The URL can be used to link to this page

Home My WebLink About231984 04/30/14 �.Coq . ""� CITY OF CARMEL, INDIANA VENDOR: 367104 ® 1 ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $"""*239.48' CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 231984 *,;,�ro�.�o.? CARMEL IN 46032 CHECK DATE: 04/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 31523 4088 239.48 VEHICLE REPAIRS a, Date: 04/23/2014 ABRA HE Carmel INVOICE RM BODY& GLASS 503 West Carmel Drive RO #: 4088 Carmel, IN 46032 (317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski CARMEL PD UNIT#35 13 CHEV IMPALA POLICE 3 CIVIC SQUARE Color: WHITE Customer Pay CARMEL, IN 46032 Type: PC 4D SED Adjustor: Home: 123-456-7890 VIN: 2G1WD5E36D1251235 Phone: Prod Date: 0413 Plate: IN 10822 Claim #: N/A Deductible: 0 Work: Mileage: 8460 Loss Type: Collision Fax: Engine: 6-3.6L-FI P=Who Pays?(I=Insurance,C=Customer) Qty Type I Description Part# Amount Sup Labor Op Labor Paint I P� # Units Units 1 -Parts OEM FRONT DOOR RT Mirror assy w/o 25947194 144.88 Body Repl 0.3 0.6 C defogger grained FRONT DOOR Add for Clear Coat 0.1 C Parts Other FRONT DOOR RT R&I trim panel Body R&I 0.4 C 1 Haz Waste Hazardous Waste 5.00 Body C Pnt/Mat MISC Paint&Materials 22.40 0.7 C SubTotal 239.48 Taxes 0.00 Grand Total 239.48 Due from Insurance Due from Customer Sub-Total 0.00 Sub-Total 239.48 Tax 0.00 Tax 0.00 Total 0.00 Total 239.48 Total Amount 239.481 INVOICE #22 04/23/2014 09:49:17 AM RO#4088 ABRA HE Carmel Page 1 INDIANA TAIL EXEMPT C "tyo Cat' ,M' CERTIFICA EENO.0031(20155 02 0 PAGE 1� a liPURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 39523 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION M3 94 Abra HE tacael Carmel Police Department VENDOR SHIP 3 CIVIC equ2a SM web'$Carmol Drive TO Camol, IN 4 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-690.0 9 Each vehicle repairs $239.49 $239.48 Sub Yo$al: $239.48 0A l a � �e 4 Car 35-Ashley Williams � Send Invoice To: CaMQI Pollce DeP26mant Attn: PO Young 3 CIVIC squana C@Mol, IN - PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. L'� PAYMENT X239•48 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONSI SHIP REPAID. HEREBY CERTIFY Y�THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR A 4,10 'SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Pol ChlGI oQ le0 •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE F3 E f 1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31523 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE I VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ Er 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)) 04/23/14 4088 Car Accident $234.48 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 4.48 M ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31523 I 4088 I 43-510.00 I 48 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 Wednesday, April 23, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund