176263 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 354332 Page 1 of 1
0 ONE CIVIC SQUARE HARLEY DAVIDSON
CARMEL, INDIANA 46032 4146 E 96TH ST CHECK AMOUNT: $443.92
PO BOX 80448
CHECK NUMBER: 176263
INDIANAPOLIS IN 46240
CHECK DATE: 8119/2009
D EPARTM ENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 93741343 443.92 AUTO REPAIR MAINTEN
-f.
HARLEY- DAVIDSON OF Repair, Order Invoke
4146 E 96TH ST, RIO Number. 437360
P. 0. Box 80448
INDIANAPOLIS, IN 46240- Invoice Number:' 93741343
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 7!212009
Repair Order For:_,
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
3171571 -2500
Units For This Repair Order Service Writer: PETTIFORD, CARLOS
Year Make Model VIN.1 Serial No. Plate Key Board, Miles
2004 HARLEY FLHPI 1 HD1 FHW164Y736271 20991
Job: REPLACE CLUTCH PLATES
'job For: 2004 FLHPI RD KG POAHD1`FHW164Y736271
Parts
Part Number_ Quantity ;Description:, Each Price,
37932 -98 1 CLUTCH DISC KIT $129.76 $129.76
34901 -94C 1 GASKET, PRIMARY COVE $23.52 $23.52
99824- 03/000T 1 S.E. SYN3 SYNTHETIC SAE 20W50 $9.19 $9.19
25416 -99C 1 GASKET, DERBY COVER $6.56 $6.56
34906 -85D 1 INSPECTION GASKET $3.19 $3.19
37913 -98 8 CLUTCH PLATE $7.40 $59.20
Parts Subtotal $231.42
Labor
Description Job Code Technician' Quantity: Line Total
REPLACE CLUTCH PLATE BOOTH, CHRIS 2.5 Hours $212.50
Labor Subtotal $212.50
Recommendations Resolution
BIKE NEEDS SHIFTER ARM A LITTLE LOOSE..
Job Subtotal $443.92
Customer Job Totals
Parts $231.42
Labor $212.50
Total of Customer Jobs $443.92
Repair Order Subtotal $443.92
Page 1
HARLEY DAVIDSON OF Repair Order Invoice
4146 E 96TH ST. R/O Number: 437360
P. O. Box 80448
INDIANAPOLIS, IN 46240- Invoice Number: 93741343
(317) 815 -1800
Cashier: WILLIAMS, KELVIS
Date: 7/2/2009
Repair Order For.
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
317/571 -2500
Discounts Given
Parts Discount: 20% From Retail $57.86
Sales Tax $0.00
Repair Order Total $443.92
Total Amount Due $443.92
OUTSIDE CH tendered $443.92
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 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))
7/2/09 1 93741343 payment for repairs to clutch plates for cycle 118 443.92
Total
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
HL Davidson
IN SUM OF
P.O. Box 80448
inaianapoils,
443.92
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 93741343 510 443.92 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
August 14 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund