HomeMy WebLinkAbout236112 08/19/14 CITY OF CARMEL, INDIANA VENDOR: 367104
® tl ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $*****2,709.08*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 236112
9''�roN CARMEL IN 46032 CHECK DATE: 08/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
11110 4351000 32083 4551 2,709.08 VEHICLE REPAIR
Date: 08/14/2014
R
ABRA HE Carmel INVOICE
AUTO BODY&GLASS 503 West Carmel Drive RO#: 4551
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est: Eric Tobolski
CARMEL PD UNIT#12 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 WD5EM7A1224971 Phone:
Work: Prod Date:0310 Plate: IN 15090 Claim#: N/A Deductible:0
Fax: Mileage:46571 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
REAR BUMPER O/H rear bumper Body 1.9 C
1 Parts AM REAR BUMPER A/M CAPA Bumper 2591597 402.00 Body Rept 3.0 C
cover w/dual exh
REAR BUMPER Add for Clear Coat 1.2 C
1 Parts OEM REAR BUMPER Energy absorber 20759789 176.98 Body Repl C
1 Parts OEM REAR BUMPER Impact bar 25865729 149.70 Body Repl 0.3 C
1 Parts OEM a EAR LAMPS A/M AQRP LT Tail lamp 19120961 130.00 Body Rept 0.4 C
sy
Parts Other REAR BODY&FLOOR Rear body Body Rpr 2.0 1.5 C
panel
REAR BODY&FLOOR Overlap Major
Non-Adj.Panel 0.2 C
REAR BODY&FLOOR Add for Clear 0.3 C
Coat A
Parts Other QUARTER PANEL LT Quarter panel Body Rpr 8.0 2.2 C
QUARTER PANEL Overlap Major Adj. -0.4 C
Panel
QUARTER PANEL Add for Clear Coat B 0.4 C
Parts Other QUARTER PANEL LT Tail lamp pocket Body Rpr 1.0 0.5 C
QUARTER PANEL Overlap Minor Panel -0.2 C
QUARTER PANEL Add for Clear Coat C 0.1 C
Parts Other QUARTER PANEL Fuel door Body R&I 0.3 C
Parts Other QUARTER PANEL LT Wheelhouse liner Body R&I 0.3 C
QUARTER PANEL LT Roof Rail Blnd 0.8 C
QUARTER PANEL Remove decals Body Rpr 0.5 C
Parts Other PILLARS,ROCKER&FLOOR RT Body R&I 0.8 C
Rocker molding
Parts Other PILLARS,ROCKER&FLOOR LT Body R&I 0.8 C
Rocker molding
1 Sublet I oPLARS,ROCKER&FLOOR Glass 36.00 Body Subl C
1 Sublet PILLARS,ROCKER&FLOOR Glass in 36.00 Body Subi C
1 Parts AM PILLARS,ROCKER&FLOOR A/M 25.80 Body Rept C
'Urethane Kit
Parts Other ROOF LT Molding Body R&I 0.4 C
'Unibody Set-up Body Rpr 1.5 C
1 Pnt Mat 'Car Cover 5.00 Body 0.2 C
1 Pnt Mat 'Corrosion Protection 8.00 Body 0.3 C
1 Pnt Mat 'Flex Additive/Adhesion Promoter 5.00 Body C
1 Haz Waste 'Hazardous Waste 5.00 Body C
'Body Pull Body Rpr 2.0 C
Pnt/Mat MISC Paint&Materials 294.40 9.2 C
SubTotal 2,709.08
Taxes 0.00
-----------
Grand Total 2,709.08
INVOICE #22 08/14/2014 10:57:33 AM RO#4551 ABRA HE Carmel
Page 1
I
Date: 08/14/2014
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 2,709.08
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 2,709.08
Total Amount 2,709.08
INVOICE #22 08/14/2014 10:57:33 AM RO#4551 ABRA HE Carmel
Page 2
I
0 INDIANA RETAIL TAX EXEMPT PAGE
City of CarmelCERTIFICATE 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
7111 t2014
Abra 1.9E Cannel Carmel Pollco Depaitment
VENDOR SHIP 3 Civic Square
503 Lest Camel Drive TO Camel, IN 40032
Cannel„ IN 46032 (317)671-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
3 Eads vehide repairs, $2,709.08 $2,709.08
Sub Total, $2,709.08
qJ1 �.
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SenIPd In oice 10: �
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PRO,JECTACCOUNT AMOUNT
Camel Police Dept. - PAYMENT $2,709.06
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS
SHIP REPAID. THIS APPROPRIAT ON SOFFICIENTTO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED, r
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ✓//�-'r�-
SHIPPING LABELS. �(Ih� ��Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1�'rj
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
® �� CLERK-TREASURER
DOCUMENT CONTROL NO. 2,,0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
t :
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bili(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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF$
503 West Carmel Drive
Carmel„ IN 46032
$2,709.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
{'
32083 4551 43-510.00 $2,709.08 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, August 14, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
08/14/14 4551 Vehicle Repairs $2,709.08
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