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Home My WebLink About168370 02/04/2009 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: $441.17 LEBANON IN 46052 -2324 CHECK NUMBER: 168370 CHECK DATE: 2!412009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION 1207 4350000 1898 339.01 717916 1207 4350000 1898 43.65. 718006 1207 43500.00 1898 29.88:'718008 1207 435000'0 1898 28.63 EQUIPMENT REPAIRS M p Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052 1 AR AGRICULTURALEXEMPTION KATE agricultural use INDIANA QEYARTMEN SAILE T OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ hereby certify under the penalties of perjury instill personal property purchased by the use of this exemption certificate will be y directly used in the direct production of agiricultural 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 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 item/items. NO RETURN ON ELECTRICAL PARTS. AN k ACCT SOLD TO DATE TIME STORE EMP o -,Kona CITY OF CARMEL 1�:j. SR D ROOKSH I RL GOLF CI.-UP. P RCHASE ORDER ATTENTION' 121 il"O BROOKISHI RE PARKWAY TAX EXEMPTION: 'SAD CARMEL IN 4•60 -33 K KEEP COPY IN.V 1YIC_ L i i irtrxue arwLE c4 DELIVE Y` Jl? l "RLJt..I' PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 1 394 7 I L qAf= AGOL..D OIL FILTER 2 e 00 1. 2. 2140 7,. 29 14. 8 e,139 vAPFai: OLD AIR FILTER 3. 1S. 2:0 1 3.6-9 1 0 29. W it D 25% RESTOCK FEE Subtratal. 43.E REMIT TO e 1 21. c: W MAI Tax 7% '1 "A;� l AP,LC a ti LEBANON IN 46052 t SIGNATURE ALL GOODS RETURNED MUST HE ACCOMPANIED BY THIS INVOICE T CHA GALE 43 1rti t-r f Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052 NA PA L AGRICULTURAL EXEMPTION CERTIFICATE agricultural se INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE SE 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 lactory warranty constitutes all of the warranties with respect to the sale of this itemltems. The seller hereby express" 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 t1 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 T IM E STORE, EMP r r..••, r. 1 B9B CITY OF CARMEL SR ,:'ROOK SHI RE GOLF C.L_l1� PURCHASE ORDER ATTENTION 21zn BROOKSHI RE PARKWAY ra 1 UARMEL_, IN 4603 3 TAX EXEMPTION: r° w PRF R LF_ AD KEJ.EP COPY INV TERMS: •r rA 1 1 r+l J DELIVERY. PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL r J f 4 9 '7. 2 w h. 1394 FIL IJAFA(:�OLD O IL FILTER 1.. t�t:3 1��. ca c 6449 I I L_ hAr. OLD AIR FILTER 1. r" o 42. '74.0 22-590 222. 59 25% RESTOCK FEE: Sf_tt�i a� n1 29. SS REMIT TO: 1212 W MAIN Tax 7% 'T A X TnBL..E 3 0. C)0 LEBANON III, 46052 SIGNATURE TOTAL_ CHARGE aAL_E. 2 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 rN A�� AGRICULTURAL EXEMPTION CERTIFICATE agricultural 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 direcNly used in tha direct production of agricultural products far 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 itemfitems. The seller hereby expressly- U must be matle 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 senor neither assumes nor authorizes any other person to assume tar it any liability in connection with the has been added to the price. ALL RETURNS SUBJECT TO lb% RESTOCKING CHARGE. $ale of this i[etems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD;TO DATE TIME STORE EMP ?1898 i ITY OF CAFRtIE.L 1 I23? 08 10 41 r 1 1':1.1.171 SR 3R0L1! H? RE CUE" t�1'°I_.11? PURCHASE ORDER ATTENTION 1212 BROC)F;SHIRE PARKWAY Sr i. A RMEL, IN 4 6,03,3' TAX EXEMPTION: AD N� wEla' COPY IPd'J TERMS'.k 1 t, �nrlrzat 1 +L.t� 03 DELIVERY: .!r� t Huur FART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL i 394. 1 L %IPP aC•3t71._D OIL.. FILTER c:. i 0 1 2 40 7. 290 14. 58 =1 3 I L. �1f1PAGOLD AIR FILTER 1. 00 1. G. 4 2 0 9. 9. 69 1 t_)56 I L.. 'qF"tf- AGOL_D OIL F I LTE R 2. 00 1.7. 17 10h 290 20. aH 244,' .r' 1 L VnPAGOL D AIR F I L. "rER 1. 26. 980 1 4. 290 14.29 1064 O 1: L qF'tPf-aGOLD OIL. FILTER 2.00 0 17. 810 9. 590 1.9. 1 a 551 1x` l -".T L 'df1l" AGOLD AIR FILTER 1 tjr"_! l 18.„ 280 62. 490 62. 2 1.9 51 9 .Pc 0 I L �II'1�IAGOLD P)I R FILTER 1. t:� 8�. t�t!(7 43. 890 8`1 1147 r, IL \IAI A TRANS F' I L_TE R 1. 00 20. 2 10 10. '790 10.79 E438 _II_ qAPAGOLD A IR FILTER 1.00 69. i!Ert:! 36. 490 .W,E,. 419 d 2 985 qAl- •IAGOLY) AIR FILT 1. t_ 0 AIL:. 810 i_i=:. 5 90 22. 59 a IL 'JWE'F1C-OLD OIL FILTER 1.00 1t-'. 980 7. G 9 7.69 3032 7 '1 L \IAPr -IGOLD FUEL F' I lw TER 1.00 7. �t �t �t }t� 90 R 449 I L uAl`- AGOL L A I R F IL.TER 2. 00 42.740 590 45. IS 1'551 "IL. 'J€pn HYDRAULIC 1=ILTR 2.00 16..4 8.790 17.58 \InP(aGOLD AIR 1= :E' LT ER 1. 0 18. 980 10.090 10. 25/ RESTOCK FEE Sfil b o ,.-A 1. 339.01. RETr1IT TO: 1212 W IYIAIN Tax 7% TA iXTABLE t'! „tit: LEBANON I N, 4G052 'I Vt p SIGNATURE TOTAL TEL_ CHARGE ifs f2GF SALE 339 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ►�"gE�I,/jt S3 ISr ?tf INA-PA Please Remit To: H 11 H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 AGRICULTURAL F E XEM PTIO N CERTIFICATE agricultural 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 V directly used in the direct production of agricultural products for resale. Please examine these parts at once. Errors Should be reposed before using or installing Returns "The factory warranty constitutes all of the warranties with respect to the sale of this itemPtems. 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 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 STORE EMP 01898 C.T.'"iY OF ",A'IYIEI.._ 12/23/()i9 .0 -.41 ,0c_ ?0061.33 1 33 17 17 E1ROOK HI GOLF CLUB PURCHASE ORDER ATTENTION SR —121. BROOKSHI RE. PAR KWAY 41 Ct'1RMEL, IN r +x,03 TAX EXEMPTION; AD VI-F1. COPY INV TERMS E T CHARGE SALE DELIVERY!? _IR TRUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET 4 TOTAL` 1 w; ;5 I L \IAPAGOLD OIL FILTER 1, .00 141. 1;1 �:a 8.690 8. ,at: 1 r »r a I L \1AP AOOLD FUEL FILTER 1.00 6. 960 Asa 654 3. t "`.-1 R 2845 r' I L \iAPnGOLD AIR F T LTER 1. o0 30 16.290 1E.29 k kkf 1 REFIT T O 1.212 11A I N Tzi TAX TABLE ti, 0. 00 LANOl�f I1�1 4 EB F G_P E ALL GOODS RETURNED MUST ST BE ACCOMPANIED BY THIS INVOICE r L T I S ALE Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. 1212 W. Main St. Lebanon, IN 46052 -2324 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) j- z D ,0V GS oY 71 ?oaW i 2/11/9 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 VOUCHER NO. WARRANT NO. ALLOWED 20 _t NAPA Auto Parts IN SUM OF 1212 W. Main St. Lebanon, IN 46052 -2324 ON ACCOUNT OF APPROPRIATION FOR A t j 8- O Board Members PO# or DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or I �O ;�'00 bill(s) is (are) true and correct and that the �Ir ODJ- materials or services itemized thereon for '7 IG J S OvW 33 9, d which charge is made were ordered and received except 20 L OF 0460 Title Cost distribution ledger classification if claim paid motor vehicle highway fund