32426 Harley DavidsonCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32426
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
8/1112014
Harley- Davidson of Indianapoli
VENDOR
P.O. Box 80448
Indianapolis, IN 48240
SHIP
TO
Cannel Pollee Department
3 Civic Square
Cannel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
. FREIGHT
QUANTITY
UNIT OF MEASURE
Account 43410.00
1 Each 2 new tires & labor
Send Invoice To:
Cannel Pollee Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
DESCRIPTION
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
$625.18
Sub Total:
$625.18
$625.18
DEPARTMENT
Cannel Police Dept. �L15
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
i
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 1
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1995
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32426
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
A/P 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.
I HEREBY CER FY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROM pl /JN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$625A8
/
hie? of Police