HomeMy WebLinkAbout244171 04/15/15 u% CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA AUTO BODY &GLASS CHECK AMOUNT: $*******636.70*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 244171
CARMEL IN 46032 CHECK DATE-' 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32827 5897 636.70 VEHICLE REPAIR
Date: 04/09/2015
ABRA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO#: 5897
Carmel, IN 46032
317 569-9884, 317 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT 7KOCSV 15 FORD F150 4X4 SUPERCREW XL
Color:White Customer Pay
Type:TK 4D SHORT Adjustor:
Home: 317-716-0158 VIN: 1 FTEW 1 E82FFA16747 Phone:
Work: Prod Date: 1214 Plate: IN TK381 LAE Claim#: 1 Deductible: 0
Fax: Mileage:5673 Loss Type:
Engine: 6-3.5L-Fl
P=Who Pays. I=Insurance,C=Customer
City Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
FRONT BUMPER O/H front bumper Body 3.2 1
1 Parts OEM FRONT BUMPER-Bumper w/fog lamps FL3Z17757A 480.10 Body Repl I
chrome
1 Haz Waste 'Hazardous Waste 3.00 Body I
SubTotal 636.70
Taxes 0.00
Grand Total 636.70
Due from Insurance Due from Customer
Sub-Total 636.70 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 636.70 Total 0.00
Total Amount 636.70
INVOICE #22 04/09/2015 02:44:09 PM RO#5897 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carme� C. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
111111 111-111
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
41115
Ahla HE Carmel Carmel Police Department
VENDOR SHIP 3 Citic squat,@
503 Work Carmel Drive TO Carmel, IN 4
Camicl„ IN 4 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
1 Each vehicle repairs $636.70 $636.70
Sub Total: $636.70
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Sen Invoice To: )p1
Carmel Folies Department
Attn: pat Young
3 Civic Square
Carmel, IN 46032® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. ( = $636.70
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. tIf
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /f/:,BaEtf
SHIPPING LABELS. }alt
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (fes! l ® Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMEN1 T THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 320827 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. _
ALLOWED 20
IN THE SUM OF$
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
20
i ------ - 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
$636.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32827 5897 43-510.00 $636.70
I hereby certify that the attached invoice(s), or
I
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, April 09, 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))
04/09/15 5897 vehicle repairs $636.70
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