32847 Harley Davidson of IndyCi
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
32047
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
4/14/2015
Harley -Davidson of Indlanapoll
VENDOR
4946 E. 86th St.
Indianapolis, IN 46240
SHIP
TO
Carmel Pollee Department
3 Clvlc Square
Carnal, IN
(317) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-370.00
1 Each repair parts
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$177.76
Sub Total:
$177.76
$177.76
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Cannel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.,
DOCUMENT CONTROL NO. 32847
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 CFVR iIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP IATION S 1iCIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
Ching of Police
AMOUNT
5177.76
TITLE
CLERK - TREASURER
OFFICE COPY