HomeMy WebLinkAbout244872 05/05/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA AUTO BODY & GLASS CHECKAMOUNT: $*******200.88*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 244872
CARMEL IN 45032 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32852 5983 200.88 VEHICLE REPAIR
Date: 04/30/2015
a
ABRA HE Carmel INVOICE
PAM BODY& GLASS 503 West Carmel Drive RO#: 5983
Carmel, IN 46032
317 569-9884, (317) 569-9885 fax Est:Joseph Miller
CARMEL PD UNIT 157 12 CHEV IMPALA POLICE
Color:Silver Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN:2G1 WD5E31 C1287266 Phone:
Work: Prod Date:0412 Plate: IN 519LIR Claim#: 1 Deductible:0
Fax: Mileage:35261 Loss Type:
Engine:6-3.6L-Fl
P=Who Pays. I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
1 Parts OEM FRONT DOOR LT Mirror assy w/o 25947195 144.88 Body Rept 0.3 0.6 1
defogger grained
FRONT DOOR Add for Clear Coat 0.1 1
Parts Other FRONT DOOR LT R&I trim panel Body R&I 0.4 1
Pnt/Mat MISC Paint&Materials 22.40 0.7 1
SubTotal 234.4
Taxes 0
Grand Total 234.48
Due from Insurance Due from Customer
Sub-Total 234.48 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 234.48 Total 0.00
Total Amount 1 0.481
INVOICE #22 04/30/2015 10:27:35 AM RO#5983 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32
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
4i'�3l2�09�J
Ably HE Carmel Carrel Police Department
VENDOR SHIP 3 Civic Square
SM W@st Carmel Drive TO Carmel, IN 46032
Carmel„ IN 45032 (3.17)571®2550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 10.00
1 Each vehicle repairs $200.88 $200.88
Sub Total: $200.88
-IT
-1
2-6
Car 1557 Lt. Blek-61 a :}
Send Invoice To:
Camel Pollee Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
-Carmel Police Dept. VJJ.
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS !,HEREBY CERTIFY THAT THERE ISAN UNOBLIGATED BALANCE IN
TF IS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. r..,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY, � ._'€a
SHIPPING LABELS. li^ { Clllef Of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -..
CLERK-TREASURER
DOCUMENT CONTROL NO- 32852 A.P.V. COPY-SIGN ANIS RETURN TO CLERKS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
II
20
Signature
— -- ---- -- Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Abra HE Carmel ALLOWED 20
IN SUM OF$
503 West Carmel Drive
Carmel„ IN 46032
$200.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32852 5983 43-510.00 $200.88
I hereby certify that the attached invoice(s), or
I I 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, May 01, 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))
04/30/15 5983 vehicle repairs $200.88
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
20Clerk-Treasurer