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CITY OF CARMEL, INDIANA VENDOR: 35I,4332
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d ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $"*"****117.10*
CARMEL, INDIANA 46032 4146 E 96TH ST CHECK NUMBER: 301696
MiiuN�o. PO BOX 80448 CHECK DATE: 08/08/16
INDIANAPOLIS IN 46240
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 16916 5.20 REPAIR PARTS
1110 4237000 17250 53.95 REPAIR PARTS
1110 4237000 17794 57.95 REPAIR PARTS
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HARLEY DAVIDSON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4146 E 96TH ST IN SUM OF$ CITY OF CARMEL
PO BOX 80448 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46240 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$117.10 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE -INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
16916 42-370.00 $5.20 1 hereby certify that the attached invoice(s),or 6/21/16 16916 repair parts $5.20
1110 101 � 1110 101
17250 42-370.00 $53.95
bill(s)is(are)true and correct and that the 6/24/16 17250 repair parts $53.95
1110 1 101 materials or services itemized thereon for 1110 1 101
17794 42=370:00— $57:95 _ -_ _ _ _. _ ._6/29/16 _ 17794 repair parts $57.95
1110 I I 101 I which charge is made were ordered and 1110 I 101
received except
�Wednesday,August 03,2016
Tim Green
Chief of Police
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
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
H-D OF INDIANAPOLIS INVOICE REPRINT Page 1 of 1
4146 E 96TH ST
INDIANAPOLIS,IN 46240-3738
Phone:(317)815-1800 Fax: i
NO RETURNS ON SPECIAL ORDERS Invoice Number.16916
NO RETURN ON CLOSEOUT ITEMS. Date:6/21/16 Time:10:04AM
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20%REPACK FEE W/O PROPER PACKAGING Console No.:060 Cashier:NB
NO RETUNS ON ELECTRICAL PARTS Merchant ID:
Customer Number.15500 Phone: (317)571-2500 Ship To Address:
CARMEL POLICE DEPT Work: (571)258-0 Ext:
3 CIVIC SQUARE Fax:
Mobile: (812)340-0541
CARMEL IN 46032 P.O.No:
Tax Exempt:N
Delivered Special Cancelled Extended
Item Number Description Quanti Order Quantity Bin Code
ty ty List Amount
17369-06 GASKET SERVICE KIT,1 K.5 1 00 0.00 5.20 $5.20
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Deposit Down Payment: 0.00 Item Total: 5.20otal Received: 0.00
Deposit Payments Applied: 0.00 Shipping Charges: 0.00 Less Change: 0.00
SO/Layaway Payment Made: 0.00 Other Tax&Fees: 0.00 Char On Accour 5.56
SO/Layaway Payment 0.00 Total Sales Tax: 0.36 Total: 5.56
SO Balance Due: 0.00 Deductible(s): 0.00
Layaway Balance Due: 0.00 Total Amount Due: 5.56
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H-D OF INDIANAPOLIS INVOICE REPRINT Page 1 of 1
4146 E 96TH ST
INDIANAPOLIS,IN 46240-3738
Phone:(317)815-1800 Fax:
NO RETURNS ON SPECIAL ORDERS Invoice Number.17250
NO RETURN ON CLOSEOUT ITEMS. Date:6/24/16 Time:1:39PM
20%REPACK FEE W/O PROPER PACKAGING Console No.:060 Cashier:MJ
NO RETUNS ON ELECTRICAL PARTS Merchant ID:
Customer Number:28916 Phone: Ship To Address:
CITY OF CARMEL Work: Ext:
1 CIVIC SQUARE Fax:
Mobile:
CARMEL IN 46032 P.O.No:
Tax Exempt:N
Delivered Special Cancelled Extended
Item Number Description Quantity Order Quantity Bin Code List Amount
44082-OOD BRAKE PAD KIT 1.00 0.00 53.95 $53.95
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Deposit Down Payment: 0.00 Item Total: 53.95 Vital Received: 0.00
Deposit Payments Applied: 0.00 Shipping Charges: Less Change: 0.00
SO/Layaway Payment Made: 0.00 Other Tax&Fees: 0.00 Charged On Accoui 57.73
SO/Layaway Payment ,,,-+0.00 Total Sales Tax: 3.78 Total: 57.73
SO Balance Due: ! 0.00 Deductible(s): 0.00
Layaway Balance Due: 0.00 Total Amount Due: 57.73
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H-D OF INDIANAPOLIS INVOICE REPRINT Page 1 of 1
4146 E 96TH ST
INDIANAPOLIS,IN 46240-3738
Phone:(317)815-1800 Fax:
NO RETURNS ON SPECIAL ORDERS Invoice Number.17794
NO RETURN ON CLOSEOUT ITEMS. Date:6/29/16 Time:2:34PM
20%REPACK FEE W/O PROPER PACKAGING Console No.:060 Cashier:NB
NO RETUNS ON ELECTRICAL PARTS Merchant ID:
Customer Number:15500 Phone: (317)571-2500 Ship To Address:
CARMEL POLICE DEPT Work: (571)258-0 Ext:
3 CIVIC SQUARE Fax:
Mobile: (812)340-0541
CARMEL IN 46032 P.O.No:
Tax Exempt:N
Delivered Special Cancelled Extended
Item Number Description Quantity Order Quantity Bin Code List Amount
41852-086 BRAKEPAD&PIN KIT,RR CA 1'.00 0.00 57.95 $57.95
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Deposit Down Payment: 0.00 Item Total: 57.95 tal Received: 0.00
Deposit Payments Applied: 0.00 Shipping Charges. 0.00 Less Change: 0.00
SO/Layaway Payment Made: 0.00 Other Tax&Fees: 0.00 Changed On Accour 62.01
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SO/Layaway Payment 0.00 Total Sales Tax: 4.06 Total: 62.01
SO Balance Due: 0.00 Deductible(s): 0.00
Layaway Balance Due: 0.00 Total Amount Due: 62.01
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