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Home My WebLink About166701 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1 ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $19.72 CARMEL, INDIANA 46032 4146 E 96TH ST PO BOX 80448 CHECK NUMBER: 166701 INDIANAPOLIS IN 46240 CHECK DATE: 12/10/2008 ,DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 93714520 19.72 AUTO REPAIR MAINTEN HARLEY- DAVIDSON OF Repair Order Invoice 4146 E 96TH ST. R/O Number: 435622 P. 0. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93714520 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Date: 11/17/2008 Repair Order For. CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 Units For This Repair Order Service Writer: PETTIFORD, CARLOS Year Make Model VIN Serial No. Plate Key Board Miles 2004 HARLEY FLHPI 1 HD1 FHW134Y733148 STITES 22474 Job: INSTALL FRONT FENDER SKIRT Job For: 2004 HARLEY FLHPI POLICE SPEC 1 HD1 FHW134Y733148 Parts Part Number Quantity Description Each Price Extension 59231 -86 1 TRIM SKIRT, FRONT FENDER $19.72 $19.72 Parts Subtotal $19.72 Labor Description Job Code Technician Quantity Line Total INSTALL FRONT FENDER SKIRT SHOP /LABOR 0 Hours $0.00 Labor Subtotal $0.00 Job Subtotal $19.72 Customer Job Totals Parts $19.72 Total of Customer Jobs $19.72 Repair Order Subtotal $19.72 Discounts Given Parts Discount: 15% From Retail $3.48 Sales Tax $0.00 Repair Order Total $19.72 Total Amount Due $19.72 OUTSIDE CH tendered $19.72 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 Page 1 r 0 HARLEY- DAVIDSON OF Repair Order Invoice 4146 E 96TH ST. R/O Number: 435622 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93714520 (317) 815 -1800 Cashier: WILLIAMS, KELVIS Date: 11/17/2008 Repair Order For. CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 317/571 -2500 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 Prescribejl by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) L 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. Box 80448 Terms Indianapois, IN 46240 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/17/08 93714520 payment for repairs to Cycle 2 19.72 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 HY1 P37 navi rlGnn IN SUM OF P.O. Box 80448 Indianapolis, IN 46240 19.72 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 714520 510 19.72 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 December 3 20 08 &W"�a b '4 —1 Signature ('hi Pf of P01 i ce Cost distribution ledger classification if Title claim paid motor vehicle highway fund