HomeMy WebLinkAbout173228 06/10/2009 (2) CITY OF CARMEL, INDIANA VENDOR: 354290 Page I of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $1,914.12
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052-2324 CHECK NUMBER: 173228
CHECK DATE: 6/1012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232100 7983 450.09 GARAGE MOTOR SUPPIE
1110 4237000 7983 1,343.25 REPAIR PARTS
-1202 4237000 7983 120.78 730917
FI F# Automotive supply NAPA Auto Parts of Westfield
1212 W. Main Street QN APAD (317) 896-561 Fax
Lebanon, IN 46052 -2324 (317) 896 -1820 Fax 1
NAPA Auto Parts of Noblesville
(317) 773 -3180
765 482-1180 Remit to (317) 774 -0932 Fax
Boone Coun Automotive, Inc. NAPA Auto Parts of Carmel
(800) 924 -6831 tY (317) 844 -3973
(765) 482 -7398 Fax 1212 W Main Street, Leban IN 46052.23 (317) 844 -6220 Fax
BILL. TO STA�
CITY OF CARMEL- STREET DEPT
3400 W 131ST STREET ACCT °SM PAGE,
WESTFIELD, IN
7995 43 1-
4
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: $1,856.07
LEBANON IN 46052 -2324
CHECK NUMBER: 173229
CHECK DATE: 6/10/2009
DEPA RTMENT AC PO NUMBER INVOICE NUMBE AMOUNT DE
,2201 4237000 7995 1,856.07 REPAIR PARTS
j 05;22 OS' Inv 730896 27.50 Cr 13i84uu
I 0 I Ill 73095! L6.40
I
CURRENT P. AST DUE 30 DAYS P. AST.DUE :60`DAYS PAST DU.E 90` DAYS'
!DATE
TERMS ContinuecT' on page 2
MORE
BILL TO CITY OF CARMEL-STREET DEPT STATEMENT
3400 W 131ST STREET
WESTFIELD, IN ACCT SM PAGE
7995 4.3
46074
i
DATE TYPE REFERENCE I AMOUNT P.O./CHECK,
Previoljs
Pavil c, 11 t E; 7
Ourrein
Futilre D'lred
CURRENT PAST DUE 30 DAYS PAST DUE 60 DAYS PAS' DU 711
1856.07 0.00 0. 00
DATE 05/25/2009 07
TERMS No svc clue IoLh
T:o..:::l.'
STORE 10000611 t a D u e
T, NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032.• 317 844 =3973 Fax: 317 844 -6220
Please Re_ mit -To: H H Automotive Supply 1212 W. Main St.* Lebanon, IN 46052
»V
APA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use t cf
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 ,►z?.��
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 "Ttie 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 item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07995 CITY- OF CARMEL- STREET DEPT 4/27/09 445 LrM���ciirEi.33, ���'x 7288 4
3400 'W 1315'T S'1'RF_ "E1" PURCHASE ORDER•# ATTENTION
SR WESTF I ELD, I N: r,
43 46o7/i. TAX EXEMPTION
AD r;EEI COPY IIrIt�
TERIVIS� u i%JLn CHARGE SA
DELIVERY: rRucR
PART.NUMBER LN DESCRIPTION' QUANTITY, PRICE NET TOTAL
7oO- -E:437 BK. CURCU I T TESTER 1.'. 00 41.580 35. 640 35-„ 6 4
tt11
E:5 RESTOCK FEE 3 bb w
J.
35, 84
REMIT ,TO® 121.2, W .MAI -N Tax 71 TAXTABLE 3 x::.00
LEBANON i N, 4605'
SIGNATU�t T�7TfL CHARGE SALE 35e 84 L` �jI
ALL GOODS RETURNED MUST BEACCOMPAN/ED BY THIS INVOICE
2.
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
E 3 AP Please Re mit To: H&•H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
AGRICULTURAL' EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION -•I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certifcate will,beLMITED WARRANTY PLEASE READ
used ih the.direct production of agricultural products for resale. Please examine these parts al 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, must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express orimplied, inclutling 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. T
i NO RETURN ON ELECTRICAL PARTS.
Y
ACCT SOLD TO DATE TIME STORE EMP r
{7995 CITY QFARMEL- STRIrET DEF =tT =�r /i� 13°37. lt�t7�jc7E,13_, 12 725807
400 W ..1 :31ST STREET PURCHASE s
SR U CHASE ORDER ATTENTION
tI�ESTF I ELD IN
4 3 r 46074
TAXtlEXEMPTION:•,
AD E EEP COPY INV `TERMS�.Io s Jc due 10th ''CHARGE SALE.
25 OJR. TRUCK,
DELIVERY::
PARTx'NUMBER LN DESCRIPTION' QUA_ NTITY PRICE NET TOTAL
7701] F I L NAPA TRANS F It TER 2.00 35.310 9. 290 :18.:59 R
s
"r
2 5/ RESTOCK
Su,,d 18.58
REMIT TO 1212 W I�It�I,.N_ Tax 7% TAXTABLE 3 0.
LEBANON ,I hl 46054
SIGNATURE TOTAL. i CHARGE., SALE 1 18. 1NIA
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NA-PA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 4662 o 317 844 -3973 Fax: 317 844 -6220
Please Remit To: H H Automotive Supply 1212 W.'Main St. •Lebanon, IN 46052,
Ir AGRICULTURAL EXEMPTION CERTIFICATE
y
AP p l INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use
L LIMITED WARRANTY -PLEASE
't
I hereby certify under the penalties of perjury that the personal property purchased by�the use of this exemption certificate will be
directly. in the direct production of agricultural products for resale.'
Please examine these parts at once. Errors should be reported before using or installing. "The factory warranty constitutes all of the warranties with respect to the sale of this itemftems ;The seller hereby expressly„
G7 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 far 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.
N O RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP INVOICE NO.
07995 C I TY OF C RI�IEL: --ST RF_ET DEPT 4/3 0J 09 i8 c 53 L i3fjClc�� 3E j
SR 34o0 W 13 tST S� REET PURCHASE ORDER ATTENTION
1� "TFI'ELD� IN ;'KEVIN
43 `46 TAX EXEMPTION:
AD 1.EEP COPY INV TERMStIa svc ci+_ie 10th CHARGE SALE
6 DELIVERY:DLIR TRUCK i
PART NUMBER LN. RI
DESCPTION QUANTITY PRICE NET TOTAL
FEAT BATTERY i..'Gt�� 1 10. 760 (�8. 39C� 6-8.39 R
50;51 BA,T CORE DEPOS I'T 1 o tits V 1 500; 1 111 50 D
3668 F IL NAPAGOLD FUEL. FILTER 1.00 51.520 13.590 1�3„ 59 R
�v
5 R ySTtCN."FIYE u 94.48
REMIT• TO. ,1' W MAIN Tax `7% TAXTABL.E 3 0. 00
LEBANON IN' 4:6052
SIGNA U
TOTAL- CHARGE SALE ;94. 46" +r
A ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ANAPAAuto P-arts,. of Cannel 't
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 460
NAPA
AG RICULTURAL PARTMENT OF E
VENUE CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE'- SALES TAX DIVISION .i 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. `'r
Please examine these parts at once. Errors should be reported before using or installing. Returns The factory weuanty 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 fonit -any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of, this itemhtems.
NO RETURN ON ELECTRICAL PARTS. �y
ACCT SOLD TO DATE TIME STORE EMP o
07995 CITY .OF' 6ARMEL —ST REST DEPT 4/3F_)09 L 1:34 I. tj c�cjt_�Er 1 JJ 38 748981
400 W 1 I ST STREET
SR PURCHASE ORDER ATTENTION
WE:STF I EL_D 1. I h!
43 46074
TAX EXEMPTION: T
AD KEEP gOP.Y .INV' TERMSdta S vc due 1 -,l H UL SHLt
DELIVERY: U L
PART NUMBER 'LN DESCRIPTION QUANTITY PRICE NET TOTAL
E645 F IL NAPAGOLD AIR FILTER 1.00 143. 210 38. 97Q '32. 97 R
6524 6- F I L NAPAGOLD AIR FILTER' LTER' 1.00 58i,560 15. 390' 15. 39 R
3604• F.IL.' NAFIAGOLD FUEL FILTER. 1.00 79. 160 41. 490 i...29 R
36803 F I L NAPAGOLD. FUEI: FILTER 1.00 4 1 Vii. 990 10. 99 R
c;r r<t I IIUK r LE Sol Bo. 64
RE
hiIT TO: lcic W HAIN Tax 7 TAXI 3
0. 00
LEBANON I.W 4605''
SIGNATURE TOTAL CHARGE SALE 80.84
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'Remil To: H H Automotive Supply 1212, W. Main St. -Lebanon, IN 46652
AGRICULTURAL EXEMPTION CERTIFICATE PA C
A agricultural use
A i.
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 .t
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..
G7 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 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 connectio n 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 J' DATE TIME STORE EMP o
C)7995 CITY OF C't1RMEL -STREET DEPT 4/30/(); 4 4 l c�U006133 12' 729014
SR 31400 W 131ST 'STREET
PURCHASE ORDER ATTENTION fit;
t�JSI FIELD, Ihlf
1 6. 074 TAX EXEMPTION:
AD �<E ,t=� 'COPY INV TERMS: o svc due 1 0th CHARGE''SALE
26 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
E0-020 -1 W I P BLADE 3 4. a0 1 Eq_ 25r. 7. 860 3 44
607022 -1 W I P BLADE 2.00 18. 350 8.460 1IS 92
:25% RESTOCK FEE Slabt of a
:REMIT -.TO: 1212 W MAIN 7 x •7Yo TAXTABLE 3 cZ. 00
I N 46052
a
x
SIGNATURE TOTAL 'CHARGE SALE 48.36
�A L ODS.RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Y. v
yNA•PA'Auto. Parts of Carmel:
1,11 Medical •Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
1 Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
APA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF 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 "The factory warranty constitutes all of the warranties with respect to the sale of this /items. The seller hereby expressly
must be made withmTEN 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.
ACCT SOLD TO DATE TIME STORE EMP o
07995 CITY OF,CARMEL— STREET DEFT 5./04/09 I ll :50''L00006133 30 729288
SR W 1`31'S�T.. STREET PURCHASE ORDER ATTENTION
,WESTF I ELD, IN.
0 1A
43 46074 TAX EXEMPTION:
AD EEP COPY INV TERMS'. a svc die 10th ''CHARGE SALE,
3 DELIVERY:DUR TRUCK.
PART NUMBER LN DESCRIPTION QUANTITY` PRICE NET TOTAL
8434 BAT BATTERY 7,1 d ()0 1.16._960_ 62.890 °62. 89CRR
8434, CORE DEPOSIT.` =1. 00. 12.500 -12. �OCRD
HAT BATTERY. 2'. 00 126.860 67.990 135. 98 R
8434/78 BAT CORE DEPOSTT- 2. 00 12.500 25.00 D
r
25! RESTOCK FE E at i it 85.
REM IT TO., 121. MA I lei Tex 7% TA XTf�EL E 0. 00
t r3
LEBANON 6 512
SIGNATURE TOTAL CHARGE SALE 85...5
ALL ODS RETURNED MUST BE ACCOMPANIED BY THIS /NVOI
'°NAMAuto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317- 844 -3973 Fax: 317 844 -6220
Please To; H H Automotive' Supply 121'2 W: Main St. *Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
N
S INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE
E I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption'certifcate will be
directly used in the direct production of agricultural products for resale.
Please examine these parts at once. Errdrs 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 itemfitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
07995 CITY OF CARMEL— STREET DEFT r 5/05/09 L +4:00 10000 6133 1 HO 729444
SR 4c�j W 1 ,i ST STREET PURCHASE ORDER ATTENTION
D, I N GARY
td1:STF I EL
43 x 450.74 TAX EXEMPTION:
AD EEP COPY INV TERMS ao Svc due 10W :CHARGE SALE
DELIVERY:CIUR TRUCI'..`
PART NUMBER LN. DESCRIPTION QUANTITY PRICE 3 NET, TOTAL
6870 F I L: NAPAGOLD AIR.—FILTER 1.00 155.160, 41. 890 `:1.89 R
IVAGaGOL.D OIL FILTER 1.00 68.520 18.1380 1.8, 88 R
25/ RESTOCK FEE 5r_ u t. u t a 60.77
REMIT :TO: 1212 W MAIN Tax 7/ TAXTABL E 3 0.00
LEBANON IN 4G
K SIGNATURE TOTAL C14 SALE 60.77'
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
N�' PA Auto Parts of Cannel =r:
01 Medical Drive Carmel,'lndiana 46032 317 844 -3973 Fax: 317 844 -6220
1 r Please Remit To: H H Automotive Supply 1212 W Main St. Lebanon, IN 46052
APA AG E agricultural use
CERTIFICATE
INDIANA DEPARTMENT PARTMENT OF OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ 1 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. t
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.
G1 by this INVOICE NUMBER. This 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
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 any liability in connection with the
th
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 ij
0799P CITY OF CARMEL- STREET DEPT 5/0' b/ 79 4 d c9 1 1-00006 133 80" 729447
SR w3400 W13 STRCE1" PURCHASE ORDER ATTENTION
;WES.TFIELD, IN' $HOF'
KEVIN
43 46074
TAX EXEMPTION:
AD COPY INU�: TERMSiHa Svc due 10th h1ARC,E SALE
7 T 1 1,EEP
DELIVERY:OUR TRUCK
PART NUMBER 'LN- -DESCRIPTION QUANTITY PRICE NET "TOTAL
1042 FIL'NAPAGOLD 01L�FILTER 6. t IE. 79�J 22. R.
500 WWS..W�HR SOL. 6.b 0 1.990 .1,1.94 qr
251 RESTOCK FEE cit I 34.68
REMIT .TO: 1212 W MAIN. Tax 7% TAXTASLE 3 0.00
LEBANON I N, 46052
X O A A V
SIGNATURE TOTAL... CHARGE SALE 34. 68
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
P.►r�• r
rr r� •c;:, r �j„,y ,n Y .rdr i ,t ��r�,.F
*NAPA Auto Parts of Carmel
1 Medical'-Drive Carmel, Indiana 46032. 317 844 -3973 Fax:, 317 844 6220.
1IIr Please To: H H Automotive Supply 1212 Main St. *Lebanon, IN 46052
A PA certificate DEPARTMENT F E VENUE CERTIFICATE agricultural use
I NDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ'."F'I
I he certify under the penalties of perjury that the personal property purchased by the use of this exemption ficate will be IVV,,
dlrecllY 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 itemltems. 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 defnite understanding that it is purchased for resale, unless lax Purpose and theseller neither assumes nor authorizes any other person to assume f& 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 EMP4i 91adlem
07995 C I "i Y OF CARMEL- STREET DEFT 5/0Ed09 L 1 35 L 00006 3. JJ 6C;')r_ 729507
SR 3400 W -13 i ST. STREET PURCHASE ORDER ATTENTION
WESTF I ELD, IN RF: 11
KEVIN
43 46074 TAX EXEMPTION:
AD =.EEP COFIY I NV TERMS�la vc due l cat h ;:CHARGE SALE
DELIVERY:
R TRUCK
PART.NUMBER LN DESCRIPTION QUANTITY PRICE NETLTOTAL
200E GMC Truck S ierra- 2500HDs3/4. Ton 6.0 L> 36
z
246-5139 RAY ROMAN STARTE'Fc 1. UO '26.' 970 147.530 147 53
246- -5139 RAY CORE DEPOSIT 1.00 27.500
25% RE.STOCFN FEE kb t L 175.03 :w.:
REMIT 1 1212 W .MA.1 -V Tax 7% TAXTABLE 3 00
LEBANON IN;-
SIGNATURE TOTAL. CHARGE SALE 175. 08
ALL GOODS RETURNE D MUST BE ACCOMPANIED BY THIS INVOICE 7
ar a
-NAPA Auto Parts of Cannel
111 Medical Drivee Carmel, Indiana 46032. 317- 844 -3973 Fax: 317 -6220
Please Remit To: H H Automotive Supply 1212 W: Main St. Lebanon, IN 46052
NAPA AGRICULTURALEXEMPTION CERTIFICATE ION agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
S 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 in the direct production of agricultural products for resale.
Please examine these parts al 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.
Gt 'must be made within' TEN .DAYS and must be accompanied by this INVOICE NUMBER. This disclaims'all warranties, eittier express or implied, including any implied warranty of merchantability or fitness for a particular
property is sold to 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.� i
NO RETURN ON ELECTRICAL PARTS.:
ACCT SOLD TO DATE, t TIME STORE EMP 0
07-995. CITY. OF •CARMEL- STREET DEFT 5/06/09. 13" 19 100006133 �E 1 29 520
SR 3400 W 131ST STREEI PURCHASE ORDER.# ATTENTION
1. WESTF I ELD•, IN.- GARY.
43 46074
•TAX EXEMPTION:
AD KEEP COPY INV TERMSJda, s:vc due 10 11`; CHARGE' SALE
5
DELIVERY:
TRUCK.
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET ;,k, TOTAL
3403 FIL NAPAGOLD PU-EL. FILTER. 1. 00- 28..850 •7. 590 7.59 OR
6809 SAS' GLOtlE'AL 1 10' 0'� 14• 5c0 1 1. 750) 11. 75
25% RESTOCK FEE... Su. 19.34
REMIT TOO `12•!2 W MAIN Tax 7% TAXTABLE� 3 6.013
.LEBANON IN, 4605
IGNATURE
TOTAL CHARGE SALE 19.34
ALL GOODS RETURNED MUST BE ACCOMPANIED BY. THIS INVOICE ,f
•r.F'
!�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 APA DEPARTMENT O OFF E CERTIFICATE agricultural use
INDIANA
PART REVVENUE ENUE -SALES TAX DIVISION .LIMITED WARRANTY PLEASE READ 4
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 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 mus e accompanied by this INVOICE NUMBER. This
disclaims all warranties, either express or implied, including any,implied warranty of merchantability or fitness for a particular,
t b
property is sold to you with [he d.finite 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 SOLDITO DATE TIME ".STORE EMP
07995 CITY -Oi CARMEL—STREET DEPT 5/07./09 )7s83 L000061 16 729564
SR ,44oO N 181ST STREET P.URCHASEORDER ATTENTION
l+ c IN
x W
43 t +6t77.4 r
TAX EXEMPTION.,
AD F.EEP COPY INU, TERMSC
a s vc d IA6 `;i c=at h► CHARGE SALE.
Ef, DELIVERY:gUR TRUCE: r
`PART NUMBER LN': DESCRIPTION l QUANTITY PRICE NET `TOTAL' 4i
3403 F I�L: NAPAGOLD FUEL. FILTER ..14 00 8.850 7. 590 :r 7.59 R
t t
t
.!°�r•
3
26% :REST FEE a ut a t a is r 4 r` c�.:.
REMIT TCIe.:'1t 12 'W. Mf�I�!' Tax 7% Tf�XTA6t_fv 3 c_i c�cj i
-LEBANON IrN t46652
SIGNATURE: TOT CHARGE .SAL.E:' 7,. 5
ALL GOODS RETURNEDMUST BE ACCOMPANIED BY THIS INVOICE `'t
r
"NAPA Auto Parts of Carrxiel
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 L fllr AG E agricultural use
INDIANA DEPARTMENT PARTMENT OF OF REVENUE VENUE SALES TAX D
S TAX DIVISION LIMITED WARRANTY PLEASE READ
hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certifcate 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.
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
has been added to the price. ALL RETURNS SUBJECT TO 10 RESTOCKING CHARGE. sale of this item /items. 'y'�
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP llft
07995 C I TY OF CARMEL°- STREET DEPT 5/08/09 13-.57 l 0r: 006 133 Y 7P9744
3400 W 131ST STREET PURCHASE ORDER ATTENTION
SR WESTI= I ELD, IN r ;E V
43 4.074
TAX EXEMPTION:
AD EEF' COFrY INV TERMS.10 svc aloe 10th ARGt-_: nNL-t
7 DELIVERY: un I Ru r:
PART NUMBER- LN DESCRIPTION' QUANTITY PRICE NET TOTAL
731E F I L. NAPAGOLD -O� L FILTER 6. 00 5.1.1 13. 49r)' '80. 94• R
e
f r:'91 14. C1RC''BRAN.L_EEN 260Z 8e. Cj 5. 4 -'19r c5. 14
E5% RESTOCK bt ate, It "y 106.08
REM'IT TO:. 1212 W MAIN Tax 7% T'AXTABLE 3
0.00
LEBANON I N,. 46052
X NATURE TOTAL, CHARGE SALE i t� Ci
8>
SIG
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
r=.
NAP" Auto Parts of Westfield
700 E. Main Street Po Box 245 Westfield, In 46074:• 317 7 896 -5615
l Please Remit To: H H Automotive. Supply e 1212 W. Main'St. Lebanon, IN 46052
A N 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_ i•
directly used in the direct production of agricultural products for resale.
Please examine these parts at once. Error's should be reported before using or installing. Returns "The factory warranty s, constitutes
eit e xpr of the warranties with respect pl the sale of this item /items. The seller hereby expressly
C1 must be made within TENDAYS. 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 [he definite understanding that it is purchased for resale, unless tax Purpose
and the seller neither assumes nor authorizes any other person to as for it any liability in connection withthe.
has beenadded to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item/items.
NO RETURN ON ELECTRICAL PARTS.
9
'ACCT j`' T .SOLD TO .fir=; DATE TIME STORE.# EM04� o
07995 CITY `OF CARMEL— STREET DEPT' 1 5/09/09 1 12 -..6 10n0061. 9 6'19 3429
-3 4 0 0 W '131ST STREET PURCHASE ORDER ATTENTION
"WESTFIE_LD, IN b. if P)
46074 TAX EXEMPTION: #i
AD:EEP .COPY INV TERMS: No svc 'due 10.th. CHARGE. SALE;;
DELIVERY: UR 'TRUCK 0 -0--12 i 26
PART NUMBER. LN DESCRIPTION QUANTITY I PRICE NET 1,.,TOTAL
2003 GM.0 Truck Sierra.-2'SO0H,t� 3/4 To-n
SS- 76,52X SS DISC BRAKE PADS 1.00 11'6.,06Q 6 .230;: 69.23 R
ROTOR LAB LATHE 00; 11 .000 22.00
ji
ri
r1
25.i RESTOCKING FEE St.b,to 'a�.. E- 91.23
REMIT .T0 121..2 W` MAIN ST Ta;x 7. 0.00
LEBANON, IN 46.052- 2324 r
ti
w
y
SIGNATURE TOTAL CHARGE 5ALE 91.23
a ALL GOODS RETURNED MUSTBEACCOMPANIED BY THIS INVOICE
`4,; °r tNAPA Auto Parts o�f°Carme!
111 Medical Drive *,Carmel; Indiana 46032. 317 =844 -3973 Fax: 317 844 -6220
Please Remit To; H-4 H'Automotive Supply x'1212 W. Main.St. -Lebanon, IN 46052
NAPA 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 t
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 itern4tems. The seller hereby expressly.
im
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 plied warranty of 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 itemfitems.
N RETURWON ELE PART
ACCT SOLD TO DATE. TIME STORE EMP,#
07995 C 1tY OF CARMEL- STREET DEPT.- 5/11/09 1 14.-33 L00000I33. it F7299-
400 W 131ST .STREEI
SR JESTF I ELD, IN PURCHASE ORDER ATTENTION n t
ri•3 46074
TAX EXEMPTION:
AD EEP COPY. I.N V TERMSI: o b V>_: a L t.� c l a. u RCE.
x
DELIVERY:
'i FR K
PART NUMBER. LN DESCRIPTION QUANTITY PRICE NET TOTAL
FP&REOR AXLE i 0 2.770 1. 890 1.89
t
is
25% RESTOCK FEE c i ti 1 1.89
REMIT TO e 1212 W MA I N Tax 7% -TAXTABLE 3 0. oo
t LEBANON IN, 4GO52'• a
SIGNATU E TOTAL_ CHARGE. SALE
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of We stfield
700 E., Main Street Po Box.245 Westfield, In 46074.317- 896 -5615 PtF is
Please Remit To: H &.H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE
1 INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
-LIMITED WARRANTY -PLEASE READ x
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 impli
property is sold to you with the definite understanding that it is ed warranty of merchantability or ftness far a particular?
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 rc SOLD TO DATE TIME ''STORE" EMP
07995 C,ITY.-OF CARME:L S.T:REET DEPT 5/1.2/09 11:14 100006129 2,Al 343091
SR _3A ,0 0 W 131ST STREET PURCHASE ORDER ATTENTION
WE'STFIE.LD 9 IN
a 46074 4> TAX'EXEMPTION:
AD TERMS: No svc due 1'0h CHARGE SALE
KEEP .COPY INV
10 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET r." TO TAL
2004 .GMC "Truck. Sierra- 2500H..3/4° Ton .P
4886 N13. DISC BRAKE�.kdt0 0NL 2.`00. 89 5 6.390`"112.78
,'ROTOR L'AB LATHE
2.00 11.000 22 D
UP 7652 `M" UP DISC BRAKE PADS 1.00 119. 680 75.2201 .75:22 R
UP- 7 .653 -M` UP. DISC' BRAKED5 1. 147.114 67,.380 67.38 R
R N'BS -55 NHT S.KTTRXBITINT3 8ORT55 1..00 6.670 3.250. 3..25 R
PI-BS .55 NHT WARRANT "Y _1..00 6: 670 3.250,.= 3- 5CR.R u
IV.8'S "55;
NHT SKTTRXBITIN3 8DRT55 1.00 6.670 3.250;+ ,;;3.25 Rd
25% REST.00KI.NG' FEE. Su'b otal 280.63
REM TO :"1.2,12 MAIN ST T 7 1_ 0`.00
I
l.E AN N, ,T.N' 46 2- 2324. yes,:
SIGNATURE TOTAL CHARGE SALE 28O 63
LL GOODS RET RNED MUST BE ACCOMPANIED BYTH/S INVOICE
.4 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 AG DEPARTMENT O OF E REVENUE ALE- SALE CERTIFICATE
TAX agricultural use
INDIANA
F 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
directjy used in the direct production of agricultural products for resale. y
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 iterNitems. 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 7
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.'
ACCT SOLD TO DATE TIME STORE EMP
07995. CITY OF CARMEL- 5TREET DEPT, 5/ 12%09 )7:31 00006133 1 3 729946
34. W. 131ST STREET PURCHASE ORDER ATTENTION
SR �ESTF I EL.D, IN
43 46674
TAX EXEMPTION:
Ap CEP COPY INV TERMS n Luc nue s �cn,, wry GE w,. L
(j
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY 'PRICE NET TOTAL;'
5L39UW NRH FHP POWEFtATiM i BELT 2.00, 28e 650 11,. 79 3 X30 5n
ups," g��
t
,a
25%.., FEE 9. 23.58
REMIT TO.- 1212 W MAIN Tax 7% TAXTABI_E 3 Q.
LEBANON. IN, .46052
rX o
TOTAL——) CHARGE SALE 23. 58", r
SIGNATURE
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE ,.a
s NA-PA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317- 844 -3973 e Fax: 317-844-6220'.
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
1 AG E agricultural use
INDIANA DEPARTMENT PARTMENT OF OF REVENUE VENUE SALE SALES TAX DIVISION
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 al once. Errors 5h 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"
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 warran[y'of�merchanlability 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. Y
ACCT SOLD TO DATE TIME STORE EMP 1
07995 CITY OF CARMEL•- STREET DEPT, 5 /14/U9 14 u52 10u0006133 73c:243
SR `'4..00 .W 131ST STREET" PURCHASE ORDER ATTENTION r,
WE,r�TFIELU,•. IN
460 TAX EXEMPTION:. t
AD f-,EEP COPY IN.0 �Y.• TERMS" a �v�. I_te 14) h.:, CAN RUE SA
1 DELIVERY:.
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET yy TOTAL
ATD340 ETW 8 RC PICK HOOK SET 1. 10.690 1
t r
Iii rt
E5% RESTOCK. FEE G J b u 4
10.69
REM T T TO e '1212 W II I N Tax 7% TAX TABLE 3. 0. 00
w. LEBANON TN, 4805E
CYO 1`� t
SIGNATURE TOTAL CHARGE SALE 10.6
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE 2
'i
NAPA Auto Parts of Carmel a
111 Medical. Drive Carmel, Indiana 46032 e 317- 844 3.9,73 Fax: 317 844 -6220
Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052
N A PA AGRICULTURAL EXEMPTION CERTIFICATE l'
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
directly used in the direct production of agricultural products for resale:
P166se 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 add 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 WIS
07995 CITY OF CARMEL-' STREET DEPT, 5/ 15/ 9 ))7. tac 008133 33 7
3400 6J 131S
STREET PURCHASE ORDER# ATTENTION
SR WESTF I ELD., I N
4 46074
TAX EXEMPTION:,
AD EP CClPY IPJV TERMS t u J. CH ARGE
DELIVERY:' TRU
PART NUMBER LN DESCRIPTION QUANTITY PRICE
„NET TOTAL
CO36543. MB I YOKE KIT 2.00 20. 740 13.850 27.70
r
i
25% RESTUCN, FEE tyl j
�a total 27.
REMIT TO: 1212 W MAIN T T_X_ A_L__ 3 0. 00-
LEPANON I. N, 4605
/siC A "uR TOTAL CHARGE SALE
ALL GOODS RETUR ED ML14iT BE'ACO'OMPAN/ED BY THIS INVOICE a
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
N
APA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use 1
,INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY •PLEASE READ
I hereby certify under the penalties of perjury that the personal property purchased bythe use of this exemption certificate will be
directly used in the direct production of agricultural products for resale. 7771111
•Please examine these parts at once. Errors shouldbe reported before using or installing. Returns "The factory warranty constitutes all 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, incluifing 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. Fr
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO. DATE TIME'.. STORE EM.P INVOICE, No.:
07995 CITY OF CARMEL —ST RE:ET DEPT 5/ 18 ()9 =)S ;c 35.. 00006133 G 7 7 73,04 303444
:3400 W 131ST STREET PURCHASE ORDER ATTENTION
SR ;WESTF I ELD 'IN
4.3- 460-74' TAX EXEMPTION:
AD HE F P COPY J:NU TERMS: n
sve due 10th., CHARGE'- BALE:
DELIVERY: j
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET :"x' TOTAL 6i6
73600 KTL 4- -IN --1 OIL ;TILTER WRE 1.00 19. 990' 19.99 0.
50LB TD.. OIL DRY w 2u 00 i✓e 956 13. 90 z
tit 3
f
2 5 RESTOCK FETE
Sttbtdta1 33.89
REMIT TO: 1E.1E� W MAIN Tani 7% TAXTABLE~ 3 0. 00
LEBANON :I N,. 4605E
SIGNATURE TOTAL CHARGE' SALE 33.89
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE F
�kL a
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 Sty': Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE t agricultural use
N A
PA INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED y WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personal property purchased by the use o6this exemp on certifcate will be i�
directly used in the duet[ production of agricultural; products for resale. �yg� r• j' t 7s' 1 777
Please examine these parts at once. Errors should be reported before using or installing. Returns The,faclofy wavanty cdnsbN(es all of the warranties with respect to the sale of this itemlitems. The seller hereby expressly
Gt must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This discldifn3all warranties%elther'ezpress or, implied, including respect warranty,ef merchantability or fitness for a particular
property is sold to you with the definite understanding that it is purchased I& resale, unless tart, Purpose the�5ellerbedher 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,,teiNltems:.'r5
NO RETURN ON ELECTRICAL PARTS. 3 "Irl r Lf rr i yk;
1,
ACCT SOLD TO DATE r TIMET !STORE $E'MP
07995 CITY F CARMEL-STREET DEr-t, x'' /.918`/_ 5 1J "OE, 33 3O 73[)523
3400 'W.. 13.1 ST STREET.. PURCHASE= ORDER ATTENTION
SR (4ESTF".I ELD, IN
43 45074 TAX. EXEMPTION
AD I. .EP ,COPY INV TERMS Svc dl.1e 10th-, CHARGE;SALE
1.5 OUR TRUCE:
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET. 7 TOTAL"- &rb
CO36543 MB I Y&,E N.I T E,. t7(:T 2C�. 780 13.850 83. 10
HD3030 L, TWD CHAMBER t E,. 7T. ,340 574 49C 44 94
NB -46' 740 NMT• RATS 63D1t'TDG!f 63 1. 1 1 42.` 1. 384 c:1. 363 'R
148�� X X` 6 4J14" FT t'TING 12._Cat} 13.310 E. ;ti1?'' 75. 6;c_i
z
�h.. •ham.
RAM
W.rl
.25 RESTOCK FEE Sar t. a' 525.0
REMIT' TO.- W MAIN Tax 7% TAXTABLE 3 0.0o
.LEBANON I N,.4Fat.?5c:
SIGNATURE TOTAL CHARGE SALE 525.
ALL GOODS RETURNED MUST BEACCOMPANIED BY. THIS INVOICE
NAPA Auto Parts of Carmel
111 Medi cal Drive Carmel; ndiana 46032. 317 844 -3973 Fax: 317 844 -6220
Please Remit To: H H otive Supply •'1212 W. Main St. •Lebanon, IN 46052
N
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION
LIMITED WARRANTY PLEASE READ 1t vi
l f
I hereby certify under the penalties ,of that the personal property purchased by the use of this exemption certificate will be
APA it
directly used in the direct productioh of agricultural products for resale. j YC LL
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 disGaims all warranties, either express or implied, including any implied warranty of merchantability or fitness fora particular
property is sold to you with the tlefnit understanding that it is purchased for resale, unless tax purpose and the seller neither assumes nor authon-s any other person,to assume for it any liability in connection with the
has been added to the price. ALL R TURNS SUBJECT TO 10% RESTOCKING CHARGE: sale of this itemfitems.
NO RETURN ON ELECTRICAL 4TS. b
i
ACCT SOLD TO. DATE TIME STORE EMP O.
07995 CITY OF CAf2MEL= STREET 'DEF!T 5121109 )7 3 �:aUf..',tlE,1�; ..3F 73x3:149
3400 W •,131ST' STREET PURCHASE ORDER ATTENTION
SR
WESTF I ELD,' I N a �z
43 460*744 TAX EXEMPTION:
AD _EP COPY INV R. TERMS:Jc Svc c!lap;,.10th CHARGE SALE
18 DELIVERY: UR TRUCI!
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
5541 NHT TAP 14 X 1. 50f4MPI_G 1.00 11. 170 5.' G 14 5.61 R
2 RESTOCK :FEE/ t 5.61
i=r- MAIN T�si 7/ TAXTA)3LE 3. r_; c7ca
.LEBANON- IN 45052
SIGNATURE TOTAL CHARGE SALE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
N Auto.,Pas Hof 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 N AGRICULTURAL EXEMPTION CERTIFICATE X" Y•
INDIANA DEPARTMENT OF REVENUE -SALES TAX agricultural use
DIVISION r>' LIMITED WARRANTY PLEASE READ
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption.certifcate 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. Relig[ns "The factory warranty constitutes all of the warranties with respect to the sale of this itemfitems. The seller hereby expressly
G1 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. Tt,,e 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 for it any liability in connection with the
has been added to the price. ALL RETURNS NS SUBJECT TO 10% RESTOCKING CHARGE. sale of this item /items.
N O RE TURN ON ELECTRICAL PARTS. '!r
ACCT.# SOLD TO DATE TIME STORE EMP =41
07995 CITY OF CARMEL7-STREET DEPT 5/21/09 16.01 100006133 c9 1 730765
3400 W 131ST .STREFT PURCHASE ORDER-1 ATTENTION
SR.
WESTF I EL.D,' IN
43 4607 TAX EXEMPTION:. 5
AD 1 EER COPY. INV I TERMS�Jo Svc tine li_�th CHARGE MALE
T
1
18 DELIVERY: UR TRUCK
PART NUMBER LN, DESCRIPTION, QUANTITY. PRICE NET4 &•.,E. TOTAL
'1999 Che+irolet 1 ruck K2500' 3/4,. Ton 4WD Picku
UP"7260 -M UP I SC BRAKE FADS I 1: Ott 16..430 4+0. 270 40. R
4
25% RESTOCK FEE' Sljbtutal 40.27,
REMI"f TO:'. 1,22 122 W MAIN Tax' 7Y MTAXTABLE' 3 0.00
LEBANON IM, 46052
SIGNATURE. TOTAL 7 CHARGE SALE 40. 27 i{
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE 4 1 r,•
:,NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032. 317- 84.4 -3973 Fax: 317 -844 -6220
Please Remit To: H H Automotive Supply• 1212 W� Main St. -Lebanon, IN 46052
NAPA AG RICULTURAL PARTMENT OF E VENUE- SALES
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
directly used in the direct production of agricultural products for,cesale.
Please examine these parts at once. Errors should be reported before using or installing. Returns "The factof+.Z�arranty constitutes all of the warranties with respect to the sale of this itemltems. The seller hereby expressly
C1 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all th e s te either e������PPPPPPress 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 s Iler neither asgymes 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 T DATE TIME STORE EMP 0ATll
07995 C I1 "Y -OF CAFMEL. STREET DEFT 5/21/ 1.1-.33 X006
10 1,33 12 99
SR 3400 W 131ST STREET' PURCHASE ORDER. ATTENTION
WESTFIELD, IN..
43 460'74
TAX'EXEMPaTION:
AD l;EErJ COPY Ihl TERMS `I sv� d 10t,h JjCHPIRGE SALE
19 DELIVERY: lR RIJCF�, t 7 r
"PART NUMBER LN. DESCRIPTION QUANTITY PRICE .NET 'F'.,. TOTAL
1 ,480 X, 6 X u WH y F.I T T I IBC; 'v -1 13. 310 6. 3 75. 60C R
1 *8() X 8• WH F I TT N 1 Ci 00 t 18. 930 -8.960 89.
JAL
•fi r n
2 R FEE 14. 00
;EMIT .TO'" 12 12'. W Iy1AIN. 'Fax 7 TAXTABLE 0. oo
_EBANON IN, 466 52
SIGNATURE TOTAL CHAR E SALE 14. 66
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 39730 Fax: 317- 844 -6220
l
A N Please Remit H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 AGRICULTURAL E CERTIFICATE agricultural use El INDIANA DEPARTMENT OF F REVENUE VENUE 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
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directly used in the direct production of agricultural products for resale.
Please examine these parN it 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'DAYSand must be accompanied by this INVOICE NUMBER. This disclaims all warranhes, either express orimplied,.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 itemlitems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO. DATE TIME STORE EMP 0
07995 C I TY OF. CARMEL-- STREET DEPT 5/219/09 -03 1 0000E 1 33 80 7:30896
SR .34.00 W 131ST STREET PURCHASE ORDER ATTENTION
WESTFIEL.D, IN 131840,0 CORE "RETURN
43 46074 TAX EXEMPTION:
A K EEP COPY INV TERMS I� s,vc dltc 10th CREDIT MEMO
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET .r: TOTAL
246-5139 RAY CORE DEPOS!.!T 'i; 06 E7. 500 270 S0CRU
4
5% RESTOCK FEE b 1. u "a 270 50CR
EMIT. TO: 1212 W MAIN Tax 7% TAXTAHLE 3 I l. C). 00
E BANON I N j 46052
SIGNATURE TOTAL. -1 CREDIT MEMOI i 27. 50CR
ALL GOODS. RETURNED MUST BE ACCOMPANIED BY THIS INVOICE r
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 -844- 3973.• Fax: 317 844 -6220
lII Please Remit To: HA H Automotive Supply 1212 W. Main St. •Leba non, 'IN 46052 ''AL
J AGRICULTURAL EXEMPTION CERTIFICATE I
agricultural use
INDIANA
DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
APA [I hereby certify under the pen t
alties 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 factory warranty constitutes all of [he warranties with respect to the sale of this item /items. The sellerhereby expressly
C1 disclaims all warranties, either express orimplied, including, any implied warranty of merchantability or fitness for a parti
must be made ithin TEN DAYS and must be accompanied by this INVOICE NUMBER cular
w•
.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 tolassume 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 it DATE TIME STORE EMP
07995 CITY OF CA RMEL— STREET DEPT 5/22/09. I t 4 c 1 2 I L 00006133 1 12 1 7.30951
SR 54�ac W 131ST STREET' PURCHASE ORDER ATTENTION �ti✓:
;JESTF-I EL D.., IN
46074 TAX EXEMPTION:
AD, COPY INV A TERMS!:4Q svc' due 10th CHARGE SALE
1.9 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET -A, TOTAL
Z X -301.2 NFR 12O Z 134A REF R I GE RANT 4.00 4.100. 16.40
,a
i% RESTOCK. FEE Subtot i 16.40
:MIT TO o 1 u 12 W IyIA I N. Tax 7% TA.X TABLE 3.
0.00
,BANON I N, 4605
a ,4 ,0 r
SIGNATl1RE TOTAL——) CHARGE SALE 16.4
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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NAPA Auto Parts of Carmel
1,11 Medical'•Drive Carmel; Indiana 46032-• 317 844 3973.• Fax: 317 844 -6220.
Please Remit To: H WAutomotive Supply 1212 W.. Main St. -Lebanon, IN 46052
N
AW AGRICULTURAL EXEMPTION CERTIFICATE agricultural use EJ
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 us of this exemption certificate will be
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directly used in 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 ofinerchantability or fitness for a particular`
property is sold to you withthe 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 item /items.'
,NO RETURN ON ELECTRICAL PARTS.
'.ACCT. SOLD.TO DATE TIME STORE EMP
0 7995 C OF CARMEL- STREET DEPT 5/07/o9 f) "3�5i Lt)ut7C181 3 1E11 729.5�3
3400 W 131ST. STREET PURCHASE ORDER ATTENTION
SR
taE��TF I ELI? 9 IN
43 t. 460074 TAX EXEMPTION:
AD AEI=' COPY I iVV TERM l0 t vc due 10th ,;:CHARGE SALE
6. R TRUCK
DELIVERY: ,t`g
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET .TOTAL
°5� i.it7 NOL NAPA HEAVY DU�TY 300T 12.00 3.360 2.690 ,2. 28
SAS MASK 1,- 00 88t�� 13. Etati 13.60
t T
RESTOCK 'FEE 45.88
IIT TO-. 1212 W. MAIN T ax TAXTABLE 3 0.
ANON IN
1 TOTAL CHARGE SALE
SIGNATURE
ALL GOODS RETURNED 'MUST BE ACCOMPANIED BY THIS INVOICE
ka
0 Y�"
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))
06/01/09 $1,856.07
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
VOU CHER NO. WARRANT NO.
ALLOWED 20
Boone Co. Automotive
IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$1,856.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 42- 370.00 $1,856.07 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
rids "gone 05, 2009
e��t�Cgmmis
's ic
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund