172221 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
5 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $151.05
LEBANON IN 46052 -2324 CHECK NUMBER: 172221
CHECK DATE: 5/1312009
DEPARTMENT ACCOUNT PO N UMBER INVO NUMBER AMOUNT D ESCRIPTION
1207 4350000 1898 117.29 728711
1207 4350000 1898 11.58 728715
1207 4350000 1898 22:.18 729479
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 Ell A N hereby certify under the penalties EXEMPTION agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES SALES TAX TAX DIVISION
LIMITED WARRANTY PLEASE READ
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 any liability in connection with the
has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCAING CHARGE. sale of this item items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP =12 •'y..
018 )8 CITY OF' CARME:L 5 ()F, /t -45
L t�CJ17()EJ 1 1. 729479
SR BROOKSHI RE GOLF" CLUB PURCHASE ORDER ATTENTION
12.120 bROOK HIRE PARKWAY
41 CARME L-, IN 48033 TAX EXEMPTION:
AD f✓ EP COPY' INU TERMS. 4vc clue 10th CHARGE SALE
DELIVERY:OJR TRUCK t
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
3507 F1 L NAPAGOLD FUEL F I L.TE R 1.00 0 1.9. 040 1.0.- 090 10.
90 -6441 NTH COUPL- ER 1. 1.2. 1/4-0 12.090 12.o9
SAD
RE
25% RESTOCK FEE M -11 b t o iq 1 22.
REMIT TO.- 1212 W MAIN Toa 7% TAXTABLC 3 0. oo
LEBANON I hI
X l
1 SIGNATURE 'TOTAL. CHARGE SALE. 22.18
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
Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052 j
AGRICULTURAL EXEMPTION CERTIFICATE
N
AN INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use
I hereby certify under the penalties of perjury that the ersonal roe LIMITED WARRANTY PLEASE READ
y ry p p I ry p property rty 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
G1 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular. property 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.
i
ACCT SOLD TO DATE TIME STORE EMP
018§8 CITY OF CARMEL 4 28 0 137 -20 I.0000613 36, '728711.
SR B ROOKSH I RL GOLF CLUB PURCHASE ORDER ATTENTION
1.21 B ROOI,SHIRE: PARKWAY RUSSELL
41 CARMEL, IN 46033 TAX EXEMPTION:
AD EEP COPY INN TERMSgIG svc due 10th CHARGE SALE
y DELIVERY:OUR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 1�
7575 BAT BATTERY 1.00 110. 1 =20 83.490 83.49
7575 BAT CORE DE:POSI'T 1.00 12. 12.50 D
757 BAT CORE DEPOSIT -1. 12.5oO 12.50CRD
TIRE REP WATCH I N KIT 1. 33 8
710-1149 BI; {.t. {_tfj l 7�a� {:i G9t.
25% RESTOCK FEE Subtot 117. 29
REMIT 'TO: 1212 W MAIN Tax 7/ TAXTABLE. 3 0. 0o
LEBANON IN 46(
SIGNATURE TOTAL. CHARGE. SALE 1417.
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
1 1II Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
J CIA PA I 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.
C7 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. F
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP ;1Ja;�.i
018`)8 CITY OF CARI1EL 4 /2 9 I D 8.31 1 ()c" 006133 36 1 72 8715
SR BROOKSH I RE GOLF CLUB PURCHASE ORDER ATTENTION
12120 BROOKSF4I RE PARKWAY RUSSELL.
4 1 CARMEL, IN 4Gt:33 TAX EXEMPTION
AD REEP COPY INIV TERMSPao `,�c cdttp 100th CHARGE SALE
2 4 Uri TRUCK
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
831 VAL I OT MPGEAR OIL-BO-90 2.00 7„ 2`40 5.790 11.58
H 3r
E:S:✓ RESTOCK F•EE. ur_ ��•I
11.58
REMIT TO. 1212 W MAIN Tax 7% TAXTABLE 3 0.
LEBANON I N, 460- 5
r s
v SIGNATURE TOTAL 00 00 CHARGE: S ALE 11„
ALL GOODS RETURNED MUST BEACCOMPANIED BY THIS INVOICE
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
U/nUTi 11r� J Purchase Order No.
M, Terms
771j &e Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
69 a
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/aD7 a -ce> bill(s) is (are) true and correct and that the
'I 2 7 35' -cep 01 materials or services itemized thereon for
7 which charge is made were ordered and
received except
20
Si e
atu
�i� d C&F
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund