HomeMy WebLinkAbout229802 03/12/14 �G�q"
�'u` �"°� CITY OF CARMEL, INDIANA VENDOR: 367104
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.�. e :1• ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: S**"`8,292.15*
9:, �Q CARMEL, INDIANA 46032 7225 NORTHLAND DRIVE SUITE 210 CHECK NUMBER: 229802
�TON�`� BROOKLYN PARK MN 55428 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 31489 3756 1,715.78 VEHICLE REPAIR
1110 4351000 31483 3770 803.45 VEHICLE REPAIRS
1110 4351000 31498 3771 3,226.10 VEHICLE REPAIRS
1110 4351000 31428 3781 860.30 VEHICLE REPAIR
1110 4351000 31497 3804 1,686.52 VEHICLE REPAIRS
Date: 03/03/2014
s
ABRA HE Carmel INVOICE
AUTiD �4DY b GLASS 503 West Carmel Drive
Carmel, IN 46032 RO #: 3771
317 569-9884, 317 569-9885 fax Est: Eric Tobolski
CARMEL PD UN►T#77 12 CHEV IMPALA POLICE Customer Pay
Color: WHITE
3 CIVIC SQUARE Adjustor:
Type: PC 4D SED
CARMEL, IN 46032 Phone:
V I N: 2G 1 W D5 E31 C 1285923
Home: 123-456-7890 Prod Date: 0412 Plate: IN 7229 Claim#: EOA4728001
Work: Mileage: 32583 Deductible: 2500
Fax: 123-456-7890 Loss Type: Collision
En ine: 6-3.6L-FI
P=Who Pa s? I =Insurance, C=Customer
Qty Type Description Part# Amount SUp Labor pp Labor Paint P
# Units Units
REAR BUMPER O/H rear bumper Body 1.9 I
1 Parts OEM e hAR BUMPER Bumper cover w/dual 19120961 482.72 Body Repl 3.0 I
REAR BUMPER Add for Clear Coat 1.2 I
1 Parts OEM REAR BUMPER Energy absorber 20759789 176.98 Body Repl I
1 Parts OEM REAR BUMPER Impact bar 25865729 149.70 Body Repl 0.3 I
Parts Other REAR LAMPS RT Tail lamp assy Body R&I 0.4 I
1 Parts OEM REAR LAMPS License lamp 22799748 36.90 Body Repl I
Parts Other REAR BODY&FLOOR Rear body Body Rpr 4.0 1.5 I
panel
REAR BODY&F�OOR Overlap Major
Non-Adj. Panel -0.2 I
REAR BODY&FLOOR Add for Clear 0.8 I
Coat A
Parts Other REAR BODY&FLOOR RT Rear rail Body Rpr 1.0 0.5 I
REAR BODY&FLOOR Add for Clear 0.1 I
Coat B
Parts Other REAR BODY&FLOOR Sill trim Body R&I I
Parts Other REAR BODY&FLOOR RT Side trim Body R&I 0.2 I
Parts Other ROOF RT Molding Body R&I 0.4 I
Parts Other QUARTER PANEL RT Quarter panel Body Rpr 10.0 2.2 I
QUARTER PANEL Overlap Major Adj.
Panel -0.4 I
QUARTER PANEL Add for Clear Coat C 0.4 I
QUARTER PANEL rt roof rail Blnd 0.5 I
Parts Other QUARTER PANEL RT Lower panel Body Rpr 3.0 0.8 I
QUARTER PANEL Overlap Minor Panel -0.2 I
QUARTER PANEL Add for Clear Coat D 0.1 I
Parts Other QUARTER PANEL RT Tail lamp pocket Body Rpr 1.0 0.5 I
QUARTER PANEL Overlap Minor
Panel A -0.2 I
QUARTER PANEL Add for Clear Coat E 0.1 1
Sublet QUARTER PANEL GLASS OUT 34.50 Body Subl I
Sublet QUARTER PANEL GLASS IN 34.50 Body Subl I
Parts Other QUARTER PANEL Pressure vent Body R&I 0.2 I
1 Parts AM QUARTER PANEL A/M'Urethane Kit 25.00 Body Repl I
Parts Other QUARTER PANEL RT Wheelhouse Body R&I 0.3 I
liner
QUARTER PANEL remove decals rt qtr Body Rpr 0.5 I
1 Haz Waste 'Hazardous Waste 3.00 Body I
1 Pnt Mat �FlexAdditive/Adhesion Promoter 5.00 Body I
1 Pnt Mat �Corrosion Protection 10.00 Body 0.2 I
1 Pnt Mat 'Car Cover 5.00 Body 0.3 I
Parts Other FRONT DOOR RT Door w'strip ebony, Body R&I 0.3 I
titanium
Parts Other REAR DOOR RT Door w strip ebony, Body R&I 0.3 I
titanium A
'Unibody Set-up&Measure Body Rpr 2.0 I
FRAME rt rear rail A Frame R r 1.0 I
INVOICE #22 03/03/2014 08:01:10 AM RO#3771 ABRA HE Carmel
Page 1
Date: 03I03I2014
Qty Type Description Part# Amount SUp Labor pp Labor Paint P
# Units Units
Parts Other PILLARS, ROCKER& FLOOR RT Body R&I 0.8 I
Rocker molding
'Body Pull Frame Rpr 2.0 I
PILLARS, ROCKER 8�FLOOR light bar Body R&I 0.5 I
rt side
PnUMat MISC Paint&Materials 321.00 10.7 I
Adjustment -1.00
SubTotal 3,226.10
Taxes 0.00
Grand Total 3,226.10
Due from Insurance Due from Customer
Sub-Total 726.10 Sub-Total 2,500.00
Tax 0.00 Tax 0.00
--------- ---------
Total 726.10 Total 2,500.00
Total Amount 3,226.10
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INVOICE #22 03/03/2014 08:01:10 AM RO#3771 ABRA HE Carmel
Page 2
Date: 02(21l2014
i
ABRA HE Carmel INVOICE
�uro �aQv & ��ss 503 West Carmel Drive RO #: 3756
Carmel, IN 46032
(317 569-9884, (317 569-9885 (fax) Est: Eric Tobolski
CARMEL PD UNIT#163 13 CHEV TRAVERSE 4X2 LS
3 CIVIC SQUARE Color: GRAY Customer Pay
CARMEL, IN 46032 Type: UV 4D UTV Adjustor:
Home: 123-456-7890 VIN: 1GNKRFED4DJ215840 Phone:
Work: Prod Date: 0313 Plate: IN 113AIN Claim#: N/A Deductible: 0
Fax: 123-456-7890 Mileage: 12272 Loss Type: Collision
En ine: 6-3.6L-FI
P=Who Pa s? I =Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
FRONT BUMPER&GRILLE O/H front Body 2.4 C
bumper
Parts Other FRONT BUMPER&GRILLE R&I Body R&I C
bumper cover
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 3.0 2.6 C
cover
FRONT BUMPER&GRILLE Add for 1.0 C
Clear Coat
Parts Other FRONT BUMPER&GRILLE Lower Body R&I C
cover
Parts Other FRONT BUMPER&GRILLE Air gody R&I C
deflector
Parts Other FRONT BUMPER&GRILLE RT Fog Body R8�1 C
lamp bezel w/o chrome
Parts Other FRONT BUMPER&GRILLE LT Fog Body R&I C
lamp bezel w/o chrome
1 Parts OEM FRONT BUMPER&GRILLE Upper 20983790 329.68 Body Repl C
grille w/chrome
1 Parts OEM FRONT BUMPER&GRILLE Lower 20983791 325.00 Body Repl C
grille w/chrome
Parts Other FRONT LAMPS RT Park/turn lamp Body R&I C
Parts Other FRONT LAMPS LT Park/turn lamp Body R&I C
Parts Other HOOD Hood Body Rpr 3.0 2.8 C
HOOD Add for Clear Coat A 1.1 C
Parts Other HOOD Front w'strip 1 Body R&I 0.2 C
Parts Other HOOD Insulator 1 Body R&I 0.3 C
1 Pnt Mat 'Car Cover 5.00 Body 0.3 C
1 Pnt Mat 'Corrosion Protection 8.00 Body 0.2 C
1 Pnt Mat �FlexAdditive/Adhesion Promoter 5.00 Body C
1 Haz Waste 'Hazardous Waste 5.00 Body C
Parts Other WINDSHIELD RT Washer nozzle 1 Body R&I 0.2 C
Parts Other WINDSHIELD LT Washer nozzle 1 Body R&I 0.2 C
PnUMat MISC Paint&Materials 225.00 7.5 C
S ubTotal 1,715.78
Taxes 0.00
Grand Total 1,715.78
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 1,715.78
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 1,715.78
Total Amount 1,715.78
INVOICE #22 02/21/2014 09:48:30 AM RO#3756 ABRA HE Carmel
Page 1
:
Date: 02/27I2014
ABRA HE Carmel INVOICE
AUTiD �ODY �i �iLASS 503 West Carmel Drive RO #: 3781
Carmel, IN 46032
317 569-9884, 317 569-9885 (fax) Est: Eric Tobolski
09 JEEP GRAND CHEROKEE 4X4
CARMEL PD UNIT#144 LAREDO
3 CIVIC SQUARE Color: GOLD Customer Pay
CARMEL, IN 46032 Type: UV 4D UTV Adjustor:
Home: 123-456-7890 VIN: 1J8HR48P29C557210 Phone:
Work: 317-716-6625 Prod Date: 0809 Plate: IN 132VAB Claim#: N/A Deductible: 0
Fax: Mileage: 65008 Loss Type: Collision
En ine: 8-4.7L-FI
P=Who Pa s? I =Insurance, C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other REAR LAMPS RT Tail lamp assy Body R&I 0.3 C
Parts Other REAR BUMPER R&I bumper cover Body R&I 0.6 C
Parts Other QUARTER PANEL RT Quarter pnl assy Body Rpr 6.0 2.4 C
QUARTER PANEL Add for Clear Coat 1.0 C
1 Sublet OUTRTER PANEL RT QTR GLASS 35.25 Body Subl C
1 Sublet QUARTER PANEL RT QTR GLASS IN 35.25 Body Subl C
1 Parts AM QUARTER PANEL A/M�Urethane Kit 25.80 Body Repl C
Parts Other REAR DOOR RT Outer panel Blnd 1.1 C
Parts Other REAR DOOR RT Belt molding Laredo Body R&I 0.3 C
Parts Other REAR DOOR RT Lower molding Body R&I 0.4 C
Laredo black
Parts Other REAR DOOR RT Handle,outside Body R&I 0.4 C
Laredo, Limited,Over
1 Pnt Mat 'Car Cover 5.00 Body 0.3 C
1 Pnt Mat 'Corrosion Protection 8.00 Body 0.2 C
1 Haz Waste �Hazardous Waste 5.00 Body C
PnUMat MISC Paint&Materials 135.00 4.5 C
SubTotal 860.30
Taxes 0.00
Grand Total 860.30
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 860.30
Tax 0.00 Tax 0.00
Total 0.00 Total 860.30
Total Amount 860.30
INVOICE #22 02/27/2014 02:54:45 PM RO#3781 ABRA HE Carmel
Page 1
�
Date: 03/03/2014
ABRA HE Carmel INVOICE
�� ���v � ��$� 503 West Carmel Drive
Carmel, IN 46032 RO #: 3804
317) 569-9884, 317) 569-9885 fax Est: Eric Tobolski
CARMEL UNIT#72 10 FORD CROWN VICTORIA POLICE
3 CIVIC SQUARE Color: WHITE Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 123-456-7890 VIN: 2FABP76V2AX129761 Phone:
Work: Prod Date: 0310 Plate: IN 14838 Claim#: N/A Deductible: 0
Fax: 123-456-7890 Mileage: 57873 Loss Type: Collision
En ine: 8-4.6L-FI
P=Who Pa s? I =Insurance,C =Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other FRONT BUMPER R&I bumper cover Body R&I 1.9 C
Parts Other FRONT BUMPER Bumper cover Body Rpr 6.0 2.8 C
FRONT BUMPER Add for Clear Coat 1.1 C
Parts Other FRONT BUMPER License bracket Body R&I 0.2 C
1 Parts OEM FRONT PANELS Front panel 6W7Z8190A 300.35 Body Repl 1.8 1.7 C
FRONT PANELS Add for Clear Coat A 0.7 C
FRONT PANELS Aim headlamps Body 0.5 C
FRONT PANELS Add for Edging 0.5 C
1 Parts OEM FRONT PANELS Grille w/o chrome 6W7Z8200AA 109.24 Body Repl C
emblem ebony CP
1 Parts OEM FRONT LAMPS RT Headlamp assy 4W7Z130086 102.64 Body Repl C
Parts Other FRONT LAMPS LT R&I headlamp assy Body R&I C
1 Parts OEM FRONT LAMPS RT Side marker lamp 6W7Z15A201 44.11 Body Repl C
w/o strobe light AA
Parts Other FRONT LAMPS LT Side marker lamp Body R&I C
w/o strobe light
1 Parts OEM RADIATOR SUPPORT Sight shield A 7Z8C291A g0.83 Body Repl C
1 Stock Parts RADIATOR SUPPORT A/M'Bumper 26.95 Body Repl C
Repair Kit
1 PntMat �FlexAdditive/AdhesionPromoter 5.00 Body C
1 Haz Waste 'Hazardous Waste 5.00 Body C
PnUMat MISC Paint&Materials 204.00 6.8 C
SubTotal 1,686.52
Taxes 0.00
Grand Total 1,686.52
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 1,686.52
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 1,686.52
Total Amount 1,686.52
INVOICE #22 03103/2014 07:57:16 AM RO#3804 ABRA HE Carmel
Page 1
:
Date: 03/04/2014
ABRA HE Carmel INVOICE
�� ����� ��S$ 503 West Carmel Drive
Carmel, IN 46032 RO #: 3770
(317 569-9884, (317 569-9885 (fax Est: Eric Tobolski
CARMEL PD UNIT#157 12 CHEV IMPALA POLICE
3 CIVIC SQUARE Color: SILVER Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2559 VIN: 2G1WD5E31C1287266 Phone:
Work: Prod Date: 0412 Plate: IN 519LIR Claim#: N/A Deductible: 0
Fax: Mileage: 21608 Loss Type: Collision
En ine: 6-3.6L-FI
P=Who Pa s? I =Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 7.0 3.0 C
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 C
Clear Coat
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 1.4 C
bumper cover
Parts Other FRONT BUMPER&GRILLE Upper Body R&I 0.2 C
grille silver
Parts Other FRONT BUMPER&GRILLE Lower Body R&I 0.2 C
grille silver
FRONT BUMPER&GRILLE RT FOG Body R&I 0.1 C
LAMP COVER
FRONT BUMPER&GRILLE LT FOR Body R&I 0.1 C
LAMP COVER
1 PntMat �FlexAdditive/AdhesionPromoter 5.00 Body C
1 Stock Parts FRONT BUMPER&GRILLE A/M 26.95 Body Repl C
'Bumper Repair Kit
1 Haz Waste 'Hazardous Waste 3.50 Body C
Pnt/Mat MISC Paint&Materials 134.40 4.2 C
SubTotal 803.45
Taxes 0.00
Grand Total 803.45
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 803.45
Tax 0.00 Tax 0.00
Total O.OQ Total 803.45
Total Amount 803.45
INVOICE #22 03/04/2014 01:33:18 PM RO#3770 ABRA HE Carmel
Page 1
Date: 03/04/2014
x
ABRA HE Carmel INVOICE
�UTO �OQV & �iLASS 503 West Carmel Drive RO #: 3770
Carmel, IN 46032
317 569-9884, (317 569-9885 fax Est: Eric Tobolski
CARMEL PD UNIT#157 12 CHEV IMPALA POLICE
3 CIVIC SQUARE Color: SILVER Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2559 VIN: 2G1WD5E31C1287266 Phone:
Work: Prod Date: 0412 Plate: IN 519LIR Claim#: N/A Deductible: 0
Mileage: 21608 Loss Type: Collision
Fax: En ine: 6-3.6L-FI
P=Who Pa s? I =Insurance,C=Customer
Qty Type Description Part# Amount SUp Labor Op Labor Paint P
# Units Units
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 7.0 3.0 C
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 C
Clear Coat
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 1.4 C
bumper cover
Parts Other FRONT BUMPER&GRILLE Upper Body R&I 0.2 C
grille silver
Parts Other FRONT BUMPER&GRILLE Lower Body R&I 0.2 C
grille silver
FRONT BUMPER&GRILLE RT FOG Body R&I 0.1 C
LAMP COVER
FRONT BUMPER&GRILLE LT FOR Body R&I 0.1 C
LAMP COVER
1 PntMat �FlexAdditive/AdhesionPromoter 5.00 Body C
1 Stock Parts FRONT BUMPER&GRILLE A/M 26.95 Body Repl C
'Bumper Repair Kit
1 Haz Waste 'Hazardous Waste 3.50 Body C
Pnt/Mat MISC Paint&Materials 134.40 4.2 C
SubTotal 803.45
Taxes 0.00
Grand Total 803.45
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 803.45
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 803.45
Total Amount 803.45
INVOICE #22 03/04/2014 01:33:18 PM RO#3770 ABRA HE Carmel
Page 1
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�/JL ��' Jl PURCHASE ORDER NUMBER
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ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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DOCUMENT CONTROL NO. A.P.V. COPY-SIGM AfVD RE�f�FiR3 TO CLE4�K'S aJFFICE
V�UCHER NO.___.___.._____WARRANT NO.��__
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materiais or services itemized thereon for
which charge is made were ordered and
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ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
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SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT T1-IERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIA�N SUfF�PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY '
•PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL
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•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ����a���`'��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. ����� A.P.V. COPY-SIGiV,4iVD RETilRN TO Cl.ER4C'S OFFICE
VOUCHER NO._,.,.,._,.____^WARRANT NO.___�__.___
ALLOWED 20
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Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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 macle were ordered and
received except
20 �
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Cost distribution ledger classification if � . .
claim paid motor vehicle highway fund
0 INDIANA RETAIL TAX EXEMPT PAGE
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FEDERAL EXCISE TAX EXEMPT �9��,
` 35-60000972
ONE CIVIC SQUARE � THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 voucHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
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SHIPPING INSTRUCTIONS • �HEREBY CERTIFY THAT THERE�IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. /// �/j�,'.�
THIS APPROPFiIATION SUF'FIC�ENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �.f�Y'�"-
•PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL
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•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE . ����������
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. �g��� �.P.v, CO�Y-s�G�,4N� REzt1R�v�O C�E��c'S OFFICE
V{JUCHER NO.__._____._..WAFiRANT f�0,.__---__.._
ALLOWED 20
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ON ACCOUNT OF APPROPRIATION FOR �
Board Members
PO#or INVOICE NO. ACCT#lTITLE AMOUNT
�EPr.� I hereby certify that the attached invoice{s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon far
which charge is made were ordered and
� received except___.___._
' 20 � -
----........._................................._.
_ .....__............---...----._...._..:..._...__..._............__...........__....__.._..---------...----...------�__._...
� Signature
_....._....._....----.._.............---.._..__............_...-----..._.._..._............._.........._. _.
_........-----................_..........................____..........._.
Title
Cost distribution ledger cflssification if -
claim paid motor vehicle highway fund
��� �a INDIANA RETAIL TAX EXEMPT PAGE
�,�' �� ����(�� CERTIFICATE NO.003120155 002 0
\�r/ \L Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3q�
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A�AR1T OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THFs�PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY�THAT�THERE ISA�UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIEN iT0 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / •
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL � .
SHIPPING LABELS. � ������y�f6��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE � � ��� iY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. ��,��� �a.P.v. coP�-saGr�,�raD �E�ru��'ro����K°s fl��ic�
vouc��R No.__-____—waR�arv-� c�o._. _
ALLC?WED 20
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ON ACCQUNT OF APPROPR1ATfON FOR
Board Members
PO#or INVOICE NO. AGCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bi1V(s) is (are) true and correct and that ihe
materials or services itemized thereon for
which charge is made were ordered and
received except.---------------------...---------._...--------
20
--.._................_..._......_...__.......__._...__..__._........._....:..................�......_.......____................................._..._..................__..._..._...------...._...._....._..__ �
SignaYure '
_....._..._.....--------_..._..............__..........._..._..___...___...._.........__.._........._..__.....__................._......_................_.
_...........---.._........._...._................
Titie
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daim paid motor vehicle highway fund
��0Q, f� INDIANA RETAIL TAX EXEMPT PAGE
II � 11 ��}�}rn�;+/�� CERTIFICATE NO.003120155 002 0
1� lS..� Jl �% Jl 1L11JL\L11 PURCHASEORDERNUMBER
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FEDERAL EXCISE TAX EXEMPT �9��
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMQ PACKING SLIPS,
SHlPPING L4BELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARME�- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VOUCHER HAS THE P�RpOPER SWORN.AFFIDAVIT ATTACHED.
SHIPPWG WSTRUCTIONS • I HEREBYCERTIF THATTHEF�SAN UNOBLIGATED BALANCE IN
THIS APPROPRI� ION�.G�(ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ` J
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /j
' •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f�
SHIPPING LABELS. i�g g g�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE l�itlf �r Y'�1�CG�
� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
` CLERK-TREASURER
DOCUMENT CONTRO,L:NO:`.����� A•P.V. COPY-�IGP7 AkVD �iE�l3Rl�TO CLERFC�s�F����
vouc�E� �vo.-----.___.wa��aN�r rvo.-----._._
ALLOWED 20
_ _.____ 1N TNE SUM OF$
. �
ON AGCOUNT OF APPROPRIATiON FOR
�.;,;
Board Members .
PO#or �NVOICE NO. ACCT#/TITLE AMOUNT
�EPr.� 4 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-------- - --------------- ---------------
, 20 -
__..__.......__..._.............._................._................._.._.._.....__.......- ---.. . _...
_.,..........��............................................_........�._._...__..__...__._....__....._.
Signature "
_........._._......_................._..........._._.._..........._..__._.._........._..._.._..........._.................._.._......._....._................._. _._. _.
___..._.._..._._..___.......
Title '
Cosk distribution ledger class`rfication if
claim paid snotar vehicie highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 2�
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$8,292.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
3148 3756 43-510.00 $1,715.78
bill(s) is (are) true and correct and that the
3142 3781 43-510.00 $860.30
materials or services itemized thereon for
31498 3771 43-510.00 $3,226.10 Which charge is made were ordered and
3149 3804 43,510.00 $1,686.52 received except
31483� 3770 43-510.00 $803.45
. Wednesday, March 05, 2014
�
� �- ���:�
\�� Chief of Police
�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/21/14 3756 vehicle repair $1,715.78
02/27/14 3781 vehicle repairs $860.30
03/03/14 3771 vehicle repairs/car 77 $3,226.10
03/03/14 3804 vehicle repairs $1,686.52
03/04/14 3770 vehicle repairs $803.45
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