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
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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