HomeMy WebLinkAbout241909 02/10/15 CITY OF CARMEL, INDIANA VENDOR: 367104
CHECK AMOUNT: $"`""••*883.82
.j; ® a• ONE CIVIC SQUARE ABRA AUTO BODY &GLASS
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 241909
CARMEL IN 46032 CHECK DATE: 02/10/15
F ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32285 5461 883.82 VEHICLE REPAIRS
Date: 02/04/2015
ABRA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO#: 5461
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT 123 14 FORD EXPLORER 4X4 POLICE
Color:Gray Customer Pay
Type: UV 4D UTV Adjustor:
Home: VIN: 1 FM5K8AR7EGC38112 Phone:
Work: Prod Date:0414 Plate: IN 16701 Claim#: 1 Deductible: 0
Fax: Mileage: 1 Loss Type:
Engine: 6-3.7L-Fl
P=Who Pays. I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other FRONT DOOR LT Outer panel Body- Rpr 2.0 2.4, 1
FRONT DOOR Add for Clear Coat 1.0 1
Parts Other FRONT DOOR LT Belt w strip Body R&I 0.3 1
Parts Other FRONT DOOR LT Lower molding Body R&I 0.4 1
carbon
Parts Other FRONT DOOR LT Mirror outside Body R&I 0.3 1
w/power mirror
FRONT DOOR Clean and Re-Tape Body Rpr 0.2 1
Parts Other FRONT DOOR LT Handle,outside black Body R&I 0.4 1
Parts Other FRONT DOOR LT R&I trim panel Body R&I 0.5 1
Parts Other REAR DOOR LT Outer panel A Body Rpr 1.0 2.5 1
REAR DOOR Overlap Major Adj.Panel -0.4 1
REAR DOOR Add for Clear Coat A 0.4 1
Parts Other REAR DOOR LT Belt w strip A Body R&I 0.3 1
Parts Other REAR DOOR LT Lower molding carbon Body R&I 0.4 1
Parts Glass REAR DOOR LT Door glass FORD Body R&I 0.5 1
w/green tint
REAR DOOR Clean and Re-Tape A Body Rpr 0.2 1
Parts Other REAR DOOR LT Run channel w/green Body R&I 0.6 1
tint glass
Parts Other REAR DOOR LT Handle,outside black Body R&I 0.4 1
Parts Other REAR DOOR LT R&I trim panel A Body R&I 0.4 1
Parts Other REAR DOOR LT Applique Body R&I 0.3 1
'Corrosion Protection Body Ref I
'Car Cover Body Rept I
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 188.80 5.9 1
/ SubTotal- 870.60
Taxes 13.22
Grand Total 883.82
Due from Insurance Due from Customer
Sub-Total 870.60 Sub-Total 0.00
Tax 13.22 Tax 0.00
Total 883.82 Total 0.00
Total Amount 883.82
INVOICE #22 02/04/2015 03:11:53 PM RO#5461 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
Cily of Carmel 5 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT Lf
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
Abri HE Camel Carmel Police Department
VENDOR
SHIP 3 Civic Squaro
503 Wost Carmel DrIvo TO Carmel, IN 46032
Caiwai„ IN 46032 (317)571 2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
I Each vehicle repairs $883.83 $883.83
Saab Total: $893.83
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Car#923 Lt. SeMOSter
Send Invoice To: ,fl1j/')(')(/ -/-tf I{{r �j j 40
Carmel Police Department
Attn: Pat Young
3 Chic Square
Carinal, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
camel Police Dept.
PAYMENT
i A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THA�,THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRfATJOfV SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. // 9
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. / of of Polleo
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32285 A.P.V. COPY-SIGN AND RETURN TO CLEIRK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
� y
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
Carmel„ IN 46032
$883.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
85
I hereby certify that the attached invoice(s), or
32.2. I 5461 I 43-510.00 I $883.82 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
i
Thursday, February 05, 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)
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))
02/04/15 5461 repairs car#123 $883.82
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