HomeMy WebLinkAbout259452 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 367104
® << ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: $*`**"*302.07*
y: Via, CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 259452
M�TUN � CARMEL IN 46032 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 33831 8183 302.07 VEHICLE REPAIR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ABRA HE CARMEL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
503 W CARMEL DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$302.07 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Terms
Date Due
ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
338$1 8183 43-510.00 $302.07 1 hereby certify that the attached invoice(s),or 5/26/16 8183 repairs car#123 $302.07
1110 101 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
Wednesday,June 08,2016
e
i
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
_ g Date: 05/26/2016
ARRA HE Carmel INVOICE
km BODY&GESS 503 West Carmel Drive RO#: 8183
Carmel, IN 46032
(317) 569-9884, 317)569-9885(fax) Est:Beth Shepherd
CITY OF CARMEL 14 FORD EXPLORER 4X4 POLICE Customer Pay
CITY OF CARMEL Color:gray Adjustor:SHARRELL DENISE
1 CIVIC SQUARE Type: UV 4D UTV QUICK
CARMEL, IN 46032 VIN: 1 FM5K8AR7EGC38112 Phone:
Home: Prod Date:0114 Plate: 16701 Claim#:438086026039-201
Work: Mileage:20476 Deductible:0
Fax: Engine: 6-3.7L-FI I Loss Type: Liability
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount $°P Labor Op Labor Paint P
# Units Units
Parts Other REAR LAMPS RT Tail lamp assy 1 Body R&I 0.3 1
Parts Other REAR LAMPS LT Tail lamp assy 1 Body R&I 0.3 1
REAR BUMPER O/H rear bumper Body 1.8 1
1 Parts OEM REAR BUMPER Lower cover w/o park BB5Z17F828 196.49 Body Repl I
sensors AA
Parts Other REAR BUMPER RT Reflector 1 Body R&I I
Parts Other REAR BUMPER R&I bumper cover Body R&I I
Parts Other REAR BUMPER LT Reflector 1 Body R&I I
1 Haz Waste 'Hazardous Waste 5.00 Body I
Adjustment -9.82
SubTotal 302.07
Taxes
Grand Total �-
Due from Insurance Due from Customer
Sub-Total 302.07 Sub-Total 0.00
Tax 0.00
--------- ---------
Total 0.00
Total Amount
INVOICE #22 05/26/2016 09:47:54 AM RO#8183 ABRA HE Carmel
Page