220047 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 367104 Page 1 of 1
ONE CIVIC SQUARE ABRA AUTO BODY&GLASS
CARMEL, INDIANA 46032 503 WEST CARMEL DRIVE CHECK AMOUNT: $1,531.45
CARMEL IN 46032 CHECK NUMBER: 220047
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 25709 2205 1, 531 .45 VEHICLE REPAIRS
Date: 05/10/2013
ABRA HE Carmel INVOICE
� � CLASS 503 West Carmel Drive RO #: 2205
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
'LUCKY' CARMEL PD 13 CHEV TRAVERSE 4X2 LT
3 CIVIC SQUARE Color: GREY Customer Pay
CARMEL, IN 46032 Type: UV 4D UTV Adjustor:
Home: 317-571-2559 VIN: IGNKRGKD5DJ147865 Phone:
Work: Prod Date: 1212 Plate: IN 123AAH Claim #: N/A Deductible: 0
Fax: Mileage: 5732 Loss Type: Collision
Engine: 6-3.6L-Fl
P= ho Pays? I=Insurance,C=Customer)
Qty Type Description Part# Amount Sup Labor Op Labor Paint P1
# Units Units
Parts Other QUARTER PANEL RT Quarter panel Body Rpr I 4.0 2.4 C
QUARTER PANEL Add for Clear Coat 1.0 C
Parts Other QUARTER PANEL RT Wheelhouse Body R&I 0.3 C
liner
QUARTER PANEL RT WHEEL HOUSE 1 Body Rpr 1.0 C
Parts Other QUARTER PANEL ROUGH PULL RT 1 Body Rpr 1.5 C
QUARTER PANEL RT JAM Body Rpr 1.0 1.5 C
1 Sublet QUARTER PANEL RT QTR GLASS 98.00 1 Body Subl C
1 Sublet QUARTER PANEL A/M Urethane Kit 25.80 Body Repl C
Parts Other REAR DOOR RT Rear w'strip Body R&I 0.2 C
Parts Other REAR DOOR RT Outer panel Body Rpr 2.0 2.0 C
REAR DOOR Overlap Major Adj. Panel -0.4 C
REAR DOOR Add for Clear Coat A 0.3 C
REAR DOOR RT INNER DOOR SHELL 1 Body Rpr 1.0 1.0 C
Parts Other REAR DOOR RT Belt w'strip chrome Body R&I 0.2 C
Parts Other REAR DOOR RT Side molding w/o Body R&I 0.3 C
body color w/o custo
'Clean& Retape Molding Body Rpr 0.3 C
Parts Other REAR DOOR RT Handle,outside Body R&I 0.3 C
Parts Other REAR DOOR RT R&I trim panel Body R&I 0.4 C
Parts Other REAR LAMPS RT Tail lamp assy Body R&I 0.3 C
REAR LAMPS RT SIDE REAR COVER Body R&I 0.5 C
'Car Cover Body Repl C
'Corrosion Protection Body Refn C
1 Haz Waste Hazardous Waste 5.00 Body C
Parts Other PILLARS, ROCKER &FLOOR RT Frt 1 Body R&I 0.5 C
rocker mldg
1 Parts OEM PILLARS, ROCKER&FLOOR RT Rear 25962841 116.25 1 Body Repl C
rocker mldg
Pnt/Mat MISC Paint&Materials 249.60 7.8 C
SubTotal 1,531.45
Taxes 27.42
Grand Total 1,558.87
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 1 531.45
Tax 0.00 Tax
Total 0.00 Total 1 58.87
Total Amount 1,558.87
INVOICE #22 05/10/2013 09:24:10 AM RO#2205 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
City o Jl ��// �v arm( l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 'A MA
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
4122-- j3
Abra Auto Body&Glass Carmel Police Depwtment
VENDOR TOIP 3 Civic Squam
5fl3West Canvol Ddve Carmel, IN 46M
Carmel.. IN 4M'V- (W)571=255
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account g UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-5)6 0.00
9 Each vehide repairs $9,350.02 $1,350.02
Saab Total: $1,350.02
' °.f fir' ��i�`:� �� !t � �P'� ••� �
Send Invoice To.
Carpel Police Department
Attn:Teresa Anderson
3 Civic Square
Carmol, IN 432- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,350,02
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERT•I4 THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS
SHIP REPAID. THIS APPROPRIATIONISUFFICIENT TO PAY FOBt THE ABOVE ORDER.
• A
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 1 /(
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ghlobf,THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AF Pollen
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
DOCUMENT CONTROL NO.
N COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.-_ WARRANT NO......-__-_...-_
ALLOWED 20
_ IN THE SUM OF$
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))
05/10/13 2205 repairs to Luckie's car $1,531.45
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 Auto Body & Glass
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$1,531.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25709 I 2205 I 43-510.00 I $1,531.45 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
Wednesday, May 15,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund