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