HomeMy WebLinkAbout242893 03/11/15 Q
CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: S`"""10,346.84'
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 242893
CARMEL IN 46032 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32768 5608 4,133.28 VEHICLE REPAIR
1110 4351000 32757 5612 4,514.09 VEHICLE REPAIR
1110 4351000 32775 5651 1,699.47 VEHICLE REPAIR
Date: 03/05/2015
ABRA HE Carmel INVOICE
AM BODY&CLASS 503 West Carmel Drive RO#:5651
Carmel, IN 46032
317 569-9884, 31 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT 41 13 CHEV IMPALA POLICE
Color:White Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN:2G1 WD5E33D1251113 Phone:
Work: Prod Date:0413 Plate: 10824 Claim#: 1 Deductible:0
Fax: Mileage: 18362 Loss Type:Collision
Engin :6-3.6L-Fl
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
bumper
BUMPER&GRILLE O/H front Body 2.4 I
1 Parts OEM FRONT BUMPER&GRILLE Bumper 89025048 316.00 Body Re I 9.0 I
coverw/o fog lamps Y P
FRONT BUMPER&GRILLE Add for
Clear Coat 1.2 1
1 Parts OEM FRONT BUMPER&GRILLE Upper 22865901 95.62 Body Repl black I
1 Parts OEM FRONT BUMPER&GRILLE Emblem 22865905 31.22 Body Repl I
1 Parts OEM FROabsorber BUMPER&GRILLE Energy 15886100 203.98 1 Body Repl I
1 Parts OEM FRONT BUMPER&GRILLE Lower 10333712 66.95 1 Body Repl black I
Parts Other HOOD Hood Body Rpr 4.0 3.2 1
HOOD Overlap Major Non-Adj.Panel -0.2 1
HOOD Add for Clear Coat A 0.6 1
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl I
1 Pnt Mat 'Corrosion Protection 10.00 Body Rept 0.2 1
1 Pnt Mat 'Car Cover 12.00 Body Repl I
Parts Other FRONT LAMPS RT Headlamp assy 1 Body R&I 0.3 1
Pnt/Mat MISC Paint&Materials 249.60 7.8 1
SubTotal 1,699.47
Taxes 0.00
Grand Total 1,699.47
Due from Insurance Due from Customer
Sub-Total 1,699.47 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 1,699.47 Total 0.00
Total Amount 1,699.47
INVOICE #22 03/05/2015 03:16:29 PM RO#5651 ABRA HE Cannel
Pagel
Date: 03/05/2015
ABRA HE Carmel INVOICE
AUTO BODY&GLASS 503 West Carmel Drive RO#:5608
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT 10 14 FORD EXPLORER 4X4 POLICE Customer Pay
Color:White Adjustor:
Type: UV 4D UTV Phone:
Home: VIN: 1FM5K8AR3EGC38107 Claim#:CER1798001
Work: Prod Date:0514 Plate: IN 16698 Deductible:2500
Fax: Mileage: 1 Loss Type:Collision
En ine:6-3.7L-FI
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint Units Units P
FRONT BUMPER O/H front bumper Body 2.8 1
Parts Other FRONT BUMPER R&I bumper assy Body R&I I
Parts Other FRONT BUMPER Bumper cover w/o
auto park Body Rpr 3.0 2.4 I
FRONT BUMPER Add for Clear Coat 1.0 1
1 Parts OEM FRONT BUMPER Lower cover w/o fog BB5Z17D957
lamps BB 216.70 Body Repl I
1 Parts OEM FRONT BUMPER Lower grille w/o BB5Z17K945 46.38 Body Repl I
trailer tow AA
Parts Other FRONT BUMPER Valance w/Police Body R&I I
Interceptor
Parts Other GRILLE R&I grille assy Body R&I I
Parts Other FRONT LAMPS RT Headlamp assy Body R&I I
1 Parts OEM WHEELS RT/Front Wheel,steel DGIZ1015A 270.00 1 Body Repl 0.1 1
1 Sublet '4 Wheel Alignment 89.95 Body Subl I
1 Parts OEM WHEELS RT/Rear Wheel,steel DGiZ1015A 270.00 1 Body Repl 0.1 I
• 1 Sublet 'Mount&Balance 19.95 1 Body Subi I
1 Sublet 'Mount&Balance A 19.95 1 Body Sub[ I
1 Parts OEM FENDER RT Fender BB5Z16005A 319.03 Body Repl 2.1 1.8 1
FENDER Overlap Major Non-Adj.Panel -0.2 1
FENDER Add for Clear Coat A 0.9 1
FENDER Add for Edging 0.5 1
1 Parts OEM FENDER RT Wheel flare ABB5Z16038A 132.72 Body Repl 0.3 1
6 Parts AM FENDER A/M RT Wheel flare rivet P91114 5.70 1 Body Repl I
1 Parts OEM WINDSHIELD LT Outerw/s pillar BB5Z7803137 109.27 Body Repl 0.2 1
molding AB
Parts Other WINDSHIELD RT Outer w/s pillar 1 Body R&I 0.2 1
molding y
Parts Other FRONT DOOR RT Outer panel Body Rpr 10.0 2.4 1
FRONT DOOR Overlap Major Adj. -0.4 I
Panel
FRONT DOOR Add for Clear Coat B 0.4 1
Parts Other FRONT DOOR RT Belt w strip Body R&I 0.3 1
1 Parts OEM FRONT DOOR RT Lower molding BB5Z7820878 191.13 Body Rep] 0.4 1
carbon AA
Parts Other FRONT DOOR RT Mirror outside
w/power mirror Body R&I 0.3 I
Parts Other FRONT DOOR RT R&I trim panel Body R&I 0.5 1
Parts Other FRONT DOOR RT Door shell 1 Body Rpr 1.0 1
1 Parts OEM FRONT DOOR RT Handle,outside BB5Z7822404 73.33 1 Body Repl 0.4 1
black AA
1 Parts OEM FRONT DOOR RT Cap black 8ABZ7821860 36.98 1 Body Rept I
Parts Other REAR DOOR RT Outer panel A Body Rpr 7.0 2.5 1
REAR DOOR Overlap Major Adj.Panel
A 0.4 I
REAR DOOR Add for Clear Coat C .41 1
INVOICE #22 03/05/2015 03:12:56 PM RO#5608 ABRA HE Carmel
Pagel
Date: 03/05/2015
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
1 Parts OEM REAR DOOR RT Lower molding carbon BBBB5Z7825556 169.77 Body Repl 0.4 1
Parts Other REAR DOOR RT Belt w strip A Body R&I 0.3 1
Parts Glass REAR DOOR RT Door glass FORD Body R&I 0.5 1
w/dark gray tint
Parts Other REAR DOOR RT Run channel Body R&I 0.6 1
w/dk.gray tint glass
Parts Other REAR DOOR RT Handle,outside black Body R&I 0.4 1
1 Parts OEM REAR DOOR LT Handle,outside black BBBB5Z7822404 73.33 Body Repl 0.4 1
Parts Other REAR DOOR RT R&I trim panel A Body R&I 0.4 1
Parts Other REAR DOOR LT R&I trim panel Body R&I 0.4 1
Parts Other REAR DOOR RT Door assy 1 Body Rpr 1.5 1
Parts Other REAR DOOR RT Door wstrip 1 Body R&I 0.4 1
16 Parts Other REAR DOOR Weatherstrip clips 4.80 1 Body Repl I
1 Parts OEM REAR DOOR RT Applique 3 B5�Z78255A 64.93 1 Body Repl 0.3 1
1 Parts OEM QUARTER PANEL RT Wheel opng BB5Z7829164 143.50 Body Repl 0.4 1
mldg AA
1 Pnt Mat 'Car Cover 5.00 Body Repl I
1 Haz Waste 'Hazardous Waste 3.00 Body I
1 Pnt Mat 'Corrosion Protection 10.00 Body Repl I
MISCELLANEOUS OPERATIONS Body Rpr 2.0 1
Remove decals
MISCELLANEOUS OPERATIONS Body Rpr 0.5 1
Loosen spotlight
MISCELLANEOUS OPERATIONS Body Rpr 0.5 0.5 1
Spotlight
Pnt/Mat MISC Paint&Materials 354.00 11.8 1
Adjustment 27.60
SubTotal 4,934.02
Taxes 0.00
Grand Total 4,934.02
Due from Insurance Due from Customer
Sub-Total 2,434.02 Sub-Total 2,500.00
Tax 0.00 Tax 0.00
--------- ---------
Total 2,434.02 Total 2,500.00
Total Amount 02
INVOICE #22 03/05/2015 03:12:56 PM RO#5608 ABRA HE Carmel
Page 2
Date: 03/05/2015
ABRA HE Carmel INVOICE
503 West Carmel Drive
AM BODY&GLASS Carmel, IN 46032 RO#: 5612
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT 52 12 CHEV IMPALA POLICE
Color:White Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN: 2G1 WD5E33C1285549 Phone:
Work: Prod Date:0412 Plate: IN 7150 Claim#:55081 Deductible:0
Fax: Mileage:36969 Loss Type: Liability
Engine:6-3.6L-Fl
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Glass QUARTER PANEL RT Qtr glass GM Body R&I I
1 Sublet QUARTER PANEL Remove QTR Glass 41.40 2 Body Subl L
Parts Other QUARTER PANEL Install QTR Glass 41.40 2 Body Subl I
1 Parts OEM QUARTER PANEL RT Lower panel 10337145 60.92 Body Repl 2.4 0.5 1
User
QUARTER PANEL Add for Clear Coat Define I
d
Parts Other QUARTER PANEL RT Quarter panel Body Rpr 7.0 2.5 1
QUARTER PANEL Overlap Minor Panel 2 -0.2 1
QUARTER PANEL Add for Clear Coat A 0.5 1
1 Parts OEM QUARTER PANEL RT Wheelhouse 15876945 61.55 Body Repl 0.3 1
liner
1 Parts Other QUARTER PANEL Glass Kit 20.00 Body Repl I
1 Parts OEM QUARTER PANEL Pressure vent 22702778 31.88 Body Repl I
Parts Other QUARTER PANEL RT Tail lamp pocket 1 Body Rpr 2.0 0.5 1
QUARTER PANEL Overlap Minor 1 -0.2 1
Panel A
QUARTER PANEL Add for Clear Coat B 1 0.1 1
Parts Other QUARTER PANEL RT Extension panel 1 Body Rpr 1.5 0.5 1
QUARTER PANEL Overlap Minor 1 -0.2 1
Panel B
User
QUARTER PANEL Add for Clear Coat C 1 Define I
d
REAR BUMPER O/H rear bumper Body 1.9 1
1 Parts OEM REAR BUMPER Bumper cover w/dual 19120961 482.72 Body Rep[ 3.2 1
REAR BUMPER Overlap Major Non- -0.2 1
Adj.Panel
REAR BUMPER Add for Clear Coat D 0.6 1
1 Parts OEM REAR BUMPER Energy absorber 20759789 176.98 Body Repl I
1 Parts OEM REAR BUMPER Impact bar 25865729 149.70 Body Repl 0.6 1
REAR BUMPER Deduct for Overlap Body Rpr -1.5 1
1 Parts OEM EXHAUST SYSTEM Muffler w/tpipe w/o 20831827 695.00 Mech Repl 1.0 1
PZEV
1 Parts OEM EXHAUST SYSTEM Intermed pipe 92202996 33.95 1 Body Rep[ I
clamp
Parts OEM REAR BODY&FLOOR Rear body 2 Body Rpr 7.0 1.5 1
panel
REAR BODY&FLOOR Overlap Major 2 -0.4 1
Adj.Panel
REAR BODY&FLOOR Add for Clear 2 0.2 1
Coat E
Parts Other REAR BODY&FLOOR Floor extn 1 Body Rpr 2.0 0.4 1
REAR BODY&FLOOR Add for Clear 1 0.1 1
Coat F
1 Parts OEM REAR LAMPS RT Tail lamp assy 25971598 153.38 1 Body Repl 0.4 1
1 Pnt Mat 'Flex Additive/Adhesion Promoter 5.00 Body Repl I
Sublet '4 Wheel Alignment 79.95 Body Subl I
INVOICE #22 03/05/2015 03:45:42 PM RO#5612 ABRA HE Carmel
Pagel
Date: 03/05/2015
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
'Unibody Set-up&Measure Body Rpr 2.0 1
FRAME Pull and Square Frame Rpr 4.0 1
1 Pnt Mat 'Car Cover 5.00 Body Repl 0.2 1
1 Pnt Mat 'Corrosion Protection 10.00 Body Rept 0.2 1
1 Haz Waste 'Hazardous Waste 3.00 Body I
Sublet MISCELLANEOUS OPERATIONS Rt 75.00 Body Subl I
Quarter Decal
MISCELLANEOUS OPERATIONS
Wiring Mech Rpr 1.0 I
MISCELLANEOUS OPERATIONS Body Rpr 0.3 1
Rope back glass
Parts Other PILLARS,ROCKER&FLOOR RT 1 Body R&I 0.2 1
Rocker molding---loosen
1 Parts OEM ROOF RT Molding 25785137 145.07 1 Body Rept 0.3 0.3 1
ROOF Add for Clear Coat G 1 0.1 1
ROOF Clear Rt Roof Rail 1 Refn 0.5 1
ROOF Loosen Light bar 1 Body Rpr 0.5 1
ROOF Remove Decals 1 Body Rpr 0.5 1
Pnt/Mat MISC Paint&Materials 327.00 10.9 1
SubTotal 4,727.50
Taxes 165.07
Grand Total 4,892.57
Due from Insurance Due from Customer
Sub-Total 4,727.50 Sub-Total 0.00
Tax 165.07 Tax 0.00
--------- ---------
Total 4,892.57 Total 0.00
Total Amount
INVOICE #22 03/05/2015 03:45:42 PM RO#5612 ABRA HE Carmel
Page 2
City
INDIANA RETAIL TAX EXEMPT PAGE
® I' Carmel
i CERTIFICATE NO.003120155 002 0 PU CASE 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
k
ADM HL_ carl-001
3 Civic Squab
VENDOR,,P 3msk CaFm@0 Drive TOIP Cal= iel, IN 460
Cartel„ IN 46032` (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
ACCOU t 43-610.00
I Each vehide repairs $4,133.25 $4,133.28
Sub Total: $4,133.23
Car#10 lvllk-el t.ea °% ' v°F � Ir '`' �� 'O��
Send Invoice To: --�� ��� _ �•; (�` E/�
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
icrosmoi 0FRARTMENT ACCOUNT PROJECT PROJECTACCOUNT S4.4%K0,19NT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER.
• - 'r
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ✓��
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL 6phORDERED BY
iCf of Police
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 7 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
t
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
S
PO#
L_'s
Board Members
DEP
or INVOICE NO. ACCT#(TITLE AMOUNT
# 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
INDIANA RETAIL TAX EXEMPT PAGE
ci ty ®f C°�r el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\��//l�Js 1i 1i 1i
FEDERAL EXCISE TAX EXEMPT 32775
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
Abfa HE Carr d Cannd Police Department
VENDOR SHIP 3 CIVIC; square
523 West Carrel Dift TO Carinal, IN 46032
CafTn"I" IN, 6"M (W)571-2-S-59
CONFIRMA110N• BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
1 Each vehicle repairs $1,473.14 $1,473.14
Sub Taal: $1,473.14
Car#41 LandrySmiley
Send Invoice To:
Carmel Police Department
Aftn: Pat Young
3 CIVIC Squam
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept.
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
i VOUCHER HAS THE PgqPPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF�TH,ATTHERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROP IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. (/&of o Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
,® CLERK-TREASURER
DOCUMENT CONTROL No- 32775 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/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_ _
- j
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INDIANA RETAIL TAX EXEMPT PAGE
Cit ® C�°�anal -k I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERALEXCISE TAX EXEMPT 3275?
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
=015
Abra HE Camel Camel Police Department
VENDOR
SHIP 3 Civic sgl3w
503 Wok Camel Drive TO Camel, IN 4610
Canuol„ IN 46032 (317)571-209
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.613.00
I Each vehicle repairs $4,864.35
Sub T�
kI �
f^....
4
irk '' ,
kll
S.
Car#52 Dan 4tntFjl
Send Invoice To: _ L. {£
Cannel Police Department ?
Attn: P-A Young
3 Chic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel lce Dept.
.�;,. PAYMENT -
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERT FY�THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
��.
SHIPPING LABELS. Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
`� CLERK-TREASURER
DOCUMENT CONTROL NO. 3 6 5 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
C0
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF$
503 West Carmel Drive
Carmel„ IN 46032
$10,346.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
5651 43-510.00 $1,699.47 I hereby certify that the attached invoice(s), or
32775
G bill(s) is (are)true and correct and that the
32768 5608 43-510.00 $4,133.28
materials or services itemized thereon for
32757 5612 43-510.00 $4,514.09 which charge is made were ordered and
received except
Friday, March 06 2015
i
h2 �-L-4 �Q4�' D
(A4
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
i
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))
03/05/15 5651 repairs car 41 $1,699.47
03/05/15 5608 repairs car 10 $4,133.28
03/09/15 5612 repairs car 52 $4,514.09
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