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HomeMy WebLinkAbout235732 08/13/14 �/ �� CITY OF CARMEL, INDIANA VENDOR: 367104 F �• ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: $*'""5,003.64" s. ?� CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 235732 9M�T"aN,b��9 CARMEL IN 46032 CHECK DATE: 08/13/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 32089 4564 4,055.99 VEHICLE REPAIR 1110 4351000 31531 4611 947.65 REPAIR Date: 08/08/2014 s ABRA HE Carmel INVOICE 503 West Carmel Drive RO#: 4641 AUdO BODY& GLASS Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est: Eric Tobolski CARMEL PD LIN IT#19 10 CHEV IMPALA POLICE 3 CIVIC SQUARE Color:WHITE Customer Pay CARMEL, IN 46032 Type: PC 4D SED Adjustor: Home: 123-456-7890 VIN:2G1 WD5EM7A1 225909 Phone: Work: Prod Date:0310 Plate: IN 15091 Claim#: N/A Deductible:0 Fax: Mileage: 68383 Loss Type:Collision Engine:6-3.9L-Fl P=Who Pays. I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units Parts Other a EAR BUMPER Bumper cover w/dual Body Rpr 10.0 3.0 C REAR BUMPER Add for Clear Coat 1.2 C Parts OEM REAR LAMPS O/H bumper assy Body Ovrh 1.9 C Parts Other REAR LAMPS License lamp Body R&I C 1 Stock Parts REAR LAMPS A/M'Bumper Repair Kit 26.95 Body Rep[ 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 947.65 Taxes 0.00 Grand Total 947.65 Due from Insurance Due from Customer Sub-Total 0.00 Sub-Total 947.65 Tax 0.00 Tax 0.00 Total 0.00 Total 947.65 Total Amount 947.65 INVOICE #22 08/08/2014 10:25:41 AM RO#4641 ABRA HE Carmel Pagel ADate: 07/30/2014 s ABRA HE Carmel INVOICE AUTO BODY& GLASS 503 West Carmel Drive RO#: 4564 Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est: Eric Tobolski CARMEL PD UNIT#42 12 CHEV CAPRICE POLICE 3 CIVIC SQUARE Color:WHITE Customer Pay CARMEL, IN 46032 Type: PC 4D SED Adjustor: Home: 123-456-7890 VIN: 6G1 MK5U29CL611468 Phone: Work: Prod Date: 1111 Plate: IN 7182 Claim#: N/A Deductible:0 Fax: Mileage:26526 Loss Type: Collision Engine:8-6.OL-Fl P=Who Pays. I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units REAR BUMPER O/H rear bumper 1 Body 2.8 C 1 Parts OEM REAR BUMPER Bumper cover 92251947 595.00 1 Body Repl 3.2 C REAR BUMPER Add for Clear Coat 1 1.3 C 1 Parts OEM REAR BUMPER Impact bar from vin 92257947 265.00 Body Repl 0.4 C BL532623 1 Parts OEM REAR BUMPER Absorber 92200329 145.48 Body Rep[ C 1 Parts OEM REAR BUMPER LT Mount bracket 92176410 72.55 Body Repl 0.2 C 1 Parts OEM REAR BUMPER RT Mount bracket 92176411 72.55 1 Body Rep] 0.2 C 'Unibody Set-up 1 Body Rpr 1.5 C Parts Other TRUNK LID Trunk lid Body Rpr 6.0 2.3 C TRUNK LID Overlap Major Non-Adj. 1 -0.2 C Panel TRUNK LID Add for Clear Coat A 0.8 C Parts Other TRUNK LID Emblem Body R&I 0.2 C 1 Parts OEM TRUNK LID Nameplate'CAPRICE' 92222011 6.67 Body Rep] 0.2 C Parts Other TRUNK LID Molding to vin CL651503 Body R&I C TRUNK LID Antenna on Lid Body R&I 0.4 C 1 Parts OEM TRUNK LID Molding to vin CL651503 A 92255935 244.38 1 Body Repl 0.3 C TRUNK LID Trunk lid jam(inner} 1 Body Rpr 1.0 0.5 C 1 Parts OEM REAR LAMPS LT License[amp 92254943 22.27 Body Rep] C 1 Stock Parts REAR LAMPS A/M'Bumper Repair Kit 26.95 Body Repl C 1 Pnt Mat 'Car Cover 5.00 Body 0.3 C 1 Pnt Mat 'Flex Additive/Adhesion Promoter 5.00 Body C 1 Haz Waste 'Hazardous Waste 5.00 Body C Parts Other REAR BODY&FLOOR LT Rail 1 Body Rpr 2.0 0.8 C Parts Other REAR BODY&FLOOR LT Extension 1 Body Rpr 2.0 0.8 C panel REAR BODY&FLOOR Overlap Minor 1 -0.2 C Panel Parts Other REAR BODY&FLOOR Rear body 1 Body Rpr 8.0 1.6 C -- - - = panel REAR BODY&FLOOR Overlap Major 1 -0.2 C Non-Adj.Pane]A REAR BODY&FLOOR Add for Clear 1 0.3 C Coat B 'Body Pull 1 Body Rpr 2.0 C 1 Parts OEM REAR BODY&FLOOR Harness,Body 92265964 202.94 1 Body Rep[ 0.5 C Rear Wiring Parts Other REAR BODY&FLOOR Spare tire 1 Body Rpr 3.0 C panel to vin CL622282 Parts Other REAR BODY&FLOOR Floor mat 1 Body R&I C Parts Other REAR BODY&FLOOR Rear panel trim 1 Body R&I 0.2 C Parts Other REAR BODY&FLOOR LT Trunk side 1 Body R&I 0.3 C trim to vin CL806633 Pnt/Mat MISC Paint&Materials 352.00 11.0 C Adjustment -4.80 SubTotal 4,055.99 Taxes 0.00 INVOICE #22 07/30/2014 03:06:49 PM RO#4564 ABRA HE Carmel Page 1 Date: 07/30/2014 Grand Total 4,055.99 Due from Insurance Due from Customer Sub-Total 0.00 Sub-Total 4,055.99 Tax 0.00 Tax 0.00 Total 0.00 Total 4,055.99 Total Amount 4,055.99 INVOICE #22 07/30/2014 03:06:49 PM RO#4564 ABRA HE Carmel Page 2 Co INDIANA RETAIL TAX EXEMPT PAGE lto Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3M 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 711 f I4 Abra HE Carmel Carmel Police Department VENDOR SHIP 3 CIVIC Sguatt Wec4 Carmel Drivo TO Carmol, IN 46032 Camiol,, IN 4W ( 17)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-610.00 1 Each vehicle repairs $4,011.19 $4,011.19 Sub Total: $4,011.19 I F- t.;' If�„r`c��o<. �Ni13,:5i •f��°„ L's;"; .`y•,�_��-,.�,14}'� KN' P N7jj Car#42 Roti Wrike Send Invoice To: ' f Carmel Police Department Aft. Pat Young 3 Civic Square Carel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cartmel Police Dept. ': :�4,UIIAU ~ = PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY,;T'AT/6THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATIO S'FFICIENT TO PAY FOR THE ABOVE ORDER. • , •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. '// • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY d SHIPPING LABELS. fb of Pollee •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 0 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 I Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE City o Carmel ,:,-, CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ?`1531 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 311 714 Aka HE Catmel Canna! Police DepaPhn@nt VENDOR SHIP 3 Clific squam 503 West Carmol Dfluo TO Cam iel, IN 46032 Carmel, IN 48032 ( 'i7)571 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-510.00 1 Each vehicle repairs $770.05 $770.05 uub Too: $770.0 } . ) wr ��11 rL � � •vr, 7Fi�}C i 9' °'y?� l w `A �' SIJ' k"sa �f i�li�-' ,.• 1_��4 Cir fSgt. ftward rt1 V] Send Invoice To: Cannel Police Dapartment - Aan.. Pat Young 3 Civic Square Carmel, IN 46032. PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police Dept. t $770.05 'L ,T PAYMENT �J A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THA f THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. SHIPPING INSTRUCTIONS THISAPPROPRJATINVI'LIFFICIENTTOPAY FOR THE ABOVE ORDER. • / �(/ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL /a// SHIPPING LABELS. 4�F y�Q of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I / 4 ! AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 315 31 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT-OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#rrITLE 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 $4,055.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32089 4564 43-510.00 $4,055.99 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 3 j 53 `"f(off 3 Sc o� materials or services itemized thereon for which charge is made were ordered and received except Thursday, August 07, 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)) 07/30/20 4564 repairs car 42 $4,055.99 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