HomeMy WebLinkAbout252221 12/08/15 �5
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CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: $*****1,152.90*
CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 252221
CARMEL IN 46032 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 33230 7088 1,152.90 VEHICLE REPAIR
Date: 11/30/2015
n
ABRA HE Carmel INVOICE
AUTO BODY & GLASS 503 West Carmel Drive RO #: 7088
Carmel, IN 46032
317 569-9884, (317) 569-9885 fax Est:Timothy George
Carmel Pd Unit#11 13 CHEV C1500 4X2 SUBURBAN LT Carmel Police Department
Color: White
Type: UV 4D UTV
VIN: 1 GNLC2E09DR308804 Adjustor:
Home: Phone:
Work: Prod Date: 0413 Plate: IN 10098 Claim #: 0 Deductible: 0
Fax: Mileage: 30500 Loss Type: Collision
Engine: 8-5.3L-Fl
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
Parts OEM FRONT BUMPER O/H bumper assy 1 Body Ovrh 2.5 1
Parts Other FRONT BUMPER R&I bumper cover 1 Body R&I I
1 Parts OEM FRONT BUMPER Air deflector 15203734 64.45 Body Repl I
Parts Other FRONT BUMPER RT Lamp cover Body R&I I
Parts Other FRONT BUMPER LT Lamp cover Body R&I I
Parts Other FRONT BUMPER Impact bar-L brkt 1 Body Rpr 0.5 1
Parts Other FRONT BUMPER Bumper cover 1 Body Rpr 9.5 3.0 1
FRONT BUMPER Add for Clear Coat 1 1.2 1
Parts Other FRONT BUMPER Impact bar-Rt brkt 1 Body Rpr 0.5 1
Parts Other FENDER RT Fender liner Suburban w/o 1 Body Rpr 0.5 1
Parts Other FENDER LT Fender liner Suburban w/o 1 Body Rpr 0.5 1
'Color Tint Refn 0.5 1
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Rept I
1 Haz Waste 'Hazardous Waste 5.00 Body I
1 Stock Parts MISCELLANEOUS OPERATIONS A/M 26.95 1 Body Repl I
'Bumper Repair Kit
Pnt/Mat MISC Paint&Materials 150.40 4.7 1
SubTotal 1,152.90
Taxes
Grand Total
Due from Insurance Due from Customer
Sub-Total 1,152.90 Sub-Total 0.00
Tax 17.52 Tax 0.00
--------- ---------
Total 1,170.42 Total 0.00
Total Amount 1,170.42
INVOICE #22 11/30/2015 09:53:15 AM RO#7088 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City ® Carm(Q-I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
i 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,
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
i i/ 062M
Ahrra HE C2mol Carmel Police Department
VENDOR
SHIP 3 CIVIC SgU@r@
SM W08$ Cwmol Drii7lvo TO Coital, IN 4=
C@mGl„ IN 48M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITYUNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION '
Account 43-610.00
9 Each vehide repairs $1,909.28 49,901.28
Sub Total: X31,901.28
0 U_
5f
Send Invoice To:
Cannel P®llce Department
Atte: Pat Young
3 Civic Squ@m
Carmel, IN A tm PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT - PROJECT ACCOUNT AMOUNT
Cwmel Police Dept. � PAYMENT 0 ,1I ry,'
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPgIA I SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /a/ v
SHIPPING LABELS. / Spica?of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (((/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 3323 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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))
11/30/15 7088 vehicle repairs $1,152.90
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
$1,152.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33230 I 7088 I 43-510.00 I $1,152.90 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
Wednesda , December 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund