HomeMy WebLinkAbout225254 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367104 Page 1 of 1
ONE CIVIC SQUARE ABRA AUTO BODY&GLASS CHECK AMOUNT: $1,110.23
CARMEL, INDIANA 46032 503 WEST CARMEL DRIVE
' CARMEL IN 46032
CHECK NUMBER: 225254
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 25422 3020 91 . 53 VEHICLE REPAIR
1110 4351000 25433 3079 1, 018 . 70 VEHICLE REPAIRS
Date: 10/18/2013
ABRA HE Carmel INVOICE
AUTO BODY 4 CLASS 503 West Carmel Drive RO #: 3079
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL PD UNIT#152 12 CHEV IMPALA POLICE
3 CIVIC SQUARE Color: BLACK Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2559 VI N: 2G1WD5E3XC1147149 Phone:
Work: Prod Date: 0911 Plate: IN 618HY Claim#: N/A Deductible: 0
Fax: Mileage: 24855 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
# Units Units
FRONT BUMPER&GRILLE O/H front Body 2.4 -C
bumper
1 Parts AM FRONT BUMPER&GRILLE A/M GM1000764P 258.00 Body Repl 3.0 C
CAPA Bumper cover w/o fog lamps P
FRONT BUMPER&GRILLE Add for 1.2 C
Clear Coat
1 Parts AM FRONT BUMPER&GRILLE A/M GM1070241 D 171.00 Body Repl C
Energy absorber S
1 Parts AM FRONT BUMPER&GRILLE A/M GM1200551 81.00 Body Repl C
Upper grille black
1 Parts AM FRONT BUMPER&GRILLE A/M GM1036107P 57.00 Body Repl C
CAPA Lower grille black P
Parts Other FRONT BUMPER&GRILLE RT Bezel Body R&I C
w/Police pkg
Parts Other FRONT BUMPER&GRILLE LT Bezel Body R&I C
w/Police pkg
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl C
1 Haz Waste 'Hazardous Waste 7.00 . Body C
Pnt /Mat MISC Paint&Materials 126.00 4.2 C
SubTotal 1,018.70
Taxes 0.00
Grand Total 1,018.70
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 1,018.70
Tax 0.00 Tax 0.00
Total 0.00 Total 1,018.70
Total Amount 1,018.70
INVOICE #22 10/18/2013 03:48:28 PM RO#3079 ABRA HE Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0
li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
94l�t2tl9� .
Abra HE Carmel Camel Police Department
VENDOR SHIP 3 Chic Squaw
TO
Salmi blast +Caffn�el yDIive C.garmal, IP� 46032
Cat oI„ IN 46fa 2 (397)671-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account -610.00
1 Each vehicle repairs $1,018.70 $1,018.70
Sub Total: $1,018.70
-t
141
{9
N, a
�
if
Sentl Invoice To. }
Canvel Police Department
Mr. Teresa Anderson
3 Civic Square
Carmel, IN 41=. PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept, g
-- PAYMENT $1,010.70
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
? NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS ANU NOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIONSUFFICIENT TO PAY FOR THE ABOVE ORDER.
• JJ
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. g
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of Polk@
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
5 'I CLERK-TREASURER
DOCUMENT CONTROL NO. 'A'P. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
_.-_----------- _._ _ —__�
IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$1,018.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
25433 I 3079 I 43-510.00 I $1,018.70 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
Monday, October 21, 2013
Chief of Police
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))
10/18/13 3079 vehicle repairs/car 152- N. Zellers $1,018.70
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
Date: 10/08/2013
ABRA HE Carmel INVOICE
AUTO BODY & G SS 503 West Carmel Drive
Carmel, IN 46032 RO #: 3020
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL PD UNIT#38 11 CHEV IMPALA POLICE
1 CIVIC SQUARE Color: WHITE Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2259 VIN: 2G1WD5EM1l31289817 Phone:
Work: Prod Date: 0411 Plate: IN 5435 Claim#: N/A Deductible: 0
Fax: Mileage: 50517 Loss Type: Collision
Engine: 6-3.9L-Fl
P=Who Pay s? I = Insurance,C=Customer
Qty Type Description Part# Amount #Sup Labor Paint Labor Op Units Units P
1 Parts OEM FRONT DOOR RT Mirror gls w/o 89046150 82.13 Body Repl 0.2 C
defogger
SubTotal 91.53
Taxes 0.00
Grand Total 91.53
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 91.53
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 91.53
Total Amount 91.53
INVOICE #22 10/08/2013 04:26:50 PM RO#3020 ABRA HE Carmel
Page 1
Co INDIANA RETAIL TAX EXEMPT PAGE
�1 o ,, _°,�anal CERTIFICATE NO.003120155 002 0
/ 1i \10.//1�+� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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. is DESCRIPTION
911W013i
Alga WE Camel Camel Police DepMmertt
VENDOR TOHIP 3 Civic Square
503 Walt Carmel Drive Camel, lid
Carmol„ IN 42 (3 17)671 2
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610.00
1 Each vehicle repairs $91.53 $91.53
Sub Total: $91.53
MI / 7
��.
I
NETa
S efn2cr 1hvolce To.
Caramel Police Department
Attn: Teresa Anderson
3 Civic Square
Camel, IN 46032. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept, PAYMENT W1•53
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• -...,
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of pallco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. w
5"4'2 2 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
TOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
S
ON ACCOUNT OF APPROPRIATION FOR
i
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
p .
received except-- ------- -- - _ — --- ---
20
...............................-......_........................--.....................................................................--...--.....-....................-...---......-............-----------
Signature
............................................................. ....... ................................................ . . ..
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Abra HE Carmel
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$91.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25422 3020 43-510.00 $91.53
I hereby certify that the attached invoice(s), or
I
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, October 17, 2013
Chief of Police
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))
10/08/13 3020 vehicle repairs/car 38-Govin $01.53
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