HomeMy WebLinkAbout242181 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 367104
d ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $*'**"*225.43*
a CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 242181
CARMEL IN 46032 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32758 5576 225.43 VEHICLE REPAIR
Date: 02/06/2015
s
ABRA HE Carmel INVOICE
AUTO BODY & GLASS 503 West Carmel Drive RO#: 5576
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est:Joseph Miller
CARMEL PD UNIT 29 12 CHEV IMPALA POLICE
Color: White Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN: 2G1 WD5E32C1284733 Phone:
Work: Prod Date: 0412 Plate: IN 7148 Claim#: 29 Deductible:0
Fax: Mileage: 39477 Loss Type:
Engine: 6-3.6L-FI
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor tRepIO.3
Paint P
# Units
FRONT DOOR LT Mirror assy w/o
1 Parts OEM 20759191 130.83 Body 0.6 1
defogger smooth
FRONT DOOR Add for Clear Coat 0.1 1
Parts Other FRONT DOOR LT R&I trim panel Body R&I 0.4 1
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 22.40 0.7 1
SubTotal 225.43
Taxes 0.00
Grand Total 225.43
Due from Insurance Due from Customer
Sub-Total 225.43 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 225.43 Total 0.00
Total Amount 225.43
INVOICE #22 02/06/2015 05:45:51 PM RO#5576 ABRA HE Carmel
Pagel
I
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmeli • ',', CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
e FEDERAL EXCISE TAX EXEMPT I9
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
I
2 095
Abra HE Carmol Carmel Pollee Dopartmont
SHIP 3 CIVIC Square
VENDOR Mgt Carmel D Ivo TO Comol, IN 46032
Carmel„ IN 4 (317)571-
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
9 Each vehide repairs $225.43 $225.43
Sub Total: $225.43
gave �J l ..'�\•
$ a'a •`y`�Y'"
A x ' •`
Car 09 WandyBedenlrerc
Send Invoice To:
Carmol Police 13epartmont
Alan: Pat Young
3 CIT squm
Carmel, IN 41 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. `i � .�*j
PAYMENT
jA/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 CERTIF hAT HERE IS AN UNOBLIGATED BALANCE IN
THIS AlPROP I'TIFIQIENT TO rAY•FOR THE ABOVE ORDER.
•SHIP REPAID. yJ
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �g �,y
SHIPPING LABELS. !of of
1 Polico
•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 7 5 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO------ WARRANT NO`_____
ALLOWED 20___
- |NTHE SUM OF$ `
'Y
ON ACCOUNT[)FAPPROPRIATION FOR
"
�co
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# | hereby certify that the attached invoioo(s). or
bUKu) ie (ane) true and correct and that the
materials orservices itemized thereon for
which charge iamade were ordered and
received except_____-
`
'
'
`
20____
_ .............. .......... _--_...... ........... ..... -- ............-_..............
—_ _'_ ^
Signature
'
Title '
Cost distribution ledger classificationif �
claim pam,mnmrvehicle 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))
02/06/15 5576 vehicle repairs $225.43
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
i -
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$225.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
32758 j 5576 j 43-510.00 $225.43
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, February 12, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund