HomeMy WebLinkAbout233676 6 /18/2014 J/ CITY OF CARMEL, INDIANA VENDOR: 367104
.1• ONE CIVIC SQUARE ABRA AUTO BODY&GLASS CHECK AMOUNT: $*******876.70*
=a 1?�; CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 233676
i,�TON_�. CARMEL IN 46032 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 31993 876.70 VEHICLE REPAIR
Date: 06/16/2014
ABRA HE Carmel INVOICE
503 West Carmel Drive RO#: 4300
AUTO BODY& GLASS Carmel, IN 46032
(317) 569-9884, (317) 569-9885(fax) Est: Eric Tobolski
CARMEL PD UNIT#155 12 DODG GRAND CARAVAN 4X2 SXT
3 CIVIC SQUARE Color: BLACK MET Customer Pay
CARMEL, IN 46032 Type:VN 4D VAN Adjustor:
Home: 123-456-7890 VIN:2C4RDGCG7CR132048 Phone:
Work: Prod Date:0811 Plate: IN 339LEL Claim#: N/A Deductible:0
Fax: Mileage:7673 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
MAY HAVE HIDDEN DAMAGE Body C
1 Parts OEM FRONT BUMPER Absorber 5182323AB 35.25 Body Repl 0.1 C
FRONT BUMPER O/H front bumper Body 2.0 C
Parts Other FRONT BUMPER R&I bumper assy Body R&I C
1 Parts AM FRONT BUMPER AIM CAPA Bumper CH1000A02P 225.00 1 Body Repl 3.0 C
cover P
FRONT BUMPER Add for Clear Coat 1 1.2 C
FRONT BUMPER Add for moldings 1 Body 0.3 C
Parts Other FRONT BUMPER Air shield Body R&I C
Parts Other FRONT BUMPER Air shield A Body Rpr 2.0 C
Parts Other lamp BUMPER RT Bezel w/o fog Body R&I C
Parts Other lamp BUMPER LT Bezel w/o fog Body R&I C
Parts Other GRILLE Upper grille chrome Body R&I 0.2 C
Parts Other GRILLE Lower grille Body R&I 0.4 C
1 Stock Parts GRILLE A/M'Bumper Repair Kit 26.95 Body Repl C
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl C
1 Haz Waste 'Hazardous Waste 5.00 Body C
Pnt/Mat MISC Paint&Materials 134.40 4.2 C
SubTotal 876.70
Taxes 0.00
Grand Total 876.70
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 876.70
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 876.70
Total Amount 876.70
INVOICE #22 06/16/2014 09:05:55 AM RO#4300 ABRA HE Carmel
Pagel
CINDIANA RETAIL TAX EXEMPT PAGE
1-Ly
� ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31993
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
6!1012014
Alga HE Can-n@1 Carmel Police Department
VENDOR SHIP 3 Civic Square
Weft Camid Drive TO Camial, IN 46032
Cannel,. IN 4W32 (317)671-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
1 Each vehicle repairs $876.70 $876.70
Sorb Total: $876.70
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tlnit#1 a5 pool vehicle
Send Invoice To: p
Can-nal Police Department
Attn: Pat Young
3 Civic Square
Carrel, IN 46632® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. "' 576.7 bt
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HASfTHE,PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY
CERTIF�'HATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROFR�IA ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• f(/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS. �&of of Mir-@
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 319 9 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
L_.
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
r
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
I
Cost distribution ledger classification if
claim•paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
Abra HE Carmel " ALLOWED 20
IN SUM OF$
503 West Carmel Drive
Carmel„ IN 46032
$876.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/De t. INVOICE NO. ACCT#/TITLE AMOUNT
P Board Members
31993 43-510.00 $876.70 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, June 12, 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))
06/11/14 Pool Vehicle Repair $876.70
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
120
Clerk-Treasurer