HomeMy WebLinkAbout238748 11/05/14 ..y W.Cgq�f
4� ��
CITY OF CARMEL, INDIANA VENDOR: 367104
j; a ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: $*****1,147.80•
r, ,_�; CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 238748
9'�I,�TON-�p CARMEL IN 46032 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32480 4943 648.20 VEHICLE REPAIR
1110 4351000 31999 4974 499.60 VEHICLE REPAIR
'i
Date: 10/24/2014
DA
ABRA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO#: 4974
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT#150 11 BUIC LUCERNE CX
3 CIVIC SQUARE Color: BLACK Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-409-8831 VIN: 1G4HA5EM5BU101311 Phone:
Work: Prod Date:0610 Plate: IN 719BTD Claim#: N/A Deductible:0
Fax: 317-409-8831 Mileage:47265 Loss Type: Collision
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
Parts Other FRONT BUMPER R&I bumper cover Body R&I 1.5 C
Parts Other FRONT BUMPER Bumper cover Body Rpr 1.5 2.8 C
FRONT BUMPER Add for Clear Coat 1.1 C
Parts Other FRONT BUMPER RT Molding - Body- R&I- 02 - -C -
Parts Other FRONT BUMPER LT Molding Body R&I 0.2 C
1 Pnt Mat 'Flex Additive/Adhesion Promoter 5.00 Body C
1 Parts OEM GRILLE Grille 25803735 321.35 Body Repl 0.4 C
1 Haz Waste 'Hazardous Waste 5.00 Body C
Pnt/Mat MISC Paint&Materials 124.80 3.9 C
SubTotal 825.75
Taxes 0.00
-----------
Grand Total 825.75
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 825.75
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 825.75
Total Amount 825.75
INVOICE #22 10/24/2014 08:36:41 AM RO#4974 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
Cityy0 I' Carmel
CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 39999
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
W3M3 14
Abba HE Carmel Carmel Police Department
VENDOR
SHIP 3 Civic Square
West Carmed Drive TO Cannel, IN 4W32
Can-nel„ IN 40432 (317)571-2559
CONFIRMATION BVUNIT
CONTRACT PAYMENT TERMS FREIGHT
QUANTITYOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4MI0.00
1 Each vehicle repairs $499.60 U99.60
Sub Total: $499.61
q
rt =
Al
° —�
tl r 1 =Z� ny
if
' J�
Car#150 John Pi:ics
Send Invoice To:
v-
Carmel Police Dep-.AAraent
� ' 1
Attn: Peat Young
3 Civic square
Carmel, IN 40D32- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Canmel Police Dept. PAYMENT $499.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS •.,,IIHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. - S -
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. J 19 9 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
s_-9
ON ACCOUNT OF APPROPRIATION FOR
I
Board Members
#or INVOICE NO. ACCT#/TITLE AMOUNT
DPOEPT.# 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
i
Date: 10/21/2014
ABRA HE Carmel INVOICE
AUTO BODY&GLASS 503 West Carmel Drive RO #: 4943
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD Unit 86 12 CHEV IMPALA POLICE
Color:White Customer Pay
Type: PC 4D SED Adjustor:
A"
Home: 123-456-7890 VIN: 2G1WD5E32C1286787 Phone:
Work: Prod Date:0412 Plate: IN 7223 Claim#: 1 Deductible:0
Fax: 123-456-7890 Mileage:28692 Loss Type:
Engine:6-3.6L-Fl
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
FRONT BUMPER&GRILLE O/H front Body 2.4 C
bumper
Parts Other FRONT BUMPER&GRILLE R&I Body - R&I C
bumper cover -
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 4.0 3.0 C
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 C
Clear Coat
Parts Other FRONT BUMPER&GRILLE Energy Body R&I C
absorber
Parts Other FRONT BUMPER&GRILLE Upper Body R&I C
grille black
Parts Other FRONT BUMPER&GRILLE Lower Body R&I C
grille black
Parts Other FRONT BUMPER&GRILLE RT Bezel Body R&I C
w/Police pkg
Parts Other FRONT BUMPER&GRILLE LT Bezel Body R&I C
w/Police pkg
1 Haz Waste 'Hazardous Waste 5.00 Body C
Pnt/Mat MISC Paint&Materials 134.40 4.2 C
SubTotal 648.20
Taxes
Grand Total
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 648.20
Tax 0.00 Tax
Total 0.00 Total 1 --- - -
Total Amount 657.61
INVOICE #22 10/21/2014 08:45:22 AM RO#4943 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
Cit ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32480
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
101612014
Adra HE Camel Carmel Police Department
VENDOR SHIP 3 Civic Squara
603 latest Carel Drive TO Carel, IN 46032
Camel„ IN 46032 (317)57i-2-F-58.
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
1 Eads vehicle repairs $628.84 $628.84
Sub Total: $628.84
�`(� i� /"�^.� ��rte•. �°.,
f
k
°tom
Car#86 Jeff SedberlV -
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 42- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. ;j� 'WZd•
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
\j NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS fHE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERT)k(THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPRO�IAT ON SUFFICIENT TO-PAY FOR THE ABOVE ORDER.
• 1 (�y
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,/(!
SHIPPING LABELS. (` hief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENTTHERETO. i/
CLERK-TREASURER �J
DOCUMENT CONTROL NO. 3 2 4 3® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$ �r
I
f
i
ON ACCOUNT OF APPROPRIATION FOR i
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 _
f
20
—._-._..__..Signature -----
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Abra HE Carmel I ALLOWED 20
IN SUM OF$
503 West Carmel Drive
I
Carmel„ IN 46032 �.
$1,147.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO, ACCT#!TITLE AMOUNT Board Members
32480 4943 43-510.00 $648.20 1 hereby certify that the attached invoice(s), or
- bill(s) is (are)true and correct and that the
F31999 4974 43-510.00 $499.60
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, October 28, 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))
10/21/14 4943 Vehicle Repairs $648.20
10/24/14 4974 Vehicle Repairs $499.60
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