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Home My WebLink About248689 08/26/1 5 oCoq.. at 'fir, . CITY OF CARMEL, INDIANA VENDOR: 367104 z ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: $**.....364.30* x. CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 248689 M,,ION CARMEL IN 46032 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 33009 6554 364.30 VEHICLE REPAIR e Date: 08/13/2015 ABRA HE Carmel INVOICE AUTO BODY & GLASS 503 West Carmel Drive RO #: 6554 Carmel, IN 46032 (317) 569-9884, (317) 569-9885 (fax) Est:Timothy George CARMELPD UNIT 42 12 CHEV CAPRICE POLICE Color:white Customer Pay Type: PC 4D SED Adjustor: Home: VIN: 6G1 MK5U29CL611468 Phone: Work: Prod Date: 1111 Plate: IN 7182 Claim #: Deductible: 0 Fax: Mileage: 43396 Loss Type: Engine: 8-6.OL-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 RT Mirror assy w/o heated 92214581 177.58 Body Repl 0.5 I 1 Parts OEM FRONT DOOR RT Mirror cover 92193908 35.92 Body Repl I 1 Parts OEM FRONT DOOR RT Belt molding 92227429 98.00 Body Repl 0.3 I FRONT DOOR Steel Wool RF Door Body Rpr 0.3 1 Glass SubTotal 364.30 Taxes 0.00 Grand Total 364.30 Due from Insurance Due from Customer Sub-Total 364.30 Sub-Total 0.00 Tax 0.00 Tax 0.00 --------- --------- Total 364.30 Total 0.00 Total Amount 1 364.30 i INVOICE #22 08/13/2015 02:42:03 PM RO#6554 ABRA HE Carmel Page 1 INDIANA RETAIL TAX EXEMPT PAGE City ®f Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER *• FEDERAL EXCISE TAX EXEMPT mm 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 Abram HE Carmel Carmol Pollco Dwalt fort VENDOR SHIP 3 Civic lit u2m sw roost C&MG1 MUG TO Dormol, IN 4 Carmol„ IN 4 (W)S7i CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-690.09 9 Each whide repairs M4.30 $304.30 Saab Total: $364.30 °°°°° . Car42 Rob Me Send Invoice To: 0f Cermel Police DoparkmGnt Attn: Pmt Young 3 Civic Square Cool, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT-7 AMOUNT Carmel Police Dept. � � � PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION /FAAENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. a laf®Q Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. cA®®� CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CL'ERK'S OFFICE VOUCHER NO. WARRANT NO. _ ALLOWED 20 IN THE SUM OF$ t.-I 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 —T-7 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)) 08/13/15 6554 car 42 repairs $364.30 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 $364.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33009 I 6554 I 43-510.00 I $364.30 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, August 20, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund