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206406 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362737 Page 1 of 1 ONE CIVIC SQUARE R FALCONE POWERSPORTS INC CHECK AMOUNT: $34.99 CARMEL, INDIANA 46032 2416 W 16TH STREET INDIANAPOLIS IN 46222 CHECK NUMBER: 206406 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 238678PSR 34.99 REPAIR PARTS SERVICING R. F'A LCONE POWERSPORTS, INC. SERVICING POLARIS ATV's BMW MOTORCYCLES POLARIS RANGER'S 2416 W. 16 Street, Indianapolis Indiana 46222 VICTORY MOTORCYCLES (317) 803 -2432 Fax (317) 803 -3074 TRIUMPH MOTORCYCLES DISCLAIMER OF WARRANTIES "The manufacturer warranty constitutes all of the warranties with respect to the sale of these items. The seller, R. FALCONE POWERSPORTS, INC., hereby expressly disclaims all warranties, either express or implied, including TUESDAY THRU FRIDAY any implied warranty of merchantability or fitness for a PARTS DEPT. HOURS: 9:00 A.M. 6:00 P.M. particular purpose, and the seller nei assumes no SATURDAYS authorizes any other person 4c�"rne tOtit ar bll ili 10:00 A.M. 5:00 P.M. connection with the sale of this product." US NO GOVERNMENT JFORCE @CARMEL.IN.GOV PSR 317- 571 -2400 B CITY OF CARMEL ADMINISTRATION S GROUNDS 1 CIVIC SQUARE M BURKE L CARMEL IN 46032 p T T O 0 PART NUMBER DESCRIPTIO 8 a u U V F- NOTE: ELECTRICAL SPECIAL ORDER PARTS ARE NOT RETURNABLE! SUBTOTAL A 15% HANDLING CHARGE WILL BE ADDED ON ALL RETURNED PARTS. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL. NO REFUNDS AFTER 14 DAYS. TAX O.O PARTS RETURN POLICY ALL RETURNED PARTS MUST CONFORM TO THE PARTS PACKAGING QUALITY STANDARDS, THOSE STANDARDS SHOWN UPON REQUEST. RECEIVED' BYi FREIGHT 0.0 d "WE REALLY APPRECIATE YOU AS OUR CUSTOMER!" PAY THIS AMOUNT 34.9 PAGE 1 OF 1 VOUCHER NO. WARRANT NO. ALLOWED 20 R. Falcone Powersports, Inc. IN SUM OF 2416 W. 16th Street Indianapolis, IN 46222 $34.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept, INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 238678PSR 42- 370.00 $34.99 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 Wednesday, February 08, 2012 I r/ IX.e` Street Commissioner 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)) 01/26/12 238678PSR $34.99 1 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