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Home My WebLink About220920 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