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HomeMy WebLinkAbout185767 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1 ONE CIVIC SQUARE HARLEY DAVIDSON CARMEL, INDIANA 46032 4146 E 96TH ST CHECK AMOUNT: $140.57 w PO BOX 80448 ON CHECK NUMBER: 185767 INDIANAPOLIS IN 46240 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4237000 21208 93775412 140.57 PARTS -c 0 1L INDIANA RETAIL TAX EXEMPT PAGE I'.. sanel CERTIFICATE NO. 003120155 002 0 "f kAly 1 1i PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 212 0„IGI ,CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, Al 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 Sept mber 15. .009 parts VENDOR Harley-- D of Indianapolis SHIP City of Carmel Police Department O 3 Civic Square Carmel, IN 46032 ATTN: Jason Ogle CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION motorcycle eepair. parts 226.40 e �0 A l 4 9 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 370 repair parts 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 THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 21 q V CLERK TREASURER DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.— ARRANT NO.-----,--- ALLOWED 20 IN THE SUM OF S 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 Farm 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. 21208RP P.O. Box 80448 Terms Indianapolis, IN 46240 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5 /18/10 93775412 payment for repair parts 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 P.O. Box 80448 Indianapolis, IN 46240 140.57 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s) or 21208RF 93775412 370 140.57 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 In 1� Signature ARgiSt Chief of Polic Title Cost distribution ledger classification if claim paid motor vehicle highway fund