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Home My WebLink About251103 11/04/15 ^+, CITY OF CARMEL, INDIANA VENDOR: 354332 I; ® ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: S"""""""453.04" CARMEL, INDIANA 46032 4146 E 96TH ST CHECK NUMBER: 251 108 PO BOX 80448 CHECK DATE: 11/04/15 INDIANAPOLIS IN 46240 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 33197 93989680 453.04 TIRE AND INSTALL Ivl Vvl r_v rV r-I T� II1I1 VIIV IVIVTV ULLLLI, VV,II L/. VV II VVL H® OF INDIANAPOLIS "Reps!'r'';Oed'e,r�'Invo'i�e+ 4146 E96THSTREET ;;•• r^Q'.;0.Lid INDIANAPOLIS,IN 46240 R/O•Ntirnberr 455551 ;trivoCce;,Nwrnb�;;93989850 (317)815-1800 Detain: 10/13/2015 ;Today iQat�:,10!3012015 !,'DBte sd Pro e ; 10/13/2015 �r •,. � ,CIOe9�,_i 1 0/1 312 0 1 6 v Y Cashleri IBBETSON.MIKE CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL,IN 46032 c:812340.0541 h:317/571-2500 w:DISR Units For This Repair Order Service Writer:IBBETSON,MIKE r r,rl�ppy ...,.,i r 7r ry i.... .p r r I •,•r — 1'r,'TI i 4' Mti 1 Qd�l"''_, .';�~ �� •I:..,.....� tir.r '"y' Keyr6'oelyd17i{ _H ;,,�;;w � 1 _I.wI.1,G� _,' '/s>a�i Ir,,,Ia. l�t�te•• ';t'� •1' SI'",,�Ili 't, • . n u w... rr r ,• ,,In „y �d�!„yr„ .�.:'.y�.YLllr„_u.�ll:,'MYI.�._�' 2015 HARLEY FLH1•P IHDlFMM14FB620083 3501/ 'il+ "•'��`.Y�''S1"' r:!':` :'�I� -.1•. ' li'j,'r v I.r • ,y,, " r,,, f .q.�y r��'r'' ', ',+� "aj n.•.r'; .r. 'iy� y+i'J.VbIRG� R 14RE "' r 'o^'" " "P ',r '1�~ ! i,'., fr' ,�r.• yKJ' Jib For,:'2015 ;EL H 1FMM14FB8200,83 RAREFY FL'HTP ECTRA'L GLIDE 1 D CUSTOMER STATES A NAIL IN REAR TIRE CHECK OUT FRONT TIRE FO*33197 FOR PAYMENT Parte l�ert��WR1Ik6l4,''Y�..' ,.t� QMenti(y Berl t�n,'"••' t�•;''I•,;,,,. .I'� '" !i��'' °' I;xl�". .,Y' 1, • n.Y I. �•L.., .� wyi'x;�'_I�t... irf•t�,. .rpr.. ...,r: � . v_�.'A'r,,r . .'!yl .,�!w, �' ---,'F.BCh�'PrICB'r..'K„ '';10c�t6�11970f1 J',l ;r 43200027 1 TIRE,RR,160/65816,8-W $232,79 $232.79 Parts Subtotal $232.79 Labor ,Jti't''wde ILoll�tdf • . w +' , ,r rl,L...•..w: .. �.�L_ _� .,:'N..' ..i.lii'S{.,�•,'�''•�5,•I ,..�. ,rl r..:4Y, L,w41., ..Aw_i.l L� ul/L.: REAR TIRE GIBSON,ERIC 2.25 Hours $200.25 Labor Subtotal $200.25 Recommendations Resolution REPLACED REAR TIRE Job Subtotal $433.04 I Customer Job Totals Parts $232.79 Labor $200.25 Total of Customer Jobs $433.04 fiA�•I' '� Page 1 IANAPOLIS �' � �p OF 4146 EBBTH STREET WDIANAPOLIS,IN 46240 r R/G;fJuhtbar:1455551 Inv010®4Ntf"rtabAP:'93989850 (317)815-1600 „ Date,hi 10/13/2015 ,._ � I Tolley Datt%:10/30/2015 ,Rate Prorkdaede 10/13/2015 Da'te,Goaed;'i 10/13/2015 r 'Coohier:.'IBBETSON,MIKE CARMEL POLICE DEPT 3 CN IC SQUARE CARMEL,IN 46032 c:812 340-0541 h:317/571-2500 w:DISP, Other Charges ShopSupplies $20.00 Repair Order Subtotal $453.04 Discounts Given Parts Discount 20%From Retail $58.20 Sales Tax $0,00 Repair Order Total $453,04 Total Amount Due $453.04 OUTSIDE CH tendered $453.04 Change Due $0.00 By signing below I understand that w arrancy does not cover any scheduled maintenance charges.These are to be covered by me the customer,"I hereby authorize the repair work hereinafter set forth to be done along w ith the neccessary materials and agree that you are not responsible for lose or damage to the vehicle or articles left In the vehicle In case of fire,theft or any other cause beyond your control or delays caused by the unavailability of parts or delays in the parts shipments by the supplier or transporter,I hereby grant you end/or your employeas permisslon to operate the vehicle/s herein described to secure the amount of the repairs thereto.'I also understand that unlVs w ill be placed into storage 24 hours after completion of work and that a storage charge of$10,00 per day w Ill begin 5 days after notice of completed services,I also understand that w ork is warrented 30 days or 3000 miles w hichever comas first.The warranty is only good for workmanship and products which have a warranty from the suppller.All clalrm must be accompanied by the original recelpt before 30 days has expired to be given consideration.I have read and understand the complete repair order and authorize the w ork eat forth, Signed: l Plage 2 INDIANA RETAIL TAX EXEMPT PAGE Cny ®f Carmel,,,.-., CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33197 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 9Q/9�ffiD9a baftavidson of Indianapoli ftmol Pollco DepErtmont VENDOR SHIP 3 Civic Squm 4146 E. lath St. TO Cumd, IN 4 Indlan2polio, IN 4240 (997)674-2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 1 Each Tire &Installation $225.00 $225.00 Sub Total: $225.00 �l S t,Awl�'aen O-'a e. •'1 I Send Invoice To: C&mGl Polito Dopartmgnt a Attn: Pat Young 3 Civic Squaw Calmol, IN '2= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT G 0 BC@ Dept. �•UJ PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY T Aj T.ERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRI d•N SLI FICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,,, SHIPPING LABELS. IG?of Pollen •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 33197 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO...-._ WARRANT ALLOWED 20 IN THE SUM OF$ $ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or biil(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)) 10/13/15 93989680 tire&installation $453.04 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Harley-Davidson of Indianapoli IN SUM OF $ 4146 E. 96th St. Indianapolis, IN 46240 $453.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33197 I 93989680 I 42-320.00 I $453.04 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 October 30, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund