HomeMy WebLinkAbout260079 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 367104
ONE CIVIC SQUARE ABRA HE CARMEL CHECK AMOUNT: $*******743.25*
;. ?4 CARMEL, INDIANA 46032 503 W CARMEL DRIVE CHECK NUMBER: 260079
CARMEL IN 46032 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 33831 8323 130.00 VEHICLE REPAIR
1110 4351000 33988 8323 613.25 VEHICLE REPAIR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ABRA HE CARMEL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
503 W CARMEL DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be property 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.
Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
'N#` I ACCT# DATE INVOICE# DESCRIPTION
b
d Members DEPT# INVOICE# Fund# AMOUNT BoarDEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
_=33988; 8323 43-510.00 $613.25 6/22/16 8323 repairs car 149 $613.25
I hereby certify that the attached invoice(s),or
1110 101 1110 101
bill(s)is(are)true and correct and that the
Ivamaterials or services itemized thereon for
UT-1 which charge is made were ordered and
received except
Wednesday,June 22,2016
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
Mko..
Date: 06/22/2016
ABRA HE Carmel INVOICE
503 West Carmel Drive
AM X01 &GLASS Carmel, IN 46032 RO#.8323
317) 569-9884, (317) 569-9885 fax Est:Joseph Jones
Carmel PD UNIT 149 10 CHEV IMPALA POLICE Carmel Police Department
Color:GREY p
Type: PC 4D SED Adjustor:
Home: VIN:2G1 WD5EM4A1223812
Prod Date: 0310 Plate: IN 61OUD Phone:
Work: Mileage: 76621 Claim* Deductible:0
Fax: Engine: 6-3.9L-Fl Loss Type:
_ _ l
P= ho Pa ? 1=Insurance,G=Customer
Sup Labor Paint
Qty ?Type Description Part# Amount # Labor Op Units Units P
i -
Parts OEM FRONT BUMPER&GRILLE O/H
bumper assy Body Ovrh 2.4 1
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 1
bumper cover
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 4.0 3.0 i
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for
Claw Coat 1.2 1
1 Pnt Mat 'Flex AdditivelAdheslon Promoter 8,50 Body Repl I
Parts Other FRONT LAMPS RT Headlamp assy Body R&I 0.3 1
Parts Other FRONT LAMPS LT Headlamp assy Body R&I 0.3 i
1 Naz Waste 'Hazardous Waste 5.00 Body I
1 Stock Parts MISCELLANEOUS OPERATIONS AIM 26.95 Body Rept t
'Bumper Repair Kit Y
Pnt/Mat MISC Paint&Materials 142.80 4.2 1
SubTotal 743,25
Taxes 0.00
Grand Total 743.25
Due from Insurance Due from Customer
Sub-Total 743.25 Sub-Total 0.00
Tax 0.00 Tax 0.00
Total 743.25 Total 0.00
Total Amount 743.25
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INVOICE #22 06/221201612:09:57 PM RO#8323 ABRA HE Carmel
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