HomeMy WebLinkAbout236748 09/10/14 CITY OF CARMEL, INDIANA VENDOR: 367104
® ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $""""1,151.47"
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 236748
CARMEL IN 46032 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 4624 627.07 AUTO REPAIR & MAINTEN
1110 4351000 32087 4702 524.40 VEHICLE REPAIR
Date: 09/03/2014
ABRA HE Carmel INVOICE
AICD BODY& GLASS 503 West Carmel Drive RO #: 4624
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est:Jeff Lynch
City of Carmel Police Dept. 12 Chevrolet Impala Liberty Mutual Ins Company
3 Civic Sq Color: BLACK
Carmel, IN 46032-2584 Type: Police 4 DR Sedan Adjustor:
Home: 317-571-2523 VIN: 2G1WD5E37C1148243 Phone:
Work: Prod Date: 0911 Plate: IN 617HY Claim#: 029887900-02
Fax: Mileage:41226 Deductible:0
Engine: 6 cyl Gas Flex Fuel Loss Type. Liability
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other Fri Bumper Cvr Overhau Body Addl 1.7 1
Cover,Front Bumper 1 Body Rpr 5.5 1
Cover,Front Bumper A Ref 4.6 1
1 Parts OEM Grille,Frt Bumper Lwr 10333712 66.95 Body Repl I
1 Parts OEM Absorber,Front Bumper 15886100 203.98 1 Body Repl 0.8 1
Pnt/Mat MISC Paint&Materials 133.40 I
SubTotal 971.33
Taxes 28.30
Grand Total 999.63
Due from Insurance Due from Customer
Sub-Total 971.33 Sub-Total 0.00
Tax 28.30 Tax 0.00
--------- ---------
Total 999.63 Total 0.00
Total Amount f �
INVOICE #22 09/03/2014 02:41:33 PM RO#4624 ABRA HE Carmel
Pagel
R N4;
Date: 08/25/2014
ABRA HE Carmel INVOICE
503 West Carmel Drive RO #: 4702
AUTO BODY & GIASS Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
09 JEEP GRAND CHEROKEE 4X4
CARMEL PD UNIT#144 LAREDO
3 CIVIC SQUARE Color: GOLD Customer Pay
CARMEL, IN 46032 Type: UV 4D UTV Adjustor:
Home: 123-456-7890 VIN: IJ8HR48P29C557210 Phone:
Claim#:
Work: Prod Date: 0809 Plate: IN 132VAB e: Collision
Deductible:0
Loss Type:
Fax: Mileage: 79094
Engine:8-4.7L-FI
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor pp Labor Paint P
# Units Units
REAR BUMPER O/H rear bumper Body 2.0 C
Parts Other REAR BUMPER R&I bumper cover Body R&I C
Parts Other REAR BUMPER Bumper cover Laredo Body Rpr 2.0 2.8 C
w/o towing
REAR BUMPER Add for Clear Coat 1.1 C
Parts Other REAR BUMPER Step pad Body R&I C
2 Parts OEM REAR BUMPER Bumper cover clip 5159077AB 6.90 Body Repl C
1 Haz Waste 'Hazardous Waste 5.00 Body C
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Rep] C
Pnt/Mat MISC Paint&Materials 124.80 3.9 C
SubTotal 524.40
Taxes 0.00
Grand Total 524.40
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 524.40
Tax 0.00 Tax 0.00
Total 0.00 Total 524.40
Total Amount 524.40
INVOICE #22 08/25/2014 10:30:50 AM RO#4702 ABRA HE Carmel
Pagel
City
(�° INDIANA RETAIL TAX EXEMPT PAGE
® Carmel CERTIFICATE 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,
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
7112094
Abrin HE Cimrmel Genteel Police Department
t
VENDOR ,
SHIP 3 CIVIC squam
603 Mot Comel Drive TO C2mol, IN
Camel„ 1N 46M (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-6i®.C3 M
9 Each vehide repairs $655.37 $655.37
Sub Total: $555.37
I .�t Lie;•• .�+�r a�sA&`''��n
WCA 9Q Phil Hobson
Send Invoice To: 'Carmel Police DepadmGnt
Attn: Pat Young
3 Civic Squama
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Caumel Police Dept. _ �� PAYMENT •37
• 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 TVAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP TI N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
TITLE 1 / ef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 !! / d hi
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
®�� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLER'K'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
City
®,J(r� Car.,mel
INDIANA RETAIL TAX EXEMPT PAGE
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
�t991�94
Ably HE C.%emol Cumal Pollco DGmutmo t
VENDOR SHIP 3 CIVIC squm
SM WGS$ Comtel DdvG TO Cuiol, IN
Cermol„ IN 482 (317)'571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
IQUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-10.60
1 Each vehicle repairs $517.54 $517.59
Sub Total: $517.59
£i� `• s
Caro 144 Som Brady
Send Invoice To:
Camol Polleg Dop Amor
Attn: Pmt Young
3 CMC squm
Carmol, IN 4s2' PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. YC PAYMENT
�l A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT HERE IS AN UNOBLIGATED BALANCE IN
AT��
THIS APPROPRIQN�Ff TENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �y/a /�{�
SHIPPING LABELS. I( td1 ®i pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENTJHERETO. ' ,
CLERK-TREASURER
DOCUMENT CONTROL No- 32087 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
�
VOUCHER NO�....____WARRANT
NO`_____
ALLOWED 20___
|NTHE SUM OF$
ON ACCOUNT{}FAPPROPRIATION FOR
~
Board Members
PO#or INVOICE NO, ACCT#/TITLE AMOUNT
| hereby certify that the attached invoice(s), or
biU/a> is (are) true and correct and that the
materials m'services itemized thereon for
which charge is made were ordered and
received exoept_________________________
�
2"___-
'
`
........... —_ . ............_- .............................................. ... � `
Signature
TitleCost 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))
08/25/14 4702 vehicle repairs $524.^1j)
09/03/14 4624 vehicle repairs $655.37
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $ _
503 West Carmel Drive
Carmel„ IN 46032
f 151,
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32087 4702 43-510.00 $524.4h
I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 4624 43-510.00
materials or services itemized thereon for
1 -7 c) which charge is made were ordered and
received except
Thursday, September 04, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund