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159904 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1 ONE CIVIC SQUARE HARLEY DAVIDSON CARMEL, INDIANA 46032 4146 E 96TH ST CHECK AMOUNT: $75.15 PO BOX 80448 CHECK NUMBER: 159904 INDIANAPOLIS IN 46240 CHECK DATE: 5/2812008 DEPA RTMENT ACC PO NUMB INVOICE N AMO DESCRIP 1110 4351000 93686128 75.15 AUTO REPAIR MAINTEN (r� HARLEY- DAVIDSON OF Repairder Invoice 4146 E 96TH ST. d i Nu 433289 mbers P. O. Box 80448 R/O INDIANAPOLIS, IN 46240- Invoice Number 93686128 (317) 815 -1800 "x; Cashier PETTIFORD, CARLOS 4 r Date 5/9/2008 Repair Ordee For CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 Units For This Repair Order Service Writer: WILLIAMS, KELVIS Year:. Make VIN/ Serval No Plate .W Ke Board Miles E Modell y.. 2007 HARLEY FLHP 1HD1FHM187Y677893 2233 x �n Jvb i�J�P�CT /r vL UT�i�� w ob For 2007 HARLEY F HP POLCE IIHD1FHM187Y6778 3 Y f Parts Part Number Quantity Description r a Price Ext M 37912 -98A 1 CLUTCH PRESSURE PLAT $48.79 $48.79 34901 -07 1 GASKET, PRIMARY COVER $29.71 $29.71 17369 -06 1 GASKET SERVICE KIT, 1 K, 5K, 10 $2.54 $2.54 99851 -05 1 FORMULA LUBRICANT, QT $5.94 $5.94 37969 -03 1 KIT, PERFORMANCE CLUTCH $195.49 $195.49 Parts Subtotal $282.47 Labor Descript o Job Code Technician Quantify Line Total INSPECT /REPAIR CLUTCH GLASHAN, RUSS 2 Hours $160.00 Labor Subtotal $160.00 Job Subtotal $442.47 Customer Job Totals Parts $282.47 Labor $160.00 Total of Customer Jobs $442.47 Other Charges ShopSupplies $16.00 Repair Order Subtotal $458.47 Discounts Given Parts Discount: 15% From Retail $49.85 Pagel W T rm:'. HARLEY- DAVIDSON OF Repair Order in,voice�� 4146 E 96TH ST. R/O Number 433289 P. O. Box 80448 INDIANAPOLIS, IN 46240- Inyoce Number 93686128 (317) 815- 1800 Cashier PETTIFORD, CARLOS R parr Orderr For a �f Date 5/9/2008 CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 Sales Tax $0.00 Repair Order Total $458.47 Total Amount Due $458.47 OUTSIDE CH tendered $458.47 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: t Page 2 r MAN, LOV-DAVO Doom 09 5/21/08 To Whom it May Concern: 1it We received check 159378 in the amount of $1087.78 for an account payment today. This check stub references Invoice 93681839, for R.O. 432834, Invoice 93682172 for R.O. 432907 and Invoice 93683840 for R.O. 433060. Payment for the last listed Invoice, 93683840 for R.O. 433060 was made with Check 158917. The balance of $383.32 was applied at that time. We do have.:another outstanding invoice. Invoice 93686128, R.O. 433289 in the amount of 458.47. I have applied the amount of $383.32 against the balance of $458.47 leaving a remainder due of 75.15. This amount will appear on your 4146 East 96th Street next statement. Indianapolis, IN 46240-3738 ianapo s, If there are any questions concerning this payment, please feel free to contact me, Sarah Rowland, at: 317.815.1800 Sarah Rowland Accounts Payable/Receivable Fax 317.815.7049 Harley Davidson and Honda of Indianapolis 1.888.FME.123 4146 E. 96 St. Indianapolis, IN 46240 www.hdofindy.com 317 -815 -1800 (store) 317- 815 -7048 (fax) 317 -815 -2535 (my desk) srowlandgdellen.com. Thank you for your attention to this matter! Sarah Rowland Our Mission Statement Harley- Davidson of Indianapolis does business in a fair and honest manner. We are committed to creating a friendly professional atmosphere in which both the customers and employees expectations are exceeded. 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.B ox 80448 Terms Indianaoplis, IN 46240 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/9/08 93686128 payment for repairs to cycle 128 1 75.15 Total 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. f ALLOWED 20 Harley- Davidson IN SUM OF P.O. Box'80448 Indianapolis, IN 46240 75.15 ON ACCOUNT OF APPROPRIATION FOR police genreal fond Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 93686128 510 75.15 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 May 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund