245151 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 354332
ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $*******177.76*
,?Q CARMEL, INDIANA 46032 4146 E 96TH ST CHECK NUMBER: 245151
PO BOX 80448 CHECK DATE: 05/13/15
INDIANAPOLIS IN 46240
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 32847 93966645 177.76 REPAIR PARTS
J
HD OF INDIANAPOLIS
4146 E 96TH ST.
INDIANAPOLIS, IN 46240-
(317) 815-1800
Receipt Number 93966645
4/14/2015
Cashier: B, NATHAN
Salesperson: B, NATHAN
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032 USA
h:317/571-2500 W:DISP. 571-2580
Picked Up
( sold-Now
QTY DESCRIPTION AMOUNT
2 GASKET SERVICE KIT, 8.32
P/N 17369-06
Reg. Price: $10.40
4 OIL FILTER, CHROME 44.76
P/N 63798-99A
Reg. Price: $55.96
12 SYN3,1-QT,BTL 124.68
P/N 62600005
Reg. Price: $155.88
Sold Now Taxable Total 222.24
Sold Now Less Discount 44.48
Discounted Taxable Total 177.76
Total Amount Due 177.76
OUTSIDE CHARGE - AR Tendered 177.76
po#32847
PO#32847
t,t,t NO RETURN ON SPECIAL ORDERS
SPECIAL ORDERS REQUIRE A 100% DEPOSIT.
ORDERS SUBJECT TO VENDORS INVENTORY.
'"NO RETURNS OR EXCHANGES OVER 30
DAYS, MUST HAVE RECEIPT.'�AO
NO RETURN ON HELMETS. NO RETURNS ON
ELECTRICAL PARTS.
NO RETURNS ON CLOSE-OUT ITEMS. A 20%
RE-PACKING CHARGE FOR ITEMS RETURNED
WITHOUT PROPER CONTAINER. PRICES
SUBJECT TO CHANGE WITHOUT NOTICEI
NO RETURN ON SPECIAL ORDERS
Visit our website at
http://www.hdofindy.com
THANK YOU FOR YOUR BUSINESS!
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT F2847
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
4/14!20'15
Hari oy--Dayi dt;on of Inrlianapoll Carmel Police Cepaltment
VENDOR
SHIP 3 CNBC -squam
4146 E. nth St. TO Caffnel, IN 46032
Indianapolis, IN 45246 (917)6-71-25-59
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-370M
1 Each repair parts $177.76 $177.76
Sub Total: $177.7
t���
q l uII " 4
'ft
l
..✓ 11 a f�" n _ •,r'-- Y]., r ' ,
Send Invoice To:
Carinal Police Department
Attn= Pat Young
3 CIVIC Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT 311 d f.ra
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO'FjYATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. //�/ /`�YYr
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BYN:I.f'�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ; ( Chief of Poke
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE {V/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3� �� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.J. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
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
f
I Cost distribution ledger classification if
claim paid motor vehicle highway fund
• r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Harley-Davidson of Indianapoli
IN SUM OF$
4146 E. 96th St.
Indianapolis, IN 46240
$177.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32847 I 93966645 I 42-370.00 I $177.76 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, Ma 08, 2015
Chief of Police
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))
04/14/15 93966645 repair parts $177.76
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer