HomeMy WebLinkAbout240917 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 367104
® ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: $*****4,327.44*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 240917
yiroi�°' CARMEL IN 46032 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 5120 3.76 AUTO REPAIR & MAINTEN
1110 R4351000 32501 5120 4,154.38 VEHICLE REPAIR
1110 R4351000 32272 2987241445 169.30 WINDSHIELD REPAIR
Copy 1
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AUTO Ba®Y & GLASS WO# W987241445
04; Federal Tax ID: 41-1484683
P/O#:32272 Cust State Tax ID: 35-6000972 Invoice: 1987241445
Taken By: jstoffers Cust Fed Tax ID:
Installer: Nick Sims Ship Via: Date: 12/30/2014
Time: 09:59 AM
SalesRep: Adv. Code:DBS
Bill To: CityofCarmel Sold To: CityofCarmel
City of Carmel CITY OF CARMEL POLICE DEPARTMENT
One Civic Square One Civic Square
CARMEL, IN 46032 CARMEL, 19 46032
(317)571-2559
Vehicle Information
Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2012
Odometer: 54381 VIN: 2G1 WD5E33C1153262 License: 616HY
Qty Part Number Description List Disc% Sell Total
1 DD11061GTYNCOM Door-(Rear,Left,Solar Controlled) $198.60 50 $99.30 $99.30
1 70F 70 Flat(Flat Rate) (1.8 Hours) $70.00 0 $70.00 $70.00
Install Date: 12/22/14 01:00 PM, Required Date 12/22/14 01:00 PM,Order Complete
Mobile Installer: Nick Sims
C-
Sub Total: $169.30
Tax: $0.00
Customer's Signature: Total: $169.30
Indianapolis 7225 Northland Drive Ste.210 BROOKLYN PARK, MN 55428 PH:(888)461-0010 FAX:(317)549-5905
City
®f ����� INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 72
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584VOUCHER, 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
°8 014
N-4 , _ can-nal Police Department
ZZ�
VENDOR SHIP 3 CIVIC S4�u
�. Zig
TO
Camel, IN 460
/o.. �e tht Arts•apt \� C ' \I•�] 31 57 2
559
• ��.•u ....gg t.+ -rvunwus- 5517 '1
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-5110.00
1 Each windshield repair $239.87 $239.87
Sub Total: $239.87
1 r! d
1 .
.,.../� a Y1lJ _ • ` �.^_ / � "�{141
Car 153
Send Invoice To: .i ,
Carmal Police Doparrtment
Attn: Pat Young
3 Civic Square
Carm� 1, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �-`' � PAYMENT $239.87
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERI%�/IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFIdENT T�,THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY -5;;- /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
j/ ��Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 22272 3 A.P.V. COPY-SIGN AND RE'T'URN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO, ACCT#ITITLE 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 distributiori ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
ABRA Auto Body & Glass
IN SUM OF $
Accounts Receivable
7225 Northland Drive N Suite 2110
Brooklyn Park, MN 55428
$169.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
32272 1987241445 43-510.00 $169.30
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
CIP which charge is made were ordered and
received except
P
i
Wednes y January 07, 2015
�Z 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))
01/06/15 1987241445 auto glass repair $169.30
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
rm%Mi
Date: 12131/2014
ABRA HE Carmel INVOICE
AUTO BODY&GLASS 503 West Carmel Drive RO#:5120
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT#116 12 CHEV IMPALA POLICE Customer Pay
Color:black Adjustor:
Type: PC 4D SED Phone:
Home: 317-571-2523 VIN:2G1 WD5E37C1 148243 Claim#:09614714 Deductible:
Work: Prod Date:0911 Plate: IN 617HY 0
Fax: 317-571-2523 Mileage:45129 Loss Type: Liability
En ine:6-3.6L-Fl
P= ho Pa s? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor pp Labor Paint p
# Units Units
Parts OEM REAR BUMPER O/H bumper assy Body Ovrh 1.9 1
1 Parts OEM a EAR BUMPER Bumper cover w/dual 19120961 482.72 Body Repl 3.0 I
REAR BUMPER Add for Clear Coat 1.2 1
1 Parts OEM REAR BUMPER Energy absorber 20759789 176.98 Body Repl I
1 Parts OEM REAR BUMPER Impact bar 25865729 149.70 1 Body Repi 0.3 1.0 1
Parts Other ROOF LT Molding 1 Body R&I 0.4 1
1 Parts OEM REAR LAMPS LT Tail lamp assy 25971597 153.38 Body Repl I
Parts Other REAR LAMPS High mount lamp Body R&I 0.3 1
Parts Other REAR LAMPS License lamp Body R&I I
Parts Other TRUNK LID Trunk lid w/POLICE Body Rpr 2.0 2.3 1
TRUNK LID Overlap Major Non-Adj. 0
Panel .2 I
TRUNK LID Add for Clear Coat A 0.4 1
1 Parts OEM TRUNK LID Emblem 22865905 31.22 Body Repi 0.2 1
Parts Other TRUNK LID Applique panel primed Body R&I 0.3 1
Parts Other TRUNK LID Spoiler all Body R&I 0.6 1
Parts Other TRUNK LID Trunk lid trim Body R&I 0.3 1
Parts Other TRUNK LID R&I trunk lid 1 Body R&I 0.7 1
1 Parts OEM TRUNK LID LT Hinge 25964302 63.83 1 Body Repl 0.3 0.5 1
Parts Other REAR BODY&FLOOR Rear body
panel Body Rpr 6.0 1.0 I
REAR BODY&FLOOR Overlap Major 0.4 I
Adj.Panel
REAR BODY&FLOOR Add for Clear 0.1 I
Coat B
Parts Other REAR BODY&FLOOR Sill trim Body R&I I
Parts Other REAR BODY&FLOOR Floor pan 1 Body Rpr 4.0 0.3 1
REAR BODY&FLOOR Overlap Minor
Panel 1 0.2 I
Parts Other REAR BODY&FLOOR LT Side trim 1 Body R&I 0.2 1
Parts Other QUARTER PANEL LT Wheelhouse liner Body R&I 0.3 1
Parts Glass QUARTER PANEL LT Qtr glass GM Body R&I I
1 Parts OEM QUARTER PANEL LT Inner panel 25950070 54.00 Body Repi 3.5 1
1 Parts OEM QUARTER PANEL LT Tail lamp pocket 20951722 60.12 1 Body Repi 2.0 0.5 1
QUARTER PANEL Overlap Minor
Panel A 1 0.2 I
QUARTER PANEL Add for Clear Coat C 1 0.1 1
Parts Other QUARTER PANEL LT Outer
wheelhouse 1 Body Rpr 4.0 0.4 I
QUARTER PANEL Add for Clear Coat D 1 0.1 1
Parts Other QUARTER PANEL LT Extension panel 1 Body Rpr 2.0 0.4 1
QUARTER PANEL Overlap Minor
Panel B 1 -0.2 I
QUARTER PANEL Add for Clear Coat E 1 0.1 1
1 Parts OEM QUARTER PANEL Fuel pocket 10337267 5.92 3 Body Repl 0.3 1
Parts Other QUARTER PANEL Fuel door 1 Body R&I I
Parts Glass BACK GLASS Back glass GM Body R&I I I
INVOICE #22 12/31/2014 04:33:47 PM RO#5120 ABRA HE Carmel
Pagel
Date: 12/31/2014
Qty Type Description Part# Amount SUP Labor Op Labor Paint P
# Units Units
1 Parts PILLARS,ROCKER&FLOOR LT 89025203 759.70 Body RprP 13.8 3.0 1
Partial Uniside assy quarter panel
PILLARS,ROCKER&FLOOR Overlap 0.4 I
Major Adj.Panel A
PILLARS,ROCKER&FLOOR Add for 0.5 1
Clear Coat F
PILLARS,ROCKER&FLOOR Deduct Body -1.1 1
for Rear Bumper R&I
Parts Other PILLARS,ROCKER&FLOOR LT Body R&I 0.8 1
Rocker molding
4 Parts AM PILLARS,ROCKER&FLOOR A/M LT P24224 17.84 1 Body Rep[ I
Rocker molding retainer gray
4 Parts AM PILLARS,ROCKER&FLOOR A/M LT KT13451 17.92 1 Body Repl I
Rocker molding retainer natural
1 Parts OEM EXHAUST SYSTEM Muffler w/tpipe w/o 20831827 695.00 1 Body Repl 1.1 1
PZEV
1 Parts OEM EXHAUST SYSTEM Intermed pipe 92202996 32.25 1 Body Repl I
clamp
'Car Cover 1 Body Rep[ I
'Corrosion Protection 1 Body Refn I
1 Haz Waste 'Hazardous Waste 5.00 1 Body I
Parts Other REAR DOOR LT R&I door assy 1 Body R&I 1.2 1
REAR DOOR Tie Down for Pull 1 Body Rpr 1.0 1
'Body Pull 1 Body Rpr 2.0 1
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 1 Body Repl
'Rope Windshield 1 Body Rpr 0.3 1
1 Pnt Mat WINDSHIELD A/M'Seam Sealer 10.00 1 Body Repi 0.5 1
1 Pnt Mat 'Weld Through Primer 10.00 1 Body Repl 0.2 1
WINDSHIELD Clear Lt Roof Rail 1 Ref 0.8 1
2 Parts AM WINDSHIELD A/M'Urethane Kit 49.36 1 Body Repl I
Sublet WINDSHIELD Quarter Glass out 33.00 4 Body Subl I
Sublet WINDSHIELD Quarter Glass in 33.00 4- Body Sub] I
Sublet WINDSHIELD Back Glass out 33.00 4 Body Subl I
Sublet WINDSHIELD Back Glass in 33.00 4 Body Subi I
Tow MISC Towing 86.00 1
Pnt/Mat MISC Paint&Materials 451.20 14.1 1
SubTotal 6,500.64
Taxes
Grand Total 6,726.71
Due from Insurance Due from Customer
Sub-Total 6,500.64 Sub-Total 0.00
Tax 226.07 Tax 0.00
Total 6,726.71 Total 0.00
Total Amount 6,726.71
INVOICE ABRA HE Carmel
Page 2
', I
0 INDIANA RETAIL TAX EXEMPT PAGE
C 1ty
®f Carmel CERTIFICATE NO.003120155 002 0��// PURCHASE ORDER NUMBER
v .
FEDERAL EXCISE TAX EXEMPT 32501
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
Alga HE Cmmel Camel Police Department
'
SHIP 3 Civic Square
VENDO%
West Camel Dfive TO Cassel, IN 46032
CaFniol„ IN 460132 (347)571 1_559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4MI0.00
1 Each vehicle repairs $4,154.3$ $4,154.38
Sub Total: $4,154.38
ell
F'1. ''
ivlf fir'o ` o a.a m o • 6"_ ,�;9(t ��.
Car196 Phil F4®bean3.
Send Invoice To: f%j -"l i
Cassel Polka D@partnient J}
Attn: Pat dung
3 Civic Square
Carmel, IN 461 = PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. �, `D PAYMENT 154,154.. 1
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THA_JTHERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 _ TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
i S` A,ti CLERK-TRS ASURER
DOCUMENT CONTROL NO A.P`.�• ®Pv-s9�N AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i
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.
ALLOWED 20
Abra HE Carmel
IN SUM OF$ �
503 West Carmel Drive
i
Carmel„ IN 46032
$4,158.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
32501 5120 43-510.00 $4,154.38
bill(s) is(are)true and correct and that the
1110 1 5120 43-510.00 1 $3.76
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, January 07, 2015
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)
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
I An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
rwhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/06/15 5120 vehicle repair car 116 $4,154.38
01/07/15 5120 balance of PO 32501 Hobson $3.76
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