31973 Harley-Davidson of Indianapolis PAQE Cit o f Carmel CERTIFICATE NO 003120155 020. I INDIANA RETAIL TAX EXEMPT
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31973
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 .
5/712014
Harley-Davidson of Indlanapoll Cannel Police Department
VENDOR SHIP 3 CIVIC Square
P.O. Box 80448 - TO Cannel, IN 48032
Indianapolis, IN 46240 . (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43-510.00 •
1 Each motorcycle repair $369.38 �H' $369.38
Sub Total: $369.38
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cycle O 117 Chad Amosr8Q 7/G,H G °`l �,4 •
Send Invoice To: j11� y(0"
Cannel Police Department
Attn: Pat Young
. 3 Civic Square
•
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. c.)C—. PAYMENT x•38
• 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 ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA •• '. FICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. /�.,/I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •/CL/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. thief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ( I
CLERK-TREASURER
DOCUMENT CONTROL NO. 31973 OFFICE COPY