HomeMy WebLinkAbout249582 09/23/15 °�'C5911
> CITY OF CARMEL, INDIANA VENDOR: 367104
d it ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: S"«"""1 211.40'
f. _� CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 249582
fM/(,UN.�,� CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 33041 755.40 VEHICLE REPAIRS
1110 4351000 33025 6671 456.00 VEHICLE REPAIRS
Date: 09/14/2015
s
ARRA HE Carmel INVOICE
AUTO BODY& GIASS 503 West Carmel Drive RO #: 6671
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est:Timothy George
CARMEL PD UNIT 53 13 CHEV IMPALA POLICE Allstate Insurance Company
Color: DRK BLUE/GREY MET
Type: PC 4D SED Adjustor:
Home: VIN: 2G1 WD5E3XD1255742 Phone:
Work: Prod Date: 0413 Plate: IN 10829 Claim #: 000378656615
Fax: Mileage:44704 Deductible: 0
Engine: 6-3.6L-FI 1 Loss Type:
P= ho Pa s? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# I Units Units
Parts Other a EAR BUMPER Bumper cover w/dual Body Rpr 3.0 3.0 1
REAR BUMPER Add for Clear Coat 1.2 1
Parts Other REAR BUMPER R&I bumper cover Body R&I 1.5 1
1 Haz Waste Hazardous Waste 3.00 Body I
Pnt/Mat MISC Paint&Materials 126.00 4.2 1
SubTotal 529.20
Taxes 8.82
Grand Total 538.02
Due from Insurance Due from Customer
Sub-Total 529.20 Sub-Total 0.00
Tax 8.82 Tax 0.00
--------- ---------
Total 538.02 Total 0.00
Total Amount —5
US(.,.OC'
INVOICE #22 09/14/2015 02:29:37 PM RO#6671 ABRA HE Carmel
Page 1
Date: 09/10/2015
ABRA HE Carmel INVOICE
503 West Carmel Drive RO #: 6714
IAUT@ BODY GLASS 503
IN 46032
317) 569-9884, 317) 569-9885 fax Est: Katherine Erdmann
CARMEL PD UNIT 160 12 CHEV TAHOE 4X2 Carmel Police Department
Color: BLACK
Type: UV 4D UTV Adjustor:
Home: VIN: 1 GNSK2E07CR310564 Phone:
Work: Prod Date: 0512 Plate: IN 417LJX Claim #: UNKNOWN
Fax: Mileage: 0 Deductible: 0
Engine: 8-5.3L-FI 1 Loss Type: Collision
P=Who Pays? I=Insurance,C=Customer
Sup Labor Paint
Qty Type Description Part# Amount # Labor Op Units Units P
Parts Other FRONT BUMPER R&I bumper cover- Body R&I 0.7 1
Loosen
Parts Other FRONT BUMPER Center bracket Body Rpr 0.5 1
Parts Other FRONT LAMPS LT Headlamp assy Body Rpr 1.5 1
Parts Other FRONT LAMPS LT R&I headlamp assy Body R&I 0.3 1
Parts Other FENDER LT Fender Tahoe Body Rpr 6.0 2.0 1
FENDER Add for Clear Coat 0.8 1
Parts Other FENDER LT Fender liner Tahoe w/o Body R&I 0.3 1
Parts Other PILLARS,ROCKER& FLOOR LT Body R&I 1.0 1
Running board
'Car Cover Repl 0.2 1
'Corrosion Protection Refn 0.2 1
1 Haz Waste 'Hazardous Waste 5.00 Body I
Pnt/Mat MISC Paint&Materials 102.40 3.2 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 09/10/2015 09:17:50 AM RO#6714 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
City Of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 9
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
WO%
a
Abia HE C@nol Cafflol Police DawAmoit
VENDOR SHIP 3 CIVIC Rquaro
Std at Camel
Drive TO Cs��'Bol,, 18�94
C ol„ IN 4= � ���6571-2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account
QUANTITY A UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610.M
9 Each vehicle repairs $650.40 $659.40
Saab Total: $650.40
i P
Car 900 Brian Snaith
Send invoice To:
a� -:` fit •,� _.
Carmel Police Department
Attar: P9 Young
3 CIVIC squm
Camel, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. MW
AU
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 SW RN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION FFIC ENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ( of
Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
ANDACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
®�� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
�194�95 ,
Abm NO Camol Ctaol Police Dapartmont
VENDOR SHIP 3 CIVIC squam
S3 Moot C&ml Crivo TO ftmol, IN 4
Cool„ IN 4EM (W)571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-640.00
9 Each vehide ropairs W58.00 $450.00
Saab Total: we.00
Car 53 Miko Miller L
Send Invoice To: / '� '
Camel Polico ®epIrtrn®nt •. ..
Attn: Pat Young
3 CIVIC scum
Carmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
Can el Police Dept. .eau
PAYMENT
\ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J` O NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVITA7CHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TCHERV jS AN UNOBLIjC,ATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION OF (CI NT TOP Cr THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,,fig v
SHIPPING LABELS. Chid PoIICI1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -.
®� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.i/. 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))
09/10/15 6714 Vehicle Repairs $755.40
09/14/15 6671 Vehicle Repairs $456.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$1,211.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33041 6714 43-510.00 $755.40 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
33025 6671 43-510.00 $456.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, September 15, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund