HomeMy WebLinkAbout223373 08/27/2013 - CITY OF CARMEL, INDIANA VENDOR: 367104 Page 1 of 1
ONE CIVIC SQUARE ABRA AUTO BODY&GLASS CHECK AMOUNT: $678.90
s•�•�o CARMEL, INDIANA 46032 503 WEST CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 223373
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 25387 2749 678 . 90 VEHICLE REPAIR
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Date: 08/10/2013
ABRA HE Carmel INVOICE
M BODY& GUSS 503 West Carmel Drive RO#: 2749
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL PDQ UNIT#153 12 CHEV IMPALA POLICE
1 CIVIC SQUARE Color: BLACK Customer Pay
;r
Type: PC 4D SED Adjustor: ,
CARMEL, IN 46032 VIN: 2G1WD5E33C1153262 Phone:
Home: 317-571-2559 Prod Date: 0911 Plate: IN 616HY Claim#: N/A Deductible: 0
Work- Mileage: 28724 Loss Type: Collision
Engine: 6-3.6L-Fl
P=Who Pays? I=Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P i
# Units Units
Parts Other REAR LAMPS LT Tail lamp assy Body R&I 0.4 C
Parts Other REAR LAMPS License lamp Body R&I 0.2 C
Parts Other UART
Q ER PANEL LT Quarter anel
P Body Rpr 1.0 2.2 C
QUARTER PANEL Add for Clear Coat 0.9 C q
Parts Other QUARTER PANEL Fuel door Body R&I 0.3 C
Parts Other QUARTER PANEL Fuel door Blnd 0.2 C
1 Sublet QUARTER PANEL RT QTR GLASS i
19207231 50,001 1 Body Sub{ C
Sublet i QOUTRTER PANEL LT QTR GLASS 50.001 1 Body Subl C
1 Parts AM i QUARTER PANEL AtM'Urethane Kit 18.00 i Body ; Repl C
Parts Other ROOF LT Molding Body I R&I 0.4 C
ROOF LT ROOF RAIL { Refn 0.8 C
Parts Other REAR BUMPER R&I bumper cover Body R&I 1.5 C
Parts Other . REAR BUMPER Bumper cover w(duai
i exh 1 Body Rpr 1.0 3.0 C
REAR BUMPER Overlap Major Non- i 1 I
Adj.Panel I -0.2 C
REAR BUMPER Add for Clear Coat A j 1 0.6 C q i
'Corrosion Protection ; Re£n 0.2 C 1 !
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50' Body Repl C
1 Pnt Mat Car Cover 3.00 Body Rep) C
1 Haz Waste 'Hazardous Waste 100 Body C ' f
PnYMat MISC Paint&Materials 246.40 7.7 C r
SubTotal 978,90
Taxes 0.00 !
Grand Total g7g,g0
I
Due_ from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 978.90
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 978.90
Total Amount 978.90 p�
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INVOICE #22 08/10/2013 09:58:40 AM RO#2749 ABRA HE Carmel
Pagel t ' '
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Co INDIANA RETAIL TAX EXEMPT PAGE
uy o -�. C CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 2M
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
70=`13
Hubl®P Express -Carmel Can-ntil Police Department
VENDOR TOIP 3 CIVIC Squm
st Carmel Drive. Carmel, IN 4NM
Cafmal„ IN 46T (SiT)571-2&%
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
I
QUA,NNT�ITpY@ gg:gUNIT�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.6 0.00
1 Each repairs to vehicle $078.90 $873.00
Sub Total: $078.90
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Send 15 01 oCollins �0 � C�
Carmel Police Department,
Attn: Teresa Antdomon
3 Citric Squam
Carmel, IN 40032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Sept. / C�j PAYMENT .�
/ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
111 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI�FY,THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ///
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ! ��l�g t ��I"@�
�II�.�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ---
2a38
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.. WARRANT NO.._._.._........__
ALLOWED 20
IN THE SUM OF$
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
r 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))
08/10/13 2749 vehicle repairs $678.90
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 HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$678.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
25387 I 2749 I 43-510.00 I $678.90 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
Thursday, August 22, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund