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Home My WebLink About246619 06/24/15 (9, ) CITY OF CARMEL, INDIANA VENDOR: 367104 ONE CIVIC SQUARE ABRA HE CARMEL CHECKAMOUNT: $*****1,788.51* CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 246619 CARMEL IN 46032 CHECK DATE: 06/24/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 32891 6161 1,788.51 VEHICLE REPAIR Date: 06/01/2015 s ABRA HE Carmel INVOICE AUTO BODY& CLASS 503 West Carmel Drive RO#: 6161 Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est:Timothy George CARMEL PD UNIT 4 14 FORD EXPLORER 4X4 POLICE Color:WHITE Customer Pay Type: UV 4D UTV Adjustor: Home: VIN: 1 FM5K8AR4EGC38097 Phone: Work: Prod Date: 0414 Plate: IN 16699 Claim#: Deductible:0 Fax: Mileage: 12590 Loss Type: Engine:6-3.7L-Fl P=Who Pays? I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units FRONT BUMPER O/H front bumper Body 2.8 1 Parts Other FRONT BUMPER R&I bumper assy Body R&I I 1 Parts OEM FRONT BUMPER Lower cover w/o fog BB5Z17D957 216.70 Body Repl I lamps BB Parts Other FRONT BUMPER Bumper cover w/o Body Rpr 3.0 2.4 1 auto park FRONT BUMPER Add for Clear Coat 1.0 1 Parts Other FRONT BUMPER Cap Bind 0.1 1 Parts Other FRONT BUMPER Cap A Body R&I I Parts Other FRONT BUMPER R&I bumper assy A Body R&I I Parts Other FRONT BUMPER Lower grille w/o Body R&I I trailer tow Parts Other FRONT BUMPER Valance w/Police Body R&I I Interceptor FRONT BUMPER remove decals Body Rpr 0.5 1 Parts Other FRONT BUMPER RT Support Body R&I 0.2 1 Parts Other GRILLE R&I grille assy Body R&I I Parts Other FRONT LAMPS RT Headlamp assy Body R&I 0.3 1 1 Parts OEM FENDER RT Fender liner BB5Z16102D 151.53 Body Rept 0.4 1 1 Stock Parts FENDER A/M'Bumper Repair Kit 26.95 Body Rept I Parts Other FENDER RT Fender Body Rpr 7.0 1.8 1 FENDER Overlap Major Non-Adj.Panel -0.2 1 FENDER Add for Clear Coat A 0.3 1 FENDER Add for Edging 0.5 1 1 Parts OEM FENDER RT Wheel flare BAB5Z16038A 135.03 Body Rept 0.3 1 FENDER remove decals A Body Rpr 0.5 1 Parts Other FENDER RT Trim cover Body R&I 0.1 1 FENDER align fender Body Rpr 1.0 1 'Car Cover Body Repl I - - - Corrosion Protection " Body Ref 1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Rept I 1 Haz Waste 'Hazardous Waste 5.00 Body I Pnt/Mat MISC Paint&Materials 188.80 5.9 1 SubTotal 1,788.51 Taxes 0.00 Grand Total 1,788.51 Due from Insurance Due from Customer Sub-Total 1,788.51 Sub-Total 0.00 Tax 0.00 Tax 0.00 --------- --------- Total 1,788.51 Total 0.00 Total Amount 1,788.51 INVOICE #22 06/01/2015 05:23:52 PM RO#6161 ABRA HE Carmel Pagel INDIANA RETAIL TAX EXEMPT PAGE City of Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32891 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 402015 Abra ME Carmel Carmel Palle Department VENDOR SHIP 3 Civic Square 603 Wast Cam@l Drive TO Carmel, IN 46032 Caffyiel„ IN 40032 (W)571=25i0 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-610.00 1 Each vehide repairs $1,314.56 $1,310.56 Sufi Total: $1,310.56 _x {I fjij1 A R sc 7 1 j Car 4 36t Miisler Send Invoice To: 611 Carmel Police Department Atte: Pat`young 3 Civic Square Carmel, IN 4€032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police Dept. U; �Ii`I,j1u.tlo PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFF,IDAVITATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTI KHAT THERE IS AN"GNOBLIGATED BALANCE IN THIS APPROPI TION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. / C •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL �f SHIPPING LABELS. Crll[+f of Pollco •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 3 9 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._ ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members DET# INVOICE NO. ACCT#/TITLE AMOUNT 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 7. 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 $1,788.51 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32891 I 6161 I 43-510.00 I $1,788.51 1 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 Thursday, June 11, 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)) 06/01/15 6161 vehicle repair car 4 $1,788.51 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