164613 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212•w MAIN ST CHECK AMOUNT: $1,096.59
LEBANON IN 46052 -2324 CHECK NUMBER: 164613
CHECK DATE: 10116/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 7996 86.71 REPAIR PARTS
1120 4238000 7996 1,009.88 SMALL TOOLS MINOR E
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HAN. Automotive suppoy _7\ NAPA Auto Parls of Westfield
1212 W. Main Street (317) 896 -5615
Lebanon, IN 46052 -2324 a pi D (317) 896 -1820 Fax
NAPA Auto Parts of Noblesville
(317) 773 -3180
(765) 482 -1180 R e mit to: (317) 774 -0932 Fax C armel
(800) 924 6831 Boone County Automotive, lnc. NAPA Auto Parts (317 84 -3973 4 -3973
(765) 482 -7398 Fax 1212 W. Blain Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax
BILL TO d"
CITY OF CARMEL -FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN ACCT M PAGE
7996 43 1
46032
DATE TYPE REFERENCE AMO NT P..O./,.CHECK/J.E
09/02/08 Inv 708141 12.15
09/08/08 Inv 708739 3.89
09/15/08 Inv 709292 43.00
09/17/08 Inv 321404 641.92 STATION 41
09/17/08 Inv 321409 367.96 TOOL STATION 41
09/20/08 Inv 709844 27.67 BOB
Summary as of 09/25/2008
Previous Balance 379.99
Payments 379.99Cr
Purchases 1096 59
Current Balance 1096.59
Future Dated 0.00
CURRENT PAST DUE 30 DAYS PAST DLlE 60DAYS FAST D'E.,9 0 DAYS:.
1096.59 0.00 0.00 0.00
DATE 09/25/2008 T G a O w <e d 1096.59
TERMS No svc due 10th
STORE 100006128 -0004 T o t a l Due 1096.59
4
NAPA Auto. Rarts..&.Carmel
11.1 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 use
I
NDIANA DEPARTMENT OF REVENUE .SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
APA 997
I hereb under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be' M
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 ell of the warranties withrespect to the sale of this item /items. The seller hereby expre'ssty r
must be made,within TEN DAYS and must be accornpametl by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fithess7or a particular.
1 propedy 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 connecti on it 'they
has been added to the price. ALL RETURNS`SUBJECT TO 10 %'RESTOCKING CHARGE. s ale of this iterrifitem s.
f NO RETURN ON ELECTRICAL "PARTS.
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'SOLD 'i, 7, DATE M., TIME STORE EMP,#
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PART`;NUMBER QUANTITY PRICE .;NET
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ALL G ODDS RETURNED NI US T BE ACCOMPANIED BY THIS INVOICE T[]TAl„ C ".HF .R .f"aE. .`SA(,
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NAPA Autos Parts of Carmel
111 Medical °Drive Carmel;`Indlaria 46032 317 844 3973°• Fax: 317 844 -6220
Please Remit To H &.H Automotive Supply'• 1212 W Main St '*Lebanon' IN 46052
I
AGRICULTURAL EXEMPTION CERTIFICATE
INDIANA DEPARTMENT OO REVENUE SALES,TAX DIVISION LIMITED;W agricultural use �.2 a
ARRANTY;• "PLEASE READ
Ihereby 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 RESTOCKING CHARGE for resale.-
„Please examine these parts at once. Errors should he reported'before, using or installing. Returns 'The factory warranty nstitutes all of the warranties with respect to'the sale of this itemfitems, TFe seller hereby expressly
C musbbe'made within TEN DAYS and must beraccompanied by this INVOICE.NUMBER -This disclaims all warranties, either express or implied, including any implied warranty of. merchantability or fitness for a particular
propert y is'sold;to'd to the price LL RETURNS SUBJECT TO 10 you with the definite understanding that it is purchasedfor iesale, unless tez Purpose and the seller neitherassumes nor authorizes any other person to assume for itany lliability m connection with !he,'
has been ad de A t sale of this temltems:
RETURN ON ELECTRICAL PARTS.
ACCT #t{! SOLD`TO 'DATE TIME STORE EMP o
I`" .9 ;C TYt Cl� f #F I�IF L F`I t�E tF..d�' f 9 i a C>� 0 0C ?0G1. -"33 30 7tr�,� rF1
CIU.l� iC111AIRE t'
RURCHASE ORDER ATTENTION
SR 4Af�9ft yt�I
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.TAX EXE
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y TERMS (51115 T I!l,i!"
DELIVERY.
PART NUMBER LN i DESCRIPTION QUANTITY PRICE': NET TOTAL
4 tea, sa
IFS 1 c 0,,. 3 89 '�'n 264
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SII,GNATU,RE
AL•LGOODS RETURNED MUST, BE 'ACCOMPANIED BY THIS INVOICE
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NAPA Auto Parts f Carmel
`111'Medica1 Drive :.Carmel, Indiana 46032_• 317 844-3973
P.Iease Remit To H &;H Au #omotive Supply., 1212.W Main St.:Lebanoi
t.AGRICULTURAL EXEMPTION CERTIFICATE
NAPA
C INDIANA DEPARTMENT OF REVENUE r SALES TAX DIVISION LIMITEDr /y,:�
c I hereby certify:under the penalties otperiury that the personal property purchased 'by the use of this exemption certficate will be r e �j'
t dvectly used in the direcCproductlon of agricultural products for 7esale.,
Please e,iaroine these parts`at once. "Errors should be reported before using or installing. Returns The disclaims warranty constitutes all 0f the wart
C "must be made within TENDAYS and must be accompanied by this'INVOICE.NUMBER. This ms all warranties either express
property�is soltl to yodwith; the defihite'uriderstanHing thatit is purchased for'resale, unless tax :Purpose and the seller neithei_essumes' nor a
has beer�added to theprice9ALLRETURNS SUBJECT-70 RESTOCKING CHARGE. sale of this itemftems.`�
NO.RETURNON EL "ECTRICAL PARTS t
ACCT SOLD TO" DATE TIME
r
E, i� r E2� r<'►A C',t� 1 rr l
I PURCHASE ORDER
SR +I/�� C h t V t P y 1 Uf'tF
it ARr't L
TAX EXEMPTION!
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L� TERM
Y DELIVERYOIJR .TR
PART NUMBER LN DESCRIPTION" QUAN PITY
(Al
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i x .41 r I o-
f�r' f T�J f:'c 9 t' .''l�l (.I I'I Tex 7
L�.T= �C- �I�ICIi�I T ht a`:4'�G►`c
SIGNATURE 0 ILA
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICES
i'
NAPA `Auto .Parts of :Carme
111 Medical Dive Carmel', Indiana 46032 317 844 -3973• Fax
l r ,.Please. Remit:T,o Hr: H Automotive Supply 1212. W. Main $t: Lebano;
AGRICULTURAL EXEMPTION CERTIFICATE J 'J
INDIANA DEPARTMENT OF REVENUE SALES TAX
DIVISION LIME 0 7
I hereby certify under tho,pawalties of perjury that the personal property purchased by t4use of "this exemption certificate will be 7
directly uae'd in the direct production of agricultural products for:resale 'T'✓ K j
"Please examine these parts of once stiouldbe,repoRed before using.oCinstalhngr Returns 7tie factory.wairarilyconstitutes all of th�. J
O disclaims all warrantees, either express or
must be inade•within.TEN DAYS and must be- accompanied by this'INVOIGENUMBER. This t
property is'soltl,to you with,ihe definite understantlingg that it is purchased for resale, unless tax Purposp,ahtl the seller neither assumes
has'ibeen,adde he,prlce..ALL RETURNS SUB' ECT. 70 :10 RESTOCKING CHARGE. 'sale of this Item/items.
NO ON ELECTRICAL PARTS..,.,
ACCT r
SOLD TO DATE TIME
rs GITY Ci" .Gt�R1�1CL ERE 'DEPT l 5 cz�'w
`PURCHASE ORD
TAX.EXEMPTION
V
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TERMS
DELIVERY
PART NUMBER LN DESCRIPTION QUANTIT, t
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eb RE;ST0QK F E'
is
:it�i�l ZT TO' #11.
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SIGNATURE
ALL GOODS, RETURNED7NU u''C
ST BEAOMPANIED BY THIS INVOICE
w
VOUCHER NO. WARRANT NO.
ALLOWED 20
Boone County Automotive
IN SUM OF
1212 West Main Street
Lebanon, IN 46052
$1,096.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
POi;/ Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1,120 42- 380.00 $1,009.88 1 hereby certify that the attached invoice(s), or
1'120 42- 370.00 $86.71 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
Off 13 2008
c
n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
Tools $1,009.88
Misc. Parts $86.71
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, Pans of Westfield
7D0.`E';�Main Street Po Box`;245<• Westfield, In 46074, 317 -89.6, -5615
Please.Remit To: H H Automotive Supply 1212 W. Main-St Lebanon; IN-46052
l NAPA
A GRICULTURAL CERTIFICATE b
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION t F agricultural use
hereb cerl under the enalties of e b that the ersonal, ro ert LIMITED WARRANTY PLEASE READ
y fy p p 0 ry p p p y purchased by the use of this exemption cemficate wdl tie
12SL used in the direct production of agricultural products for aspect to t
Please examine these parts at once. Errors should be reported before usingar installing. Returns "The factory warranty constitutes all of thewarranfieswith rhe sale of this item /items. The seller hereby exptes;
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implietl; including any implied warranty of merchantability or fitness for aparticu
property is sold.to you with the'definite understanding that it is purchased for resale tas purpose and the seller neither assumes nor authorizes "any other person to assume for it any;liability in connection with I,
has been added .to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemfilems.
NO, RETURN ON ELECTRICAL PARTS.
ACCT SOLD.TO DATE TIME STORE 'EMP
07996 Cl TY:: OF GRIYIEL -FIRE DEPT 9 109 04 a }G i f
SR
G1'4!IG:S'Ltq/� PURCHASE ORDER 'ATTENTION
CE-7 i?h1EL g IN E`.; TC717L T A
4600E -1 TAX EXEMPTION:
TERMS: Nc+ B vc' *dI(e t7tPi' I
a DELIVERY: 1 L/Fr', TRU K t ;--;0 -U9''r 04
PARTg'NUMBER c LN D QUANTITY. PRICE ;;ti NET TOTAL'.
I Ri' ewer,
HA T T: TOOL 1 A 156.: 000 158. DP
IR�r'4l-f sL h 7! I TOOL,' 1. t?t> 6A e.El t}
66. 66 DP
kTI 9t?7 K7 L: .'I: TO 1. 39. 9.9() 39 9,9 1J1
kTI�19 C).t? %T T TOOL 1. t ?C?
'H�aly 4tt7 KT.,I TC�lJL. 1 1. 3.t? 1 °1 ,'9'� DP
HAN 4 K7'I TOOL
i 9th 9 17p"
H JN "BCi k .TI TOOL j i tit?
11.390 1!. 39 `.DP
MEAN Bt7 KT1 TOOL I. 00 n. a :11. 39tT' 1•.;r. 39 17,G'
1-ION Z?0 h'T1' TOOL 1 t�t� t 3. 5tjt� i s. DP
H)QN1.-0 4<TI TOOL 0 0' 1... ✓t7t� X 50 DP'.:,
O
Vq
I�r' t �r
:a5% RESTOCK IN6 "ir"a z ,w '�2 m'Sub t o t a l '36 7 96
e
REiW I.T TO 1,� -1 ,6 G4 k P I N ST' e i Tax 7,M 1 G7. .��D
kEB
ANON t
•t r t 7 r i t
SIGNAtt.RE ti 1
T17Ti�L NARSE SALE 36 7« .96
ALL GOODS RETURN MUST BE ACCOMPANIED BY THIS INVOICE -,r fir.. i- t
t 1..`� vi �'..h,t �..r:.. i...{ :.ir t.. .7F hex. r. s��.i k'- 3