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Home My WebLink About246671 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 367104 J; s il• ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: $***'*1,496.21 r ,?? CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 246671 CARMEL IN 46032 CHECK DATE: 06/30/15 ioN co. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 32963 6270 1,035.00 VEHICLE REPAIR 1110 4351000 32892 6313 461.21 VEHICLE REPAIR Date: 06/23/2015 4 ABRA HE Carmel INVOICE AUTO BODY& GLASS 503 West Carmel Drive RO#: 6313 Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est:Timothy George CARMELPD UNIT 12 10 CHEV IMPALA POLICE Color:White Customer Pay Type: PC 4D SED Adjustor: Home: VIN:2G1 WD5EM7A1224971 Phone: Work: Prod Date: 0310 Plate: IN 15090 Claim#: 1 Deductible:0 Fax: Mileage:60166 Loss Type:Collision Engine:6-3.9L-Fl P=Who Pays. I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units Parts Other FRONT BUMPER&GRILLE License Body R&I 0.2 1 bracket 1 Stock Parts FRONT BUMPER&GRILLE A/M 2 Bumper Repair Kit 6.95 Body Rep[ I Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 4.0 3.0 1 cover w/o fog lamps FRONT BUMPER&GRILLE Add for 1.2 1 Clear Coat FRONT BUMPER&GRILLE Basecoat Refn -0.3 1 reduction Parts OEM FRONT BUMPER&GRILLE O/H Body Ovrh 2.4 1 bumper assy 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 124.80 3.9 1 SubTotal 669.25 Taxes 0 Grand Total 669.25 Due from Insurance Due from Customer Sub-Total 669.25 Sub-Total 0.00 Tax 0.00 Tax 0.00 --------- --------- Total 669.25 Total 0.00 Total Amount 69.25 INVOICE #22 06/23/2015 03:35:18 PM RO#6313 ABRA HE Carmel Page 1 Date: 06/23/2015 s ABRA HE Carmel INVOICE AUTO BODY& GLASS 503 West Carmel Drive RO #: 6270 Carmel, IN 46032 317 569-9884, 317) 569-9885 (fax) Est:Timothy George CARMELPD UNIT 103 12 CHEV IMPALA POLICE Color:WHITE Customer Pay Type: PC 4D SED Adjustor: ' VIN:2G1 W D5E38C1152365 Phone: Home: Prod Date: 0911 Plate: IN 6310 Claim #: 1 Deductible:0 Work: Mileage:51359 Loss Type: Collision Fax: 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 Parts Other TRUNK LID Applique panel primed Body R&I 0.3 1 Parts Other TRUNK LID Applique panel primed A Body Rpr 1.0 0.3 1 TRUNK LID Add for Clear Coat 0.1 1 Parts Other TRUNK LID Nameplate'FLEX FUEL' Body R&I 0.2 1 1 Parts OEM TRUNK LID Nameplate'IMPALA' 15885696 21.75 Body Repl 0.3 1 Parts Other TRUNK LID Trunk lid w/POLICE 1 Body Rpr 2.0 2.3 1 TRUNK LID Add for Clear Coat A 1 0.9 1 TRUNK LID clean and retape Body Rpr 0.3 1 Parts Other REAR BUMPER R&I bumper cover Body R&I 1.5 1 Parts Other a EAR BUMPER Bumper cover w/dual Body Rpr 3.0 3.0 1 REAR BUMPER Overlap Major Non- 1 -0.2 1 Adj.Panel REAR BUMPER Add for Clear Coat B 0.6 1 1 Stock Parts REAR BUMPER A/M'Bumper Repair 26.95 Body Repl I Kit 1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl I 1 Haz Waste 'Hazardous Waste 5.00 Body I Pnt/Mat MISC Paint&Materials 224.00 7.0 1 SubTotal 1,035.00 Taxes 0.00 Grand Total 1,035.00 Due from Insurance Due from Customer Sub-Total 1,035.00 Sub-Total 0.00 Tax 0.00 Tax 0.00 Total 1,035.00 Total 0.00 Total Amount-F— mount 1,035.00 INVOICE #22 06/23/2015 03:34:57 PM RO#6270 ABRA HE Carmel Page 1 INDIANA RETAIL TAX EXEMPT PAGE City ®f Carm' 'el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32892 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 512//201 T_ Ably HE Cannel Cafiel Pollee Depalt lent VENDOR SHIP 3 C1+11c Squmv S03 West Caa1el Drlye TO Catmiel, IN 469312 Carmel„ IN 46032 (317)671-2659 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.610.00 9 Each vehicle repairs $666.26 $669.26 Sub Total: $668.26 fil i/ P jqq ZZ Car q�y ,�- Car 2 t"'ma ,f3v Send Invoice To: r� t : i11� Carmel Police DepaAment Attn: Pat Young s Civic square Cwmel, IN AW ` PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. � > PAYMENT - 9.2 a l- • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPRIdP' TION SUFFICIENT-TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. f�/�, •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /( Y� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL pv SHIPPING LABELS. Chief o1{a Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 3 g 2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 Signature Title , Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETA TAX C ®f C�arme l CERTTIFICATE NO'L 03 201X55 02 0 PAGE Y PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3293 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 f�d�1�I2fl95 Abra HE Carmel Carmel Police Department VENDOR SHIP 3 Civic Square 503 West Carmel Drive TO Carmel, IN 46032 Carmel„ IN 46032 (317)557 2559 CONFiRMarioN BLANKET I CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-9510.00 1 Each vehicle repairs $761.31 $761.31 Sub Total: $761.31 f . `fit i ^ � _ :1' `"��-•.. ( 3 e 10 f �k 't`•'y 1 i �.�1 a i'�ii Car 103 -Dunlap Send Invoice To: Carmel Police Department Attn: Pat Young I 3 Civic Square Carmel, IN 46032` PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. PAYMENT J • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIOWSUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ` � . •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Chief of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 3 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 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 $1,496.21 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32892 6313 43-510.00 $461.21 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 32963 6270 43-510.00 $1,035.00 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, June 24, 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)) 06/23/15 6313 car 12 repairs $461.21 06/23/15 6270 car 103 repair $1,035.00 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