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HomeMy WebLinkAbout164611 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC INDIANA 46032 1212 wMAIN Sr CHECK AMOUNT: $1,823.57 CARMEL sa e° LEBANON IN 46052 -2324 CHECK NUMBER: 164611 CHECK DATE: 10/1612008 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOU DESCRIPTION 1 1110 4232100 7983 95.48 GARAGE MOTOR SUPPIE 1110 4237000 7983 1,528.45 7983 1115 4231500 7983 33.48 OIL 1115 4232100 7983 6.18 GARAGE MOTOR SUPPIE 1 911 4351000 7983 159.98 710687 H&H .Automotive Supply 0 NAPA Auto Parts of Westfield 1212 W. Main Street 4APAD (317) 896 5615 Lebanon, IN 46052 2324 (317) 896 1820 Fax NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 4821180 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 Fax BILL TO T CITY OF CARMEL /POLICE DEPT 3 CIVIC SQUARE CARMEL, IN ACCT GSM PAGE 7983 43 1 46032 DATE.. TYPE REFERENCE AMOUNT P..Oa:CHECK /J E 06/04/08 PMT 60408 4.18 Cr 159791! 06/18;08 PMT 61808 30.86 Cr 160258 to 07/23/08 PMT 72308 22.52 Cr 161279 09/04/08 PMT 90408 44.15 Cr 162650 12/22/07 PMT 122207 -1 704.79 C 154860 Cl� aG 09/02/08 Inv 708195 19.76 09/02/08 Inv 708223 251 .00, 09/02/08 Inv 708225 51. 00 09/03/08 Inv 708275 34.39V 09/03/08 Inv 708346 286.22 09/08/08 JE 000808 35.82Xr 2 PCT ACCESS DISC AUG 09/09/08 Inv 708803 20.74 09/10/08 Inv 708966 68.78/ 09/15/08 Inv 709355 56.2 8 CAR120 09/16/08 Inv 709413 75.72✓ 09/16/08 Inv 709414 31.78v 09/18/08 Inv 709672 106.38/ 09/19/08 Inv 709733 178.86 09/19/08 Inv 709810 109.32, 09/22/08 Inv 709920 369.52•,/ 09/25/08 Inv 710314 39.66 COMMUNICATIONS Summary as of 09/25/2008 Previous Balance 1977.57 Payments 2784.07Cr Purchases .1699.41 Adi 35.82Cr Current Balance 857.09 Future Dated 0.00 CURRENT PAST;D.UE,30DAYS PAST DU.E 60 DAYS_= PAST DUE.90` DAYS': 1619.44 0.00 22.52 Cr 739.83 Cr DATE 09/25/2008 'T o t a 1' 0 w,e d 857.09 TERMS No svc due 10th STORE 100006128 -0004 'T o t a l D ue 857.09 NAPA Auto Parts of Carmel 1,11 Medical Drive, Carmel, Indiana 46032 •317'844 -3973 Fax: -317- 844 -6220 try_ E Please RemihTo: H& H Automotive Supply •,1212:W: Main'St •Le6anon', IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE t agricultural use INDIANA DEPARTMENT OF. REVENUE- SALES TAX DIVISION LIMITED WARRANTY 'PLEASE READ I hereby certifg untler,t6epenalties of perjury that the personal property purchased by the use of this exemption certrficate will be directly used'in the direct pFoduction of agricultural products for ,resale. j please examine these parts ai once. Errors should be reported before usmgtor installing.. Returns 'The factory warranty constitutes all'of the warranties with respect to the "sale of this ite�tems: -The seller hereby expressly. G7 ­-mu st be made within DAYS and must'be accompanied by this INVOICE NUMBER. This disclaims'alfwarranties, either express or implied, including any implied warranty of merchantability or fitness for a particular 7 property is sold [d you with the definite understanding that it is. purchased fonresele, unless tax Purpose and the seller neither assumes nor authorizes any other person to assume for it any liabili[y'in connection with the has been added to the pnce.•ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemhtems. NO RETURN ON ELECTRICAL PARTS ACCT z SOLD TO DATE TIME, STORE t, L)F- CAF; FL f- %1L:ILE'.Uki' F /t. /i�'H J u 4 0Okyt ?613, `a�3 U81`Nkb C r V x LJ S0LJARE SR #Ri�iI� Tt PURCHASE ORDER._# ATTENTION vim,, f TAX.EXEMP,TION r a �,+r, w. pm cni AD TERMS iP �-irai i k DELIVERY: rip, v +PART NUMB ER LN r DESCRIPTION; QUANTITY PRICE NET TOTAL x. r. r.. r 4J ir<• :..L ^'C: J,` J•r r"i 411:^. -L.a !J e..e:: SJ.a 4.^y.T.�. -.'J q'l:.f S,.IW -:1• .J'o 1 V.' h. 'd t i t s j PP It i�w.T�l1 Pa t +I I "C is 7% TAX'fF18LE. is <t�ta. u c..,c.'r r.�...ary. �:.'�e�t y,- to Geri n t t I Je t I f 1 hJ.. TC1'Tt)L HAROE SALE' 1 iv SIGNATURE t 3 At f -`ALL GOODS RETURNED'MUST BE ACCOMPANIED BY THIS INVOICE it z T NAPA Auto Parts of Carmel 1 Medical •Carmel,; Indiana 46032.317- 844 3973.• Fax: 317- 844 -6220 Please Remit .To:: H H Automotive.. Supply!! 1212 W. Main St. Lebanon, IN ,46052. AGRICULTURAL EXEMPTION CERTIFICATE ;agricultural. use I D W d E N A P A INDIANA DEPARTMENT OFREVENUE -SALES TAX DIVISION LIMITED 'PLEASE READ 1 hereby certify under the penalties of perjury that the personal' property purchased by the use of this exemption certificate will be directly used in tke duet! production of,'agricultural products for�resale.. w r 'The factory warren constitutes all of the warranties with respect to the sale of.ihis item /items: Tha�seller hereby expressly Please examine these parts at once. Errors should be reported before using or installing Returns t Y C must be made.within TEN DAYS and must be accompaniedby this INVOICE NUMBER. This disclaims all warranties either express or implied, including any implied warranty of merchantability or fitness for a particular property is sold to you with the definite understanding that it is purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it anyiiabihty in connection with the has.been added to the price ALL RETURNS'SUBJECT TO'10 .RESTOCKING CHARGE: NO RETURN ON ELECTRICAL PARTS. s sale of this itemltems. ACCT SOLD TO DATE 'r- TIME STORE EMP o 0 CITY OF ARt�! L FGL_Ii E DE P1 3 /08, tat�t�sj ,1:t, 1.9 SR I Vic SGI:JPRF PURCHASE ORDER ATTENTION 4u z! �+,Et L:~ TAX EXEMPTION:-t 5 AD EEp Copy INV TERM9'1 ;P. j y Y iJ J I KULK DELIVER, 1 PART NUMBER, t 1 y 'DESCRIPTION. OUA PRICE •1 NE C T ,,J �7 ?'TOTAL .1 )T I t.�..1.J' i.. tl 1C. -P'CJ [,:4.Y f x�n ��,iT n Ch:e.� t33e� �I'mPt�'lxk L �,✓1. "CII� Vi, y '.ORDERE1). C ihlAR ;1 iC3U�SL` r ,a 7 RE!/III'T T`C 'IE1� W MAIN Tex ?9 l"AX1 "ABLE'',; tJ,.tt� rl�' I,I Ia ON x Iv e�t� to.. AS1GNATURE 'TOTAL CF{ARGE SALE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE i tR i 1 �r 1 lxip4w1 t�s r s,�r f' x. f S C i y„ NAPA Auto Parts Carmel 111 Medical`;Drive •�Carm'el Indiana 46032. 317- 844 -3973 Fax:.317= 844 -6220 n P AGRICULT H Automotive Supply W. Main St. •.Lebanon, IN 46052 .Iease.Remlt.To: H EXEMPTION. CERTIFICATE INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION t agricultural use r personal 1 LIMITED WARRANTY •PLEASE READ Thereby certify under.lhe penalties of perjury that the pioperty purchased by the use of this exe mption certificate k,. directly used in the direct productio %of agricultural products for resale:: i 'r`•" The Pi factory warran constitutes all of the warranties with'.respect the sale of this item items. The seller hereby expressly ease examine these parts at once. Errors' should. be reportedbefore usingor installing. Returns t1' C1 must be made within TEN DAYS and must be accompahied by this INVOICE NUMBER. This tlisclaims` all warranties, either express or, implied, including any implied warranty.of merchantability or fitness for a particular property is sold to you with the definite understanding that it is purchased for resale, unless tax purissumes nor any other person to assume jy liability in e with t connection he ttt,,, has been addedfo the price. ALL RETURNS SUBJECT TO 1Q% RESTOCKING CHARGE: sale pose'and•the seller nether a or ahi fof an liab ofthis ite terns. �k a NO RETURN ON ELECTRICAL PARTS. ti 1 1 l_ SOLD TO DATE TIME 'STORE iZMP _I w tt /ctG:. i r'tii F�rr'�'� 1 1 5 'yrs•I.; +y r:' UL,It :D EP PURCHASE.ORDER ATTENTION dY C, F MEL 4 TAX`EXEMP, AD EE f CO ';�f .S 1�tW TERMS r, I i l+ h r viral s; �I u� -z cC! o DELIVERI(�`f F�. Ttt.IJCtE PART NUMBER L =N DESCRIPTION'' QUANTITY:" PRICE. NET ''TOTAL I t F�D� 7 ,t371 -1!)C J I S E'I? or f ttX. ;.3- '.t"J• 48n,4� ty7 E,�t 'r#t �'D' 757 `c Jf m (IjC: JI �r� PA 00, L 3 �16 �?o ��t� 2�� ql (]xi v of c j 1 1 S 2 RE TbCK' .IrEE alati_!�otaI t E I T T Cl 1.21 W MFa Tax.° TR;;1 °ABLE r7 t7�� LI= AMOt,I r i s f SIGNATURE A LGOODSRETURNN `UST BE ACC OMPAN/EDBY THIS /NVOICE TOTAL CHARGE SAI_E; NAPA Auto Parts of Carmel 111. Medical ,Drive: Carmel, .Indiana 46032 •317- 844 -3973 Fax: 317- 844 -6220 Please Remlt,To: H &.H:Automotive Supply 9,1212 W.- Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE NA P AV INDIANA DEPARTM agricultural use ENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I hereby certify under. thepenalties of perjury that the personal property purchased by the u a of this exemption certificate will be directly used in the direct production of agricultural productsfor 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 iterch The seller hereby expressly C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implietl.warranty of merchantabiliry:orfitness for a panicula[ property is sold to with the definite understaniiing that it is purchased for resale, unless'tax Purpose and the seller neither assumes nor authorizes any other person toassume for it any liability in connection with the has been added tothe price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this itemltems. NO R O ELEC PA R T S. AC SOLD TO ,DATE a TIME EMP 7N.- f T'f V 6P rA MA a, A f t nrr rr w Mt!l 4 CpP E Z PURCHASE ORDER,# ATTEN 4& 4; AD TERMS. EE CO �Y v TAX EXEMPTION:? e 3Eat;h FIF�ttL b63Lr_'• r DELIVERY: 1 ti APART NUMBER-. t I LN `j bf'A 4ESCRIPFTIO�N; QUANT{I�TrY 1' ►PRI�CE� NET g TOTAL ��BSS�a ll l�tt VOh3- Eil CSR SRAI E C��JR t ta` 4 X30 2 '490 ��A Zr, puff l Abave �Jt trr1 'a t Lf, I�T6',i 'C• .C� iT hr r i=c f-^. H.• ..J- 3 i.:. 1 r in 4 x:..1'11 t 1 l.! 12-1 W 141 f �1 (C d 1_EBPNON 1144 .4C✓s�5 J, X., 1 Y 1 R5L., Q A I— n 14 i C,nrt )SIGNATURE r g t ALLCa00DS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE x `i sfl 4 NAPA Auto Parts of..Carmel 11 Medical.'Drive. Carmel, :Indiana 46032.317 -844 -3973 Fax: 317- 844 -6220 Please Remit To` H Automotive'Supply• 1212 W: Maih St •Lebanon; IN 46052 _AGRICULTURAL EXEMPTION CERTIFICATE !'1 :E] NAP A INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use �1 111 ddd��' LIMITED WARRANTY PLEASE READ t I hereby certify under the, penalties of perjury that thepersonal property purchased by the use of this exemption certificate will be 'ss. tlirectly used in the direct production of agricultural products for,resale. id Please examine ,these parts, at once:' Errors should be reported before usinglor installing. Returns 'The factory warranty constitutes all of the warranties with respect to,the sale of this item /items. The seller hereby X -must be made'within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties: either express or implied, including any implied warranty of merchantability or fitness fora particular property is sold to you with the definite uriderstanding that it is' purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the has been addedto the price: ALLRETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this,itemltems..: No..RETURN ON ELECTRICAL PARTS. ACCT SOLD T,O DATE TIME STORE "EMP e o :�q CITY' r L A.kMtL' K iOW E bE�' `I 7`�l f o8 c IS E c �(}€��t Ca 1 a?' �`la PURCHASE- •ORDER# ATTENTION CARMEL. IN 4E,cs3,� TAX.EXEMPTION; AD y Ef Ir''3 #Y I!�)�► �rt ..afte i�sr,rl R rtw�iSe ;arwi eu utarc %rz7L.r5 n p DELIVERY: PART.NUMBER LN.. DESCRIPTION QUANTITY, PRICE ,l NET ,..TOTAL, �J.rJL� '.*I��'�I�7�.{ ti te 080 Ia.Y,54k: E.: 0 :MEar 'TFaI� r.: 3 �w: �n e to 2 1A: 6 46—t 185 ZAN' I .ClRE DJ _POSIT' 5c c i Ch olu, 'I nAZ1 ,A' l l X31 C`ID VE, f r i 1 X5 1 a 25% 9ES'T OCK FCC `.w l'�S 66 FI MTi�A,T:C)o 1E32,.GJ IYI i:I`�I Tex 7;. T'AX tr,1il3 I SIGNAj TOTAL —4 C f {fRG DALE I 1. ?Ei ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE NAPA: Auto Parts of Carmel 111:Medicaf Drive •Carmel Indiana 46032 •317- 844 -3973 ill 31 c Please Remit To: H H Automotive Supply •.1212 W. Main St Lebanon IN, 46052 AGRICULTURAL EXEMPSION CERTIFICATE agricultural use JAIFH� INDIANA.DEPARTMENT OF REVENUE ,SALES TAX DIVISION' LIMITED WARRANTY PLEASE READ I L x I hereby certify under.the penalties of perjury that the personal property purchased by the use of this exemption certificate will be M directly used th diree ct production .1 agricultural produsis for resale. Please examine these parts at once. Errors sri di ould 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 G1 must be made within TEN DAYS and must be accompanied by ihi5'INVOICE NUMBER. This sclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness fora particular property is sold to'you with the definite understanding that it is purchased for resale, unless tax M Purpose a 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 itertems. .NO RETURN ON ELECTRICAL PARTS! SOLD TO Y 'DATE; ....TIME STORE EMI4 CI1'r`.:: br- L',f�f2i� L./ tQL1CF .F]Ef'T. °i. X11.5/ {78 �pr,. ,�2 :h {�t�cic�6i�; 1c� 1 7 -1 V SG�UAIdE O: PURCHASE.RDER# SR ATTENTION tI N ARMEL I lwl TAX EXEMPTION: AD.�. f! E�� GCIF °Y 'Ii4f'l). TERMS o.. �'vc, a!_ce .10th SraL DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY P PRICE y NET °'TOTAL �3+: w5�5k N. `�(]tlu�) ER :C�1lE LE 1 j �'7' 40 42. 56G 42a SE, F 1 5 �5c^ `r 3 i- R- .Cf�RLE u �f.{ 4 {)a 7;40 31 e 910: 6 o;£�2 rb w J4. i s r t 25V- Fit= STbCK' FEE u v 4 a c3�-. 38 Y.; :REMIT C :.GJ it1ATN T 7% TAI(11w1*.3 {);.ci() X J SIGNATURE_ TO TA ct:3AR ALL /GOODS RETURNED MUST,BE ACCOMPANIED By THIS INVOICE `I r C NAPA 'Auto Parts of Carmel 111 Medical Drive-• Carmel,' Indi6na'46032 317= 844 3973•' Fax: 317- 844 -6220 "Please. Remit Tce H &H Automotive Supply :1212 W. Main :St. Lebanon 46052.' 'AGRICULTURAL EXEMPTION CERTIFICATE W agricultural use '.INDIA I; Uk NA DEPARTMENT OF REVENUE -SALES TAX DIVISION .LIMITED ARRANTY PLEASE READ I hereby certity.under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be directly used in the direct productiodof agricultural prodocts for resale. y Please examine these pads at once. Errors should be reported Before usirig or installing. Retume. 'The factory warranty constitutes all of the. warranties wilh restakt to the sale of this itemraems. The. seller. he expressly must bemade within TEN.DAYS and beaccompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied including any implied warranty of merchantability or fitness for a particular,a property is sold to Yo, witti the definite understanding that it is purchasedfor resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the NO RETURN ON the price: ALL RETURNS SUBJECT TO 10,% RESTOCKING ale of i items. CHARGE. s his hemr NO RETU added ELECTRICAL PARTS. ACCT SOLD;TO t' 1 TIME ;f STORE:# EMP 7waS CITY Oh (`ARHEL, /Ab ICE DEr 9/15;/08 5 41 CYtYi�{iE133. "'SR GAF2MEL, C rin P URCHASE`ORDER ATTENTION t1 xy Fit Y' i a X C 3 hI�J TAX E EMPTIONt Eh AD TERMS.'" Il I I�irc�ari�i l..i J rC. 1 Yt 1.1 l:, f 1� 1 y�; DELIVERY: :PART NUMBER LN..' DESCRIPTION. QUANTITY PRICE NET TOTAL c:0 5 r.rsr I r�i g xp1.off v .i,rwac, AD 7 lbd Disc PAD' t i o 5C� 56 E8�Y l 5 l ES 4 A 5 RES T MK FEE T REM 1 T- 0 1 1c� In MA N.:. T'asi `_'TAX T t iLE ;]�Y t. L EE1FINON `IN 460 ,M X Y A TOTAL CHAR GE:" SALE 5 6. 8j WIN SIGNATURE. ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOI NAPA Auto Parts"of carrnel 'A 11 Ml dlcalbrive-• Carmel; Indiana 46032 317- 844 -3973 Fax': 317- 844 -6220 Please Remit To' H,& H Automotive Supply 1212 Main St. •Lebarion, IN 46052 z• AGRICULTURAL EXEMPTION CERTIFICATE NAPA INDIANA DEPARTMENT OF .,REVENUE SALES TAX DIVISION agrtcu R use `LI MITED WARRANTY PLEASE READ he 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 befoie using or installing /Returns .'The factory warranty. constitutes all of the lwarranties with "respectlo the sale of this iiemltems. The'seller hereby expressly C ,must be made within DAYS and must be accompanied by ihis•INVOICE NUMBER: This disclaims all warranties; either express or implied, including any implied warranty of merchantability or fitness for a pamcular_ property .is soldtoyou with the definite understanding [hat it is purchased for resale, unless tax Purpose and theseller 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 TO 10% RESTOCKING CHARGE. sale of this iterrililems -NO RETURN ON ELECTRICAL PARTS.. .ACCT.# SOLD TO DATE:" TIME ,STORE# EMP t�I fY OF CARMEL POLICE 'DE `�'r lc,l.�JQ 1 '3 6C.)C81.33 1�3 t r SRr# CARMEL, IN "r aPURCHASE ORDER ATTENTION Bey AD rEE�I __b&Y'. Ihl� E XEMPTION-. Ntxe r�+4i.1 L rZ yrKt�I� :rlr�c. TAX TERM ¢y, PART:NUMBER L DESCRIPTION' QUANTITY: PRICE NET :.TOTAL. 09141 t AMM I NS R y �t� a3 w k��s7 ..15- 8 �1 Ab'�rsre Item -dn ;��I� i'� i 4 F'. c 5/ RESTOCK FEE: RIIYIIl TO 14 11 W. MAIM Tait' l TWX'ff- 1ALE.ti ,t t, 'i� LU ANON' I;N, 46052- AL (�sl GrvATURE TOTAL CHARCE SALE" 11 W 7S OODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE w NAPA Auto Parts of Carmel '111 'Medical; Drive Carlrel,.Indiana, 46032.317- 844 -3973 •Fax: 317- 844 -6220 F /ease Remit To: H' &,H Automotive Supply 40212 W. Main St. *Lebanon; IN.46052 .4 .AGRICULTURAL EXEMPTION CERTIFICATE INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultn al use NA PA LIMITED WARRANTY PLEASE READ I hereby certity under4he penalties perjury that the personal propertypurchased bylhe use of this exemption certificate will be directly used in the direct production of agricultural products for resale. detiniteu Please examine these parts at once. Errors should be reported bbforevsing or installing. Returns 'The factory warraniycbnstitutes all of the warranties with respect to the sale of this iterrNtsms. The seller hereby expressly Ct disclaims all warranties, either express or implied, including any implied warranty of merchantability orfitness for a particular must be made within TEN DAYS and must accompanied by ihi hased f Purpose and CE.NUMBER. This property is'sold to you'withahe nderanding that is for resale, unless tax the saller'neither assumes nor authorizes,any other person,to assume for it any liability in connection with the has b'ea. doled'to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE: 'sale of this ite�tems. qv; NO RETURNON EL PART `h ACCT t OLD TO DATE TIME STORE EMP A 0-' P3,' TTY.,ct`,OF *3/to,/08 Ufa y0 y/-1 8 •73 '7.08968 d ".G (�il(�Ef PURCHASE ORDER AT.TENTION•' SR' 4F .3 TAX. EXEMPTION_ AD L<EEr IqtJ t TERMS.o...�+rc •d IO I t Y` Gt- 9At Q DELIVERY .3 jJl3 TRUCE. 1� r. ;PARTNUMBER" LN DESCRIPTION QUANTITY PRICE '$JET TOTAL �xr TFW eIE.W �,"C'iTirF� U t y am• ,F3.o`?$ 5 Jr °hevr��►;7e9. Im.Z ?e.d i� 4ti] CI J e �tEt 'W FEE'. EYtc�t'1 ElEIo 7$ r t tE11 l T'n 1: 1 G] 'iYIA I PI T c nu 'A T:l1S! E e r r) 0 r I.LL t�OW Ri�,sa�� yy t a i SIGNATURE •t �•+'�i F �j ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE oTa� t„'`{�'pRL7�' S�I-^E x 6$ 78 f NAPA Auto*. Parts of Carmel 111 Medical :'Drive •Carmel, Indiana 46032.0 317 844 -3973 Fax: 3.17 844 =6220 r Please:Remlt To: H H Automotive.,Supply.il 212 W. Main St. •Lebanon,- IN'46052 !AGRICULTURAL EXEMPTION CERTIFICATE agricultural use AP ;;INDIANA DEPARTMENT OF REVENUE' ^t SALES TAX DIVISION N LIMITED WARRANTY PLEASE READ hereby cedify under the perialhes of,perjury,ihat the proper[ypurchased by the use of this exemption certificate will be directly used in the direct production of "agricultural products for resale. 'The factory warran bonstitutesall of the warranties with respect to the sale of this item�temTFie seller hereby expressly Please examine must be matle these parts at once. Errors 'should be reported before. sin or g' installing Returns 7 within'TEN' DAYS.and must be acdompaniedby'this u INVOICE NUMBER. This disclaims all warranhes, eit her express or implied, including any implied warranty of merchantability or fitness for a particular propeFty 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 witn the has been added to the price: ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE sale of this itewitems. d N _O RETURN O ELECT PA c A r ATE SOLD TO D ".TI ME STORE 'EMP t t �;,3 ,c ItlstrL '`PC7I:ICE 'DEFtiT. 9P� t ?A. fl yt ��.?t3,. r SlidJARE PURCHASE ORDER Jr ATTENTION, TAX;EXEMPTION c_ C71,d s O ve I vtn L.�It1 AD TERMS e` 1 R' l itJt: c DELIVERY PARTNUMBER LN DESCRIPTION QUANTITY, PRICE NET TOTALS Z Y c��� Lh'e�tCalnC?al�.YS L:4 S G L> �Ir7.. ALy f k4 W WATERi P1JM0! 1 tJt O.' 3«'+. 39�? 34,'3`� R f Y V 1•� y' f :nh TaX RE' T' a c Oil iM�' 1 N f r 3` 1 X T 3!_ c7tj VSIGNAT, T.© t�l GHCFE SFiLE:••, .g t ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOIE. k,: k' t 9I x 1 ✓..�dHe i .r+1 !h vs�'s, r, u $b. v s 'a:s Wit Z. NA A Auto. N its of C armeo 111..Medlcal Drive.© Carmel; fndian 46032 o 317- 844' -3973 o Fax: 31.7- 844 -6220 r Please Remlt H' &H Automotive o 1212 W: Mom St. oLelianon,IN 46052 A i AGRICULTURAL EXEMPTION CERTIFICATE 1 Ilt INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use lv LIMITED WARRANTY PLEASE READ P I hereby certify under thepehalties of perjury' that the personal property purchased by the use of this exempLOn certrficate will be directly used 'inthe direct production of agricultural,products for resale. .t Please examine these parts at once: Errors should be reportedtieforeusing orinstalling; Returns The factory warranty constitutes'all of the wa�rantieswith respect to the sale o mltems. The seller her-b f this i[ey expressly C must be made within TEN DAYS and must be`acoompanied 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 't0 you with the definite understandingg that it is purchasedior resale; unless.taR purpose antl the seller neittier 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 iteWitems. ,NO RETURN ON ELECTRICAL PARTS.., ACCT SOLD;TO w ,DATE, TIME $TORE :EMP. Ci"" 3 ITYs CIF ;F1RhtEL.'F'rlLICE' t?E i' t,4r a /t�0 E� tip :t���Cit�t�1 ,u` g~ 4Fj t s QUA jRE PUR ORD i CHASE ER ,'ATTENTION ,C�I'Y TI�I4' TAX EXEMPTION A Dz, TERf1nflS r�1� u y L t r tmtav� .s tip ti' A DELIVERY: PART NUMB.ER LiV DESCRIPTION. s QUANTITY PRICE NET TOTAL n 4�t3 �t► JF 3Lwl ElF1 ltU.lt� iJnILYtit �Fst� r', r`4.:tfk6r2 G'1 re frEl f✓ t �tI"t tlf 10 00 11. �t� P. �3' �t �r r 17..a y *d 5 th ,j Ke iyf ..tt�(l ti cJr i n 1 �'L3F REtT j Ifla 1���' liJ IvIAh .TfY AEIL t.. 0. `t?U j. SIGNATURE I T iaL GIdF�R(�!~.. SALE. 8 ALL GOODS T 1 NED`MUST BE ACCOMPANIED. BY THIS INVOICE y v ._T _.J f..: A•..� �✓Y�. I.�u.�kT -.iii l... M'C„ -..u, L.. >.l 1. 111 Medical :'016ve: ®Carmel .lndiana:46032 ®:317- 844 -3973 a fax. 31.77844 -6220 Ki I Please Remlt To: H H'Automotive Supply ®,1212 W. Main St.: Lebanon; iN 46052 AGRICULTURAL EXEMPTION CERTIFICATE 'agricultuuse .'n INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION II 1 .I hereby ce 17, under rty puthis LIMITED WARRANTY PLEASE.READ .rtify the penalties of perju that the e personal properchased by the use of a emption cemficate will be directly 'used in the direct production of agricultural products for resale. Pi tha a art3aCOnce: Error3should be re orted before usm 'or installingg. Returns •The factory warranty constitutes all of the warranties with respect to the sale of this it6nVitems Ttie seller hereby expres C "i;mustbe made within. DAYS ;and must be' accompanied by this INVOICEiNUMBER. This', disclaims all warranties; either express of implied, including any implied warranty of merchaMabiliry or fitness for a particular property is sold loyouwiththe'definite understanding that it is purchased for'resale, unless tax. 'Purpose and the seller neither assumes'nor.auihorizes any other personlo assume for it anydiabAiry in connection with the has been added to the price. ALL RETURNS,SUBJECT TO 10% RESTOCKING CHARGE:; sale of this item/items., y NO RETURN ONE ECTRICAL PARTS ACCT ry SOLD .DATE TIME STORE EMP t CITY !}F FtMEl�lC't31 .9 G i�Et`y"1 �r /(7)A ()i•� '9 t jF►flf'i' SR 3 C 4';T iCUARE PURCHASE ORDER ATTENTION a CAR y I N r TAX EXEMPTION: Q'p SEEP t GF Y I�ilV TERMS n vr: T(Jt.h' CHt�F�C-c`�. '�rt�t R f �3 JjTRU N. EL' (VERY. PART,NUMBER LN f DESCRIPTION QUANTITY' I PRICE NET TOTAL S ;iiGt.� `tS1''Rt'PJ (VE ,FIEE� ict tgt7. ti ;`i�� �t o n art. A .,4 !,7 tA 31 'C'ITl �!I� 'C}f~IV wz�iz V l 4 t. RCh,1TtT, T.0 fi 61i h�A1.{�! Tas .7;� TA XTA�L.E t ti C} 0 SIGNATURE 3 1 r r �.,,.,ALL GOODS RETURNED MUST BEACCOMPANIEDBYTH/SINVOICE. TOTE LTA, ��i� #DRCf SALE' '�i,� :NAPA Au'to':Parts. of Carmel 11 1 Medical Ili Carmel, Indiana 46032 317- 844 73973 Fax :317 -844 -6220 1 PleaseRemit-To: H& H Automotive`Supply 1 W, Marn'St *Lebanon, IN 46052 j AGRICULTURAL EXEMPTION CERTIFICATE agriculturaluse R '1?�•` r, INDIANADEPARTMENTOF REVENUE -BALES TAX DIVISION LIMITEDWARRANTY PLEASE READ.: L I hereby A the ,certify under penalties of perjury that the personal properly purchased by use of this exemption certificate will be' Cirectly used in the duect production of agricultural products for resale. r 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 lte�tems seller hereby expressly must be made.within TEN DAYS and mus t be accompanied by,this INVOICE NUMBER. This disclaims all warranties,.either express or. implied, including any implledmarranry of merchantability or fitness for a particular +..pproperly issold totyou 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 liabiliti in connection with the has been adde, Ito'he price. ALL RETURNS SUBJECT TO.f 0 ,REST OCKING CHARGE. sale "'this itemftems. y NO ELECTRICAL PARTS.., ACCT Ir SOLD TO DATE, TIME STORE_ EMP -e3+a t�1tNV. «•4 J�'t M ^I•••r t 1 !R h f, 'TtM•.rKf m rh i+••- s •!'..Y ..7 C.r-8 t_ -1 i.: Wi !t:i 3fCtlIt I.>f 7!J'L.,.",F trL .LJ t._. t` 1 :.I. -t:J 1. t„t l,:.'A �•.:A1:J t.!' f L.1 S PURCHASE ORDER ATTENTION 1� J�1tY TAX EXEMPTIONt 1 tit; h CNARG E° 9A[-;E E AD t TERMS I 7 Rl Jt a r 'DE AR L "IVERI(¢ TNUMBER LN DESCRIPTION'' QUANTITY` PRI E 1 NET 'TOTAL y t<fr rr.�r f. ��*.r� T� V� U 1t;;{Y lct .62`045 rC �1 4J f'UIYtF�ftl« 5�SOR j 1 d r7r} 'e ?Tyr.; t'�a, Br7: r�>.� 7�J OR r� rrrf�i Cftb—A r n t rI1 i kk 1 I r e r r r I t ca "l Ap.gT ir RDA-1 T-70 X ;9 c I f :i tU r Z6_ r x is a it t. r r t t:� 41 6 t Z 41 W t rlr a..et in 4d 1... '•Wrl4 L:' Y SIGNATURE r r ALL GOODS RETURNED.MUST BE ACCOMPANIED B1 THIS INVOICE. NAPA ,Auto., Parts .of Carmel :111 <Medical Drive Carmel;Indiana: 46032 •.317= 844 =3973 Fax:.317- 844 =6220 Please Remlf:To: H &'•H Adtomotive'Supply`,0 1212 W. Wifi§t •Lebanon ;.14.46052-' AGRICULTURAL EXEMPTION CERTIFICATE P� INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use LIMITED WARRANTY ;PLEASE READ If hereby certify under the penalties of perjury that the personal.propedy, by the use of this exemption temhcatewilhbe directly used in the direct production of. agriculturalpraducts for resale: Please examine these pads at once..Errors l b a be reported before using$r installing: Returns The factory warranty constitutes all of the warranties. with respect to the sale of this item /items. The seller hereby expressly Ct •muatbe madewithin TEN DAYS and niust be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express orimplied, including any implied warranty of merchantability or fitness for a particular property is sold to you with,the;definite understanding that it is purchasetl for resale unless tax purpose and the seller assumes no authorizes any other person to assume for it any liability in connection with the has been boded to the price! ALL RETURNS SUBJECT TO 10/ RESTOCKING CHARGE sale of this iteMitems 1111 i {F. NO RETURN ON ELECTRICAL PARTS k ACCT 1 ',t SOLD TO "DATE TIME STORE;# EM_ P _1 l,F':,L t ••�t iJS t l.lt:'-3.A�.t,.' 1J F- -1 G! s. +t7�' ;J:i 1 1. .c J ,.:t..:+ ti:eV„t•_, _'tVi7:L.C...J ZY C ��':4 .`�.1,ts U 4REL 17"Af�lvt�L h! ATT PURCHASE ORDER. ENT.ION t r i O!"IY I hl1� TAX.EXEMP+TION 1 yt `NI714 :CAI P i4p Jr TERMS 1 IR, Kti If "tt DELIVERY: PART (NUMBER LN t DESCRIPTION GIUANTITY PRICE NET TOTAL '°YG i f. X'k ''.1"17["". t5 Z'1 Y"• 7l' S n .^Ie 6^ n 9 i,y t i` a F f a t' z r 'y,.•" .0 4 1f ff, tea! "c�cek ^t! Cc e'-'• c.', REA S T 'TO 1 W MA %I r a)(: t 7 1 RAI tab L Y' t/11 SIGNATURE" ALL GOODS RETURNED BE ACCOMPANIED BY THIS /NVD/C NASA Auto ft Us 4 C �I N. 111 Medical 'Drive e:Carmel, 'Indiana 46032 0 317- 844 -3973 Fax: .317- 844 6220 Please Remit To: H H Automotive Supply.'a 1212 W. Main St. a Lebanon IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE "agricultural use r A PAI INDIANA DEPARTMENT, OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ El 1 hereby certlfy'undei (he penalties of perjury that the personal. property purchased by the use of this exemption certificate will be directly used iri.the direct production of agricultural products for resale. r• ..k. t Please examine these:parts at once. Errors should be reported before usrigACinstalling. Returns The factory warranty constitutes all of the warranties 'with respect to'the sale of this item/items;�he seller hereby expressly O rmust'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 merchantandity or fitness for a particular property is sold to you with -the definite und aniling pe i it is purchased for resale, unless tax purpose and the seller. either assumes nor authorizes any other person to'assume for it any liability. in connection with the e t "has been added to the p ide. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this iterrA ems. nor authorizes NO ON ELECTRICAL PARTS. 4 ACCT SOLD TO DATE TIME STORE EMP 'JIJt It „!0 ,r f f SQUARE r. r• SR'# QARAEL' In! A P T.TE N .URCHASE ORDER. NTIO C�I"!'� TAX:EXEMPTION cal r;NaI�;I �I AD TERMS ill IDS '`i PI II`4 v j i r. DELIVERY: 4tit ��PART'�.NUMBER s, "t,L� p;� n ,DESCRIPTION` :I QUANTITY.. ,'�PRICE ,,,NET TOTAL L.,u l t e tr tl f, to i,t ..t. re..l q.••r .a. y/.e..n :3, ✓.c..P fv ,mot ti ]f~'`k�a6;!'Ffl_ "�iF'E'�!'t�t►CD`R t;lt` 1 'S t rr X Q 9 �t Y X n 1 's l 5 1 i I t r Y t.` t ay J d• t.'- J'..t rJ t' W Li"1 L Y.l RENT I” Tl�l 1 '1 l, l 1A, Ta)' 7% �'AXTABi E teat tE'Tc�Af�ECll4! IPdgC�tt I'` §•p ra t .isy''sF;7,"tw,- r ts�"'i b.c t tY #I 1 1 C tt s I t f` d. Y t t./�i 4'IL t 1^t T't t7 t. �1 tL.t i ti�SIGNATURE t l ,s AL 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)) 10/9/08 paVment for repair parts and oil /air filters 1,623.93 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 Boone county Automotive IN SUM OF 1212 W. Main Street Lebanon, IN 46052 1,623.93 ON ACCOUNT OF APPROPRIATION FOR police gen ufnd Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 370 1,528.45 bill(s) is (are) true and correct and that the 1110 321 95.48 materials or services itemized thereon for which charge is made were ordered and received except October 9 20 08 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund NAPA Auto Parts, of Carmel 111 Medical Drive Carmel, Indiana 46032 317- 844 -3973 Fax: 317 844 -6220 f Please Remit To: H H Automotive Supply •1212 W. Main St. *Lebanon, IN 46052 APPA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I hereby certity under the penalties of pery'ury that the personal property purchased by the use of this exemption certificate will be directly used in the direct production of agricultural products for resale. Please examine these parts at once. Errors should be reported before using or installing. Returns 'The factory warranty constitutes all of the warranties with respect to the sale of this ite�tems. The seller hereby expressly C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular property is sold to you with the definite understanding that it is purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemAtems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 07983 CITY OF CAF?MELlF= 'C7LICE iiE =f''f ,'25l08 03-11 0("'006133 33 �O.-,i.�,. C I V I C LaL ?l,JAh?E —PURCHASE ORDER ATTENTION SR CAF' MEL, IN C•"""� C' uMiriUN i. It,ri 1 I UNZ5 j tAll 1 13 46- 032 TAX EXEMPTION AD PEEP COPY INV o 15 VC a�_f.�- a�Itirz L:i-1HM�*.sc TERMS:' DELIVERY: r. PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL` 70 610 i_ wr -IL 1A )AGOLD 01L. FILTER 2.00 10. 1'70 0 -3.:' 6. 1, OR 75-1.30 1.,:r0 NIOL \W)PA 10t,130 0 GI r 1 2. ca {a 3.490 E'. 7' 0 u;s. 4'8 C ti RI M I-( n i. C a •t 1.0 n s- i� 25". RESTOCK FEE w a. �9. c,G REM 1: T TO- 121 14 MA I t! Tax. 7 "a 1 -1?� i't�bi..� t�. Oi) l LEBANON Il`.I, 460 mac: SIGNATURE TOTAL. ._1 �3F•��•'iF':1. E SALE 'r 3. 6 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/25/08 710314 $6.18 09/25/08 710314 $33.48 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 V VOUCHER NO. WARRANT NO. ALLOWED 20 Napa Auto Parts IN SUM OF 111 Medical Drive Carmel, In. 46032 $39.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 710314 42- 321.00 $6.18 1 hereby certify that the attached invoice(s), or 1115 710314 42- 315.00 $33.48 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 Thursday, October 09, 2008 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund 01f NAPA Au Parts of Carmel I A N 111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220 Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agricultural useI hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ direct in the direct production of agricultural products for resale. Please examine these parts at once. Errors should be reported before using or installing. Returns "The factory warranty constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly must be made within TEN DAYS and must be accompanied by this NVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular property is sold to you with the definite understanding that it is purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the has been added to the price. ALL RETURNS SUBJECT TO 70 RESTOCKING CHARGE. sale of this item/items. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 'icy OF CARIVIEL DEPT SR 3 C I V T SQUARE ORDER ATTENTION CA RlY EL, IN y, Y TAX EXEMPTION: r.:, EV' irt'J�=Y .L NV TERMS x SALE. 2 DELIVERY611,jR T��tJl:'.�K. PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 7236' :ill ?�t�T f'EI Y 00 42y 81 '-1i 79. 99t) :t59. i8 0 7 ��:;s 30T 'ORE ICI PIOS I T 2. 00 1. 0()o 38. 00 1) 7236 AT DRE DEPOSI 1 4 _.2- 00 19.000 00 So IO GRD 1\ 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)) OL Total js9 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 VOUCyER NO. WARRANT NO. r' i� nn ALLOWED 20 IN SUM OF AJ /"l1cG�r`C� 2 ON ACCOUNT OF APPROPRIATION FOR Moog -9 ate aaae-� Board Members PO# EP or EPT. INVOICE NO. ACCT #/TITLE AMOUNT D I hereby certify that the attached invoice(s), or g 7i a 0 159 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 /Dip 20 Op ignature Mai o,Z Cost distribution ledger classification if Title claim paid motor vehicle highway fund