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Home My WebLink About232012 04/30/14 �,.�,,M CITY OF CARMEL, INDIANA VENDOR: 354332 ;; b it _ ONE CIVIC SQUARE HARLEY DAVIDSON SOUTHSIDE CHECK AMOUNT: S""`"`107.96' r. i° CARMEL, INDIANA 46032 4930 SOUTHPORT CROSSING PLACE CHECK NUMBER: 232012 9�`>ON�\ INDIANAPOLIS IN 46237 CHECK DATE: 04/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 31930 1248707 107.96 REPROGRAM BOX WINDSHI �;' � �(, '�ll INDIANAPOLIS SOUTHSIDE H-D INVOICE REPRINT Page 1 Of 1 4930 SOUTHPORT CROSSING PLACE INDIANAPOLIS,IN 46237 Phone(317)885-5180 Fax:(317)885-5194 NO RETURNS ON ELECTRICAL PARTS!20% Invoice Number:1248707 RESTOCKING FEE ON SPECIAL ORDERS! Date:4/22/14 Time:10:05AM 30 DAY RETURN POLICY.NO REFUNDS ON Console No.:009 Cashier:AJB SALE ITEMS,EXCHANGE ONLY!THANKS:) Merchant ID:305516 Customer Number:68877 Phone: (317)571-2559 Ship To Address: CITY OF CARMEL *Work: (317)571-2559 Ext: ONE CIVIC SQUARE Fax: (317)571-2512 Mobile: CARMEL IN 46032 P.O.No: Tax Exempt:Y Delivered Special Order Cancelled Discount Extended Item Number Description Quantity Quantity Quantity Bin Code List Each Amount 57400224 WINDSHIELD,TALL(15),CLEA 1.00 000 134.95 26.99 $107.96 Deposit Down Payment 0.00 Item Total: 134.95 Total Received: 0.00 Deposit Payments Applied. 0.00 Discount: -26.99 Less Change: 0.00 SO/Layaway Payment Made: 0.00 Shipping Charges: 0.00 Charged On Accour 107.96 SO/Layaway Payment 0.00 Other Tax&Fees: 0.00 Total: 107.96 SO Balance Due: 0.00 Total Sales Tax: 0.00 Layaway Balance Due. 0.00 Deductible(s): 0.00 Total Amount Due: 107.96 INDIANA RETAIL TAX EXEMPT PAGE City ® p C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ( \. ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3i206g01� Haley-Davidson Southoldo Cumel Pollco ®opartmen$ VENDOR SHIP 3 Citric SgfJm 0 Southport Crozoing Pleco TO Memel, IN d Indim polls, IN 40 37 671- � } CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-690.09 2 Each re-programming (siren Wit/air horn) $80.00 $160.00 -t/ 1 Each 15°windshield $190.00 $110.00 Sub Total: $270.00 -a a� ✓Ifs° ........... ;n1 < Send Invoice To: Caffnel Polito Dopflmen4 Attn: Pat Young 3 Citric Rqum Carmol, IN 418032= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cannel Police Dept. .^ c`-5 PAYMENT - $270.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATT�ERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I SHIPPING LABELS. I •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE NO of Police i AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 CLERK-TREASURER j DOCUMENT CONTROL NO. 3 19 3 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. _ ALLOWED 20 IN THE SUM OF$ 3 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 04/22/14 1248707 windshield $107.96 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 Harley-Davidson Southside IN SUM OF $ 4930 Southport Crossing Place Indianapolis, IN 46237 $107.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31930(1 1248707 I 43-510.00 ( $107.96 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 Friday, A ril 25, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund