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Home My WebLink About258338 05/10/16 / CITY OF CARMEL, INDIANA VENDOR: 367104 ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: S'"""1,009.23' CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 258338 CARMEL IN 46032 CHECK DATE: 05/10/16 ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 7946 280.93 AUTO REPAIR & MAINTEN 1110 4351000 33776 7946 728.30 VEHICLE REPAIR VOUCHER NO. WARRANT NO. ALLOWED 20 ABRA HE CARMEL 503 W CARMEL DRIVE IN SUM OF$ CARMEL, IN 46032 z _ ON ACCOUNT OF APPROPRIATION FOR Carmel Police • Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members �a§X15Mj 7946 I 43-510.00 I $728.30 1 hereby certify that the attached invoice(s), or 1110 101 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, April 29, 2016 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/27/16 7946 repairs car 108-K.White $728.30 1110 101 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 Date: 04/27/2016 840A, ABRA HE Carmel INVOICE WANT® BODY& GLASS 503 West Carmel Drive RO#: 7946 Carmel, IN 46032 317 569-9884, 317 569-9885 fax Est: Randy Macon CARMEL PD UNIT 108 12 CHEV IMPALA POLICE Carmel Police Department Color:Grey Type: PC 4D SED Adjustor: ' VIN:2G1 WD5E38C1150681 Home: Phone: Work: Prod Date: 0911 Plate: 12345 Claim#: N/A Deductible:0 Fax: Mileage:42500 Loss Type:Collision Engine:6-3.6L-Fl P=Who Pays. I=Insurance,C=Customer City Type Description Part# Amount Sup Labor Op Labor Paint P # Units Units 1 Parts OEM FRONT BUMPER&GRILLE Energy 15886100 203.98 1 Body Repl 0.2 1 absorber Parts OEM FRONT BUMPER&GRILLE O/H 1 Body Ovrh 2.4 1 bumper assy Parts Other FRONT BUMPER&GRILLE R&I Body R&I I bumper cover Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 4.0 3.0 1 cover w/o fog lamps FRONT BUMPER&GRILLE Add for 1.2 1 Clear Coat 1 Parts OEM FRONT BUMPER&GRILLE Lower 10333712 66.95 1 Body Repl I grille black 'Color Tint Ref 0.5 1 1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl I 1 Haz Waste 'Hazardous Waste 5.00 Body I Pnt/Mat MISC Paint&Materials 159.80 4.7 1 SubTotal 1,009.23 Taxes 0.00 Grand Total 1,009.23 Due from Insurance Due from Customer Sub-Total 1,009.23 Sub-Total 0.00 Tax 0.00 Tax 0.00 --------- --------- Total 1,009.23 Total 0.00 Total Amount 1,009.23 INVOICE #22 04/27/2016 11:35:01 AM RO#7946 ABRA HE Carmel Pagel o INDIANA RETAIL TAX:EXEMPT Page 1 . of 1. a ® �� CERTIFICATE NO.0031:20155.002 0 PURCHASE ORDER NUMBER 1C. me FEDERAL EXCISE TAX EXEMPT 33776 . ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A1P 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 4/8/2016 367104 ABRA HE CARMEL. . C armel Police VENDOR 503 W.CARMEL DRIVE SHIP 3 Civic.Square TO -Carmel,.IN. 46032- CARMEL, IN 46.032- CONFIRMATION-" . BLANKET : CONTRACT. PAYMENT TERMS FREIGHT QUANTITY - UNI.T.OF MEASURE' DESCRIPTION. . UNIT PRICE : EXTENSION Department: 1110 Account:. 43-510.00 Fund: 101 General Fund 1 Each- vehicle repair $728.30: " : $728.30. Sub Total $72930 " _� Al Send Invoice To: , Carmel Police 4 ar 40%_j'Kan White '� 3 Civic Square L� ,5a ' . . .Carmel, IN 46032- - Z-tl t I �-� '��-- � 5 ,., ► PLEASE INVOICE IN DUPLICATE DEPARTMEN ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $728.30 SHIPPING INSTRUCTIONS ".AIPVDUCHER CANNOT BE APPROVEDTOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. TIS'APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORYTHEREOFANDSUPPLEMENTTHERETO.' ORDERED BY TITLE CONTROL NO. 33776 CLERK-TREASURER ABRA Carmel, Formerly Hubler Workfile ID: Of974254 Federal ID: 41-1484683 Express Right the First Tiime...On Time 503 West Carmel Drive, Carmel, IN 46032 Phone: (317) 569-9884 FAX: (317) 569-9885 Preliminary Estimate Customer: Carmel PD,Carmel PD Job Number: Written By: Beth Shepherd Insured: Carmel PD,Carmel PD Policy#: Claim#: Type of Loss: Date of Loss: Days to Repair: 0 Point of Impact: 12 Front Owner: Inspection Location: Insurance Company: Carmel PD,Carmel PD ABRA Carmel,Formerly Hubler Express ;;, 503 West Carmel Drive ,.,% 503 Carmel,IN 46032 Repair Facility (317)569-9884 Business VEHICLE Year: 2012 Body Style: 4D SED VIN: 2G1WD5E38C1150681 Mileage In: 42500 Make: CHEV Engine: 6-3.6L-FI License: 12345 Mileage Out: Model: IMPALA POLICE Production Date: State: Vehicle Out: Color: Grey Int: Condition: Job#: TRANSMISSION Body Side Moldings FM Radio SEATS Automatic Transmission Tinted Glass Stereo Bucket Seats Overdrive Wood Interior Trim Search/Seek WHEELS POWER CONVENIENCE CD Player Styled Steel Wheels Power Steering Air Conditioning Auxiliary Audio Connection PAINT Power Brakes Intermittent Wipers SAFETY Clear Coat Paint Power Windows Tilt Wheel Drivers Side Air Bag OTHER Power Locks Cruise Control Passenger Air Bag Traction Control Power Mirrors Rear Defogger Anti-Lock Brakes(4) Stability Control Power Driver Seat Keyless Entry 4 Wheel Disc Brakes Power Trunk/Gate Release DECOR RADIO Front Side Impact Air Bags Dual Mirrors AM Radio Head/Curtain Air Bags 4/8/2016 12:57:44 PM 307327 Page 1 Preliminary Estimate Customer: Carmel PD,Carmel PD Job Number: Vehicle:2012 CHEV IMPALA POLICE 4D SED 6-3.6L-FI Grey Line Oper Description Part Number Qty Extended Labor Paint Price$ 1 FRONT BUMPER&GRILLE 2 0/H bumper assy 2.4 3 R&I R&I bumper cover Incl. 4 * <> Rpr Bumper cover w/o fog lamps 4Q 3.0 5 Add for Clear Coat 1.2 6 MISCELLANEOUS OPERATIONS 7 # Refn 'Color Tint 0.5 8 # Repl 'Flex Additive/Adhesion Promoter 1 8.50 T 9 # 'Hazardous Waste 1 5.00 X SUBTOTALS 13.50 6.4 4.7 ESTIMATE TOTALS Category Basis Rate Cost$ Parts 0.00 Body Labor 6.4 hrs @ $50.00/hr 320.00 Paint Labor 4.7 hrs @ $50.00/hr 235.00 Paint Supplies 4.7 hrs @ $34.00/hr 159.80 Miscellaneous 13.50_ Subtotal Sales Tax $168.30 @ 7.0000 Grand Total Deductible 0.00 CUSTOMER PAY 0.00 INSURANCE PAY MyPriceLink Estimate ID: 147746651279212544 A PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN INSURER FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION COMMITS A FELONY. 4/8/2016 12:57:44 PM 307327 Page 2