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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