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
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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
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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