HomeMy WebLinkAbout169354 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
d CHECK AMOUNT: $1,142.66
CARMEL, INDIANA 46032 izyz wMAiN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 169354
CHECK DATE: 314/2009
DEPARTMENT ACCOUNT PO:NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 7996 1,142.66 REPAIR PARTS
NAPA'Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032: 317- 844 -3973 Fax: 317 844 -6220
r Please Remit To: H H Automotive Supply .12,12 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
l agricultural use A PA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION G F LIMITED WARRANTY PLEASE READ ra r,4 JA
hereby certify under toe 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 usin or installing. Returns "Th@ factory warranty constitutes all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly, r
C di4clalms all warranties, either express or implied, including any implied warranty of merchantability or fitness for a padicular
must be made within TEN DAYS and must be accompanied by this INV ICE NUM ER. This ui ose;apd the Seller neither assumes nor authodzes an other p erson to assume far it an liabil in connection with the
property is sold to you with the definite understanding that it is purchased for resale, unless tax sere of this rtemlitems. y p y
as been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE.
NO RETURN ON ELECTRICAL PARTS.r. S y r:
i
ACCT SOLD TO DATE TIME STORE EMP
CARMEL" IRE DEFT 1 T29/E�9 2�, :.000cJ8133 i •.3 720865
SR 2 CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN E IAOP BOB
41 46032- TAX EXEMPTION: f
AD TERMS 'Svc due. 10t h s CHARGE SALE,:..
24 DELIVERY!"-) JR TRUCF;
PART N -UMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
P994 _MP BULB 4.00 11.x,90 6.890 27.56
T95�i� _MFG 3ULP 15.380 8-99
194 _MFG BULB 10. 00. 1.04 c X90 .3.90
1003 _MP BULB E,. X 0 1. 470 0. 790 y 4. "7'
l 5
25% RESTOCK FEE Subtotal 45.19
REMIT! TO: 1. 212 W. MAIN Ta.x 7% TAX TABLE 3 0. 00
LEBAN I N.., 4 6 52
SIGNATURE "Al TOTAL CHARGE SALE 45, i.'9
ALL GOODS RETURNED MUST BE ACCOM fIN1ED 8Y THIS INVOICE
NAPA Auto "Parts of Carmel
111 Medical'Drive Carmel,. Indiana 46032 ~317- 844 -3973 Fax: 317 -844 -6220 r.
l Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon,.IN 46052 APX AGRICULTURAL EXEMPTION CERTIFICATE a cu griltural use
"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 direot 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 iternhlems. The seller hereby expressly'
must be made within TEN DAYS and must be,accdmpanied 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 101 RESTOCKING CHARGE. sale of this itemfitems.
NO RETURN ON ELECTRICAL PARTS. g
ACCT SOLD TO DATE TIME STORE EMP
D799E', "C :t.T'Y 6F CARMEL F I RE L?C�P 2 25.E 09 ,?s ?�a Cat,ta0618 ?8 :7�� 130
SR'.# 2 CIV.,IC SQUARE PURCHASE ORDER.# ATTENTION'
CARMEL9 IN
4 1 46082 TAX EXEMPTION:
AD TERMS to svc due 10th CHARGE' SALE
1 DELIVERY:Y
PART, LN DESCRIPTION. QUANTITY PRICE NET TOTAL
)09 12 IMM 3M HOOK, FILM 3D I SC 50. 00 0. 750 0. 560' E'8. (L`)0 �w..
0910 ►11'EM'. M HbOK FIL..M, 3DISC .50. 00 1 a _r7(7 $r3�' 4r;�o t���
1008 VCB E0111I Ak OL S'T I C RLSH 1.00. 10.360 8.290 6.29
JO.
25% RESTOCK FEE zil 76.29
REMIT TQ. 121 2 W MALI Tax 7% TAXTABLE� 3 0.0o
LEBANON IN 4605
-SIGNATURE TO —_A CHARGE SALE 7Is iw'i*r
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA-Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 a 317 844 -3973 1, Fax: 317 844 -6220
1 Please Remit To: H H Automotive Supply ii 212 W.Main St. •Lebanon, IN 46052 APA A E CERTIFICATE
II I agricultural use
INDIANA DEPARTMENT EPARTMENT OF OF REVENUE VENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ t
.I hereby certly rader the penalties of perjury that the personal property purchased by the use cf this exemption certificate will be
directly used in the di production of agricultuml products for resale:
Please examine these parts at once. Errors should be reported before using or installing. Returns "The factory warrant constitutes all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly
G� disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness far a particulaa
must be made within TEN DAYS and must he accompanied by,this INVOICE NUMBER: This,
property is sold to you with Ihe'definito antlers[anding that it i5 purchased for resale, unless tax 'Purpose and [he 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 it
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE -TIME STORE EMP
0 CITY OF CARMELtF I RE DEPT 1/26/09 2 ::57 12 720
SIR V .2 CIVIC So0UARE PURCHASE ORDER.# ATTENTION
CARMEL, IN 0 1262009
1 46032 TAX EXEMPTION:
AD TERM9`Ica J re due 10th CHARGE SALE
;I'.. DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
755 --1619 BK 3T RAF' 200 0 $1 n. 42() 55.95o 1 11. 90
ti RESTOCK -FEE al�ars'eova 111..91`3
REMIT T 1 c 1 t.:,. W MAIN T ,41 w 7% TABLE 3 GO
L EBANION is N, 4 052:.
SIGNATURE TOTAL CHARGE SALE 1 I V.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
i
H &H Automotive S NAPA Auto Parts of Westfield
1212 W. Main Street 4APAD" 896 -5615
Lebanon, IN 46052 2324 (317) 896 1820 Fax
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
FILTER L. TOOL SALE AT WESTFIELD NAPA MARCH 24, 09 /TUESDAY
BILL TO
CITY OF CARMEL—FIRE DEPT SIATEMENT
2 CIVIC SQUARE ACGT�# M:#
CARMEL, IN 7996 41 1
46032
DA l E° TYPE ,,..,REFERENCE.....;?'.d P,MOUfVT y, R.OJCHECK /J.E-
01/26/09 Inv 720569 111.90 01262009
01/28/09 Inv 720754 27.38 BAT 4
01/28/09 Inv 720784 32.17 01282009
01_/29/09 Inv 720836 14..'74 PUB ED
01//29/09 Inv 720856 15.35
01, Inv 720865 45.19 SHOP
02102/09 Inv 721055 83.80
Q2 i02/09 Inv 721058 41 -34 Cr
02/02.,!09 inv 721059 7.90
021 Inv 721060 89.90
02/03/09 Inv 721188 26.18 A41
02103109 Inv 721240 143.28
02/11/09 Iriv 721854 4.37
0:111/09 Inv 721945 22.64
02/12/09 Inv '721971 23.16
02/12/09 Inv 722001 116.79
07.. 1/`7 i 09 Inv '722396 118.60 E40
02/171 Inv 722451 119.76 E40
02!21;09 Inv 722781 104.60
02/25/09 Inv 723130 76.29
Summary as of 02/26/2009
Previous Balance 385.78
Payments 385.78Cr
Purchases 1142.66
Current Balance 1142.66
Future Datecl 0.00
CURRENT x DAY
PAST.DUE 30:S,F PAST D.UET6D:DAYS. .:PAST DUE 90 "DAYS
"1.142.66 0.00 0.00 0.00
DATE 02/26/2009 FAT a a 1 w "e d 1142.66
TERMS svc due 10th
STORE 1- 00006128 -0004 t t a t D pi e 1142.66
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032'• 317- 844 -3973 Fax: 317 844 -622Q
1 ease Remit To :H H Automotive Supply• 1212 W. Main St. •Lebanon, IN 46052 APAI AGRICULTURAL ExEMPTION CERTIFICATE INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use
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 a+t,,,
directly used in the direct production of agricultural products for resale. r
Please examine these parts at once. Errors should be reported hefore using or installing. Returns "The factory warranty constitutes all otlhe warranties with respect to the sale of Ih s temlitems:'The 591fer hereby expressly
C1 must be made within YEN DAYS and must be accompanied by this INVOfCE NUMBER. This disclaims all warranties, either express pr in ied, including any implied warranty of merchants ility'or fitness for a partrcular
`properly i5 sold to you with the definite understanding that It is purchased for resale, unless tax purpose and the seller neither assumes or authorizes any o3har, person to assume for it any liability in connection wM1h'fhe
^dies been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE.- sale of this itemlitemsr
NQ.RETURN'ON ELECTRICAL PARTS:
ACCT 1 SOLD -TO DATE TIME STORE# EMP lit, 1G1,
(�79 TY OE G IRMEL -F•.I R` DEPT
1 c�S /t39 f lei y t73 `L 00006 I,;;3 r` 12 72074
SR 2 C I Y I C SQUARE '.,PURCHASE ORDER# ATTENTION
C`AWEI, IN BAY 4
4-1 4€(,22 TAX EXEMPTION'
TERMS:lo sve d ue 10th CHARGE SALE t,
'3 DELIVERYP JR TRUCK
PART'NUMBER' LN, DESCRIPTION QUANTITY PRICE NET TOTAL
Vii? 3 BK. °LOOR MAT PC, KUB GFRY 2� 00 .17a 190 13- 646 E27. '38
ex6
mo t r
Q d F
'E:5/ RESTOCK FEE Suot ota 27.38
R0111 TO i212 W MAIN. Ta.)( 7% TAXTA LE- u Ca
LEBANON I 4605
CH ARGE
SIGNATURE TOTAL L. ;:SALE_
ALL G& S ETUkNED MUST BE ACCOMPANIED BY THIS INVOICE 0.
NAPA Auto Parts of Carmel:
111 Medical Drive Carmel, Indiana 46032 317 -844 -3973 Fax: 317- 844 -6220
1 Please Remil To: H H Automotive Supply 1212W Main St. Lebanon, iN 46052 AGRICULTURAL EXEMPTION CERTIFICATE aricultural use
LIMITED WARRANT AN I DEPARTMENT OF REVENUE -SALES TAX DIVISION Y g
NDIANA 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 to the sale of this ilernicems The seller hereby expressly,
G1 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 lax 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 itemlltems.
NO RETURN ON ELECTRICAL PARTS,
ACCT r. SOLD TO DATE TIME STORE EMP r..
07996 CITY OF CARMEL._F I RE DEPT 1 2.a 0 9 i 2 J LQ0006172 1 12 1 720784
SR 2 C.I V Ii_ SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN, 01282009 t
41 46032 TAX EXEMPTION:
AD TERMSilo s e i 10th CHARGE SALE
23 DELIVERY:
PART NUMBER LN, DESCRIPTION QUANTITY PRICE 'NET. -TOTAL
2003 v)- olet'Trf_l Tt- a.ilBlazer
IP LADE cam_)0
ICB TA-B I L FUEL STAB I L ZKR 1 X 0 7.490 5.990 5.99 N OW
4f
25% RESTOCK FEE 551 o A i 32. 17
REM I T TO:' 1212 W MAIN Tai 7% TAXTABLE R, 0. 00
LEBAN l I NeG(:)5;:
x
SIGNATURE TOTAL_ CHARG SALE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto .Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 .317- 844 3973'• Fax: 317 -844 -6220
r Please Remit To: H H Automotive Supply 1.212 W. Main St.. Lebanon, IN 46052
1 A PA
AGR IC U LTU R AL MEOF E agricultural use
11 L INDIANA DEPARAR TMENT OF REVENUE VENUE SALE SALES TAX X 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 sca factory warranty constitutes all of the warranties with respect to the sale of this item /items. Th. seller hereby expressly,
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This ms all warranties, either express or implied, inc {uding 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 TO DATE -TIME SPORE: EMP INVOICE NO
0 CITY OF Irr= RME:L.. -FIR DEPT 1/29/09: t' 08 r �c�t:)t:�6 1 L� 6 72= C)iB3G
SR CIVIC, SQUARE. PURCHASE ORDER ATTENTION 1
CARMEL, IN PUB, ED
4- i TAX EXEMPTION:.
AD TERM$':i t sw�: dine ..10th CHARGE: SALE
4 DELIVERY:
'PART NUMBER LN DESCRIPTION QUANTITY. PRICE... NET- TOTAL
04U- '1.0.4. •JH -1E7SE END 3 S qC 7. fa
842504• -25OR 4H IYDRAULIC HOSE as of) 5.-320 w.:4 520 7.55
25% RESTOCK FEE S c i 14.74
REMIT -7OC 1212 MAIN Tax.. 7% TAXTABLE,✓ 3 0.00 MI
LEBANON IN, 4605 i MIN
A
SIGNAT
TOTAL CHARGE. SALE 34a 74
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel
111 Medical Drive t. Carmel, Indiana 46032 317 844 -3973 Fax: 3.17 -844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE Y T
N agricultural use
AN INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
LIMITED WARRANTY PLEASE READ r
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption cadifcale will be
directly used in the direct production of agricultural products for resale. 0.0.0.
Please examine these parts at once. Errors should be reported net... using or installing. Returns 'fhe factory warranty constitutes all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly
must be made within TEN DAYS and must be accorripanied 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 tlefinite 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 alibis itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE" TIME STORE EMP
:!7996 C I TY OF CARMEL- -•FIRE DEBIT 1/29/09 1 G•4 00006 36 1 720856
SR C I IJ I C SOL)ARE PURCHASE ORDER ATTENTION
C:ARMEL, 1N
4 402 TAX EXEMPTION:
AD TERMSs o s v e d ii 10th CH(I 12OE SALE
11 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
)7493 yIMM 3 DISC. 8.420 6.870 6.81
7.77- 1008 41-D ?RUSH 1 -4 3HANKl c: o 5.160 4.790 A.79
777-1009 4LD 3RUSH .1 u4 'SHANK 1,, O 4-160 160 3. 690 89
•ij "I
t
5� RESTOCK FEE Subtotal 15.35
REMIT TC7v 1 1 W MAIN
a TAXTABLE. 3 s:.00
LEBANON IN 4605
v
SIGNATURE TOTAL: CHARGE SALE 15. 5
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE? [T�'
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 121-2 �W. Main St. Lebanon, IN 46052
APA
AGR EXEMPTION VENUE CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES ALES TAX DIVISION LIMITED WARRANTY PLEASE READ
I hereby cartily under the penalties of perjury that the personal property purchased by the use of this exemption'certifcate will be
tiredly, used in the direct production of agricultural products for resale.
Please examine these pads at once. Errors should be reported before using or installing. Returns The factory warranty constitules all of the warranties with respect to Ire sale of this itemrtems. The seller hereby expressly
must be made within TEN DAYS and must be accompanied by [his INVOICE NUN4BER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particuian
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 itemli[ems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE
_TIME STORE. EMP
07996 CITY OF CARMEL., °F= I RE DEPT ;R/02/09 +.F8 u C3 l c_�� at�t7F� 133 3� 721055
SR 2 CIVIC SOL1A RE PURCHASE ORDER ATTENTION
CARMEL, IN
4I 46032 TAX EXEMPTION:
AD TERMS s iVil d! -te 10th' CHARGE SALE
1. DELIVERY:-
PART NUMBER
LN DESCRIPTION QUANTITY, PRICE
NET',` TOTAL
05140 VIri1 VIOTHERS POWERBALL 1 3;:. c3i`x E w'9S�i.' 23.99 l
„9008 IIYIM 3M TM HEADL I'GHT LENS i I 1.8. 990 1.8. 99
05148 rICB OTFIERS �PWRMTL POLISH 4.00 its. -740 8. 590 34. 3C., k�f
«5•'r 2E MM PI HOOK IT 31N FP PAD i CAA 8. 590 6.460 6., 11.E
2 RESTOCK FEE u.i �c��a 83. SO s.
REMIT T+3e 1212 W MAIt'11 Tex 7% TAkTABLE 3.:
0.00
LEBANON IN, 4'6052'
�f
TOTAL CHARGE SALE 83.8
SIGNATURE
ALL GOODS, RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317- 844 -3973 Fax: 317 844 -6220
I Please Remit To:, H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
A PA AGRICULTURAL EXEMPTION CERTIFICATE g LEASE READ
directly use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION .4
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY
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.
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 itemlitems. NO RETURN ON ELECTRICAL PARTS.
All;
ACCT SOLD TO DATE TIME STORE EMP.# '1',:,�;
07996 CITY OF CARMEL -FIRE DEFT 2/02/09 ()8'.- 1 00006183 12 1 721058
SR 2 CIVIC SQUARE PURCHASE ORDER :ATTENTION
CARMEL., IN
41 46032' TAX EXEMPTION:
AD TERMS:Io svr dUe 10th CREDIT MEMO
1 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET, TOTAL
BP894 _MFG BULB 76.00 11.690 6.890 41. 34CR
25% RESTOCK FEE I_t oLa.l 41.34CRt
REMIT 'rb: 121E W MAIN Tax 7% TAXTABLE 0.0o
LEBANON I N, 4 6t= 52
SIGNATURE TOTAL f-) CREDIT MEMO 41< 34CR
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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 thereby AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE- SALES TAX. DIVISION LIMITED WARRANTY- PLEASE READ
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.
Rease examine these parts at once: Eriow should be reported before using installing. Returns "The factory wananly Const61uie5 all of the warranties with respect to the sale of this item /Items The seller hereby expressly_
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaim, all warrarilies, either express or implied, Including any implied warranty of merchantability or fitness for a particula'
property is sold to you with the defnila 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 bean added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemlilems.
NO RETURN ON ELECTRICAL PARTS. a
ACCT SOLD TO DATE TIME STORE EMP
0 7996 CITY OF C ARMEL.- -F T RE DEPT 2/62/(_)9 tll9 .-1'4+ 0t"a00F'5133 36 721059
59
SR CI SQUARE. PURCHASE ORDER ATTENTION
CARMEL, IN 4¢
41 46032. TAX,EXEMPTION:
AD TERMS: c� Svc. ~10th CHARGE SALE:
1, DELIVERY .JR 'FRUCI!
PART NUMBER LN DESCRI Q UANTITY 'PRICE NET TOTAL
r:? IYIP BULB I Q.' tad.? 1. 7 40 Ca'. 790 7.90
9
25% RESTOCK FEE 7.
REM T T 1Z i e' J MAIN Ta TA,'(TAt 1f E' 0.00
1 id
LEBANC .1 .6055
SIGNATURE TOTAL -3 CHARGE SALE
ALL GOODS RETURNED MUST BE ACCOMPANlEO'BY THIS INVOICE 7• at�
NAPA Au P "arts 'of"Carm'al
111 Medical Drive :Carmel, Indiana 46039 Fax: 317- 844 6220
Please Remit To: H H Automotive Supply •.1212 W. Main St. -Lebanon" IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE APA a9 {cultural use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION t.,.
LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the persona{ 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 we mantles with respect to the sale of this itemllfems. 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 witti 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 SUBJECT TO price. ALL RETURNS SU TO 10 RESTOCKING CHARGE. sale of this itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE# EMP
)7996 CITY OF CARMEL DEPT
2102109 c r8 a i. 5 ��Or'��613�, 12 1 E��10
SRO Ia CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN' BOB
4i 4.6032 TAX EXEMPTION:
AD
TERMS: a s due 10th CHARGE SALE
9 O JR TRUCK
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
79 .4 ._MP BULB ,I o. 00 15.380 990 89.90
fy
25% RESTOCK FEE iLt r, ot a 1 '89 90
REMIT TO.- 12'_ 12 W MAIN Tax TA X TI'IBI_E 3' Q „,00
BO N 605
4
X
SIGNATURE TOTAL CHARGE SALE sq. w
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
II
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317- 8443973 e Fax: 317 -844 -6220
Please .Remit To: H H Automotive Supply* 1212 W: Main St. •L'ebanon, IN 46652
AA AG EVENU CERTIFICATE 'ricullural use D INDIANA DEPARTMENT PARTMENT OF OP REVENUE E -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
irect f
directly used in the d production of agricultural products for resale.
Please examine these parts at Onoe. 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 INVOICE NUMBER. This disclaims all warranties, either express or implietl, 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 itemfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07996 CITY OF CARMEL -FIRE DEPT 2/03/09 .1 .�4zt�� €:t61?3 12 7Ef.1t
"SR 2. CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN
4 1 46 32 TAX EXEMPTION:
AD TERMS,[o s vc� due' 1 >t I t CHARGE SALE
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE. NET TOTAL'
J I P LAI}E 00 :G. 230 13. 090 1 S
..teJt,
f
.i:
'25/ RESTOCK FEE sutit otes I
REMIT Tt7e 1c1 W MRIhI Tak.` 7! TAXTABL:E .Y 0.00
LEBANON IN, 46052
SIGNATURE TOTAL CHARGE SALE 2G. B
l ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of 4 Carmel
111 Medical Drive Carmei, Indiana 46032 317 -844- 3973• Fax: 317- 844 -6220
E3 APAI Please Remi t To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTIDN CERTIFICATE t agricultural use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY- PLEASE READ I hereby certify under the penalties of perjury that tha personal pmpedy purchased by the use oflhis exemption ceAiflcale will h 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 "Thef warramy constitutes all of the warranties with respect to the sale of this itemlilems. The seller hereby expressl be made within TEN DAYS and must be accompanied by this INVICE NUMBER. This tlisdms all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular ple, uness ax purpose and the seller neither assumes nor authorizes any other person to assume for it any liabili
property is sold to you with the definite understanding that it is purchased for pass ty in connection with the•
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of thin ltemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07996 C ITY OF CARMEL FIRE DEFT' 2 /03/09 109 J. 00i,:06133 :s C 7:1240
:.SR
2 C I W IC SQUARI" PURCHASE ORDER# ATTENTION
CARME_.L`'y IN
4.1 46032 TAX EXEMPTION:
AD TERMS'•lq 'svc dfl il CHARGE SALE
2. DELIVERY ,JR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
P91 RC BRAKLEEN 20OZ y ���a. I}(� �Fe E33Q 1d 1390 143. c:8 O
2 RESTOCK FEE �trattat l 143e E8
REMIT TO. 1212.14 MAIN Tax 7% TAXTABLE 3
i..EBANON IN, 46052 l
X SIGNATURE TCITfII_ S C H ARGE SALE t
uI`
ALL GOODS RETURNED MUST 9E ACCOMPANIED 8Y THIS INVOICE 143. 28 f 7
NAPA Auto Parts of Carmel 't o
111 Medical Drive Carmel, Indiana 46032 a 317 -844 -3973 Fax: 317 -844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St: Lebanon, IN 46052
1 N
AN AGRICULTURAL EXEMPTION CERTIFICATE
agricultural use k
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION f C
iIMITED WARRANTY PLEASE READ
I hereby cedify under the penalties of perjury that the personal property purchased by lbe use of this exemption certificate will be
directly used m the direct product of agricultural products for resale. j
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 thisitemltems. The seller hereby ezpress
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 for a particulr
.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 with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this Itemliteme.
NO RETU ON ELEC TRI C AL. PART
t
ACCT SOLD TO DATE TIME STORE EMP
?`3�'7E� CITY OF CAf?MEL —F IRE L►E 1T z1 0 i) 1? t ",tai "tia 1 7-_
�SR 2.CIVIC SQUARE PURCHASE ORDER ATTENTION
CAPMEL, IN
4+E 032 TAX EXEMPTION:
AD TERM I u in t "�t I r F
9 DELIVERY,:
PART'NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
TGG- 127 EtH SWITCH 1 n t]C S- 2� >u 4 ?0 4. 37. R
Via
25% RESTOCK' FEE
S►:tbtt�t2�1 Ito 7
REM 1 T TO s 1212 W MAIN T'u. 7% TAX TABLE 2 o.00
0
LEBANON .I N, 4E 052
X 4y
SIGNATURE TOTAL 7 CHARGE SALE 4- z?7, r3
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 111 317 -844 -3973 •.Fax:'317- 844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 416052
1 NAPA
AGR ICUL T URAL ARTENTOF E VENUE CERTIFICATE
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agncultuttal. use
I hereb certi under the penalti of er u that the personal proper LIMITED WARRANTY PLEASE READ
Y fY P P I ry P p p y purchased by the use of this exemption certificate will be
directly used in the direct production of agricultural products for resale:
Please examine these pads at once. Errors should be reported before using ar installing Returns •Tne factory warranty constitutes all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly
G1
must be made wit hin 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 fliness for a particular
property is sold to you with the definite understanding that ills 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 110% RESTOCKING CHARGE. sale of this itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
0 79% CITY OF CARMEL —FIRE 'DEPT 2? 1 t A. 6.006133 33 1 721945
SR 2 CIVIC 'S0UARE, PURCHASE ORDER ATTENTION
CARMEL, IN
41 fi 6.032 TAX
AD' TERMS:Ic,
CI #_t (`l
DELIVERY:
PART NUMBED LN DESCRIPTION QUANTITY,_, -PRICE NET q TOTAL
T66126 ECH SWITCH 1 00 1f.100 T. 650' 7 a 55 R A r
B2 -949 NAC A .VAIw il 00� 16 070 1'40 99th 1
l
25; 'RESTOCK FEE Subtotal 1 2. Bpi
Te 7X TAXTAaLE 3 c
REM, IT TLS: 1212 W MAIN i ��a�
LEJaANON I N` 4605 1
X
SIG U, E
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE OTAL CHARGE SALE
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.
A AGRICULTURAL EXEMPTI CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE UE -SALES TAX DIVISION LIMITED WARRANTY. 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 the direct production of agricultural products for resale. I "`111111 1 LL•�11
Please examine these parts at once. Errors should be reported before using or instal lin Returns The factory warmnty constitutes all of the warranties with respect to the sale of this item /items. The seller hereby expressly
Q+ g disclaims all warranties. either express or implied, including any implied warranty of merchantability or fitness for a particular
must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This
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 itemfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07996 CITY CIF CAPMEl_ -'F I PE DEPT- 1 /()C) 2.4 i li )000, 37 i i;= i 97•.
SR 2 CIVIC SQUARE PURCHASE ORDER# ATTENTION
CARMEL, IN
41 4F,0 32 TAX EXEMPTION:
AD TERMS: n :.vr- riiir� 1 CA-. h r14ngnp ni F s
I DELIVERY01JR TRUCK; A,
PART.NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
H {iE, G MFG 1AL BULB 1.00 980 5.290. 5.29
4921 -1. MP FOG LAMS' 1. DD 1. 64 to 17. 87o 1.7. 87
t is
t
25 RESTOCK. FEE. Subtotal. 23. 1E
REMIT TO.. 1212 W MAID T 'ax .7% TAXTABLE 3 0.00
LEBANON 1Np 4GO52
SIGNATURE 1 S AL•E t_ r t N.i1
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TCIT�Ii_ CH AR GE. sF,
NAPA Auto Parts of Carmel
4
111 Medical Drive Carmel, Indiana 46032 *31 7 -44 -3973 Fax: 317844 -6220 t
Please Remit To: H H Automotive Supply 1212' W. Main St. *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
APAI INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION i1rL.
I hereby IMITED WARRANTY -PLEASE READ y certify under the penalties of perjury that the personal property purchased by the use o(this exemption certificate will be y 1\ i♦
directly used in the tlirest production of agricultural pPoducts for resale..
Please. examine these parts at once. Errors should be repoded before using or installing Returns "T factory warranty constitutes all of the warranties with respect to the sale of this ilemlitems. The seller hereby expressly i
must be made within TEN DAYS and must he accompanied by this INVOICE NUMBER. This sclaims aIV 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 authorrzes any other person to assume for it any Ill in connection with the.
has been added.lo the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemlitems,
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
079 CITY OF CARMEL—F DEFT 12 09 045 45 00006133 33 722 601
SR 2 C I V I SOUARE PURCHASE ORDER .ATTENTION
CARMEL, 1 N
is
1 +6032 TAX EXEMPTION:
AD TERMSS r tf. A Oth CHARGE SALE
11
F DELIVERY:
PART NUMBER LNL DESCRIPTION QUANTITY PRICE NET 1 TOTAL
AD -7387A 1)0 DISC PAD 10 OO' 97. 3 (30 4.8a 82' 48. 13
r AI a7k Did I C PAD 1.09
135.460 67..970 67.
ti
25l 'RESTOCK FEE Subtotal 116.79
REMIT TO- 1212 W MATN' T,�ax 7Y TAXTABLE. 3 i.)„ ierfy
LEB LON ,N, 4 6052
K
X
4} sIGNAT TOTAL''4 4I CHARGt SALE. 116.7 1 3
A `RODS RETUR�� MUST BE ACCOMPANIED BY THIS INVOICE 7
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
1 E] AGR EMPTION CERTIF[OA INDIANA DEPARTMENT ARTMENT OF OF REVENUE -SALES TAX X DIVISION agricultural use
I hereby certify untler the penalties of perjury that the personal property purchased by the use. of this exemption cedifcale will he LIMITED WARRANTY PLEASE READ" directly used in the tlirect production of agricultural products for resale.
Please examine these pans at once. Errors should be reported before using or installing. Returns "The factory warranty constitutes all of the warranties with ubspeot to the sale of this item /items, The seller hereby expressly, 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 partieuler
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 with the`
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. Sale of this itemli[ems�
NO RETURN ON ELECTRICAL PARTS.
ACCT# SOLD TO DATE TIME (STORE EMP
07996 CITY 'OF, CARMEL• -i�
IRE DENT 17/09 9 e'55 0000613 F .2 1 96
SR 2. CIVIC SQUARE PURCHASE ORDER ATTENTION e
CARMEL, IN E:40
4i 461 TAX'EXEMPTION::
AD TERMS,. oSvc d ll 10th CHARGE SALE
14 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE,' NET -TOTAL
819-5584 13K SUPPORT 2,:00. 38. 830 29. 360 58..72
.,�v.
1919 -558 K SUPPORT 2. 0 38.990 29. 940
25% RESTOCK- 118.
REMIT TO: 1.212 W MA I N Ta ke• 7% TA'XTABLE 0.00
LEBANON IN, 46052
SIGNATURE TOTAL CHARGE SALE: 1181..E:D''
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
s r +M aa. .Ile
NAPA Auto Parts of Carmel'
.111 Medical Drive III Carmel, Indiana 460320'317-844-3973 9 Fax: 317 -844 -6220
Please Remit To: H'8 H Supply.• 1212 W. Main St..Leb'anon, IN,46052
AGRICULTURAL EXEMPTION CERTIFICATE r 1
Y use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION, �S7
agricultural S
FNAP I hereby certify under the penalties of perjury that the personal propedy purchasetl,by the use of this exemption certificate will be LIMITED WARRANT -PLEA E READ i f
directly used in the direct production of agricultural products for resale. +�''V• }a
Please examine these parts 61 once. Errors should be' reported before using or installing- Returns "The factory warranty constitutes ait of the warranties with respect to the sale of this itemlitems. The seller hereby expressly'
l: 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 panicular-
'purpose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection wilh the. 'r.
property is sold to you with the definite understanding that it is purchased for resale, unless tax sale of this itemlitems.
has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE.
NO RETURN ON ELECTRICAL
ACCT j, SOLD TO. DATE fiIME STORE I EMP
1�7 3E=�' CITY. OF CARMEL 'F.If E DEPT =its -0:? rat'a�'�iaA a^ 772%
SR 2 C I V I c�rS !UA :RE PURCHASE ORDER ATTENTION
GAI�I+lEt TNt_� EA
A 46032 T AX EXEMPTION:
AD TERMS. I o -s vr- r 101- h r: Hi l t .;q 1
1 t DELI1/ERY J1 TRUCK Idkr'ii
1 Y E
I!
PART NUMBER LN DESCRIPTION QUANTITY' PRICE NET `f TOTAL
819' —x;589 Ai K SUPPORT 4. 00 38.990 29., §40 V. 119.7F
9 r i
23% RESTOCK FEE S u bt n t a 1 119.76
REMIT TOP 1212 W MAIN Tax 7'Y. TAX"TABLrE 3. o.00
LEBANON N, 4605E
SIGNATURE TOTAL' CHARGE SALE 11` 76
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE a
r •�i
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
APA� AGRICULTURAL EXEMPTION CERTIFICATE f
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use
LIMITED WARRANTY PLEASE READ
hereby certify unde the penalties of peryury that the personal property purchased by the use of this exemption certirwale 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 itemlitems. The seller hereby expressly.
C1 must be made within TEN DAYS and ni be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness fora particular,,.
propehy is sold to you with the definite understanding that it is purchased ter resale, unless tax Purpose antl 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 itemlitems,
NO RETURN ON ELECTRICAL PARTS.
ACCT `SOLD TO DATE TIME STORE EMP
07996 CITY 'OF CARMEL F I ICE DEP T 52r i �i �i �0� 133 ?E. •�2 R
SR
CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN
A 1 .46032 TAX EXEMPTION:
AD TERMS;: n u rn ri i i ii 0-F h rHA g rw sni
16 DELIVERY:
PART NUMBER LN DESCRIPTION ,QUANTITY PRICE- NET TOTAL
0091 Q MMM 3M HOOK F1 LM 8U I SC 4 o 1U, 0.56 28. 00
00914 MMM 3M, HOOK R ,F I L��1 rD I SC aC A t 0. 750 tae 560 26. 00
02067 MMM 3M TM TRIZACT TM HO 06 4 1,3 3. 40 48.60
it t�.
f
r
5% RESTOCK. FEE 0 1 104.66
REMI�f TO: 1-: W MA'iE�! Teat 7% TAX TABLE 3.. t"t, 00.
LEBANON IN 4605
SIGNATURE .TOTAL CHARLIE SALE 104.6
ALL GOODS RETURNED MUST BEACCOMPANIED BYTHIS 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))
$1,142.66
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Boone County Automotive
IN SUM OF
1212 West Main Street
Lebanon, IN 46052
$1,142.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
ty
'7
PO# 1 Dept, INVOICE NO, ACCT #!TITLE AMOUNT Board Members
1120 42- 370.00 $1,142.66 1 hereby certify that the attached invoice(s), or
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
MAR 2 200
Fir Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund