163770 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $807.17
CARMEL, INDIANA 46032 4146 E 96TH ST
PO BOX 80448
a CHECK NUMBER: 163770
INDIANAPOLIS IN 46240
CHECK DATE: 9/17/2008
DEPARTMENT ACC OUNT PO NUMBER INVO NU AMOUNT DESCRIPTION
1110 f 4351000 93700611 89.79 AUTO REPAIR MAINTEN
1110 4351000 93700612 307.00 AUTO REPAIR MAINTEN
1110 4351000 93705781 410.38 AUTO REPAIR MAINTEN
HARLEY- DAVIDSON OF Repair Order Invoice
4146 E 96TH ST. R/O Number: 434482
P. O. Box 80448
INDIANAPOLIS, IN 46240- Invoice Number: 93700612
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 8/6/2008
Repair Order For,
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Units For This Repair Order Service Writer: WILLIAMS, KELVIS
Year Make Model VIN Serial No. Plate Key Board Miles
2007 HARLEY FLHP 1 HD1 FHM187Y677893 3381
Job.` INSPECTIRE,PAIR CLUTCH
s
9 Job For: 2007 HARLEY FLHP POLICE 1HD1FHM187Y677893
HARD TO DOWN SHIFT /HARD ENGAGE WITH LEVER
Parts
Part Number Quantity Description Each Price Extension
37913 -98 8 CLUTCH PLATE $7.86 $62.88
99851 -05 1 FORMULA LUBRICANT, QT $6.79 $6.79
34901 -07 1 GASKET, PRIMARY COVER $29.71 $29.71
17369 -06 1 GASKET SERVICE KIT, 1 K, 5K, 10 $4.21 $4.21
24240 1 PERMATEX, 242 THREAD $27.41 $27.41
Parts Subtotal $131.00
Labor
Description Job Code Technician Quantity Line Total
CHECK REPAIR CLUTCH GLASHAN, RUSS 2 Hours $160.00
Labor Subtotal $160.00
Job Subtotal $291.00
Customer Job Totals
Parts $131.00
Labor $160.00
Total of Customer Jobs $291.00
Other Charges
ShopSupplies $16.00
Repair Order Subtotal $307.00
Discounts Given
Parts Discount: 15% From Retail $23.14
Pagel
HARLEY- DAVIDSON OF Repair Order Invoice'
4146 E 96TH ST.
P. O. Box 80448 R/O Number: 434482
INDIANAPOLIS, IN 46240- Invoice Number:` 93700612
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 8/6/2008
Repair Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Sales Tax $0.00
Repair Oro'cr Tota! $307.00
Total Amount Due 307.00
OUTSIDE CH tendered $307.00
Change Due $0.00
By signing below I understand that warranty does not cover any scheduled maintenance charges. These are to be covered
by me the customer. "I hereby authorize the repair work 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 unit/s will be placed into storage 24 hours after completion
of work and that a storage charge of $5.00 per day will begin 10 days after notice of completed services. I also understand
that work is warranted 30 days or 3000 miles whichever comes first. The warranty is only good for workmanship and
products which have a warranty 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 work set forth.
Signed:
Page 2
HARLEY- DAVIDSON OF Repair Order Invoice
4146 E 96TH ST. R/O Number: 434109
P. O. Box 80448
INDIANAPOLIS, IN 46240- Invoice Number: 93700611
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 8/6/2008
Repair Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Units For This Repair Order Service Writer: WILLIAMS, KELVIS
Year Make Model VIN Serial No. Plate Key Board Miles
2007 HARLEY FLHP 1HD1FHM127Y677596 5553
Job: C_HECK/REPAIR HEADLAMP
Job For: 2007 HARLEY FLHP POLICE 1 HD1 FHM1 27Y677596
Parts
Part Number Quantity Description Each Price Extension
72056 -92 1 HOUSING, 3 -PLACE FEM $1.79 $1.79
Parts Subtotal $1.79
Labor
Description Job Code Technician Quantity Line Total
CHECK/REPAIR HEADLAMP BUCKNER, LEE 1 Hours $80.00
Labor Subtotal $80.00
Recommendations Resolution
REPAIRED SHORT AT HEAD LIGHT, AND REPLACE
HEADLIGHT BULB.
Job Subtotal $81.79
Customer Job Totals
Parts $1.79
Labor $80.00
Total of Customer Jobs $81.79
Other Charges
ShopSupplies $8.00
Repair Order Subtotal $89.79
Page 1
HARLEY- DAVIDSON OF Repair Order Invoice
4146 E 96TH ST. R/O Number: 434109
P. O. Box 80448
INDIANAPOLIS, IN 46240- Invoice Number: 93700611
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 8/6/2008
Repair Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Sales Tax C $5.60 Repair Order Total Total Amount Due OUTSIDE CH tendered Change Due
By signing below I understand that warranty does not cover any scheduled maintenance charges. These are to be covered
by me the customer. "I hereby authorize the repair work 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 unit/s will be placed into storage 24 hours after completion
of work and that a storage charge of $5.00 per day will begin 10 days after notice of completed services. I also understand
that work is warranted 30 days or 3000 miles whichever comes first. The warranty is only good for workmanship and
products which have a warranty 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 work set forth.
Signed:
Page 2
HARLEY- DAVIDSON OF Repair Order Invoice
4146 E 96TH ST.
P. O. Box 80448 R/O Number: 434990
INDIANAPOLIS, IN 46240- Invoice Number: 93705781
(317) 815 -1800
Cashier: DELLEN, DAVID
Date: 9/4/2008
Repair Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Units For This Repair Order Service Writer: PETTIFORD, CARLOS
Year Make Model 'VIN Serial No. Plate Key Board Miles
2007 HARLEY FLHP 1HD1FHM127Y677596 6507
Job: 5,000 MILE SERVICE SYN 3
Job For: 2007 HARLEY FLHP POLICE 1 HD1 FHM127Y677596
Parts
Part Number ;,,Quantity ,Description -Each Price Extension
99824- 03 /OOQT 6 S.E. SYN3 SYNTHETIC SAE 20W50 $9.77 $58.62
63798 -99A 1 OIL FILTER, CHROME SUPERPREMIU $11.89 $11.89
17369 -06 1 GASKET SERVICE KIT, 1 K, 5K, 10 $4.21 $4.21
Parts Subtotal $74.72
Labor
Description Job Code Technician Quantity Line Total.
5,000 MILE SERVICE SYN 3 WIGGINS, CHAD 3 Hours $240.00
Labor Subtotal $240.00
Job Subtotal $314.72
Job: CHECK REAR BRAKES AND ROTOR
Job For: 2007 HARLEY FLHP POLICE 1HD1FHM127Y677596
HAS A SQUEAK NOISE
Parts
Part Number Quantity 'Description Each Price, Extension
44082 -OOD 1 BRAKE PAD KIT $35.66 $35.66
Parts Subtotal $35.66
Labor
Description Job Code Technician Quantity Line Total
REPLACED PADS WIGGINS, CHAD 0.5 Hours $40.00
Labor Subtotal $40.00
Job Subtotal $75.66
Page 1
HARLEY DAVIDSON OF Repair Order Invoice
4146 E 96TH ST. R/O Number: 434990
P. O. Box 80448
INDIANAPOLIS, IN 46240- Invoice Number: 93705781
(317) 815 -1800
Cashier. DELLEN, DAVID
Date: 9/4/2008
Repair Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Customer Job Totals
Parts $110.38
Labor $280.00
Total of Customer Jobs $390.38
Other Charges
ShopSupplies $20.00
Repair Order Subtotal $410.38
Discounts Given
Parts Discount: 15% From Retail $19.45
Sales Tax $0.00
Repair Order Total $410.38
Total Amount Due f$410.38
OUTSIDE CH tendered
Change Due 0
By signing below I understand that warranty does not cover any scheduled maintenance charges. These are to be covered
by me the customer. "I hereby authorize the repair work 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 unit/s will be placed into storage 24 hours after completion
of work and that a storage charge of $5.00 per day will begin 10 days after notice of completed services. I also understand
that work is warranted 30 days or 3000 miles whichever comes first. The warranty is only good for workmanship and
products which have a warranty 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 work set forth.
Signed:
Page 2
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
Harley— Davidson Purchase Order No.
P.O. Box 80448 Terms
Indianapolis, IN 46240 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/4/08 93705781 payment for repairs to cycle 129 410.38
8/6/08 93700611 payment for repairs to cycle 129 89.79
8/6/08 93700612 payment for repairs to cycle 128 307.00
Total 807.17
1 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 IN SUM OF
P.O. Box 80448
Indianapolis, IN 46240
807.17
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 93705781 510 410.38 bill(s) is (are) true and correct and that the
1110 93700611 510 89.79 materials or services itemized thereon for
1110'.' 93700612 510 307.00 which charge is made were ordered and
received except
September 11 2 0 08
&"a -b !4�
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund