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Home My WebLink About2j1:5'12:5 10/21/14 9,�' ��'''' CITY OF CARMEL, INDIANA VENDOR: 367104 ® sl _ ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $"""*593.00` CARMEL CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 238298 ,,__o�_ CARMEL IN 46032 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 32090 4842 593.00 VEHICLE REPAIR Date: 10/03/2014 a ABRA HE Carmel INVOICE AUTO 600v & GLASS 503 West Carmel Drive RO#: 4842 Carmel, IN 46032 (317) 569-9884, (317) 569-9885 (fax) Est:Joseph Miller 11 DODG RAM 1500 4X4 CREW CARMEL PD UNIT#151 OUTDOORSMAN 3 CIVIC SQUARE Color: GRAY Customer Pay CARMEL, IN 46032 Type: TK 4D P/U Adjustor: Home: 123-456-7890 VIN: 1 D7RV1 CP6BS563882 Phone: Claim #: Work: Prod Date: 1110 Plate: IN TK273LDJ Fax: Mileage: 63219 Loss Typee:: Collision Deductible:0 Engine: 8-4.7L-FI P=Who Pays? I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint# Units Units P Parts Other REAR BUMPER Step pad Body R&I C 1 Parts AM REAR BUMPER A/M Bumper assy CH112369DS 316.00 Body Repl 1.5 1.6 C primed N REAR BUMPER Add for Clear Coat 0.6 C Parts Other REAR BUMPER Step pad A Body Rpr 0.5 C Parts Other REAR LAMPS RT License lamp Body R&I C Parts Other REAR LAMPS LT License lamp Body R&I C 1 Haz Waste 'Hazardous Waste 5.00 Body C Pnt/Mat MISC Paint&Materials 70.40 2.2 C SubTotal 593.00 Taxes 0.00 Grand Total 593.00 Due from Insurance Due from Customer Sub-Total 0.00 Sub-Total 593.00 Tax 0.00 Tax 0.00 --------- --------- Total 0.00 Total 593.00 Total Amount 593.00 INVOICE #22 10/03/2014 03:35:56 PM RO#4842 ARRA HE Carmel Page 1 /-d ® /� C.armel INDIANA RETAIL TAX EXEMPT PAGE 1Jlr CERTIFICATE NO.003120155 002 0Is tyPURCHASE ORDER NUMBER / FEDERAL EXCISE TAX EXEMPT 3 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 7/1194 AbM HE CumGl Cool Pollco DoPcIrtmont VENDOR SHIP 3 CIVIC aqum SM Woo CUMGI DfIVG TO ftrmGl, IN 4I C d" IN 4 (317)579 CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS I FREIGHT T_ QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.610.03 9 Each vehicle repair 0593.00 $593.00 Sub Total: $593.00 r( , A g ° °4P e nn � Send Invoice To: Ca mol Poly® At n: Pd Young 3 CIVIC squm Camol, IN 4m- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. L.r� PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH 1THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIAT O UFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / SHIPPING LABELS. #10V of Pollco •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. , CLERK-TREASURER DOCUMENT CONTROL NO. 3 2®9® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE i VOUCHER NO. WARRANT NO. ALLOWED 20 _ IN THE SUM OF$ 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 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)) 10/03/14 4842 vehicle repairs $593.00 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 $593.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32090 4842 43-510.00 $593.00 I hereby certify that the attached invoice(s), or I I 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 Wednesda , October 15, 2014 41Z Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund