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HomeMy WebLinkAbout243143 03/18/15 CITY OF CARMEL, INDIANA VENDOR: 367104 ® ONE CIVIC SQUARE ABRA AUTO BODY AND GLASS CHECK AMOUNT: $*******201.28* CARMEL, INDIANA 46032 ATTN: ACCTS PAYABLE CHECK NUMBER: 243143 7225 NORTHLAND DRIVE N,STE 210 CHECK DATE: 03/18/15 BROOKLYN PARK MN 55428 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 32789 W987271329 201.28 WINDSHIELD REPAIR Young, Patricia A From: noreply@abraauto.glasscustomer.com Sent: Thursday, March 12, 2015 12:40 PM To: Young, Patricia A Subject: Workorder W987271329 Completed ABRA Auto-Body-&Glasses t '225 Northland=Dnve;Ste. 2-10- ;MN Brooklyn-Park '55428 (888) 461-0010 www.abraauto.com Federal Tax ID: 41-1484683 City of Cannel Police Department W987271329 3 Civic Square 3/11/2015 CARMEL, IN 46032 PO Number: 70630 (317) 571-2559 Ext Acct ID: 70630 Vehicle: 2012 Chevrolet Impala 4 Door Sedan VIN: 2B 1 WD5E38C1152365 Install Date: 3/12/2015 Install Time: 10:00 AM Installer:Nick S Qty Part Number Description Price Total 1.0 DWO1640GTYN Windshield-(W/Third Visor $116.28 $116.28 Frit,Solar Controlled) 1.0 70F 70 Flat(Flat Rate) (2.3 Hours) $70.00 $70.00 1.0 HAH000004 Adhesive- $15.00 $15.00 (2.0,Urethane,Dam,Primer) Subtotal: $201.28 Tax: $0.00 Less Adj.: $0.00 Less Prepayments: $0.00 On Account: $0.00 Safe Drive Away Time: Thank you for choosing ABRA! 1 INDIANA RETAIL TAX EXEMPT PAGE C ity o Carmel ' CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 322789 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 ARRA Auto Body&Glass ` Carmol Police Department AccountsRec@iwable SHIP 3 Civic Squaw VENDOR 722-5 Narthland Ddy@ N Suit TOanfiel, IN 4603-2 Brooklyn Park, MIN 55428 j` t� (W)671.2-559 CONFIRMATION BLANKET CONTRACT / PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.510.00 1 Each windshield repair $205.57 $205.57 pub Total: 205.57 IV I Alt, ev ti ° - ti Q A° windshield replacement for car 103 -Dunlap� � ���� ;�` � . ����� Send Invoice To: �'✓�1 - "``' = j�s Carmel Police Department Attn. Pat Young 3 Civic squaro Carmel, IN 4603 PLEASE INVOICE IN DUPLICATE DEPARTMENT �, ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �zu5. �i PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE P OPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS // • I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR(, 1i0 SUFFICIENTTO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL / SHIPPING LABELS. G hief of PQlic@ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 7 3 9 A.P.V. COPY-SIGN'AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ C-.ms's � 1 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 II -- ----- ----• ---____—__-.—__ Title i Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ABRA Auto Body & Glass ALLOWED 20 Aceounts Receivable D, IN SUM OF$ 7225 Northland Drive Ne Suite2T0 Brooklyn Park, MN 55,428 $201.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 32789 43-510.00 $201.28 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 Friday, March 13, 2015 a� 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)) 03/11/15 windshield car 103 $201.28 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