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156111 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $55.54 CARMEL, INDIANA 46032 1212 W MAIN S7 LEBANON IN 46052 -2324 CHECK NUMBER: 156111 CHECK DATE: 21612008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4232100 ACCT 8081 26.16 GARAGE MOTOR SUPPIE 1205 4351000 ACCT 8081 29.38 AUTO REPAIR MAINTEN i NAPA Auto Parts of. Carmel 111 Medical Drive Carmel, Indiana 46032'e'317'844-3973 Fax: 317 844 -6220 Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 A N AGRICULTURAL 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 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 pl the sale of this ilea m The seller hereby expressly O 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 or a particular property is sold to you with the definite understanding that it is purchased for rr:sale, 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 itemltems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP_# M a r. iYa r. i .J ,I�±�•� c 80f31 G'T'TY OF [CARMEN- 13UIL 117 III H I Hi 1 C I V I Cv SGUARL_ SR CAlf'R ll_.L, I ICI PURCHASE ORDER ATTENTION TAX EXEIVIPTION: AD TERMS: DELIVERY: PAR NUMBER LN DESCRIPTION. QUANTITY PRICE NET TOTAL L.A 1?'. V F' V J W I I •_ll... n ..J t a. r. r ca1n v Go WIP WIPER BLADE WIN1 "fwR u x':..00 -2Tt. 110 14.6 9 4:I 29.38 �LL �n 25/ RESTOCK FE fir_ L14 V 4 Z A 29.. 438 REMIT" 'TO. 12 W MAIN Tr GI TAXTABL.E G 0.00 LEBANON IN 46: 52 f 0`: �G' SIGNATURE TOTAL CHARGE SALE '9, ;El 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 .NAPA Auto Parts Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0113110 Wi er blades f siiyerwir) $29.38 Total 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 NAPA Auto Parts of Carmel imill 111 Medical Drive o Carmel, Indiana 46032. 317 -844 -3973' Fax: 317- 844 -6220 Please Remit To: H H Automotive Supply o 1212 W. Main St. Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE INA P I INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION tural use V I hereh certi under the penalties of perjury that the personal property LIMITED WARRANTY PLEASE READ y fy p p rj p p p y purchased by the use of this exemption certificate will he 7 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 item /items, The seller hereby expressly n must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. Thls disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a padlcular property is sold to you with the definite understanding that it is purchasetl 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 itemfiteri NO RETURN ON EL ECTRIC AL PARTS. ACCT SOLD TO DATE TIME STORE EM P o SR CAf�MEL. IN o ��IF3�:I:S 1 CITY OF.' C'ARME:L. —BL) I LD I NIS 1 1 1 NT„ 1. /,=_3/ rS 9 .3 1000 3 0 �,3G 312 C IVI C 11\1 f�,�f° PURCHASE ORDER ATTENTION 41 +E,Cawac, C 1 71 7­1;7'! TAX EXEMPTION: AD OR �'s��1.r- 4 2r �.�f 4. 04U SVL_ t-i -AW .L+: Gfi i.l" 4SI TERMS: rr: G{ s 'DEL IVERY: irsJi"t i i'iti, Dep t 4; -y; ::5,� PART NUMBER LN DESCRIPTION.. QUANTITY' PRICE NET TOTAL 2 F- i T i Escape NB -20 OWI WIPER BLADE 1. 1 un 9SE -1 4w 790 4.79 NB 18 Old I WI BLADE 1.00 6. `a El 4.7 4.79 760--1534 11K ICE: SCRAPPER -11 TALON 1.00 10. t 1C.) 9.S90 S90 9. 59 150-011-1 W I P BLADE 1.00 12. 230 G. 90 6. 99 2 RESTOCK FEE 2 6 161 REMIT fo iaip- w ivfAYN Tax 6% TAXTABLE 3 0. :)c) LE IANON IN 46052 X t P1 SIGNATURE TOTAL ---)I CHARGE .SALE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Prescribed by State Hoard 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. (I ,Q Payee �d .�5 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 D� Zo9(03 W �S Total ra 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