209179 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $54.95
CARMEL, INDIANA 46032 4146 E 96TH ST
PO BOX 80448 CHECK NUMBER: 209179
INDIANAPOLIS IN 46240
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 93856806 54.95 REPAIR PARTS
HD OF INDIANAPOLIS
4146 E 96TH ST.
P. 0. Box 80448
IND IANAPOLIS, IN 46240
(317) 815- -],800
ItIvolCe To Sei'ViCe
Repair Oi
ReCeiPt Number 9.3856806
5/9%2012
cashiei BARNETT, NATHAN
S alesperson: BARNE.J7, NATHAN
Picked up
sold NOW
QTY DESCRIPTION AMOUNT
I BRAKEPAD PIN K
P/N:,4 18.5 2 08B
S o l d NOW Taxable Total 5.3.
Total Aillokilit Due 54.95
NO R ETURN ON- S O R DE R S
SPECIAL ORDERS RE9'L')I:RE A 100% DEPOSf.'T
ORDERS SUBJECT T VENDORS INVENTORY.
SUBJECT""
';**NO RETURNS OR EXCHANGES OVER 30
DAYS, MUST HAVE RECEIPT.
NO RETURN HELMETS. NO RETURNS ON
ELECTRICAL PARTS.
NO RETURNS ON CLOSE-OUT ITEMS. A 20%
RE-PACKING CHARGE FOR ITEMS RETURNED
WITHOUT PROPER CONTAINER. PRICES
,:SUBJECT TO CHANGE WITHOH NOTICE!
NO RETURN ON SPECIAL ORDERS
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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))
05/09/12 93856806 repair parts $54.95
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Harley- Davidson of Indianapoli
IN SUM OF
P.O. Box 80448
Indianapolis, IN 46240
$54.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 93856806 I 42- 370.00 I $54.95 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
Thursday, May 17, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund