182374 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
9 ONE CIVIC SQUARE HARLEY DAVIDSON
CARMEL, INDIANA 46032 4146 E 96TH ST CHECK AMOUNT: $15,542.00
PO Box 80448 CHECK NUMBER: 182374
NDIANAPOLIS IN 46240
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 40.00 AUTO REPAIR MAINTEN
1110 R4465001 21233 4465001 15,502.00 MO'T'ORCYCLES
Jan 26 2010 4:35PM HD OF IMDY F %2526I 3178157049 p.4
Mww�av- o�rosow a
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01/26/2010 INVOICE
I i
CITY OF CARMEL
3 CIVIC SQUARE
CARMEL, IN 46032
2010 HARLEY DAVIDSON FLHP
IHDIFMMIIAI3637111
4146 East 96th Street 2010 HARLEY DAVIDSON FLHP
Indianapolis, IN IHDIFMM12AB638087
46240 -3738
TOTALLING: $15542.00
317.815.1800
Fax 317.815.7049
1.888AIDE.123 BALANCE DUE: $15542.00
www.hdofindy.com
Our Mission Statement
Harley Davidson of
Indianapolis does business in a
fair and honest manner.
We are committed to creating
a friendly professional
atmosphere in which both
the customers and employees
expectations are exceeded.
Carmel INDIANA RETAIL TAX EXEMPT PAGE
C i ty of CERTIFICATE NO.003120155 002 0 1 of 1
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21
30 N 5. CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Octob_r 16 20C9 ntnrrro 1 a
VENDOR Harley- Davidson Indianapolis TO HIP City of Carmel Police Department.
3 Civi Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 2010 Harley Davidson FLHTP Electra Glide 13,7643Q064.27,528.00
2 (Birch White)
2 A3S BraXes 645.00 1,690.00
2 Parts (heated grips, tour box, adapter plate, 1,642.00 3,284.00
e_)c+r lgrzad battery
Less trade -in 17,000.00
l A" g,
n z�
r I
City of Carmel Pal
Send Invoice To: ATTN: Teresa Anderso
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 15
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 650 -01 cars and trucks PAYMENT
j A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P,O.
I 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 APPROPRIATIO OF
SHIP REPAID. I ICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. {1
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE D;. CR ef o f Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
GLERK- TREASURER
DOCUMENT CONTROL NO. A• 0. COPY- SIGN AND RETURN TO CLERK'S OFFICE
VDUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ti
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
Harley- Davidson of Indianapolis Purchase Order No. 21233RF
4146 East 96th street Terms
Indianapolis, IN 46240 -3738 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/26/10 payment for 2 motorcycles and accessories 15 542.00
Total
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 Indianapolis IN SUM OF
4146 Fast. 96th Street
Indianapolis, IN 46240 -3738
15,542.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
21233RF 650 -01 15 502.00 bill(s) is (are) true and correct and that the
1110 510 40.00 materials or services itemized thereon for
which charge is made were ordered and
received except
January 27 20 10
&1� b
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund