31930 Harley Davidson INDIANA RETAIL TAX EXEMPT PAGE
1, City ® �� � CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER `'
0 FEDERAL EXCISE TAX EXEMPT , '— �\c1-10
35-60000972 ■:=
•
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3120/2094 '
, barley-Davidson Southold° Carmel Police Department:
VENDOR' SHIP 3 Civic Square
TO -
Southport Crossing Place Carmel, IN 46032
Indianapolis, IN 46237 (397)679.2660 .
• CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
•
Account 43-610.00
2 Each re-programming (siren bolt/air horn) $80.00 $160.00
1 Each A5°windshield $110.00 $110.00
-0' Sub Total: $270.00
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•Send Invoice To: N -'; 0
•
Carmel Police Department •
Attn: Pat Young .
3 Civic Square ..
UMW, IN 46032. . PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I . PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. Ct) • PAYMENT $270.00
• • NP 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 T, REGIS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATION ICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
1. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL
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I SHIPPING LABELS.I , •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /hid of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31930 CLERK TREASURER .
OFFICE COPY