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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: $619.29 } }J R l Y ! Nfie 4 _ ` , Car#58 Richard Thom= Send Invoice To: 4 Carmel Police Department Attn: Pat Young 3 Civic; Square Cannel, IN 46132® PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept, PAYMENT W9.29 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH ,AT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BEACCEPTED. ORDERED BY �3��✓ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Chief of Police, •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 32771 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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