HomeMy WebLinkAbout228901 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 367104 Page 1 of 1
ONE CIVIC SQUARE ABRA AUTO BODY&GLASS CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 7225 NORTHLAND DRIVE SUITE 210
BROOKLYN PARK MN 55428 CHECK NUMBER: 228901
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 I987113839 200 . 00 AUTO REPAIR & MAINTEN
AUTO BODY & GIASS WO# W987113839
Federal Tax ID: 41-1484683
Remit To: 7225 Northland Drive Ste. 210, BROOKLYN PARK, MN 55428
P/O#: NA Cust State Tax ID: 0119683083 Invoice: 1987113839
Taken By: gtsmith Cust Fed Tax ID: 35-6000972
Installer: Tony Olson Ship Via: Date: 1/31/2014
Time: 01:32 PM
SalesRep: Adv. Code: FLT ACT
Bill To:Carmel Clay Parks _ Sold To: Carmel Clay Parks
Carmel Clay Parks Carmel Clay Parks
1411 E 116th St 1411 E 116th St
CARMEL, IN 46032 CARMEL, IN 46032
(317)573-4026 Cust Phone: (317)571-4136
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Vehicle Information
Make: Ford Model Style: F Series F150 2 Door Standard Cab Year: 2009
Odometer: 49252 VIN: 1FTPF14VX9KC05934 License: ABRA77312
Fleet Number: na Unit Number: na Color:
Qty Part Number Description List Disc% Sell Total
1 DWO1747GTYNCOM Windshield-(W/Third Visor Frit,Solar $287.80 58 $120.00 $120.00
Controlled)
1 65F 65 Flat(Flat Rate)(2.8 Hours) $65.00 0 $65.00 $65.00
1 HAH000004 Adhesive-(2.5,Urethane,Dam,Primer) $15.00 0 $15.00 $15.00
Lot Number: 2K2101TJIV
Contact Name: Courtney
Install Date: 01/29/14 09:00 AM, Required Date 01/29/14 09:00 AM,Order Complete
Mobile Installer: Tony Olson
C �
Sub Total: $200.00
Tax: $0.00
Customer's Signature: Net 30 Days On Account: $200.00
Indianapolis 7225 Northland Drive Ste.210 BROOKLYN PARK,MN 55428 PH:(888)461-0010 FAX:(317)549-5905
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
Abra Auto Body & Glass Terms
7225 Northland Drive Ste 210
Brooklyn Park, MN 55428
Invoice Invoice Description
Date Number (or note attached invoice(s)or bifl(s)) PO# Amount
1/31/14 1987113839 Windshield repair P10 XX-123 $ 200.00
Total $ 200.00
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.
Abra Auto Body & Glass Allowed 20
7225 Northland Drive Ste 210
Brooklyn Park, MN 55428
In Sum of$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 1987113839 4351000 $ 200.00 1 hereby certify that the attached invoice(s), or
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
i
6-Feb 2014
r�C•IC�,re,s��Yh..?J'tJ
Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund