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Home My WebLink About250104 1 0/07/1 5 �' A+. CITY OF CARMEL, INDIANA VENDOR: 367104 j; .j : ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: S"""'2,912.46• ,. a CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 250104 9Miiai'-!�' CARMEL IN 46032 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 33159 6789 2,912.46 VEHICLE REPAIR V4 Date: 09/25/2015 R, ABRA HE Carmel INVOICE AUTO BODY&GLASS 503 West Carmel Drive RO#: 6789 Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est: Ryan Edwards CARMELPD UNIT 90 14 FORD EXPLORER 4X4 POLICE Carmel Police Department Color:WHITE Type: UV 4D UTV Adjustor: ' VIN: 1 FM5K8AR4EGC38102 Home: Phone: Work: Prod Date:0414 Plate: IN 16690 Claim#: 1 Deductible:0 Fax: Mileage:25883 Loss Type: Engine:6-3.7L-Fl P=Who Pays. I=Insurance,C=Customer Qty Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units FRONT BUMPER O/H front bumper Body 2.8 1 1 Parts OEM FRONT BUMPER Lower cover w/o fog BB5Z17D957 316.85 Body Repl I lamps BB 1 Parts OEM FRONT BUMPER Bumper cover w/o BB5Z17D957 571.85 Body Repl 3.4 1 auto park APTM FRONT BUMPER Add for Clear Coat 1.4 1 1 Parts OEM FRONT BUMPER Cap BB5Z17A900 32.58 Repl 0.2 1 APTM FRONT BUMPER Add for Clear Coat A 0.1 1 FRONT BUMPER Remove Decal Body R&I 1.0 1 1 Parts OEM FRONT BUMPER Impact bar{BOR} 13135Z17757A 466.55 Body Rep[ 0.6 1 1 Parts OEM FRONT BUMPER RT Mount bracket AB5Z17C886 26.23 Body Repl 0.7 0.3 1 FRONT BUMPER Add for Clear Coat B 0.1 [ Parts OEM FRONT LAMPS RT Headlamp assy Body R&I 0.3 1 Parts Other FRONT LAMPS RT Headlamp assy A Body Rpr 2.0 1 Parts Other FENDER RT Fender liner Body R&I 0.4 1 Parts Other FENDER RT Wheel flare Body R&I 0.3 1 Parts Other FENDER LT Wheel flare Body R&I 0.3 1 Parts Other FENDER LT Fender liner Body R&I 0.4 1 1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Rep[ I 1 Haz Waste 'Hazardous Waste 5.50 Body I 'Body Pull-right frame rail Frame Rpr 2.0 1 MISCELLANEOUS OPERATIONS right Body Rpr 7.0 0.9 1 frame rail after pull 'Car Cover Body Repl I 'Corrosion Protection Ref 1.0 1 PnUMat MISC Paint&Materials 236.80 7.4 1 SubTotal 2,912.46 Taxes 0.00 Grand Total 2,912.46 Due from Insurance Due from Customer Sub-Total 2,912.46 Sub-Total 0.00 Tax 0.00 Tax 0.00 ------ --------- Total 2,912.46 Total 0.00 Total Amount 2,912.46 INVOICE #22 09/25/2015 12:00:52 PM RO#6789 ABRA HE Carmel Pagel INDIANA RETAIL TAX EXEMPT PAGE C 'ty ®f Carme'"i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33159 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 9110/2015 Abm ISE CmmA-1 Camel Pollc6 Department VENDOR SHIP 3 CIVIC SqU 503 West Camel Drive TO Carmol, IN 45032 Camel, IN 4.003'2 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-510.00 1 Each vehicle repairs $2,050.33 $2,050.38 Bram Total: $2,050.38 FC car 90 Nava�fe Send Invoice To: W� Carel Police Department Attn: Pat Young 3 Chic Square Carmel, IN 450 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT Carmei Ponce wept. PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHATTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATI SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. �// •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY - Z� �- e� SHIPPING LABELS. t�rh 4'f Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER IA.P.V. coP�-SIGN� � �e Ie!URTO cLRK°sol-�lC� DOCUMENT CONTROL NO. 33155 VOUCHER NO. WARRANT NO. ALLOWED 20 { IN THE SUM OF$ If 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 I 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 $2,912.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33159 I 6789 I 43-510.00 I $2,912.46 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 Tuesday, ep mber 29, 2015 r 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)) 09/25/15 6789 repairs car 90 $2,912.46 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