The URL can be used to link to this page

Home My WebLink About232974 05/28/14 `/ CITY OF CARMEL, INDIANA VENDOR: 367104 ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: $*****1,014.23* b, ,_� CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 232974 M,�ro: CARMEL IN 46032 CHECK DATE: 05/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 4165 181.78 AUTO REPAIR & MAINTEN 1110 4351000 31946 4165 832.45 VEHICLE REPAIR s NJ Date: 05/21/2014 ABRA HE Carmel INVOICE AUTO BODY& GLASS 503 West Carmel Drive RO#: 4165 Carmel, IN 46032 (317) 569-9884, (317) 569-9885 fax Est: Eric Tobolski CARMEL PD UNIT#115 12 CHEV IMPALA POLICE 3 CIVIC SQUARE Color:WHITE Customer Pay CARMEL, IN 46032 Type: PC 4D SED Adjustor: Home: 123-456-7890 VIN: 2G1 WD5E30C1154126 Phone: Work: Prod Date:0911 Plate: IN 6360 Claim#: N/A Deductible:0 Fax: Mileage:36655 Loss Type: Collision Engine: 6-3.6L-Fl P=Who Pays? I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units Parts Other REAR BUMPER R&I bumper cover Body R&I 1.5 C Parts Other a EAR BUMPER Bumper cover w/dual Body Rpr 8.0 3.0 C REAR BUMPER Add for Clear Coat 1.2 C 1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl C 1 Stock Parts REAR BUMPER A/M'Bumper Repair 26.95 Body Rep[ C Kit 1 Parts OEM REAR BUMPER Energy absorber 20759789 176.98 1 Body Repi 0.1 C 1 Haz Waste 'Hazardous Waste 5.00 Body C Pnt/Mat MISC Paint&Materials 134.40 4.2 C SubTotal 1,014.23 Taxes 0.00 Grand Total 1,014.23 Due from Insurance Due from Customer Sub-Total 0.00 Sub-Total 1,014.23 Tax 0.00 Tax 0.00 --------- --------- Total 0.00 Total 1,014.23 Total Amount 1,014.23 INVOICE #22 05/21/2014 09:56:00 AM RO#4165 ABRA HE Carmel Pagel INDIANA RETAIL TAX EXEMPT PAGE Cityo CarmelCERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT X19,46 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 j REQUISITION NO. VENDOR NO. DESCRIPTION Aka H6 Camol Camnol Pollen Deparkmont VENDOR SHIP 3 Civic Square West Camel Dd-jo TO Carmel, IN 46032 Carni@i„ IN 46032 571-2-559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43•:510.M I Each vehicle repairs $L 32.45 $832.45 Sub Total: �$832.45 t i\ Z `eur AjC '43 l q ✓ f t {1 Send Invoice To: r" �f/Y! fJ >l-- Camel Police Department Attn: Pat Young 3 Civic squam Camel, iN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel police Dept. PAYMENT $932.45 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATPON SUFFICIENT TO PAY FOR THE ABOVE ORDER. AV, • ) //AV,�//�j - •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / ( •PURCHASE ORDER NUMBER MUST APPEAR ON ALL i SHIPPING LABELS. //(�/;J� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / "°�I �O �Ol'�� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V CLERK-TREASURER DOCUMENT CONTROL NO. 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 $1,014.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 31946 4165 43-510.00 $ 3 I hereby certify that the attached invoice(s), or . bill(s) is (are)true and correct and that the `J� materials or services itemized thereon for 35600 tl `�(i V which charge is made were ordered and received except Wednesday, May 21, 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)) 05/21/14 4165 Car Repair $1,014.23 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