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159245 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $45.94 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 159245 CHECK DATE: 5/14/2008 'DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 3-192 4232100 8081 45.94 ACCT 8081 1 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 NAPA AGRICULTURAL DEPARTMENT OF XE VENUE CERTIFICATE TAX agrEASErREAD INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ 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. RESTOCKING CHARGE. sale of this itePlease 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 itemltems. 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 fora 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% mltems. NO RETURN ON ELEC P ACCT SOLD TO DATE TIME STORE EMP 0808 1 CITY OF CAfZtrlEl `t 11 e51 10 006,133 1S G`�G 68 it SR 1 CIVIC' �f��UAC�i� 1 1 -PURCHASE ORDER ATTENTION C_ARIVIF::I._, YO O0�1A t°• C_ 't v I N br t.iu1 war. L,UIN i HL, i �rUr- CL) T 41 460 32 1�. e I'Y1 y AD Dep o�� TAX EXEMPTION: TERMS:" "O svr ral_!p i i.lcrl i irrrcE3r 5i�L_� DELIVERY:. PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 60- -1 W I P BLADE 2. 15.. 380 8. 790 17. 60r -01 a -1 WIG BLADE 2.00 0 13. 46 :0 7.690 15.38 1G 1 WIP 101N EXACT FIT WIPER 2. o0 12. 230 E, 490 1.2. 98 25% RESTOCK FEE 45.94 t,r FtE- i" O.- 121.2 W I MAIN rax. 7 TAXTABLE. 3 0. LEBANON IN,46052 SIGNATURE rO't AL CHARGE SALE 45. ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE scribe] State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER s, CITY OF CARMEL kn 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)) �5 a pB &Clk 5 �r 9 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 I WARRANT NO. ALLOWED 20 -W IN SUM OF ON ACCOUNT OF APPROPRIATION FOR �W Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �pQ 3- q{5. q' 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 -20 L) Signa u e Cost distribution ledger classification if Title claim paid motor vehicle highway fund