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Date: 08/26/2015
ABRA HE Carmel INVOICE
503 West Carmel Drive RO #: 6579
AUTO BODY & GLASS Carmel, IN 46032
(317) 569-9884, 317 569-9885 (fax) Est: Katherine Erdmann
CARMELPD UNIT 52 12 CHEV IMPALA POLICE
Color:WHITE Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN: 2G1 W D5E33C1285549 Phone:
Work: Prod Date: 0412 Plate: IN 7150 Claim #: 1 Deductible: 0
Mileage:42115 Loss Type:
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 REAR BODY&FLOOR Rear body Body Rpr 2.0 0.6 1
panel
REAR BODY&FLOOR Add for Clear 0.2 1
Coat
1 Parts OEM REAR LAMPS RT Tail lamp assy 25971598 153.38 Body Repl 0.4 1
Parts OEM REAR LAMPS O/H bumper assy Body Ovrh 1.9 1
Parts Other REAR LAMPS License lamp Body R&I I
1 Parts OEM REAR BUMPER Energy absorber 20759789 176.98 Body Repl I
Parts Other a EAR BUMPER Bumper cover w/dual Body Rpr 7.5 3.0 1
REAR BUMPER Overlap Major Non- -0.2 I
Adj. Panel
REAR BUMPER Add for Clear Coat A 0.6 1
Parts OEM REAR BUMPER RT Bumper cover reinf Body Repl I
plate
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 134.40 4.2 1
SubTotal 1,273.21
Taxes 0.00
Grand Total 1,273.21
Due from Insurance Due from Customer
Sub-Total 1,273.21 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 1,273.21 Total 0.00
Total Amount 1,273.21
INVOICE #22 08/26/2015 04:06:59 PM RO#6579 ABRA HE Carmel
Pagel
Date: 08/21/2015
s
ABRA HE Carmel INVOICE
503 West Carmel Drive RO #: 6636
AUTO BODY & GLASS Carmel, IN 46032
(317) 569-9884, 317 569-9885 (fax) Est: Timothy George
CARMEL PD UNIT 49 13 CHEV IMPALA POLICE
Color: WHITE Customer Pay
Type: PC 4D SED Adjustor:
Home: VIN:2G1 WD5E36D1253017 Phone:.
Work: Prod Date: 0413 Plate: IN 10827 Claim #: 1 Deductible: 0
Fax: Mileage: 43219 Loss Type: Collision
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 BUMPER&GRILLE Energy 15886100 203.98 1 Body Repl 0.2 1
absorber
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 7.5 3.0 1
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 1
Clear Coat
Parts OEM FRONT BUMPER&GRILLE O/H Body Ovrh 2.4 I
bumper assy
1 Parts OEM FRONT BUMPER&GRILLE Lower 10333712 66.95 Body Repl I
grille black
1 Stock Parts FRONT BUMPER&GRILLE A/M 26.95 Body Repl I
'Bumper Repair Kit
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
'Corrosion Protection Body Refn I
'Color Tint Refn 0.5 1
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 150.40 4.7 1
SubTotal 1,200.98
Taxes 0.00
Grand Total 1,200.98
Due from Insurance Due from Customer
Sub-Total 1,200.98 Sub-Total 0.00
Tax 0.00 Tax 0.00
--------- ---------
Total 1,200.98 Total 0.00
Total Amount 1,200.98
INVOICE #22 08/21/2015 03:58:53 PM RO#6636 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
City ® C arm( l " 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,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Abri SIG Cmm@l Camol PoIlco DmAmon4
VENDOR
SHIP 3 CIVIC squm
EM ot Cumol Ddyo TO 0199 ol, IN 4M
CoIeI„ IN 4= (W)ffi
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF DESCRIPTION UNIT PRICE EXTENSION
MEASURE
Account 43,690.00
4 Each vehicle repair $790.30 $790.00
Sub Totd: $700.00
c '� ... 1� ,
O • �" ,<
Car 40 ®alan Hood '=��I�I ('�:........
Send Invoice To: �- ®°
Cwaol Pollco Dopmftont
Attn: P@t Young
3 CIVIC squm
Cwm®i, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. 90.E
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 PROP�qTR SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY°T ATTj ERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRYATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chi ®R P®ilco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chi E
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
DOCUMENT CONTROL NO. 330 2 6 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carme' l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 9Q
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
�99ID .
Abm HE Cwmol CUM01 POIICG Dopmotmonl:
VENDOR ft
SHIP 3 Chile squm
SM at C@mGI D�I�G TO ftmol, IN 462
C@mol„ IN 4= (W)671-2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS I
FREIGHT
Account
QUANTIT^Y����ggpppUN��ITgqOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
fiacrcount 43 610.0
1 Each eehlde repairs 8801.03 8889.03
Sub Total: 8801.03
�.xr��.,1 '8' • � eQ���
wr 52 Dae bane r'
Send Invoice To: rv ����`� ��� �J
Crmol P®lleo DopmAmont '
Attn: Pat Young
3 CIVIC I qum
Cannel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. '�. ; .� W39.03
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PRgPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY
THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAPAY FOR THE ABOVE ORDER.
• '`"//
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �pl�Ild7 �Y �®II�G
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �s
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 3®1 qj A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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))
08/21/15 6636 repairs car 49 $1,200.98
08/26/15 6579 repairs car 52 $1,273.21
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
$2,474.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33026 6636 43-510.00 $1,200.98 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
33014 6579 43-510.00 $1,273.21
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday September 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund