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Home My WebLink About232812 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 354332 ® 1 ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: S"'"""'364.38' CARMEL, INDIANA 46032 4146 E 96TH ST CHECK NUMBER: 232812 PO BOX 80448 CHECK DATE: 05/21/14 INDIANAPOLIS IN 46240 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 31973 450831 364.38 MOTORCYCLE REPAIR HD OF INDIANAPOLIS Repair Order 4146 E 96TH ST. RIO Number: 450831 INDIANAPOLIS, IN 46240- (317)815-1800 Date In: 5/5/2014 Today Date: 5/13/2014 Date Promised: 5/5/2014 Date Closed: 5/9/2014 Repair Order For: Unit Name Location CARMEL POLICE DEPT 3 CN/IC SQUARE CARMEL, IN 46032 c:812 340-0541 h:317/571-2500 w:DISP. Units for this Repair Order Service Writer:HOUSEHOLDER,DAVID Year Make Model V IN/Serial No. Color Rate Key Board Miles In/Out' 2011 HARLEY FLHTP 1 HD1 FMM17BB644274 BIRCH 3138/3143 Job: OIL LEAK/SHIFT SHAFT SEAL - Job For: 2011 HARLEY FLHTPTOURING 1HDlFMM17BB644274 Description CUSTOMER REQUEST A QUOTE TO REPAIR A OIL LEAK.POSSIBLE INNER PRIMARY. OIL LEAK WAS A SHIFT SHAFT SEAL LEAK. REPAIR WAS APPROVED BY CARMEL POLICE Parts Part Number Quantity Description Each Price Extension 11150 1 RETAINING RING $0.63 $0.63 11000101 1 SEAL,SHIFT SHAFT $2.56 $2.56 37909-90 1 CIRCLIP, FX'S,FL'S& $10.39 $10.39 17369-06 1 GASKET SERVICE KIT, 1 K,5K, 10 $4.16 $4.16 34901-07 1 GASKET, PRIMARY COVER $28.79 $28.79 786A 1 BOLT,SEAL $2.39 $2.39 34934-06 1 GASKET,CLUTCH COVER $11.36 $11.36 12052A 1 OIL SEAL, INNER PRIMARY $4.16 $4.16 27444-OOY 1 O-RING $3.36 $3.36 62600005 1 SYN3,1-QT,BTL $10.39 $10.39 786A 4 BOLT,SEAL $2.39 $9.56 3368 1 SCREW, HEX FLANGE $4.63 $4.63 Parts Subtotal $92.38 Labor Description Job Code Technician Quantity Line Total SHIFT SHAFT SEAL LEAK HILMER, MICHAEL 3 Hours $252.00 Labor Subtotal $252.00 Job Subtotal $344.38 Page 1 HD OF INDIANAPOLIS Repair Order 4146 E 96TH ST. R/O Number: 450831 INDIANAPOLIS, IN 46240- (317)815-1800 Date In: 5/5/2014 Today Date: 5/13/2014 Date Promised: 5/5/2014 Date Closed: 5/9/2014 Repair Order For: Unit Name Location CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 c:812340-0541 h:317/571-2500 w:DISP. Customer Job Totals Parts $92.38 Labor $252.00 Total of Customer Jobs $344.38 Other Charges ShopSupplies $20.00 Repair Order Subtotal $364.38 Discounts Given Parts Discount:20% From Retail $23.12 Sales Tax $0.00 Repair Order Total $364.38 Total Amount Due $364.38 By signing below I understand that w arranty does not cover any scheduled maintenance charges.These are to be covered by me the customer."I hereby authorize the repair w ork hereinafter set forth to be done along with the neccessary materials and agree that you are not responsible for loss or damage to the vehicle or articles left in the vehicle in case of fire,theft or any other cause beyond your control or delays caused by the unavailability of parts or delays in the parts shipments by the supplier or transporter. I hereby grant you and/or your employees permission to operate the vehicle/s herein described to secure the amount of the repairs thereto." I also understand that units w ill be placed into storage 24 hours after completion of w ork and that a storage charge of$5.00 per day w ill begin 10 days after notice of completed services. I also understand that w ork is w arranted 30 days or 3000 miles w hichever comes first.The w arranty is only good for w orkmanship and products w hich have a w arranty from the supplier.All claims must be accompanied by the original receipt before 30 days has expired to be given consideration. I have read and understand the complete repair order and authorize the w ork set forth. Signed: Page 2 INDIANA RETAIL TAX EXEMPT PAGE C1ty ®f Ca' trmei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31973 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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(�dg09 A k9mrley=Dmvldson of Indiznnapoll Carmol Police DoWmenQ VENDOR SHIP 3 CIVIC squaJ P.O. Son mm TO Cowl, IN Indianapolis, IN 4240 (317)679 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY TUNIITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 800-610. 9 Each moforcyde repair $369.38 $369.38 Sub Total: $369.38 <11 ru)-12,. . 4f ., o CAG; 997 CheriAmoz Send Invoice To: CarmGi Polleo DGpoitment , Attn: Pat Young 3 CIVIC Squm Carmel, IN 42= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT •38 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT 1HERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIA 10 SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �/hlcf �oSHIPPING LABELS. ®�IroII�.G •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 319 7 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.---__._..____WARRANT ALLOWED 20 IN THE SUM OF$ S ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#(TITLE AMOUNT DEPT.# I 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------....-----_----..__...........-...._.....------ --- -- 20 r • Signature ....................................................................................................................................................................................... Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 05/14/14 450831 Repairs $364.38 I 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 $364.38 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 31973 450831 43-510.00 $364.38 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 Wednesday, May 14, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund