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Home My WebLink About251345 11/04/15I " Q CITY OF CARMEL, INDIANA VENDOR: 367104 ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: S"""""""878.48`CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 251345 CARMEL IN 46032 CHECK DATE: 11/04/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 33211 6975 878.48 VEHICLE REPAIR \ 1 Date: 10/29/2015 a ABRA HE Carmel INVOICE AUTO BODY& GLASS 503 West Carmel Drive RO #: 6975 Carmel, IN 46032 317 569-9884, 317) 569-9885 (fax) Est:Timothy George CARMEL PD UNIT 56 12 CHEV IMPALA POLICE Carmel Police Department Color:WHITE Type: PC 4D SED VIN:2G1 W D5E30C1284181 Adjustor: Home: Phone: Work: Prod Date: 0412 Plate: IN 7149 Claim #: 1 Deductible: 0 Fax: Mileage: 65029 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 FENDER RT Fender liner 10333702 22.73 Body Repl 0.4 1 Parts Other FENDER RT Fender-Lower Ext 1 Body Rpr 1.0 1 FENDER RF Pinch Weld 1 Body Rpr 1.0 1 FENDER Adjust RFD and R fend Gap 1 Body Rpr 0.5 1 1 Parts OEM PILLARS,ROCKER&FLOOR RT 19256957 201.15 Body Repl 0.8 2.1 1 Rocker molding PILLARS,ROCKER& FLOOR Add for 0.8 1 Clear Coat Parts Other PILLARS,ROCKER&FLOOR Floor 1 Body Rpr 4.0 0.6 1 pan 1 Haz Waste Hazardous Waste 5.00 Body I Pnt/Mat MISC Paint&Materials 112.00 3.5 1 SubTotal 878.48 Taxes 0.00 Grand Total 878.48 Due from Insurance Due from Customer Sub-Total 878.48 Sub-Total 0.00 Tax 0.00 Tax 0.00 --------- --------- Total 878.48 Total 0.00 Total Amount 878.48 INVOICE #22 10/29/2015 04:49:06 PM RO#6975 ABRA HE Carmel Pagel INDIANA RETAIL TAX EXEMPT PAGE City ® 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. j VENDOR NO. DESCRIPTION 90629095 Abra HE Camol Cunol Pollco Dopmrtmort VENDOR SHIP 3 CIVIC egU@M SM Ffi bot c2mol Oliva TO ftmol, IN Gael„ IN 9M (W)679 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT OUANTIITYYUNNIIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-M.60 I Each vehicle repairs $588.38 $588.38 Sub Total: $588.38 a 4 l � daQ � a Cor 56 Rowbfih o Send Invoice To: I Carmol P®Ilco Uopmftorf4 Attn: Pet Young 3 Civic Squaro Carmol, IN 4m- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cmrrael P�lico D�p4. ` . � PAYMENT •s"9 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PRO ER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIF FVA{THERE IS AN UNOBLIGATED BALANCE IN THIS APPROP Y O SHIP REPAID. UFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Ad�p A ®II�.B •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 3321 I A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ Q_r�? 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)) 10/29/15 6975 vehicle repairs $878.48 1 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 $878.48 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1 hereby certify that the attached invoice(s), or 33211 I 6975 I 43-510.00 I $878.48 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 Friday, October 30, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund