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178061 10/14/2009
a CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $1,495.06 CARMEL, INDIANA 46032 1212 W MAIN ST oN LEBANON IN 46052 -2324 CHECK NUMBER: 178061 CHECK DATE: 10/1412009 CEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP 1120 4232100 7996 1,464.71 GARAGE MOTOR SUPPIE *1120 4237000 7996 30.35 REPAIR PARTS 4 H &H Automotive Supply 0 NAPA Auto Parts of Westfield 1212 Main Street �NAPA D (317) 896 -5615 banon, IN 46052 -2324 (317) 896 -1820 Fax ;L NAPA Auto Parts of Noblesville 0® (317) 773 -3180 :(765) 482 -1180 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 STAT T CITY OF CARMEL -FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 7996 41 1 46032 u_ wczc f� s t K ww��'s� n �1,' s y Sts' �.aa.'.. ,i,., �e.F?3� n e;;r: 08/.25/09 Inv 739058 15.80 ENGINE 46 08/28/09 Inv 739369 1202.18 08/29/09 Inv 739467 131.88 09/03/09 Inv 354141 6.99 STATION 42 09/04/09 Inv 354197 7.56 E44 09/08/09 Inv 792487 78.65 BOB 09/09/09 Inv 354495 52.00 Summary as of 09/26/2009 Previous Balance 216.56 Payments 216.56Cr Purchases 1495.06 Current Balance 1495.06 Future Dated 0.00 1495.06 0.00 0.00 0.00 DATE 09/26/2009' Rs 1495.06 TERMS No svc due 10th STORE 100006128 -0004 s z ,q" •,;w 1495.06 NAPA Auto Parts of "Westfield 700 E. Main Street Po Box 245 Westfield, In46074.317- 896 -5615. Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 N APA agricultural use AGRICULTURAL EXEMPTION CERTIFICATE 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. "x Please examine these parts at once. Errors should be reported before using or instal ling. Returns "The factory warranty constitutes all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly C1 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 I 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 I has been added to the price. ALL RETURNS SUBJECT TO 1, RESTOCKING CHARGE. sale of this item/items. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE" :,TIME STORE EMP =V1 Z i 7996 '.ITY: OF CARME L —FIRE DEP 1. 0000612 C I J q.r',44g15 .SR R CIVIC SQUARE PURCHASE ORDER ATTENTION "ARMEL• IN 46032 f'tfs" a.� TAX EXEMPTION: F AD TERMS: N n s v c. d i, a 1' 1 7 DELIVERY i t 'Truck 1 of I' l f PART NUMBER LN DESCRIPTION QUANTITY PRICE NET' TOTAL 57 .CIT TUBE RT2 GREASE 20:00 O.Ob 2.60 5 2.00 tr A' i 52.00 Subtotal 25% RES`TOC'KING FEE TAX 7.000%" REMIT TO 1212 W MAIN ST LE.BANO.N;, IN 4605.2 -2324 TOTAL Charge Sale- 52.00 SIGNATURE ACC GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE C h g 5. Z O 0 NAPAAuto` -Parts of Noblesville,; 56'South 6th Street. Noblesville, Indiana 46060.317- 773 -3180 IIIr Please Remit To: H H Automotive Supply ,121'2 W. Main St. Lebanon,. IN 46052 NAPA AGRICULTURAL EXEMPTION CERTIFICATE agricultural INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ AD 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 wnstilutes 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 accompanietl by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular P. 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 item /items. NO RETURN ON ELECTRICAL PARTS. -ACCT i SOLD TO DATE TIME STORE EMP Lo 07996 CITY OF CARMEL --FIRE Oq 9/ 13:44 1 10000613 26 792487 2 CIVIC SQUARE PURCHASE ORDER ATTENTION SR# CARMEL, IN :B']B t♦ 41 46032 TAX EXEMPTION: AD TERMS:1 No sv,c clue 10 t CHARGE'. SALE DELIVERY: OUR TRUCK lklr PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL $.5771 CI SEMI FLUID 1.0E 78.65Q 1 78.65 iir 2r RESTOCK• FEE S u b r o t a 1 78.65 .REMIT TO:' 1212'W MAIN ST Tax 7% INDIANA 0.00 LEBANON, IN 46052 -2324 SIGNATURE P TOTAL ,C''HARGE SA L1: 78.65 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Cd 1 "t f NAPA:Auto Parts of. Carmel 111 Medilbd[ Drlve'•`Carmel; Indiana, 46032 •317 -844 3973 •Fax 317 =844 6220 Please Remlt To;. H H" °Automotive Supply W. Main St Lebanon, IN 46052 I(' ,AGRICULTURAL agricultu EXEMPTIONQER7IFICA7E ral WARRANTY PLEASE READ use A ��I F INDIANA DEPARTMENT OF REVENUE TAX DIVISIDN LIMITED �i 1 hereby cemty under the pepaluesbi perjury that'ihe personal property purchased by the use of; his exemption ceAdicate will be tlirectlY used iri the direct production of agricultural products for resale. ;..off Please examine these ens at once.�Errors should repo rtetl before'usin or inslallin Returns, 'The tactorywarrantyconsGtutesall of the warranties with respect to the hesale of this nemlaems: The�seller hereby'expressly ,'must be. made within TEN DAYS and musl be acd oganietlby,this INVOICE'NUMBER. This .'disclaims all warranties; either express,or implied, including any implied warranty of merchants' ity or fitness fora, particular..�.�,'. property issoldto you witti the tlefinite understanding that it is purchased for resale; unless tax PurPOse and the sellernertha assumes nor authorizes: any other person to assume for it any liabdityifr connection with the has been added to the price. ALL RETURNS SU ECT TO 10% RESTOCKING BJ. CHARGE. sale of this rtem(tems NO RETUR_ N.ON ELECTRICAL PARTS. pp�a P� b. ACCT r! I SOLD TO DATE 3. TIME STORE EMP I:I TY' JF }G€ 12htlMles FT RF DEFi C 6f �3 rj I �7 3 C UAF� "PURCHASE ,ORDER C ATTENTION b 4`1 ��£Qfu; T.AX fXEMPTiON r TERMS !o' .fi1_te 1 0th CHARM"_ SF�LF DELIVERY r PART.`NUMBER LN DESCRIPTION.. QUANTITY PRICE NET s' TOTAL' MCA'' M lfi r LL 1 60 1'3sn T40 i t i1 1. r c57� I{ F•Er' ,at.urtiz. i 4k- t S fE' RCf(TT 'l q 1 1�1 MAIN Tc'� TAXT'tSL' f5 t7V SIGNATURE 0TAL C;HARGC ,ALE 1,,14X419 `ALL GOODS RETURNED MUST BE ACCOMPANIED,BY THIS INVOICE V, A t f NAPA Auto Parts of Carmel 111 Medical Drive •:Carmel; Indiana 46032'•317- 844 =3973 Fax:,31Z 844 =6220 Please Remit..To: H H'Au'tomotiVe Supply.• 1212 W: m6in,St Lebanon, IN"46052 I AGRICULTURAL. EXEMPTION CERTIFICATE" s '1 ricultural use N A PA INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION ag I hereby cetify und LIMITED WARRANTY PLEASE READ er the'penalties of perjury that personal property purchased by the use of this exempson.certificate will be '.'ai ddectly used mlh edirecl production oFagriculturab pro forreset e: ,Please examine these pa,ti i'once.'Errora,should be reported�beffore using or'installing. Returns 'The factory warranty constitutes'all of the warranties with•respact to the sale of this rteMitems. The seller, hereby expressly C must be made, Within, TEN.DAYS and must beaccompanied by this INVOICE NUMBER. This disclaims all warranties, eithecexpress 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 item/items NO RETURN ON ELECTRICAL PARTS ACCT SOLD DATE TIME STORE EMP.. LAF�l+lEL FT F:E iDE�tT 8 /ct' t�, a5 l C W:I SG�UAR ,'PURCHASE ORDER r ATTENTION r" 4 r c 4 q IIV 5 BOB N 1 �q E,t Jac TAX..,EXEMPTION` qp :J4 svc {due `.1 CHARGE SALE' TER MS 4. DELIVERY) R TRlJCK 1; "PART NUMBER LN .f 'DESCRIPTION QUA'NTITY PRICE NET l OTAL i t 7CL S u !nlJJS`, 4dc,F11JJL; f CLT.; =,lJ{J 1'�ln i` 0" 2�, ,E 7 iti t NGL NCF?1` tiWwC� 48 tU '3 360 t i e �'�c"�5. tJC' e Y {J3 NCB`-AR IL R ALL° Fit UT 3t OZ 1 {at 1.,. x =10 1 .99th 131 J3J3 7�{ 3�+c".►F: WfX 'A�II I C C3R :4�1i 12 �G� 4.3'; w.3��: 43 t 5E {J J%JJJ 1 C3Z SI f F T $,TIRAW ?,E C)() 4: 9Sti 4a. i {a{� !`dC1L IMAPA GEAR riE;I °3Ci'.. G1T 99 ,le 2 9C> .,Flo: 2t3 z3 314 f�FtC: "IRI;LF CN CGS V8 J r J'. 4 5. 1 7 tt� 3� AJ ra:� e I t e lif 1UIrX t+AF %NAPA I1EXCt�EII 4 C'I `t TJ `SE C14 L ITF 1t7PLE C {a. Ci{} 3. 1 6 75i,' f) NI1C �HCrf1 7'CWEL S {�A t�C pro S1{7 tP 5 0 17 1.0 ~—A b n U T t Jn n TJ 1 e g 8? 57,' REaT�IClt r E ".apt t o 1 �Jc i r rn i w 1+lC� IJW Tai{ 1% TAX TALE LE8ANGN N X 7777 V 'SIGNATURE TfJTAL� CHAF2GE SALE: ''ALL GOODS RETURNED MUST BE ACCOMPANIED BY Tkls lkvO/CE J NAPA Auto Parts ®f Westfield 700 E. Main Street Po Box 245 Westfield, In 46074.317- 896 =5615 PleaseRemit To: H H Automotive Supply 1212 W. Main St. Lebanon, 46052 A N AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ El hereby certify under the penalties of perjury that the personal property purchased by the use of this exemptton,certificate will be directly used in the direct production of agricultural products for resale. i 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 itemltems: The seller hereby exp C1 .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' pa property is sold to you with the definite understanding that it is purchased for resale, unless lax purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection wi, has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE.. sale of this itemftems. NO RETURN ON ELECTRICAL PARTS. .ACCT'# SOLD. TO DATE TIME STORE EMP 07996 C'ITY.OF CARM EL —FIRE DE T 9/04/09 1 ©i2 =7 X00006129 21, 554197 SR 2 CIVIC SQUARE I' PURCHASE.ORDER ATTENTION CARMEL;.IN- E44 41 46032 TAX EXEMPTION: AD TERMS: I No is c due 10th: CHARGE SALE' 4,. DELIVERY:' PART'NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL ,05705E -104. WH HOSE END c 1:'00 3.52Q 2.050 2.05 3081 FIL NAPAGOLD,iFUEL: FILTER 1.00 11. ;02{3 5.510 5.51 R 25� 'RESTOCKING FEE S u b L u jai e 7.56 R -EMI_T TO: 1212 W MAIN ST Tax, 7.% 1. LEBANON, ,IN 46052. 2324 SIGNATURE TOTAL CHARGE SALE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE NAPA Auto Parts of Westfield 700.'E. Main Street Po Box 245 Westfield; 1646074* 317-896-5615 Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 N AN 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 warrant onstitutes all o(the warranties•with respect to the sale of this itemAlems. The seller hereby expres must. be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any impliedwarranty of.merchantability or fitness for a particul 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 0 1 `has. been added to the. price. AL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of thisitemfitems.. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD JO DATE TIME STORE EMP:# 07996. CITY. OF CARMEt F DEFT 9/03/0 16.:2 1 j.00066129 2i 354141 SR 2. CIVIC SQU ARE PURCHASE ORDER ATTENTION CARMELi, IN i S I A 1U 4z 41 4 8 3 TAX EXEMPTION AD TERMS: I N0 svc ue lgth .CHARGE SAL 3 DELIVERY: PART NUMBER LN DESCRIPTION. QUANTITY, PRICE NET 'TOTAL'' 1900T. ETW..SPRAY 0W.'DUCT' TAPE 1.013 6.990 6.99 i T9 X t 25 RESI.:OC.KING FEE ;•.s 6:99. REMIT: TO: 1212 W.MAIN ST Tax 7 �1 0.00 LEBANON,. IN 46052 -2324 o. ,SIGAT NURE TOTA CH- ARGE.. SALE 6',99 ODDS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE w. N APIA Auto Parts of Carmel 111 MedidM Drive; Carmel, .'Indiana 46032. 317- 844 -3973 O"Tax: 3.17 -844' -6220, Please Rem/t To H H Automotive Supply 1212 W: Main:St •.Lei anon, IN 46052` INDIANA UEP ENT.OF REVENUE =BALES TAX DIVISION t agrccultural use r APAI LIMITED WARRANTY- PLEASE REA D I hereby,certtty.un'der itie penalties -of perjury That tfie property purchased by the use oflhis exempllon certificate will be directly used in the 4kci production of agricultural products for: resale. Please examine these -parts at mice:, Errors should be reported before using of installing Returns' The factory warranty constitutes all�of the warFahties w¢h�respeci io the sale of this iteoditems. The seller hereby expn C must be made within TEN DAYS must be accompanied by this INVOICE NUMBERlThis Aisclaims all warranties; either express or implied, including any implied warranty,of merchantability or fitness for a parti 'property is soldto you wlth,the'defimt. understanding that it is purchased for.resale, unless tax •purpose and the seller neither a ssumes nor authorizes any.o[her person to assume for it any liability in cdnnec[ion will :has been .added to the price. ALL RETURNS SUBJECT, T0,10 %'RESTOCKING CHARGE. sale of this itetem:' s. No RETURN ON ELECTRICAL PARTS: SOLD TO DATE TIME TOR EMP I; CITY DF Cf F�h1 L' F 7 R:F DF�'T 8 f c 5!i i Sa m �-3 L `t �t3c��i�6 l 33 SR;# CI4� IQ:;" St;LIAI E PURCHASE -ORDER ATTENTION (FIRI�IFL t.f�l E htl`I -SEE ..46 TAX EXEMPTION':, AD TERMS lu svc .dl.te ',�:Qth 'CHF�RGE Sf2{ r DELIVERY. PART, ',NUMBER LN i DESCRIPTION:: QUANTITY $t `PRICE N.ET TOTAL' c F3 NTh1; 7j 6a BScy:' 1. At7C3. f A Clan RESTOCK FFE'. c� a i 15 8o REM 2 T T0.' iV t Tay T�t'X.TABLE LEBANON I N q .46052' X k t X Nw.� w i+ 'x NATURE TC�T�L. CF'�AF�GI^ ��L ALL' 6O- ODS R tURNED 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)) 739058 $15.80 354141 $6.99 354197 $7.56 739369 $1,202.18 739467 $131.88 792487 $78.65 354495 $52.00 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 West Main Street Lebanon, IN 46052 $1,495.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 739058 42- 370.00 $15.80 1 hereby certify that the attached invoice(s), or 1120 354141 42- 370.00 $6.99 bill(s) is (are) true and correct and that the 1120 354197 42- 370.00 $7.56 materials or services itemized thereon for 1120 739369 42- 321.00 $1,202.18 1120 739467 42- 321.00 $131.88 which charge is made were ordered and 1120 792487 42- 321.00 $78.65 received except 1120 1 354495 1 42- 321.00 $52.00 OCT 12 2009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund