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Home My WebLink About177235 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1 ONE CIVIC SQUARE HARLEY DAVIDSON CHECK AMOUNT: $501.99 CARMEL, INDIANA 46032 4146 E 96TH ST PO BOX 80448 CHECK NUMBER: 177235 INDIANAPOLIS IN 46240 CHECK DATE: 9/15/2009 DEPARTME ACC PO NUMB INVOICE N AMOUNT DESCRIPTION 1110 v i 4351000 93748055 501.99 AUTO REPAIR MAINTEN IN r r'Y 4 r HARLEY- DAVIDSON OF Repair O.rdar Invoice'. 4146E 96TH ST. R/O'Number:. 437903 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number:. 93748055 (317) 815 -1800 Cashier: PETTIFORD, CARLOS Date: 8/19/2009 Date Promised: 8/17/2009 Repair Order For Description: R.O. #437903 e. CARMEL POLICE DEPT 3 CIVIC.SQUARE CARMEL, IN 46032 317/571 -2500 Units For This Repair Order Service Writer: WILLIAMS, KELVIS Year Make Model VIN /Serial No. Plate Key Board Miles 2007 HARLEY FLHP 1HD1FHM127Y677596 10976 Job: 10000 MILE SERVICE SYN 3 Job For: 2007 HARLEY FLHP POLICE 1HD1FHM127Y677596 Description Pa rts Part Number Quantity Description Each Price Extension 99824- 03 /OOQT 6 S.E. SYN3 SYNTHETIC SAE 20W50 $9.19 $5514 63798 -99A 1 OIL FILTER, CHROME SUPERPREMIU $11.19 $11.19 11143 1 EXT. ETAINING RING $0.96 $0.96 11132A 1 0 -RING, FILLER PLUG $0.96 $0.96 17369 -06 1 GASKET SERVICE KIT, 1K, 5K, 10 $3.96 $3.96 32362 -04 2 SPARK PLUG, 61312 $2.39 $4.78 Parts Subtotal $76.99 Labor Description Job Code Technician Quantity Line Total 10K SYN 3 BOOTH, CHRIS 5 Hours $425.00 Labor Subtotal $425.00 Job Subtotal $501.99 Customer Job Totals Parts $76.99 Labor $425.00 Total of Customer Jobs $501.99 Repair Order Subtotal $501.99 Page 1 HARLEY- DAVIDSON OF Repair OrderJnvoice 4146 E 96TH ST. R/O Number: 437903 P. O. Box 80448 INDIANAPOLIS, IN 46240- Invoice Number: 93748055 (317) 815 -1800 Cashier: PETTIFORD, GARLOS Date: 8/19/2009 Date Promised: 8/17/2009 Repair Order For: Description: R.O. #437903 CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 3171571 -2500 Discounts Given Parts Discount: 20% From Retail $19.27 Sales Tax $0.00 Repair Order Total $501.99 Total Amount Due $501.99 Tendered: OUTSIDE CH (Charged To CARMEL POLICE $501.99 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 vehicleis 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: RO 437903 Page 2 Presc!;Ped by Slate Board of Accounts City Form No. 261 (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 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)) 8/19/09 93748055 payment for service to cycle 129 Spillman 501.99 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 IN SUM OF P.O. Box 80448 Indianapoils, IN 46240 501.99 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 93748055 510 501.99 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 September 2 20 09 *J�A� .D Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund