HomeMy WebLinkAbout237303 9 /23/2014 *p*°� CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA AUTO BODY& GLASS CHECK AMOUNT: $*******992.20*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 237303
CARMEL IN 46032 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32440 992.20 VEHICLE REPAIR
Date: 09/13/2014
4
AB RA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO#:4787
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
Carmel Police Department 11 CHEV IMPALA POLICE
UNIT#38 Color:White Customer Pay
Type:.PC 4D SED Adjustor:
VIN:2G1 WD5EM1 B1289817 Phone:
Home: Prod Date:0411 Plate: IN 5435 Claim#: Deductible:0
Work: Mileage:2 Loss Type:
Fax: 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 0/H rear bumper Body 1.9 1
1 Parts REAR BUMPER RECOND Bumper 19120961 410.00 Body Repl 3.0 1
Recond cover w/dual exh
REAR BUMPER Add for Clear Coat - - — 1.2 1
1 Parts AM REAR BUMPER A/M Energy absorber 20759789 150.00 Body Rep[ I
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 134.40 4.2 1
SubTotal 992.20
Taxes 0.00
Grand Total 992.20
Due from Insurance Due from Customer
Sub-Total 992.20 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 992.20 Total 0.00
Total Amount 992.20
INVOICE #22 09/13/2014 09:17:30 AM RO#4787 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City 'of Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32"0
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8P-01 4
Abler HE Cannel Caniial Police Departm@lit
VENDOR SHIP 3 Chic Squam
503 S-t Calms@l Drly@ TO Cafinel, IN 46032
Cwwel„ IN 4 (W)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account
UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43•'g iQ.09
1 Each vehicle repairs $842.20 $842.20
Sub Total: $842.20
moi'' r
Car 3t - b11fo Govlll
Send Invoice To: � %rr f )�
Cannel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 460320 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. -- PAYMENT $842.20
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYT�T/4ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATJO S AFICIENT TO PAY-FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. C7'fe of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r/! B'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. 324 4 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR a
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
y Signature ^
Title i
Cost distribution ledger classification if I
claim paid motor vehicle highway fund i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF$
503 West Carmel Drive
Carmel„ IN 46032
$992.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
43-510.00 $992.20 I hereby certify that the attached invoice(s), or
32440
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
Wednesday, September 17, 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))
09/13/14 Vehicle Repairs $992.20
li
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