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 $205.57
pub Total: 205.57
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windshield replacement for car 103 -Dunlap� � ���� ;�` � . �����
Send Invoice To: �'✓�1 - "``' = j�s
Carmel Police Department
Attn. Pat Young
3 Civic squaro
Carmel, IN 4603 PLEASE INVOICE IN DUPLICATE
DEPARTMENT
�, ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �zu5. �i
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE P OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS //
• I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPR(, 1i0 SUFFICIENTTO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS. G hief of
PQlic@
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 7 3 9 A.P.V. COPY-SIGN'AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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