HomeMy WebLinkAbout247720 07/28/15 �,��°"% _ CITY OF CARMEL, INDIANA VENDOR: 367104
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' d ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: $*****1,650.65*
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CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 247720
'�r:o,;�` CARMEL IN 46032 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32983 6405 755.40 REPAIR
1110 4351000 32995 6439 895.25 VEHICLE REPAIRS
Date: 07/15/2015
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An-
ABRA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO #: 6405
Carmel, IN 46032
317 569-9884, (317) 569-9885 (fax) Est: Timothy George
CARMELPD UNIT 96 15 FORD EXPLORER 4X2
Color:WHITE Customer Pay
Type: UV 4D UTV Adjustor:
Home: VIN: 1 FM5K8AR8FGC41165 Phone:
Work: Prod Date: 0315 Plate: IN 17442 Claim #: 0 Deductible:0
Fax: Mileage:228 Loss Type: Collision
Engine: 6-3.5L-FI
P=Who Pays? I= Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts Other PILLARS,ROCKER&FLOOR LT Body R&I 0.5 1
Rocker molding
Parts Other FRONT DOOR LT Belt w'strip Body R&I 0.3 1
Parts Other FRONT DOOR LT Outer panel Body Rpr 3.0 2.4 1
FRONT DOOR Add for Clear Coat 1.0 1
Parts Other FRONT DOOR LT Lower molding Body R&I 0.4 1
carbon
Parts Other FRONT DOOR LT Mirror outside Body R&I 0.3 1
power,w/o signal w/he
Parts Other FRONT DOOR LT Inner cover Body R&I 0.1 1
Parts Other FRONT DOOR LT Handle,outside black Body R&I 0.4 1
Parts Other FRONT DOOR LT R&I trim panel Body R&I 0.5 1
Parts Other REAR DOOR LT Outer panel A 1 Blnd 1.3 1
Parts Other REAR DOOR LT Belt w'strip A 1 Body R&I 0.3 1
Parts Other REAR DOOR LT Lower molding carbon 1 Body R&I 0.4 1
Parts Other REAR DOOR LT Run channel w/green 1 Body R&I 0.6 1
tint glass
Parts Other REAR DOOR LT Handle,outside black 1 Body R&I 0.4 1
Parts Other REAR DOOR LT R&I trim panel A 1 Body R&I 0.4 1
Parts Other REAR DOOR LT Front w'strip 1 Body R&I 0.2 1
'Car Cover Body Repl I
'Corrosion Protection Body Ref I
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 150.40 4.7 1
SubTotal 755.40
Taxes 0.00
Grand Total 755.40
Due from Insurance Due from Customer
Sub-Total 755.40 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 755.40 Total 0.00
Total Amount 755.40
INVOICE #22 07/15/2015 12:17:13 PM RO#6405 ABRA HE Carmel
Page 1
e Date: 07/16/2015
ABRA HE Carmel INVOICE
AUTO BODY& GLASS 503 West Carmel Drive RO #: 6439
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est:Timothy George
CARMELPD UNIT 78 11 CHEV IMPALA POLICE
Color:WHITE Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN: 2G1 WD5EM4131289813 Phone:
Work: Prod Date: 0411 Plate: IN 5637 Claim #: 0 Deductible: 0
Fax: Mileage: 69847 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 R&I Body R&I 1.4 1
bumper cover
Parts Other FRONT BUMPER&GRILLE Upper Body R&I 0.2 1
grille w/o SS
1 Parts OEM FRONT BUMPER&GRILLE Lower 10333711 67.60 1 Body Repl 0.2 1
grille w/o SS
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 7.0 3.0 1
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 1
Clear Coat
1 Stock Parts FRONT BUMPER&GRILLE A/M 26.95 Body Rept I
'Bumper Repair Kit
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Rept I
Parts Other FRONT LAMPS RT Headlamp assy 1 Body R&I 0.3 1
Parts Other FRONT LAMPS LT Headlamp assy 1 Body R&I 0.3 1
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 134.40 4.2 1
SubTotal 895.25
Taxes 0.00
Grand Total 895.25
Due from Insurance Due from Customer
Sub-Total 895.25 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 895.25 Total 0.00
Total Amount 895.25
INVOICE #22 07/16/2015 04:31:29 PM RO#6439 ABRA HE Carmel
Pagel
i
C0 INDIANA RETAIL TAX EXEMPT PAGE
ily of
Carmpil
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
�d99�
Alam HE Cumol CumGl Pollco Doartmon4
VENDOR
SHIP 3 CIVIC squama
SM Wo84 Cool Dflvo TO C@iimGl, IN
Cafmol„ IN 46M (W)59i=
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610.09
9 Each whide repairs $854.85
Sub Total: $M.85
�r
L \\
�r
° \ 1
Carr 78 spay O` .
mit
Send Invoice To:
Carmel Police Dog wimGnt
Atte: Pat Young
3 Clalc squm
Cool, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT t\ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. L S PAYMENT -
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE/PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER FjY HAT THERE IS AN�UNOBLIGATED BALANCE IN
THIS APPR W N SUFFICIE T TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. d//
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. �hlof of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r� CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 9 7 5 A.P,V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
City
®f
����� INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO.003120155 002 0
'r. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Abm HE C@mol Czmol Pollee Doia2AFnoflt
VENDOR
SHIP 3 CIVIC squm
fin Mot Cffmtal Dda@ TO Cmtol, IN 4
Carmol, IN 4 (39 o)379
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
n OUA,�NTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Aeeount 43-690.0
9 Each vehicle repairs $519.00 5349.00
Sub Total: $349.00
P
t axe �n oa
291
Car 90 Major Strong 00
Send Invoice To: � 11\
Carmel Pollen OopiAmoet
Atte: P9 Young
3 CIVIC squ@m
Carmol, IN 4 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,-\ACCOUNT PROJECT I PROJECT ACCOUNT T AMOUNT
Carmel Police Dept. �� T
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 I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP� 1•N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL �a
SHIPPING LABELS. Chlooq 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. 32983 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.---
ALLOWED 20
IN THE SUM OF $
U)
tt b y
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
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))
07/15/15 6405 repairs car 96 $755.40
07/16/15 6439 repairs car 78 $895.25
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$1,650.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. CT#/TITLE AMOUNT Board Members
32983 6405 43-510.00 $755.40 I hereby certify that the attached invoice(s), or
Fbill(s) is (are)true and correct and that the
32995 6439 43-510.00 $895.25
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursd y, July 23, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund