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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