HomeMy WebLinkAbout232125 05/07/14 CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: $*****"'544.73'
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 232125
9M�TpN•gip` CARMEL IN 46032 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 31950 3933 544.73 VEHICLE REPAIR
Date: 04/08/2014
i
ABRA HE Carmel INVOICE
AUi�O BODY&GLASS 503 West Carmel Drive RO#: 3933
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 fax Est: Eric Tobolski
JOSEPH BICKEL 12 CHEV IMPALA POLICE State Farm Insurance
3 CIVIC SQ Color: SILVER Companies
CARMEL, IN 46032-2584 Type: PC 4D SED Adjustor: A2- Processor Team
Home: 317-571-2500 VIN: 2G1WD5E31C1287266 Phone:
Work: 317-571-2500 Prod Date:0412 Plate: IN 519LIR Claim#: 14-4690-45202
Fax: Mileage:22591 Deductible:0
Engine: 6-3.6L-FI Loss Type: Liabilit
P=Who Pays. I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 1.4 1
bumper cover
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 2.0 3.0 1
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 1
Clear Coat
1 Parts OEM FRONT BUMPER&GRILLE Lower 10333712 66.95 Body Repl 0.2 1
grille black
Parts Other FRONT BUMPER&GRILLE RT Bezel Body R&I 0.2 1
w/Police pkg
Parts Other FRONT BUMPER&GRILLE LT Bezel Body R&I 0.2 1
w/Police pkg
Parts Other FRONT BUMPER&GRILLE Upper Body R&I 0.2 1
grille black
1 Haz Waste 'Hazardous Waste 3.00 Body I
Pnt/Mat MISC Paint&Materials 109.20 4.2 1
Adjustment -4.02
SubTotal 544.73
Taxes 12.05
Grand Total 556.78
Due from Insurance Due from Customer
Sub-Total 54 .73 ub-Total 0.00
Tax 12.0 Tax 0.00
Total 6.78 Total 0.00
Total Amount 556.78
INVOICE #22 04/08/2014 08:08:57 AM RO#3933 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT � �
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION -
41612014
Abna HE Grail Carmel Folia Depart ont
VENDOR
SHIP 3 CMC SeqUaF@
603 Mot Cai"01 Dr;ve TO Carmel, IN 46032
Can-n d„ IN 46O32 (317)571 2669
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
1 Each vehide repairs $546.73 $546.73
Sorb Total: $546.73
J *, S d� f • 514..,j r
N �
[ "''ti�11 r. `-I 11 4 } I (,r�ars+• It a �'�,-may 1
fit -
Capf,1157. L#�� �Ielccl ' -;��,�4A'G".µ°...I4 � ®�,�;Y •�������4
Send InvolceTo: ✓r !'. F)�� '
1 r rr )
Carel Police Department
Attn: Pat Young
3 Gyle Squam
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cafrnel Police Dept. PAYMENT $546.73
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE,IS'AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUC
SHIP REPAID. IENT TO PAY FOR THE ABOVE ORDER.
• ,/j
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /l %�/ y
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL v
SHIPPING LABELS. //
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chl oG 1 !p
011co
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 CLERK-TREASURER
DOCUMENT CONTROL NO. 319 5® A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
1N THE SUM OF$
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF$
503 West Carmel Drive �
Carmel„ IN 46032
$544.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/rITLE AMOUNT Board Members
�i 31950 I 3933 I 43-510.00 I $544.73 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
Thursday, May 01, 2014
00,
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)
i
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))
04/29/14 3933 vehicle repairs car 157 $544.73
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