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HomeMy WebLinkAbout252221 12/08/15 �5 (9,- 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