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Home My WebLink About242670 03/03/15 (9, CITY OF CARMEL, INDIANA VENDOR: 367104 ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $*****1,228.43* CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 242670 CARMEL IN 46032 CHECK DATE: 03/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 32765 5621 1,228.43 VEHICLE REPAIR Date: 02/25/2015 ABRA HE Carmel INVOICE AUTO BODY&GLASS 503 West Carmel Drive RO#: 5621 Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est:Joseph Miller 13 CHEV K2500 4X4 SILVERADO EXT CARMEL PD UNIT 134 WORK Color:White Customer Pay Type:TK 4D LONG Adjustor: Home: VIN: 1 GC2KVCG7DZ370257 Phone: Claim Work: Prod Date:0513 Plate: IN 22814 Fax: Mileage: 12570 Loss Type: Deductible:0 Engine:8-6.OL-Fl P=Who Pays. I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units Parts Other REAR BUMPER R&I bumper assy Body R&I 0.8 1 Parts Other REAR LAMPS RT Combo lamp assy Body R&I 0.3 1 Chevrolet Parts Other PICK UP BOX LT Side panel Chevrolet Body Rpr 10.0 5.0 1 PICK UP BOX Add for Clear Coat 2.0 1 1 Parts OEM PICK UP BOX LT Stone guard front-w/o 15952189 26.63 Body Repl 0.2 1 dual rr wheels 1 Parts OEM PICK UP BOX LT Stone guard rear-w/o 25783543 26.80 Body Repi 0.2 1 dual rr wheels C 'Car Cover Body Repi I 1 Haz Waste 'Hazardous Waste 5.00 Body I 1 Pnt Mat 'Corrosion Protection 10.00 Body Repi I MISCELLANEOUS OPERATIONS Bed Body R&I 1.0 1 box Pnt/Mat MISC Paint&Materials 224.00 7.0 1 SubTotal 1,228.43 Taxes 0.00 Grand Total 1,228.43 Due from Insurance Due from Customer Sub-Total 1,228.43 Sub-Total 0.00 Tax 0.00 Tax 0.00 --------- --------- Total 1,228.43 Total 0.00 Total Amount 1,228.43 INVOICE #22 02/25/2015 03:44:49 PM RO#5621 ABRA HE Carmel Page 1 INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32765 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 Abm HE Camol Carzniel Police Departrflent VENDOR SHIP 3 CIVIC SQLIRI-e 503 West Cary @1 [give TO Camel, IN 46032 Carmel,, IN 46= (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.610.00 1 Each vehicle repairs $1,226.53 $1,226.53 Sidi Total: $1,226.53 N 1 lltFi eK, iffy" � f v, (, Jl; J >f n to R• � _1 x Send Invoice To: Camel Police Depar°trlient - Attn: Pat Young 3 Civi Square il Camel, IN 460032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Camel Police Dept. 122b.b i PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI TION SUFFICIENT TO-PAY FOR THE ABOVE ORDER. •SHIP REPAID. /�J/� j,- •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. f/,/ � •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1 SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 I TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL'NO. 3 2 7 6 5 A.P.V. COPY-SIGN ANIS RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 4,. 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 ilii Costdistribution ledger classification if claim paid motor vehicle highway fund i I l VOUCHER NO. WARRANT NO. ALLOWED 20 Abra HE Carmel IN SUM OF$ 503 West Carmel Drive Carmel„ IN 46032 $1,228.43 j ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 32765 5621 43-510.00 $1,228.43 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 26, 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)) 02/25/15 5621 vehicle repair $1,228.43 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