n
r is
�`v Cl r QeRMEL.. /POLACE_DEPT •e,i r_. `NI A;, y f
SR# PURCHASE ORDER ATTENTION
M
f l GWF1Ylf_44 TAX EXEMPTION:
—w h� TERMS,;
r 1.Jt""T .'l l'•IY tutl GII l..f tY11 iLJ4 �7 4C.
DE RY, JJr�' 7F2UCNs
LIVE
PART: NUMBER LN, DESCRIPTION QUANTITY PRICE NET TOTAL
H",'NC W.
1 "�9ia.' 1 100 c- elf) I
P$0403 IJP D1 LE R'(jq'17R, ONLY' 4 06 1 9 3. 4 Q 53: 410 418tl`C4
6D.,b 'D SG PAD .o 1, 100 EaQ 05 127e
�c'ic� ?7 Ch'eErr al ts,Tmpa1
ID 7574°' ADO. DISC. PAD 9n. +it� .�4. 7!t) 1 4t
i.. 4,
f`
1�
Y0' RE:STC K FEE Slag c5t� 46'5. 16
rCYT .Tt] 1,1 W M1I:�# i T's� 7f 11XT�1RL c_�; ajia
i is t
ALLLG,OODSRETURNEUMUSTBEAC OMPANIED.ByTHISINVOICE TOTAL r CMARGE r SALE, 5.1
-NAPA Auto Parts. of Carmel i h
fw111 Medical Drive' •:Carmel, Indiana 46032.317- 844 -3973 Fax: 317 844 6220
A 1 Please Remit,To: H H Automotive Supply •1212•W. Main St •Lebano'n;IN 46052
7IL AGRICULTURAL EXEMPTION CERTIFICATE
agricultural use
INDIANA' DEPARTMENT OF REVENU LIMITED WARRANT
hd t SALES TAX DIVISION Y PLEASE READ r�
I hereby certify under the penalties of perjury that the personal property purchased by'the use of this exemption genii cats will be
r i directly used in the direct prod' uction of agricultural products foi re sale.
Please examine these parts at once: Errors should be reported before u3ing or installing. Returns .'The factory warranty constitutes'all of the warranties with respect to the sale of this item(tems. The seller hereby expressly, J
C must be made within. EN DAYS and must be accompaHed by this INVOICE NUMBER. This disclaims all warranties, either express or implied,'including any implied warranty of merchantability orfitness for aparticular
•.property is sold to you with the definite understanding That n is purchased for resale, unless tax Purpose and the seller neither assumes nor aptfiorizes any other person to assume for lt- ny liability in connection with the }4
.has been added jo.the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this ite tams.' 1 y `S
NO RETURN ON ELECTRICAL•PARTS.
ACCT :SOLD TO DATE TIME STORE EMP
t F*�L /POLTCE DEPT ry i cy j r csc:� I'll r.Itz
_SR Ct1:ZC SG�Ur�F2E PURCHASE ORDER ATTENTION;4:5
GAFdiCl 4 phi N•. i
TAX EXEMPTION:
CC1"�Y lhl�; TERMS'i A I •'r'n4 -ti".' rU r_ ant c
28 DELIVERY. j JR`:.TRLICN
PART:NUMBER LN DESCRIPTION .QUANTITY PRICE NET TOTAL
?tea 2UBID i i E�t i1�11 i ,pr s"st�' �rq'rat�J 2. g1�o
ERK Ivl'1 j.5 ,Ft..)SI. �,.'c at g,b c_r1) c B1ca =:1.
iIT Ii �4 aI}CP, DISC P'A D ;3. Est tc9a.4 9 F,4 710 1 13
,7YriC. "irli W o 6r O A(50. la`rtr
AD-73879, fl C SC' SRI] �'r.0 8E�..�'7t�: 43. 1'4f� I
"dpi `p'"FtETL�CN. E F. S +t e►t1
tElvl T O g,:',1c 1.? ."W CSI Z 7%. TAX` 1`ABL-rA 0.
{.I•r r
OW- 4, l °r't, r Y..
SldNAT'URE TOTAL "f'HCa.RGE 'ALE 7-4" E,()
ALL GOODS RETURNE, D MUST BE ACCOMPANIED BY THIS INVO /CE:; P
>i NAPA Auto :Parts of Carmel
+M
111_.MedicalDrive:•'Carmel, Indiana 46032 317- 844 -3973 ••Faz:317- 844 -6220
'Please R_ emit To H H'Automotive Supply 1212 W.�Main St: •,Lebanorr, IN 46052
AN
'AG RICULTURAL OF EVN CERTIFICATE h. agricultural use 0 INDIANA DEPARTMENT OFREVENUE UE -SALES TAX DIVISION LIMITED WAFRANTY PLEASE READ
hereby certify under the,penalties of perjury that the personal properly purchased by the use of this exemption certlficate will be
irectly used in the direct production of agricultural products for resale.
•Please examine these parts at once: Errors should be }sported before using or installingg Returns "The factory warranty constitutes all of the warranties with respect to the sale of this item/iiems. The seller hereby expressly
G7 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER.`This disclaims all warraniles, either express or implieQ including any implied warranty of merchantability or fitness far a particular
.property is sold to you with the tlefirn under ng that it is purchased lor'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 itemPoems.
NO RETURN ON ELECTRICAL PARTS.
t
ACCT SOLD TO DATE TIME STORE EMP
0796,3 L 1 TY OF C�1R,11 L.rboct -DEI =tT',. 7rr o I r- 4 P 1 I C)CIII' CIP 1 a` 7 7ijLi.'7- Vful 11
rll.
TAX EXEMPTION:
SR. CIVJ_C :S Q. UP 0E' PURCHASE ORDER ATTENTION
TION.. �r l�
a CAR MEL s I'!V
y tiGt�3�
ADEF' ,GOF�Y' IPdU TERMS:ft► i 0
f; -(;A l
DELIVERY? JR `TRUCK l
PART NUMBER LN;; DESCRIPTION QUANTITY PRICE NET TOTAL
n t.
��1, Fiord Cap
Own U s. c t -rta r i z. 1.00
17 t hIL�l�P 0I L_ SEh, 1 i 7c t
5, WA
98 !JAL 75W J. 4/:�. Si'i~IGCWF R u 4y i. 7a £,1 t 14. 090 B..1 P
_I W rc�.:;n 9 ut�K t L17 ^j m a 9
a o,
:2E(►1 C� 1211.;.,.W i PJ 7'a�c TAXTG�BL_E ,3 ca,, 0o
t X f/cr{/
SIGNATURE
y CHARGE SALE 34.90
ALL GOODS RETURNED 'MUST BE ACCOMPANIED BY THIS INVOICE
.dry
NAPA Auto Parts 'Of Cartel
111. Medical Drive :Carmel, Indiana .46032 317 844 -3973 •Fax u317- 844 -6220
A N P,Iease Relnit To: H H, Automotive Supply,' 1212' W..MainSt AGRICULTURAL EXEMPTION CERTIFI Lebanon, IN CATE I ,INDIANA DEPARTMENT OF REVENUE =SALES TAX DIVISION a 9 ricultural use u r
JJJIII '•LIMITED WARRANTY PLEASE READ
hereby certify under the penalties ofpedury that the personal propertgpurchased by the use bf this exemption certificate will be
directly used in the'direct proouction of agricultural products fgr.resale.
Piease examine these parts'at once. Errois'shouldbe reported before using or installing. Returns 'Thelactory warranty constitutes all of the warrerities with respect 10 the sale of this item<lems. The seller hereby expressly,
C most be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implietl, including any. implietl warranty mi merchantability or fitness fora particular
,fpioperty'is sold. td 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 as for it any liability in connection with the
has been added.to the pprice:. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of thisite�tems. Y
v. NO RETURN ON'ELECTRICAL PARTS. I k
ACCT SOLD TO DATE TIME STORE EMP
?9B 1TY 'OF CARhiEL /F�OCTCE- DE P t3l 15/0$ 54 i t�t7trf 33 ?U���c'�,
`:SR ryr'� i •1 MARE PURCHASE' ORDER ATTENTION_'.
43. Cc TAX EXEMPTION: s k.
AD N�ELF- COPY I P�v TERMS :p -Svr_' ItE .1.Oth CHARU� SAI:
�f.
DELIVERY:
PART NUMBER �LN'' DESCRIPTION., QUANTITY, PRICE NET, TOTAL y
r
,roc oc a 3 E'T ,AIL I+TI: 00 �.'�7t7` '�,t'Y �C� �I:9
04�a Lt �G, 31F I It •F'TL
48.,(- tt�. 3.'. 7;!�'`. E6t 1 YBp :4i3. •'s'
T SCE3RAkE iiC1 'C7la C7NLY t�t7 t3t,r. CtOt 33.394 Eat. 79 R
,��C %r npa2t I�. t
'1a 75 �C ?G.'fD't 4�ti: 67 70 �3 91
k' �f
4.t t 3 np
C"iy err "t�J. s :I a l, <a
6 iibtota dFl� 66
KEP T, .11� MAIN Tarr i"A)(T(I'BL ia t�ta
LEi��l l i ebb) 4 a
y V
9 j V s'
SIGNATURE TOTAL G'HAFZGE Nnt +d
ALV GOODS;RETURNED MUST BEACCOMPANIED BY THIS INVOICE v 1. SALE 487.
NAPA Auto Parts of Carmel 4
:111 Medlcal Drive Carmel, Indiana 46032.9 317- 844;3973•6 .Fax 317- 844 -6220
Please Remit To: 'H.-& H.Automotive Supply 1212 W.". Main .St. ii Lebano'n, IN 46052
(II( AGRICULTURAL EXEMPTION CERTIFICATE r s agricultural use
NAPA INDIANA DEPARTMENT OEREVENUE• SALES A %DIVISION .,LIMITEDWARRANTY PLEASEREAD
I hereby certdyunderthe penalties df perjury that the per, net property purchased by the use of this exemption certificate will be
directly used. in the dv production of,agricultural products for resale.
'Please examine these parts at once: Errors should be reported before using or installing.. Returns •The facto,y.warranty constitutes ail of the warranties with respect to the sale of this itokfitems. The seller hereby expr Z.
essly t
C1 -`must be made within TEN DAYS andlmust be accompahied INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular`
prpperty is sold to you with the'definite.uhdeistandingg 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 y:
been added to the price: ALL RETURNS SUB ECT TO.10 .RESTOCKING CHARGE. sa
;`Ras le of this itemrtems.
NORETURN ON ELECTRICAL PARTS. «a`t ,>i d• W,
ACCT `SOLD TO ,4 DATE TIME STORE EMP
07 9C7,.�.1 j I„IF 1. t"11�1 i� I L. Z.7 Cw l^� 1 I F 5J I f r.n. Jf •V S ,`JN 1 �.1W y L.!'i .7•-f ',;i Y
SR; PURCHASE ORDER ATTENTION
CFJF�3�IIL, Ti`I
4yF�i73� TAX`EXEMPTION:
AD �•EEFi "l✓ 11"'Y Tl�IV. TERMS, a r` r�ur�ar r r_nr +c
1. DELIVERY .JR•.TRUCN
S
PART NUMBER LN DESCRIPTION' QUANTITY' PRICE NET TOTAL, 'k
:kF >'.0T.L `1"1:L 1E 't�c� �a 776 �a �E;Cx �7o Gc
04 I'';fJIL F11 8 t}0 ,e 77u C, �t►g
0
Rf =STi CN. F'EV, �r�btt� z 1.3�v 6 ta1i�,
F2Ei TdK 1::I�. 'W r~1ATN Tax 7/ 'f'AXAE11�1~ rt „'city 1('.
^'I...IrG, !d
v fry. i a R f
-0. '.j
SIGNATURE TOTAL r> CHARGE SALE 13Se Sty
L GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA: Auto Parts of.0 en el a L
X111 Medical, Drive Carmel, Indiana 46032* 317- 844 3973• fax 31'7- 844 -6220
Please Remit To;.H'& H Automotive'Supply 1212 W. Main St •Lebanon, IN.46052
44 AGRICULTURAL EXEMPTION CERTIFICATE`•
E L ce_ INDIANA DEPARTMENT OF REVENUE'- SALES Ta DIVISION agricultural use
LIMITED WARRANTY PLEASE READ
thereby mty under the penalties of roperty purchased perjury that the personal purchased by the use of this exemption certificate will be
directly used in the direct produc agricultural products for resale. r
n Please ezamindthese pans of once. Eirors'should be, reported before using or installirigr.Ret'ums "The factoryry warranty constitutes all ol the warranties with respect to the sale of this demldems. The seller hg'reby expressly
C "must be made within TEN DAYS, nd "must be'ac ittpanietl by this INVOICE NUMBER. This .disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular
''u'propeny is sold to ydu with the definite unde'rsfAnding that it iapurchased for resale,vnless fex purpose and the seller neither assumes nogauthorizes any other person to assume for It any liability in connection with the
NO RETURN ON ELEC p RICAL PART SRETURNS SUBJECT TO 10% RESTOCKING CHARGE. 'sale of this itemffam5.
ACCT SOLD TO DATE TIME STORE EM
P
079,03 C'IT OE C'f1RMEL MIJ C '.UE� °r.�'
SR I -TV Z C; "SC1IAt E F: y
TAX EXEMPTION:
P'U
NTIO
RCHASE ORDER ATTE N
cA �IhEL I r�
A D .TERMS, I r'+° irvnr�r nt r.:..'
1 DELIVERY at kd7'
BUR. TRUCK y
PART'NUM13ER LN -DESCRIPTION :GIUANTITY.' PRICE NET I t. :TOTAL`
004 A P; f?ERwi �L Ct'HAL AI`dT'IF.0 Z i tl�i` i a'�T�,fi i,, 690:. 166 68
it
AA
i.
r o I ti7j
25 P%: rti '��_tt�t�►t.a"]
RESTOCK'FE
REI% IT TO "4.� Tax TAX'TAHL,:' +t rl raid
L E A iON,-- N tl� l ej. 3
d t
A--
IiARrE '.SALE 16t a E.,a
SIGNATURE
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))
8/28/08 a ent for miscellaneous items 2,739.92
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 o6ne County Automotive IN SUM OF
1212 W. Main Street
Lebanon, IN 46052
2.739.92
ON ACCOUNT OF APPROPRIATION FOR
police genreal fund
A t f- ']Q Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 321 519.24 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 370 2,220.68 which charge is made were ordered and
received except
August 28 20 -08
Signature
Chief of P01ice
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund