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155326 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1 ONE CIVIC SQUARE HARLEY DAVISON CARMEL, INDIANA 46032 4146 E 96TH Sr CHECK AMOUNT: $442.36 INDIANAPOLIS IN 46240 CHECK NUMBER: 155326 CHECK DATE: 1/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 93669086 380.49 AUTO REPAIR MAINTEN 1110 4351000 93669133 61.87 AUTO REPAIR MAINTEN HARLEY-DAVIDSON HONDA Repair,Order Inv oice x 4146 E 96TH ST. R/O Number: 432018 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93669086 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Date: 12/4/2007 Repair Order For. CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 Units For This Repair Order Service Writer: PETTIFORD, CARLOS Years. Make Model VIN'/ Serial No. Plate Key Board Miles, 2004 HARLEY FLHPI 1HD1FHW134Y733148 17993 Jop .olL LEAK Job For: 2004 HARLEY FLHPI RD KG PO 1 HDl FHW134Y733148 OIL LEAK ON LEFT SIDE BY PRIMARY SIDE Parts Part Number; Quantity Description Each Price Extension 12066A 1 OIL SEAL $6.29 $6.29 11147B 1 O -RING $1.69 $1.69 12052A 1 OIL SEAL, INNER PRIMARY $4.24 $4.24 12045 1 OIL SEAL $2.54 $2.54 11150 1 RETAINING RING $0.67 $0.67 34901 -94C 1 GASKET, PRIMARY COVE $24.99 $24.99 44082 -OOD 1 BRAKE PAD KIT $35.66 $35.66 35211 -91B 1 NUT, SPROCKET $8.49 $8.49 25416 -99C 1 GASKET, DERBY COVER $6.62 $6.62 Parts Subtotal $91.19 Labor Description Job Code Technician Quantity Line'Total FOREMAN, BLAKE 3 Hours $195.00 Labor Subtotal $195.00 Recommendations Resolution SHIFT SHAFT SEAL LEAKING Job Subtotal $286.19 Job: INSTALL REAR BRAKES Job For: 2004 HARLEY FLHPI RD KG PO 1 HD1 FHW134Y733148 Labor Description Job Code Technician Quantity Line Total FOREMAN, BLAKE 0.5 Hours $32.50 Labor Subtotal $32.50 Pagel HARLEY- DAVIDSON HONDA Repair .Order Invoice 4146 E 96TH ST. R/O Number:' 432018 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93669086 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Date: 12/4/2007 Repair Order For.' CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 ,,Job ,INSTALL REAR BRAKES (Continued) Job Fort 2004 HARLEY FLHPI RD KG PO 1HD1FHW134Y733148 Recommendations Resolution INSTALL REAR BRAKES Job Subtotal $32.50 Job: CHECK CLUTCH' Job For: 2004 HARLEY FLHPI RD KG PO 1 HD1 FHW134Y733148 MAY NEED TO BE ADJUSTED Parts Part Number Quantity Description Each Price Extension 99851 -05 1 FORMULA LUBRICANT, QT $5.94 $5.94 60391 -04 1 DRAIN PLUG, MAGNETIC $3.36 $3.36 Parts Subtotal $9.30 Labor Description a Job Code Technician Quantity Line Total FOREMAN, BLAKE 0.5 Hours $32.50 Labor Subtotal $32.50 Recommendations Resolution CLUTCH ADJUSTED Job Subtotal $41.80 Customer Job Totals Parts $100.49 Labor $260.00 Total of Customer Jobs $360.49 Page 2 HARLEY- DAVIDSON HONDA Repair Order Invoice. 4146 E 96TH ST. R/O Number: 432018 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93669086 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Date:'' 12/4/2007 Repair Order For: CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 3171571 -2500 Other Charges ShopSupplies $20.00 Repair Order Subtotal $380.49 Discounts Given Parts Discount: 15% From Retail $17.74 Sales Tax $0.00 Repair Order Total $380.49 Total Amount Due $380.49 OUTSIDE CH tendered $380.49 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 3 HARLEY- DAVIDSON HONDA Repair Order Invoice 4146 E 96TH ST. P. 0. Box 80448 R/O Number: 432028 INDIANAPOLIS, IN 46240- Invoice Number: 93669133 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Repair Order For. e Date: 12/4/2007 CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 Units For This Repair Order Service Writer: Year?` Make Model VIN Serial No. Plate Key Board Miles,, 2004 HARLEY FLHPI 1HD1FHW134Y733148 17993 .you OlLIF LTER CHANGE Job For: 2004 HARLEY FLHPI RD KG PO 1HD1FHW134Y733148 Parts Part Numbers Quantity, Description Each Price Extension 11105 1 O -RING $0.67 $0.67 63796 -77A 1 OIL FILTER, CHROME, $8.49 $8.49 99816 2050 /OOQT 4 ONE QUART 20W50 MOTO $4.24 $16.96 Parts Subtotal $26.12 Labor Description Job Code Technician Quantity; Lme Totalr OIL/FILTER CHANGE FOREMAN, BLAKE 0.5 Hours $32.50 Labor Subtotal $32.50 Job Subtotal $58.62 Customer Job Totals Parts $26.12 Labor $32.50 Total of Customer Jobs $58.62 Other Charges ShopSupplies $3.25 Repair Order Subtotal $61.87 Discounts Given Parts Discount: 15% From Retail $4.62 Page 1 HARLEY- DAVIDSON HONDA Repair Order Invoice 4146 E 96TH ST. R/O Number: 432028 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93669133 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Date: 12/4/2007 Repair Order For. CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 Sales Tax $0.00 Repair Order Total $61.87 Total Amount Due $51.87 OUTSIDE CH tendered $61.87 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 units 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 Honda. 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)) 12/4/07 91669133 for ninintenance on cyclp 2 61.87 Total 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 Honda IN SUM OF P.O.B ox 80448 ianapo is, IN 46240 447.36 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 93669086 510 380 bill(s) is (are) true and correct and that the 1110 93669133 510 61,87 materials or services itemized thereon for which charge is made were ordered and received except January 3 20 08 Signature Acting Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund