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Home My WebLink About176677 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $494.83 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 176677 CHECK DATE: 9/2/2009 DE PARTMEN T T ACCOUNT PO NUMBER INV OICE N UMB ER AMOUNT DESCRIP 2201 4237000 .7995 494.83 REPAIR PARTS H&H Automotive Supply NAPA Auto Parts of Westfield 1212 W. Main Street 1APAD 1:. --0 (317) 896-561 Fax Lebanon, IN 46052 -2324 (317) 8961820 Fax f NAPA Auto Parts of Noblesville (317) 773 3180 (317) 774 Fax (765) 482 -1180 Remit to: NAPA Auto Parts of Carmel (800) 924 -6831 Boone County Automotive, Inc (317) 844 -3973 (765) 482 7398 Fax 1212 W. Main Street, Lebanon, IN 46052 -2324 (317) 844 -6220 Fax TOOL SALE 9/16 9/17 LEBANON* *9/23 9/24 WESTFIE,LD BILL TO CITY OF CARMEL- STREET DEPT STATEMEN 3400 W 131ST STREET ACCT PAGE ESTFIELD, IN SM W 7995 43 1 46074 DATE:= TYPE REFERENCE AMOUNT !'.O %CHECKIJ E 07/27/09 Inv 736529 3.70 GARY 07/30/09 Inv 350663 11.89 7 -30 -09 07/30/09 Inv 736907 101.98 08/03/09 Inv 737181 13.18 KEV 'N 08/04/09 Inv 737247 50.99 08/11/09 Inv 737836 3.70 08/12/09 Inv 737996 9.35 BENTLEY 08/13/09 Inv 738038 46.30 GARY 08/13/09 Inv 738073 16.29 i 08/13/09 Inv 738089 52.56 f 08/14/09 Inv 738222 2.72 08/14%09 Inv 738224 63.30 08/17/09 Inv 738412 30.60 08/20/09 Inv 738675 88.27 KEVIN 4 1 i f Summary as of 08/25/2009 Previous Balance 322.96 Payments 322.96Cr +/k-) Purchases 494.83 Current Balance 494.83 Future Dated 0.00 I E _r:..CURRENT; P,AST;D.UE.30 DAYS--::', PAST_DUE: 60 DAYS: r PAST DUE 90.DAYS 494.83 0.00 0.00 0.00 DATE 08/25/2009 T o t a l O w e d 494.83 TERMS No svc due 10th STORE 100006128 0004 e -s 494.83 BOONE COUNTY AUTOMOTIVE 1212 W. MAIN STREET LEBANON INDIANA 46052 -2324 ACCT i L LTO TOTAL. t�JO�N DUE 7995 CITY OF CARMEL- STREET DEPT CLOSING DATE 08/25/2009 AMOUNT ENCLr ?SED �a►� NAPA .:Auto Parts of ,Car,mel 1.111 Medicai, rive Cannel, Indiana 46032 31"7= 844, -3973 •Fax: 317= 844 6220 Please:Remlt To:,H H Automotive Supp.ly,• 1212 W. Main St. Lebanon, IN :46052 APA IIIr AGRICULTURAL EXEMPTION CERTIFICATE INDIANA DEPARTMENT OF.REVENUE SALES TAX DIVISION agricultural use j hereby certi under the penalties of e y that the ersonal property LIMITED:WARRANTY- PLEASE READ y fy_ p p 0 ry p p p y purchased by use of this�exemption cenihcate_will be directly usedin the direct production of agricultural products for resale. s Please examine these parts at 6nce. Errors'should. be reported before using or installing.. Returns The factory we ranty 'constitutes all of the warranties with respect to the sale of this item/items. The seller hereby expressly, C1 must be made.within TEN DAYS and .must tie 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 soldao you withthe' definite unders sale of thi tanding that it is purchased for resale, unless tax' 'Purpose and the seller neither assumes nor authorins any other person to assume for.it any liability In connection with the has been added tothepdce.ALL RETURNS SUBJECT TO 10 %'RESTOCKING CHARGE. s item items: NO RETURN ON ELECTRICAL PARTS.. ACCtT SOLDTO DATE TIME STORET# EMP'# ;.'bF :Cr 1ftMEL STREE L?E�'l 7i�7f <79 ewe Lt�cac_yi,F,.l.r�, 36. 4 00- 1.31 S T FTR PURCHASE-ORDER ATTENTION SR: WE�iTF I ELQ 3't�i GARY Y TAX EXEMPTION: AD EEP' COi-'V NV TERMSao' �4C itj�ate''..1 c}t11'', OHARGh '`5�1LE DELIVERY: PART;`NUMBER LN DESCRIPTION .QUANTITY, PRICE NET TOTAL TA P1Gk: ,5'1;. PLUG 4:.,c�.t:� 3. 4 a tai_ i .E51tt u� 7tt F R S TzEGI'., FEE: I� btota1 3:7.0 M 4 C1?I7 STtJ T TO 1. i r� `W tYif 'I Eu Tax,' o 'l i t TABLE 0. t3't� 1. BA C1h}. I li1',, +fit �5 X f—'✓ SIGNATURE; TOTA CMC�I�GE G1 Lf: 3 °70 ALL GOODS RETURNED ,MUSTBE ACCOMPANIED BY THIS INVOICE i .r F As NAPA Auto Parts of Westfield. 4{611. 700 E. Main Street Po Box 245 Westfield, In 46074 0 317 5615 ;t Please Remit To: H H Automotive Supply 1212 W: Main St. Lebanon, IN 46052: A N AGRICULTURAL EXEMPTION CERTIFICATE INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use LIMITED WARRANTY PLEASE READ i 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 usirig 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 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. k NO RETURN ON ELECTRICAL PARTS. ACCaT SOLD TO DATE TIME STORE EMP 07"95 CITY OF CARMEL- STREET DEPT SR 34.00 W 131ST STREET. PURCHASE'ORDER V ATTENTION WESTFIELD,, IN fri> a 4.6 0 7 4 TAX EXEMPTION:. AD s KEEP COPY INV TERMS: N cwt t i r r.:.. .a a A I 2 6:. DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL i 50- 97817, -.3. L11 AIRROR ?r 1:0.0 1'9.550 11.890 1'1 X89. R` A. L 1, 25% .RESTOCKING FEE Subtotal 11.89 REM TO: `.1212 W MAIN ST Tax 7% 1 2 6. 00 CE. AN N, IN.. 052.--2324 SIGNATURE GoODS RNED MUST BE ACCOMPANIED BY THIS INVOICE TOTAL, C H A R`G E 1'1 =,,8 9 NAPA Auto Parts of Carmel 111 Medical: DnVe Carmel,'Indiana 46032. 317- 844 3973 Fax:,317 =844 -6220 I' Please Remit To. H�& H'Au'tomotive o 1212 VII Main St •Lebanon;.IN 46052 CERTIFIC ATE 'agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION i LIMITED WARRANTY PLEASE READ N A AGRICULTi EXEMPTION I_ tiereby certify undei the penalties ofperjury that the purchasetl by the use'ot this exemption�certificate will'be directly used,in'the direct production of agiidulturaLproductA for resale. a P.lease'examinethesepans at onpe:Errbis should belreportedbefore using or, iristallingg. Returns tThefactory warranty constitutes all of the warranties wah respect to the sale of this demlitems The seller he r exp7essly must lie made within TEN DAYS and must be adcompanied tiy'this INVOICENUMBER: This disclaims all warranties, eitherezpres5 or]mplied, inclutling any implied warranty of merchantability "or fitness for a palrcular- propenyis 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 jt any liability in connection with the hasbeen'added to the "price ALL'AETURNS SUBJECT TO'•10 %'RESTOCKING CHARGE;'" sale of this itemlitems. 4 NO'RETURN. ON PARTS: CCT SOLD TO DATE TIME. STORE EMP T`t QF Cfl'R iEf. aT REET °L?EI 1 T 7 is t ft: t a t: I tafrGit aF t �`F R SR 1 ::W x:31 1 TRF_CT PU CHASE ORDER ATTENTION RIM WF�TF T ELD I t�'. TAX EXEMPTION. -AD u ELP CQI•'Y;•Thdl� TERMS`IM c vcr' 'ii ra is .h" t" r'F' At F'• 25 bELIVERY r YY, ,PART NUM6ER LN bESCRIPTION: QUANTITY PRICE NET TOTAL 2008 -Ft3r d "Tr Itc`k F2 St.epex� 'llrtt �''jn F�E4 I h�rvNAIVNEL VF NTV1,S(�R- t; 0- 62.. 10' ,sit 99t 1 t7,'l t 3 A t i r r r t e! RESTf,30 FEE >t i Ot VC.). f2MiT -Td,' 1.1� lr� W MAIN T�zt 7% ..TA�fTAHI�E 3 ca tiro 4� LEfHR I 9 -46105 l SIGNATURE E TO TAL: -D CHARD :ALL GOODS RETURNED MUST BE,ACCOMPAN/ED BY THIS SAL E INVOICE i NAPA Auto- Parts ,of Carmel WW 111 Medical Drive:• Carmel, Indiana.46032 31.7- 844 -3973 Fax. 31'71'!844-6220 Please: Rem/t To:. H H Automotive Supply 1212 :W.. Main .St. Lebanon,, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE INDIA A agricultural use DEPARTMENT OF REVENUE SALES.TAX DIVISION.. NAPA Ihereb certi underihe enaltiesof eru ihatthe ersonal ro ert LIMITED WARRANTY ,PLEASE READ y fy p p j ry p p p y purchased by the use ofthis exemption certificate willbe• directly used in- the direct productiori of agdcultural.products for resale. 'The factory warran constitutes all of the warranties with respect to the sale'of this rtem/items!;Theseller hereby expressly Please examine these parts'aionde. Errors sftould.be reported before using or installing Returns ry C must be made within.TEN DAYS and.must be accompanied by this INVOICE NUMBER. This 'disclaims all warranties, either express or implied, inclutling any implied warranty of merchantability, or fitness for a particular. property is. sold to you with the definite understandingthat ibis purchased for resale, unless tax 'purpose and the seller neither assumes nor authorizes any other person'to assume for ii any tiabihty in connection with has been added to' the Once: ALCAETURNS SUBJECT TO f 0% RESTOCKING CHARGE. sale of this itemlrtems. t.;¢< 'NO RETURN ON:ELECTRICAL PARTS, j ACCT'# r SOL9 TO DATE TIME STORE EMPy,# X17 CITY ..UF C01e�MEL STREET 'DEFIT 8/0 ,lti L?.w �,t Gt�n006 �E 3R'.# `�0 1�3T PEST PURCHASE ORDER `ATTENTION �t�'�rTFIirLD, TN:. F.EttIhJ.:.• Y& 'FSC7`+ TAX EXEMPTION, AD EE.�' C,Oh'Y I Q TERMS-. s vc dr_te it��'h CHARGEI SAL:� F� JR TRUCK DELIVERY! ,PART`NUMBER LN DESCRIPTION QUANTITY r "PRICE NET TOTAL tilApfl�C3LI� UTL_ TER t?1 r y'a $tyta'. E,`a °SSs� 1 18 ES `w h i 1 t s t a ti11� r t. E Wk 4 5% REaTC3Ci; FEE," .�ta REMIT Tt] 11�� i�lA hJ TGa� 7Y .T AXTAIr'►LE FSAhJQta ZI�lq:�r,c�Zjt. t' SIGNATURE IOI L CHAR GE "ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE,- K t ff k�?y� :.NAP-k Auto Parts of Carmel 111 Medlcal 'Drive Car,mel,. 46032.317- 844 =3973 `•fax 41 Please Renvt To: H H Automotive Supply :_1212 W. Main St •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE T !N APX -SALES TAX agricultural use INDIANA DEPARTMENT OF REVENUE PLEASE READ Phereby certify under the penalties of perjurythat the personal property purchased by the use of This exemption certiLcate will be LIMITED WARRANTY directly used in the girect production of. agricultural products for resale. lese examine these parts at once:;�Errors should be reported before using or Waling. Returns T :he factory warranty constitutes all of the warranties with respect to the e Sale of rt P a nJrteriis The sellerhereby expressly GI disclaims all war ran ties either express or implied, including any implietl warranty of merchantabil{ or fitness for a particular. must be made within TEN DAYS and must be accompanied by this INVOICE' NUMBER. This tY 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 i-n connection with the sale of this ae�tems. W "has been added tothe� price. ALL RETURNS,SUBJECT TO 10/ RESTOCKING CHARGE NO,RETURN ON ELECTRICAL PARTS z,. r IF' .is. ACCT SOLD TO DATE TIME STORE EMP e r }79 CITY!'-0E f��"IY1 L w f R' E LIE PT, 8f.0 r.� �t 4.1 L(')6 JOG 133 SR, 3r +�"�Cj`,W 1 1ST CT RELT PURCHASE ORDER;.# ATTENTION t WESTP.T--E'LI Tfi1: TAX EXEMPTION: AD CE L t�'Y i iyV TERMS 1 v: C' }fARGE, •Stl E' i" DELIVERY: `PART`NUMBER LN` DESCRIPTION; QUANTITY h` PRICE NET is X17, t?E6 dal; CI�It�iVi�IEL �}ENlTSOR 1u ri 6ce 9�1r S ^��'�r:'' 5 0 �K. jf 5f F;E.G`lOCR FEE.:. ..'U To'cal 99 REMIT TQ 1 L.. 4� MA T N1 Tax' ^r :TAX Cf��L E s r r5ct LEI3fitN D11,: TI`1g:460 k f y� 13 7 t SIGNATURE L NA E S. LE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE i NAPA Auto Parts of Carmel :111 Medical Drive Carmel, Indiana 46032 o 317- 844 -3973 Fax: 317 844 -6220 y, Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon; IN .46052 t AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 4 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. -M+ 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 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 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 arty 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 079 'S CITY OF CAftMEL— STREET DEFT )8 0 46 1 1O OoOG133 .t a36 34-00 W 131ST STREET PURCHASE ORDER# ATTENTION SR WESTI<.T E LD, IN' .4.13 4.607 TAX EXEMPTION: 5 AD I"EEP COPY INV TERM dlae 10th CHARGE SALE.yf DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET K TOTAL r 131 td8K SPARK PLUG' �y' 2.00 4•, 660 i„ 1350 3;':70 1 �jp r's'it��f; C_ wr• 2 5% RESTOCK FEE 5 ab' 3.70 i REMIT TO.- lcic MAIN 7% TAX-TABLE 3 i Oe OO LE N N 7. t`d,' 4 61 2 'l SIGNATURE TOTAL -_-1 CHARGE SALE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE NAPA Auto Parts of Carmel 111 Medical Drive Carmel', Indiana 46032. 317 844 -3973 e Fax: 317 844 -6220 IIr Please Remit To: H H Automotive Supply 1`212 W. Main St. •Lebanon, IN 46052 E 1 N A PA I AGRICULTURAL EXEMPTION CERTIFICATE SALES CA agricultural use INDIANA DEPARTMENT E REVENUE SALES TAX DIVISION I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY PLEASE READ 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 Th e factory warranty constitutes all of the warranties with respect to the sale of this item /items. 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 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% RESTOCKING CHARGE. sale of this item /items. NO RETURN ON ELECTRICAL PARTS. ACCT i, SOLD TO DATE TIME STORE EMP a 07995 'CITY OF CARMEL- STREET DEPT 8 121C_j9 1 13 -.40 160006,13,3 i8 SR 3400 W 131ST STREET PURCHASE ORDER .f ATTENTION WESTF I ELD, IN I IENTLEY 4• 4E074 TAX EXEMPTION:F ;EEP COPY INV ITERMS14o sve due 10th CHARGE SflLE- to DELIVERY:' PART NUMBER LN DESCRIPTION QUANTITY ':a PRICE NET TOTAL 782 1 1 08 B�/, ATC -10 FUSE. 5: 00 1.1 0 .580 2 90 782 -2018 BN, ATC -15 FUSE 1.00 3.060 2.150 15 782 -2017 BK ATC -10 FUSE 2.00 3. OGo 2.150 4: 30 25% RESTOCK FEE ��tor ova a 9.35 REMIT TO: 1212 W MAIN Tax 7% TAXTABLE 3 0.60 LEBANO IN, 4605 X \SIGNATURE TOTAL CHARGE SALE 9.35 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE E�• �r`. NAPA Auto Parts of Carmel Fj4�h. 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 IV A PA C AGRICULTURAL EXEMPTION CERTIFICATE r 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 warranty constitutes all of the warranties with respect to the sale of this itemli[em's. 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 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 All has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemftems. NO RETURN ON ELECTRICAL PARTS. sa ACCT SOLD TO DATE TIME STORE EMP 07955 CITY OF CARMEL_—STREET DEFT 8 1,3 09 a7 e'r�7 i 0000E 133 3E X738038 SR 3400 W 131ST .!STREET PURCHASE ORDER ATTENTION is WESTF:I:ELD, IN' MARY A7 416 074 TAX EXEMPTION: AD KEEP COPY I NV t TERMS• Jo v l 7 d la 10th r A 3E PAL E 11 DELIVERY:OUR TRUCK PART NUMBER 1; LN DESCRIPTION QUANTITY PRICE NET ,TOTAL BR25580,, B`RG BEARING. P. 00 34. `fit') 15.400 30. 80 R BR25520 RRG FEARING 2. 00 17.180 7.750 15..50 R i 25% RESTOCK. FEE 46. 3() REMIT TO. 1212 W MAIN Tax 7% TAXTABI_E 3 0.00 LEBANON INJ 4605 ALL GOODS RETURNED MUST BEAC OMPANIEDBYTHISINVOICE TOTAL CHARGE SALE �46. NAPA Auto Parts of Carmel 111 Medical Drive 9 Carmel, Indiana 46032. 317-844 3973 Fax: 317- 844 -6220 k1 Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 t. P A 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 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 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 Shy liability in connection with the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemlitems. 0 NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 7, 079`j5 CITY OF CARMEL-- STREET DEFT 8/13/09 0s33 i 000613:; 1'2 x `738 73 SR 3400 W 131ST STREET PURCHASE ORDER ATTENTION WESTF I ELD, IN. 43 46074 TAX EXEMPTION: AD kEEP COPY INV TERMS:Jo s,ve due 10th CHARGE SALE: 11 DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET ;.TOTAL 97b04 �t IT -8— 1 2 ROUND M T;RROR °1 'i i0 30. 1 �0 i E90 1 n 29 R k 25% RESTOCK FEE 51 t 0 ta.1 "R 16.29 REMIT TO.- 1E:12 W MAIN Tax 7% TAXTAHLE 3 0.00 LEBANON 1N,4W ,1; SIGNATURE TOTAL CHARGE SALE 16.2 '.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 Remif To: H H Automotive Supply 1212 W.,Main St. *Lebanon, IN 46152 t AGRICULTURAL EXEMPTION CERTIFICATE INDIANA AR DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use LIMITED WARRANTY PLEASE READ t, I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be r directly used in the direct production of agricultural products for resale. c 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 7 Qf 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 itemfitems. N O RE O ELEC PARTS. DATE TIME y, STORE EMP ACCT SOLD TO 07995 G I TY OF CARMEL DEBT 8/13/o i 1 33 1(7.)0 061 tiJ 33 4� 73H��F39 SR 34.00 W 131ST STREET PURCHASE ORDER 'ATTENTION WESTF I ELLS, IN 43 4E074 TAX EXEMPTIOW:;: j AD 'KEEP CORY INV TERM Svc due 10th CHARGE SALE. 1 DELIVERYCUR TRUCK. PART-NUMBER.' .1 LN DESCRIPTION PRICE NET a TOTAL[. 6RC BRt' KLEEN 20O 09,1314 =�"4'ti 50 240" 2. 19�t "c_sC 52.56 Above Item on Sz 1e r 25% RESTOCK. FEE �I.ic�� vcai 5v. 5E REMIT TO: 12 W MAIN Ta)( 7% TAXTABLE 3 0.00 `LEIIAN?N hl, 46052 e2 l SIGNATURE TOTAL CHARGE SALE 5 2 56 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 =J APA Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 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 direct used in the 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 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 itemltems. N RETURN ON ELECTRICAL PARTS. ACCT. SOLD TO DATE TIME STORE EMP 0 D5 CITY OF CARMEL- STREET DEPT B/14`/09 1.3 -.51 1( .)0006133 "83 "17-388'24 34.00 W 131ST STREET SR PURCHASE ORDER ATTENTION WESTF I ELD, IN KE 11\1 43 46074'. TAX EXEMPTION: AD t%EEP COPY I NV TERMS°. o 'vc due. 10th Crlr NUL tjH41. 1 c DELIVERY:1' UN I Kl R: PART NUMBER_ LN DESCRIPTION QUANTITY.!! PRICE NET 'H TOTAL 1999 C�t`ie;rr of 0.t l r uck C1500� 1 /a on 1=4ck,ap 68ti -29 6 V BK TAIL LAMP' CONVNLCTOR 9 n 00 39.710 31.850 31'. 65 Chevrolet truck C -1500 I Ton Pickup CONNECTOR 680 --2925 BK TAIL LAME' �f 0� 3 y 31 H �i: t to a �iJ 7 n 1 3 1 0 �w �s J' y u =1..! 0A ,b 25% RESTOCK FEE REMIT TO: 121E W MAIM Tax V 7% TAXTABLE 3 63. o LEBANON IN, 46 SIGNATURE /V v TOTAL j CHARD SALE 6,1 e 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 1212 W. Main St. *Lebanon, IN 46052 L A PA I AGRICULTURAL EXEMPTION CERTIFICATE agricultur INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION al use L I hereby cer under the e'u property LIMITED WARRANTY PLEASE READ r p enalties of p erjury ry that the personal p p ert 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 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 41 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 ilernh ems. E� NO RETURN ON ELECTRICAL PARTS. r' iEf ACCT SOLD TO DATE TIME STORE EMP 07995 CITY OF CARMEL-- STREET DEPT 8/14/09 13 0 47 1 100006133 �`1 c 138222 SR 3400 W 131ST STREET PURCHASE ORDER ATTENTION WESTF I ELD, IN. 43 46074 1,�sEr: TAX EXEMPTION: AD I;EEP COPY INV TERMS Jo Svs=. due 10th CHARGE SAL:F 12 DELIVERY: UR T7RIJCK PART NUMBER LN DESCRIPTION QUANTITY PRICE r NET 'TOTAL 2801 -136 RFD SCREW `5 q e �7G 1 e 670 0. 680 e a 25% RESTOCK FEE I-%fb 2.72 .REMIT T0: 1212 W MAIN Tax 7.: TAXTABLE 3 0. 0 LEBANON IN, 46052 SIGNATURE TOTAL CHARGE SALE 2. ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE NAPA Auto Parts of Carmel j 111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317- 844 -6220" IIIIr Please Remit To: H H Automotive Supply 1212 K Main St. -Lebanon, IN 46052 J N AP A L AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION �tl y.,. I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY PLEASE READ 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 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 mehantability 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 rc I. it'any liability in connection with the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itemltems. 4� NO RETURN ON ELECTRICAL PARTS. f' ACCT SOLD TO -DATE I TIME STORE EMP�# ikd r,^rr- sr"tc• M \r TN'' sr� t'°'t P'ti'7`1'i `Y Tir^P,T t �f rl el ,J t"9RNE 4.. U 1\EE t Y1... 1' I V L t f' 11 W41 .r u.�.✓v v iYty .f W 3400 W 131ST STREET .SR WESTI=IELD, IN PURCHASE ORDER# ATTENTION 43 46074 Da n- rn v !;EEP COPY INV TAX EXEMRTION I p j ratr, Hnpr Rr)kr AD. TERMS: rl i R T pi Ir v DELIVERY: n PART NUMBER 1. 'W D ki n QUANTITY PRICE NET r TOTAL to ,w+ t41 „e vr_t,_t u_.t,. n_ r i a��n r u vu•..• u�.r u r Above Item O Side r 'x.. n i! J -•.c.r nrn -rnntr rr•r- 1. r_ 5S. f�' 4! L, N V V V Q L j..f; l tl V V 1 REMIT TO: 121.2 W MAIN Tax 7% TAXTABLE 3 0. LEBANON IN, 46052 r�. r r C J y J SIGNATURE GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 7. -NAPA Auto Par ts. of Carme, 1 :11 Medical Drive Carmel,Indiana 46032 317 -844:- 39.73,• Fax:'317,=844 -6220 Please-Remit To'' H.& H Automotive'Supply •.1212W. Main St •Lebantin,lN 46052 r r I1f AGRICULTURAL EXEMPTION CERTIFICATE I under IIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agncultural use•�•� A PA I LIMITED WARRANTY.- PLEASE READ_ t I he cemfy ND the'penalties of perjury that lha 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 berepone" before using or installing. Re(oms he factory warranty constitutes all of the warranliea'with respect to the sale of this itemltema. The seller hereby expressly C -must be made within TEN DAYS,and'musl 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 del if bnderstantling that it is purchased for resale, unless tax purpose and the seller neither assumes nor authorizes any other person to assume for it Iiabill in connection with the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this itamltems. NO 'RETURN ON ELECTRICAL PARTS; ACCT ,SOLUTO DATE TIME STORE EMP 5 'CITY OF GARI�iEI, STREET_ DEfaT. B/iJr!t� '�.7..o�r3. 1tlt= ii= ��aE13u r `.E :�5'7`.t 4 t"�Cr 14 1 1 S f ':•51 REE N ION RCHA T 'SR. P U SE ORDER ATTE 1k4E8 T E I I~:LT)., ICI tirs TAX :EXEMPTIONc AD :EEP GQF'Y. INV t u', �vL: :uu� it a i- iryrsuc;'Ssit,.c: TERMS. L is 1 ntult DEL1V RY: (PART:NUMBER, LN DESCRIPTION` QUANTITY P..RICE NET rTOTA. L 7 1 1 .0 1,64.8 BK PROBE, i ;t33 j .3'8v 560 3':,72 1 v ?t:,. 72 W. T i•h 1 t �4L ELK NEEDLE a_a i �tj: �.4 Es�Jt.:�'i .r.4'a` 27 4' l 8 7i -1'1 <�JE E2�rflL'. CEI�EI�iT G� I i a t?`,� 'a't�BC?. `Ea5 Utrl 9: 6L. �115. —i TI lz RED' ��.aTQH .I (V ,d:I3 i `"'zi l a 74 t 8t co A 1 FtES ADC FEE t E48 7 T TD ii Ir! MFd i i�! 7 7faXT.�BLE. f� tft5 EBAE�IC)hl IN., 48 5 2 j r{ f .:.SIGNATI'1RE T OTAL SALE` ALL GOODS RETURNED MUST BE ACCOMPANIED -BY TH/SJNVO/CE 6. 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)) 08/28/09 $494.83 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 V OUCH E R NO. WARRANT NO. ALLOWED 20 Boone Co. Automotive IN SUM OF :1212 W. Main Street Lebanon, IN 46052 -2324 $494.83 j ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 42 370.00 $494.83 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 4 Thursday, ust 27, 2009 U0 f vY. r Street Commis7.i er CC 1' i:Sipr�t itle Cost distribution ledger classification if claim paid motor vehicle highway fund