211773 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $39.98
CARMEL, INDIANA 46032 4146 E 96TH ST
PO BOX 80448 CHECK NUMBER: 211773
INDIANAPOLIS IN 46240
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 93870164 39 . 98 REPAIR PARTS
HD OF INDIANAPOLIS
4146 E 96TH 51'.
P. 0. Box 80448
TNDIANAPOLIS, IN 46240-
(317) 815-1800
Receipt Number 93870164
8/1/2012
Cashier: BARNETT, NATHAN
Salesperson: B.ARNETT, NATHAN
CARMEL- POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032 USA
317/571-2500 DISP. 571--2580
Picked up
Sold NOW
QTY DESCRIPTION AMOUNT
2 AIR FILTER ELEMEN-1'� 39.98
P/N 29633-08
Reg. Price: $49.98
sold Now Taxable Total 49.98
Sold Now Less Discount 10.00
Discounted Taxable Total 39.98';
Total AMOUnt Due 39.98.-
OUTSIDE CHARGE - AR Tendered •39.98
NO RETURN ON. SPECIAL ORDERS
SPECIAL ORDERS REQUIRE A 100% DEPOSIT.
ORDERS SUBJECT- TO VENDORS INVENTORY.
*':NO RETURNS OR EXCHANGES OVER 30
DAYS, MUST HAVE RECEIPT.*** n
NO RETURN ON HELMET'S. 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 WITHOUT NOTICE!
NO RETURN ON SPECIAL ORDERS
Visit Our website at
http://www.hdofindy.com
THANK YOU FOR YOUR BUSINESS!
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))
08/01/12 93870164 repair parts $39.98
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
$39.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 93870164 I 42-370.00 I $39.98 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, August 09, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund