HomeMy WebLinkAbout241636 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 367104
Pti @ ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $*****1,878.65*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 241636
CARMEL IN 46032 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32288 5471 1,878.65 VEHICLE REPAIRS
Date: 01/26/2015
e
ABRA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO #: 5471
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est:Joseph Miller
CARMEL PD UNIT 77 12-C HEV IMPALA POLICE
Color: White Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN: 2G1 WD5E31C1285923 Phone:
Work: Prod Date: 0412 Plate: IN 7229 Claim#: 1 Deductible: 0
Fax: Mileage:48811 Loss Type: Collision
Engine: 6-3.6L-FI
P=Who Pays?(I=Insurance,C=Customer
Qty Fer
Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
QUARTER PANEL LT Quarter panel Body Rpr 16.0 2.2 I
QUARTER PANEL Add for Clear Coat 0.9 1
Parts Other QUARTER PANEL LT Wheelhouse liner Body R&I 0.3 I
1 Parts OEM QUARTER PANEL Fuel pocket 10337267 5.92 1 Body Rep] 0.3 1
1 Parts OEM QUARTER PANEL Fuel door 10337264 77.43 Body Rept 0.3 0.3 1
QUARTER PANEL Add for Clear Coat A 0.1 1
Parts Other QUARTER PANEL LT Outer 1 Body Rpr 2.0 0.4 1
wheelhouse
QUARTER PANEL Add for Clear Coat B 1 0.1 1
Parts Other QUARTER PANEL LT Wheelhouse 1 Body Rpr 0.5 1
liner---heat and reshape
Parts Other REAR LAMPS LT Tail lamp assy Body R&I 0.4 1
Parts Other REAR BUMPER R&I bumper cover--- Body R&I 0.5 1
loosen
Parts Other PILLARS, ROCKER&FLOOR LT Body R&I 0.3 I
Rocker molding---loosen
'Car Cover Body Repl I
'Corrosion Protection Body Refn I
1 Haz Waste 'Hazardous Waste 5.00 Body I
1 Parts OEM ROOF LT Molding 25785137 140.50 Body Rept 0.4 0.3 1
ROOF Add for Clear Coat C 0.1 l
ROOF Clear Lt Roof Rail Refn 0.6 1
ROOF Loosen light bar Body Rpr 0.5 1
ROOF Loosen spot light Body Rpr 0.5 I
ROOF buff Lt rear wheel cover rear Body Rpr 1.0 1
bumper,ro
'Body Pull Body Rpr 1.0 1
1 Parts AM ROOF A/M'Urethane Kit 25.80 Body Rept I
1 Sublet ROOF Glass out 36.00 1 Body Subl I
1 Sublet ROOF Glass in 36.00 1 Body Sub] I
Pnt/Mat MISC Paint&Materials 160.00 5.0 .1
SubTotal 1,878.65
Taxes -28-69
Grand Total 163
Due from Insurance Due from Customer
Sub-Total 1,878.65 _5&-Total 0.00
Tax Tax 0.00
Total 1r� Total 0.00
Total Amount X83
INVOICE #22 01/26/2015 11:15:10 AM RO#5471 ABRA HE Carmel
Page 1
'1
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
919098
Abm M 6mmol C@rmol P®lico DOPIAMOM
VENDOR
SHIP a Civic squm
6w Mot C@MIgI DAVO TO C@mol, IN
Camol„ IN 4603 679
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE r DESCRIPTION UNIT PRICE EXTENSION
Account 43-690.0
9 Each vehicle repairs $1,739.87 $9,739.87
Seib Total: $9,739.87
, a
Car 07 Rodgriquez
Send Invoice To: � 2i
Camol Police Dopmnton@
Attn: Pat Young
3 Civic Squm
Col, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cwmol Police Dept. PAYMENT �Ijww
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TI)ERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATIONUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 6 �}
SHIPPING LABELS. YOIG (Q Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 8 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
I
VOUCHER NO.____ _WARRANT NO.___,._
ALLOWED 20
IN THE SUM OF$
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))
01/26/15 5471 vehicle repairs car#77 $1,878.65
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive ,
Carmel„ IN 46032
$1,878.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32288 I 5471 I 43-510.00 I $1,878.65 1 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
Wednesday, Ja uary 28, 2015
4/Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund