HomeMy WebLinkAbout23114 04/08/2014 ,CAA.
';f. CITY OF CARMEL, INDIANA VENDOR: 367104
``°I ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $*****1,030.00*
;Mt'oN�;�� CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK CHECK NUMBER:
04108/14145
CARMEL IN 46032DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 3961 1,030.00 AUTO REPAIR & MAINTEN
e Date: 04/02/2014
ABRA HE Carmel INVOICE
WTO BODY GLASS Carmel,
West Carmel Drive RO #: 3961
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL UNIT#139 09 CHEV IMPALA POLICE
3 CIVIC SQUARE Color: WHITE Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 123-456-7890 VIN: 2G1 WS57MX91307339 Phone:
Work: Prod Date: 0509 Plate: IN 14257 Claim #: N/A Deductible: 0
Fax: 123-456-7890 Mileage: 65423 Loss Type: Collision
Engine: 6-3.9L-FI
P=Who Pays?(I= Insurance,C=Customer)_
Qty Type Description Part# Amount Sup Labor Op I Labor Paint P
# Units Units
Parts Other FRONT LAMPS LT Headlamp assy Body R&I 0.3 C
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 0.7 C
bumper cover
Parts Other FENDER LT Fender Body Rpr 3.0 2.2 C
FENDER Add for Clear Coat 0.9 C
Clean&Retape Molding Body Rpr 0.1 C
Parts Other FENDER LT Emblem GM Body R&I 0.2 C
Parts Other PILLARS,ROCKER& FLOOR LT Body R&I 0.8 C
Rocker molding
Parts Other FRONT DOOR LT Outer panel Body Rpr 2.0 2.0 C
FRONT DOOR Overlap Major Adj. -0.4 C
Panel
FRONT DOOR Add for Clear Coat A 0.3 C
Parts Other FRONT DOOR LT Belt w'strip Body R&I 0.3 C
Parts Other FRONT DOOR LT Body side mldg Body R&I 0.3 C
Clean&Retape Molding A Body Rpr 0.3 C
1 Parts AM FRONT DOOR A/M LT Mirror assy w/o 25947195 95.00 Body Repl 0.3 0.6 C
defogger grained
FRONT DOOR Overlap Minor Panel -0.2 C
FRONT DOOR Add for Clear Coat B 0.1 C
Parts Other FRONT DOOR LT Handle,outside w/o Body R&I 0.3 C
chrome
Parts Other FRONT DOOR LT R&I trim panel Body R&I 0.4 C
1 Pnt Mat 'Corrosion Protection 8.00 Body 0.2 C
MISCELLANEOUS OPERATIONS Body Rpr 1.0 C
Remove Decals fender and door
1 Haz Waste 'Hazardous Waste 5.00 Body C
1 Pnt Mat 'Car Cover 5.00 Body 0.3 C
Pnt/Mat MISC Paint&Materials 165.00 5.5 C
SubTotal 1,030.00
Taxes 0.00
Grand Total 1,030.00
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 1,030.00
Tax 0.00 Tax 0.00
Total 0.00 Total 1,030.00
Total Amount-F 1,030.00
INVOICE #22 04/02/2014 01:41:12 PM RO#3961 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City oCar'mel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 39
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
'11W2094
i
Abs@ HE Czrnol Carmol Pollco Dopartmon4
VENDOR SHIP 3 CIVIC squam
TOSW Mat Carmol Drivo C
@rmol' IN 4M
Carmol„ IN 46M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account
43-610.09
9 Each vehicle ropai>s $1,030.00 $1,030.00
Sub Total: $1,030.00
Send Ihoice To:
C@enol Pollco Dopzrtmon4
Attn: Pat Yung
3 Civic Square
Carmel, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. '�`" �� PAYMENT $1IM•00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER
I,Y THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR PRIA�Q
SHIP REPAID. N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �I�I�/�T �p 1 PBII�F�i
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 4 3 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
F,A
A
ON ACCOUNT OF APPROPRIATION FOR
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 made were ordered and
received except_
20
Signature
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))
04/03/14 3961 repairs to car#139 $1,030.00
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
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$1,030.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
3Z 3961 43-510.00 $1,030.00 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 made were ordered and
received except
Thursday, ril 03, 2014
41Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund