HomeMy WebLinkAbout243880 04/08/15 .,y:r.4�gyF
�{ CITY OF CARMEL, INDIANA VENDOR: 367104
s, ei ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECK AMOUNT: $*******610.40*
x ?� CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 243880
'M,�yoN. CARMEL IN 46032 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32771 5761 610.40 VEHICLE REPAIR
9
Date: 03/24/2015
ABRA HE Carmel INVOICE
AM $UMS 503 West Carmel Drive RO#: 5761
Carmel, IN 46032
317) 569-9884, 317 569-9885 fax Est:Joseph Miller
Carmel City of 12 CHEV IMPALA POLICE Customer Pay
1 Civic Square Color:White Adjustor:ALEXANDER
Type: P
Carmel, IN 46032 T YP C 4D SED LARSEN
Home: 317-571-2523 VIN:2G1WD5E30C1285508 Phone:
Work: Prod Date: 0412 Plate: IN 7154 Claim#:WIS-0051102-02
Fax: Mileage:26052 Deductible:0
Engine:6-3.6L-FI Loss T e: Liability
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 cover Body R&I 1.5 1
Parts Other REAR BUMPER Bumper cover w/dual Body Rpr 5.0 3.0 1
exh
REAR BUMPER Add for Clear Coat 1,2 1
--REAR.-BUMPER Basecoat Reduction Refn -0.3_ 1_
1 Pnt Mat 'Flex Additive 10.00 Body I
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 117.00 3.9 1
SubTotal 610.40
Grand Total 619.29
Due from Insurance Due from Customer
Sub-Total 610.40 Sub-Total 0.00
Tax 8.89 Tax 0.00
--------- ---------
Total 619.29 Total 0.00
Total Amount 619.29
INVOICE #22 03/24/2015 04:29:08 PM RO#5761 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City ®,Jlr Cq " rmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ��y
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
W20i
Abp HE Camel Cwmel Police Department
VENDOR SHIP 3 Chic squam
661 West Carmel Drive TO Camel, IN 466.322
Canit1„ IN 466 (317)671-2659
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-614.00
1 Each vehicle repairs X69 .2� $019.29
Sura Total: $619.29
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Nfie
4 _ ` ,
Car#58 Richard Thom=
Send Invoice To:
4
Carmel Police Department
Attn: Pat Young
3 Civic; Square
Cannel, IN 46132® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept, PAYMENT W9.29
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH
,AT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BEACCEPTED. ORDERED BY �3��✓
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chief of Police,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 32771 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
cap? i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
POP 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
$610.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
5761 43-510.00 $610.40 I hereby certify that the attached invoice(s), or
32771
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
Thursd March 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))
03/24/15 5761 Vehicle Repair $610.40
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