158429 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
1J ONE CIVIC SQUARE HARLEY DAVISON CHECK AMOUNT: $425.80
4 ,�a CARMEL, INDIANA 46032 4146 E 96TH ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 158429
CHECK DATE: 4/1512008
DEPARTMENT ACCOU PO NUMB INV OICE N UMBER AMOUNT DESCRIPTION
1110 4351000 93679796 425.80 AUTO REPAIR MAINTEN
1
f
HARLEY- DAVIDSON OF Repair Order Invoice
4146 E 96TH ST.
P. O. Box 80448 R/O Number: 432685
INDIANAPOLIS, IN 46240- Invoice Number: 93679796
(317) 815 -1800
Cashier:.. WILLIAMS, KELVIS
Date:. 3/28/2008
Repair Order For
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Units For This Repair Order Service Writer: BEY, BETH
Year- Make- Model VIN Serial No. Plate Key Board 'Miles
2007 HARLEY, FLHP 1HD1FHM187Y677893
JQb:= CLUTCH SLIPPING
Job For: 2007 HARLEY FLHP POLICE 1 HD1 FHM187Y677893
Parts
Part Number, Quantity Description Each Price Extension
99851 -05 1 FORMULA LUBRICANT, QT $5.94 $5.94
37932 -98 1 CLUTCH DISC KIT $117.29 $117.29
37913 -98 1 CLUTCH PLATE $7.86 $7.86
34901 -07 1 GASKET, PRIMARY COVER $29.71 $29.71
Parts Subtotal $160.80
Labor
Description Job Code Technician Quantity Line Total
CLUTCH SLIPPING WIGGINS, CHAD 3 Hours $245.00
Labor Subtotal $245.00
Recommendations Resolution
REPLACE CLUTCH SLIPPING CLUTCH
Job Subtotal $405.80
Customer Job Totals
Parts $160.80
Labor $245:00
Total of Customer Jobs $405.80
Page 1
HARLEY- DAVIDSON OF Repair,Order,Invoice
4146 E 96TH ST.
P. O. Box 80448 R/O Number: 432685
INDIANAPOLIS, IN 46240- Invoice Number: 93679796
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 3/28/2008
,Repo r Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Other Charges
ShopSupplies $20.00
Repair Order Subtotal $425.80
Discounts Given
Parts Discount: 15% From Retail $28.38
Sales Tax $0.00
Repair Order Total $425.80
Total Amount Due $425.80
OUTSIDE CH tendered $425.80
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
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 of Indianapolis Purchase Order No.
4146 E. 96th Street Terms
P.O. Box 80448
Indianapolis, IN 46240 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/ 28/08 93679796 a ent for repairs to clutch for cycle 128 425.80
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
H arley Davidson of Indianapolis
IN SUM OF
P.O. Box 80448
Indianapolis, IN 46240
425.80
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 93679796 510 425.80 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
Apvil 3 20 08
Signature
Assistant Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund