158917 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
0 ONE CIVIC SQUARE HARLEY DAVISON
CARMEL, INDIANA 46032 4146 E 96TH ST CHECK AMOUNT: $383.32
INDIANAPOLIS IN 46240 CHECK NUMBER: 158917
CHECK DATE: 4/30/2008
DE PART M ENT,, ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 433060 383.32 AUTO REPAIR MAINTEN
j- HARLEY- DAVIDSON OF INDIANAPOLIS Repair`-Order
4146 E 96TH ST. R/O Number: 433060
P. 0. Box 80448 In Date: 4/23/2008
INDIANAPOLIS, IN 46240-
(317) 815 -1800 Today Date: 4/24/2008
Date Promised: 4/23/2008
Repair Order For Unit Name Location
CARMEL POLICE DEPT SNOW
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Units For This Repair Order Service Writer: ROBINSON, DAN
Year Make, Model VIN Serial No Color Plate Key Board Miles
2004 HARLEY FLHPI 1HD1FHW164Y736271T WHI
Job: INSPECT TRANSMISSION /CLUTCH
Job For: 2004 HARLEY FLHPI RD KG PO 1 HD1 FHW164Y736271
Description
WE JUST INSTALLED PRIMARY GASKET. C/S VERY RUFF SHIFTING.
INTERMITTENT PROBLEM. RUFF SHIFTING UP AND DOWN IN GEARS
Parts
Part Number Quantity Description Each Price Extension
37913 -98 8 CLUTCH PLATE $7.86 $62.88
99851 -05 1 FORMULA LUBRICANT, QT $5.94 $5.94
34901 -94C 1 GASKET, PRIMARY COVE $24.99 $24,99
25416 -99C 1 GASKET, DERBY COVER $6.62 $6.62
34906 -85D 1 INSPECTION GASKET $2.89 $2.89
Parts Subtotal $103.32
Labor
Description Job Code Technician Quantity Line Total
INSPECT TRANS /CLUTCH BOOTH, CHRIS 3.5 Hours $245.00
Labor Subtotal $245.00
Job Subtotal $348.32
Job: CHECK-ENGINE CODE
Job For: 2004 HARLEY FLHPI RD KG PO 1 HD1 FHW164Y736271
Description
Labor
Description, Job Code Technician Quantity Line Total
CHECK ENGINE CODE BOOTH, CHRIS 0.5 Hours $35.00
Labor Subtotal $35.00
Job Subtotal $35.00
Page 1
HARLEY- DAVIDSON OF INDIANAPOLIS Repair.,O'rder
4146 E 96TH ST. R/O Number: 433060
P. O. Box 80448
INDIANAPOLIS, IN 46240- In Date: 4/23/2008
(317) 815 -1800 Today Date: 4/24/2008
Date Promised: 4/23/2008
Repair Order For. Unit Name Location
CARMEL POLICE DEPT SNOW
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Customer Job Totals
Parts $103.32
Labor $280.00
Total of Customer Jobs $383.32
Repair Order Subtotal $383.32
Discounts Given
Parts Discount: 15% From Retail $18.26
Sales Tax $0.00
Repair Order Total $383.32
Total Amount Due $383.32
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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 of Indianapolis Purchase Order No.
P.O.B ox 80448 Terms
Indianapolis, IN 46240 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/24/08 433060 payment for repairs to c.°.cle 118 383:32
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.
ALLOWED 20
Harley— Davidson of Indianapolis
IN SUM OF
P.O. Bo.: 80448
Indianapolis, IN 46240
383.32
ON ACCOUNT OF APPROPRIATION FOR
p olic e g eneral f
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 433060 510 383.32 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
April 24 2008
Signature
Chief -�of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund