HomeMy WebLinkAbout239185 11/19/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: S"""'1,882.63'CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 239185
CARMEL IN 46032 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32497 5060 1,882.63 VEHICLE REPAIRS
Date: 11/10/2014
s
ABRA HE Carmel INVOICE
AUTO BODY&GLASS 503 West Carmel Drive RO#: 5060
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD Unit 69 10 CHEV IMPALA POLICE
Color:White Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN:2G1 WD5EM1A1226053 Phone:
Work: Prod Date:0310 Plate: IN 15087 Claim#: 1 Deductible:0
Fax: Mileage:51989 Loss Type:Collision
Engine:6-3.9L-Fi
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
bumper Body 2.4 I
1 Parts OEM FRONT BUMPER&GRILLE Bumper 89025047 375.00 Body Repl 3.0 1
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 1
Clear Coat
1 Parts OEM FRONT BUMPER&GRILLE Upper 10333709 83.53 Body Repl I
grille w/o SS
1 Parts OEM FRONT BUMPER&GRILLE Emblem 22865905 31.22 Body Repl I
1 Parts OEM FRONT BUMPER&GRILLE Lower 10333711 67.60 Body Rep[ I
grille w/o SS
1 Parts OEM FRONT BUMPER&GRILLE Impact bar 25957549 130.22 1 Body Repl 0.6 1.0 1
1 Parts OEM FRONT BUMPER&GRILLE Energy 15886100 203.98 1 Body Repl I
absorber
1 Parts OEM FRONT LAMPS LT Headlamp assy 25958359 270.68 Body Repl 0.3 I
FRONT LAMPS Aim headlamps Body 0.5 1
FRONT LAMPS Re-Install Strobe Light 1 Body Rpr 0.5 1
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 166.40 5.2 1
SubTotal 1,789.63
Taxes 93.00
Grand Total 1,882.63
Due from Insurance Due from Customer
Sub-Total 1,789.63 Sub-Total 0.00
Tax 93.00 Tax 0.00
------ ---------
Total 1,882.63 Total 0.00
Total Amount 1,882.63
INVOICE #22 11/10/2014 09:05:42 AM RO#5060 ABRA HE Carmel
Page 1
Co INDIANA RETAIL TAX EXEMPT PAGE
� of
1,,Carmel CERTIFICATE NO.003120155 002 0
��// � PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32497
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
101231214
Abra HE Camel Carmel Police Department
VENDOR SHIP 3 Clylc Squam
TO
'west Camel DFiye Carmel, IN 4032
Camiol,, IN 46032 (317)571-2659
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610.00
1 Each Vehicle repairs $1,300.00 $1,390.00
Sub Total: $1,390.00
z> I \ \
Y a F1
S nrd 90 ce"65pllirtian
Carmel Police Department
Attn: Pat Young
3 Clyic Squam
Camel, IN 4 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �''.�'� _�� PAYMENT 57,3W•Q0
4 ` A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
} NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS N UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATION BUFF CIEN O PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. El Cyt Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 9 7 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
i Cost distribution ledger classification if.
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Abra HE Carmel ALLOWED 20
IN SUM OF$
503 West Carmel Drive
Carmel„ IN 46032
$1,882.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
32497 I 5060 I 43-510.00 I $1,882.63 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
Thursday, November 13, 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))
11/10/14 5060 vehicle repairs $1,882.63
1 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