220920 06/18/2013 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: $1,603.30
CARMEL IN 46032 CHECK NUMBER: 220920
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351000 25541 2222 743 . 20 REPAIRS TO CAR 4
1110 4351000 25717 2246 860 . 10 REPAIRS
2013-May-24 08:54 PM Collision Solutions Southeast 317-782-2491 1/1
Date: 05/24/2013
ABRA HE Carmel INVOICE
AUTO BODY & GAS 503 West Carmel Drive RO#: 2222
Carmel, IN 46032
(317) 569-9884, (3 7) 569-9885 (fax) Est: Eric Tobolski_
UNIT#4 CITY OF CARMEL 09 CHEV IMPALA POLICE
1 CIVIC SQ Color: WHITE Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-733-4600 V1N: 2G1WS57M591305689 Phone:
Work: Prod Date: 0509 Plate: IN 14214 Claim#: N/A Deductible: 0
Fax: Mileage: 80500 Loss Type: Collision
En ine: 6-3.9L-Fl
P= ho Pays?_tI= Insurance,C=Customer)
r
Qty Type Description Part# Amount #Sup Labor Op tabor Paint Units Units i P
Parts Other
REAR BUMPER Bumper cover w/dual Body Rpr 6.0 3.0 1 C
REAR BUMPER Add for Clear Coat 1.21 C
Parts Other REAR BUMPER R&I bumper cover Body R&I 1.5 C
Parts Other REAR LAMPS License lamp Body R&I 0.2 C
1 Pnt Mat REAR LAMPS Flex Additive 3.00 Body C
1 Haz REAR LAMPS Hazardous waste 3.00 Body C
removal
1 Parts Other REAR LAMPS Two part bumper repair 40.00 Body C
material
Pnt/Mat MISC Paint&Materials 126.00
SubTotal 743.20:1
Taxes 0.001
Grand Total 743.20
Due from Insurance_ Due from Custom_er
Sub-Total 0.00 Sub-Total 743.20
Tax 0.00 Tax 0.00
Total 0.00 Total 743.20
Total Amount _ _ 743.20
INVOICE #22 05/24/2013 04:47:11 PM RO#2222 ABRA HE Carmel
Pagel
2013-May-24 08:53 PM Collision Solutions Southeast 317-782-2491 1/1
4
Date: 05/24/2013
ABRA HE Carmel INVOICE
503 West Carmel Drive RO#: 2246 BLASS AUTO 8i�p & Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL PD UNIT#32 09 CHEV IMPALA POLICE
3 CIVIC SQUARE Color: WHITE Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2559 VIN: 2G1 WS57M191308315 Phone:
Work: Prod Date: 0509 Plate: IN 14236 Claim*: N/A Deductible: 0
Fax: Mileage-. 75986 Loss Type: Comprehensive
Engine: 6-3.9L-Fl
P= ho Pa s? I= Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint i P
# Units Units;
Parts Other
REAR BUMPER Bumper cover w/dual Body Rpr 8.0 10 C
REAR BUMPER Add for Clear Coat 1.2 C
Parts Other REAR BUMPER R&I bumper cover Body R&I 1.5 C
Parts Other REAR LAMPS License lamp Body R&I 0.2 C
1 Parts Other 'Flex Additive/Adhesion Promotor 8.50 Body Repl C
1 Haz Waste 'Hazardous Waste 5.00 Body C
1 Parts Other MISCELLANEOUS OPERATIONS 45.00 Body Repl C
PLASIC REPAIR KIT
PnUMat MISC Paint&Materials 134.40 4.2 C
SubTotal 860.10.
Taxes 0.00
Grand Total 860.10
Due from Insurance Due from_ Customer
otal
Sub-Total 0.00 Sub-T 860.10
Tax 0.00 Tax 0.00
Total 0.00 Total 860.10
- -.
Total Amount]. __ ____ 860.10
INVOICE #22 05/24/2013 04:48:55 PM RO#2246 ABRA HE Carmel
Page 1
4 INDIANA RETAIL TAX EXEMPT PAGE
1i Carmel o CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 9747
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. tVENDOR NO. DESCRIPTION
41093
Abra Auto Body&Glaos Carmel Polleo Department
VENDOR SHIP 3 CIVIC Squam
TO
S3 West Cool Drive Carmel, IN 46M2
C2rmol . IN 4M M7157'1-2
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
9 Each vehicle repairs. $860.10 $860.10
Sub Total: $860.10
T__5-71
a
Send Invoict-MoW 6=.
t I
Carmel Pollco Department
Attu:Teresa Andorson
3 Civic Square
Carmel, IN 46.032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
armel Police Dept. PAYMENT — MOM)
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT)THERE IS AN UNOBL.IGATED BALANCE IN
THIS APPR PPRI T16N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /J////�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �f/ '/�J
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AV polleA
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2J CLERK-TREASURER
IOCUMENT CONTROL NO. A COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Y
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
City ® /�° Carmel INDIANA RETAIL TAX EXEMPT PAGE
,Jjr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 41
35-60000972
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
IIMM2
Hublor-Pxpropal Collision Carmel Pollcok Depaitment
VENDOR SHIP 3 Civic SgUaFG
TO .
SM West Carmol Drive Camel, IN 432
Camel,, IN 46M2 (317)17 Mg
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-690.60
1 Each repairs to vehicle $743.20 $743.20
Sub Total: $743.2.0
t
..............
�
Q n °
iendd In oicRe To
I
Carmel Police Department
Attn: Teresa Anderson
3 Civic Squam
Camel, IN 4432° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Teel Police Dept. r�.��� PAYMENT $743'20
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY>THATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY /!d/✓/J,CI�
'URCHASE ORDER NUMBER MUST APPEAR ON ALL
;HIPPING LABELS. 6-��hlef of PeNco
HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f Poll
co
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
L J
41 CLERK-TREASURER
CUMENT CONTROL NO. `)A P7 COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--_--_..--.
ALLOWED 20
IN THE SUM OF$ '
ON ACCOUNT OF APPROPRIATION FOR _
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bills is are true and correct and that the x �
materials or services itemized thereon for
which charge is made were ordered and
y1..
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))
05/24/13 2246 vehicle repairs/car 32 $860.10
05/24/13 2222 vehicle repairs/car 4 $743.20
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
$1,603.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25717 2246 43-510.00 $860.10 I hereby certify that the attached invoice(s), or
enrunihered bill(s) is (are) true and correct and that the
25541 2222 43-510.00 $743.20
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 14, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund