HomeMy WebLinkAbout226217 11/19/2013 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: $1,293.52
CARMEL IN 46032 CHECK NUMBER: 226217
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 25414 3041 551 . 27 AUTO REPAIR
1110 4351000 25445 3191 742 . 25 VEHICLE REPAIR
Date: 11/07/2013
ABRA HE Carmel INVOICE
AUTO BODY & GLASS 503 West Carmel Drive
Carmel, IN 46032 RO #: 3041
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL UNIT#65 13 CHEV IMPALA POLICE
1 CIVIC SQARE Color: SILVER Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2559 VIN: 2G1WD5E31D1252406 Phone:
Work: Prod Date: 0413 Plate: IN 10830 Claim#: N/A Deductible: 0
Fax:
Mileage.- 1828 Loss Type: Collision
En ine: 6-3.6L-Fl
P=Who Pays? I =Insurance,C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
Units
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 1.4 C
bumper cover
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 2.0 3.0 C
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 C
Clear Coat
Parts Other FRONT BUMPER&GRILLE Upper Body R&I 0.2 C
grille silver
Parts Other FRONT BUMPER&GRILLE Lower Body R&I 0.2 C
grille silver
1 Parts OEM FRONT BUMPER&GRILLE RT 20959871 29.87 Body Repl 0.1 C
LOWER SIDE GRILL
FRONT BUMPER&GRILLE LT Body R&I 0.1 C
LOWER SIDE GRILL
1 Pnt Mat 'FlexAdditive/Adhesion Promoter 5.00 Body Repl C
1 Haz Waste 'Hazardous Waste 5.00 Body C
Pnt/Mat MISC Paint&Materials 126.00 4.2 C
SubTotal 551.27
Taxes 0.00
Grand Total 551.27
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 551.27
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 551.27
Total Amount 551.27
INVOICE #22 11/07/2013 10:28:48 AM RO#3041 ABRA HE Carmel
Page 1
Date: 11/07/2013
• A
ABRA HE Carmel INVOICE
AUTO BODY & GLASS 503 West Carmel Drive RO #: 3191
Carmel, IN 46032
(317) 569-9884, 317) 569-9885 (fax) Est: Eric Tobolski
CARMEL PD UNIT#153 12 CHEV IMPALA POLICE
3 CIVIC SQUARE Color: BLACK Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 123-456-7890 VIN: 2G1WD5E33C1153262 Phone:
Work: Prod Date: 0911 Plate: IN 616HY Claim#: N/A Deductible: 0
Fax: 123-456-7890 Mileage: 34124 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
Units Units P
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 1.4 C
bumper cover
Parts Other FRONT BUMPER&GRILLE Bumper Body Rpr 5.0 3.0 C
cover w/o fog lamps
FRONT BUMPER&GRILLE Add for 1.2 C
Clear Coat
Parts Other FRONT BUMPER&GRILLE Upper Body R&I 0.2 C
grille black
1 Parts OEM FRONT BUMPER&GRILLE Lower 10333712 66.95 Body Repi 0.2 C
grille black
Parts Other FRONT BUMPER&GRILLE RT Bezel Body R&I 0.2 C
w/Police pkg
Parts Other FRONT BUMPER&GRILLE LT Bezel Body R&I 0.2 C
w/Police pkg
1 Pnt Mat 'Flex Additive/Adhesion Promoter 8.50 Body Repl C
1 Haz Waste 'Hazardous Waste 5.00 Body C
Pnt/Mat MISC Paint&Materials 126.00 4.2 C
SubTotal 742.25
Taxes 0.00
Grand Total 742.25
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 742.25
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 742.25
I
Total Amount 742.25
INVOICE #22 11/07/2013 09:48:56 AM RO#3191 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City Of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26445
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
9032912093
Abra ME Carmel Camel PaHco Department
VENDOR SHIP 3 Civic Squaro
TO
503 Est Carmel Ddvra Camel, IN 46032
Camel„ IN 46032 (397)579 12
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610.00
9 Each vehicle repairs $742.25 $742.25
Sub Total: $742.25
• °�°• A4
car 9531 W_ Collins 0 �]
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 46032. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. � ��j PAYMENT $742.25
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE,�S AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONSUFFI_CIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ����Pollc�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 4 jr-- CLERK-TREASURER
DOCUMENT CONTROL NO. A . COPY-SIGN AND RETURN TO CLERK'S OFFICE
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.#. I hereby certify that the attached invoices), 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
INDIANA RETAIL TAX EXEMPT PAGE
City of ;;C rme l CERTIFICATE NO.003120155 002 0\��.•///lL�s 1i PURCHASE ORDER NUMBER
a
FEDERAL EXCISE TAX EXEMPT
35-60000972 25414
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
Abm HE Ciarm @l Camel Pollca Cepartmont
VENDOR SHIP 3 CIVIC Squam
TO
503 Mot Camol Drivo C @I, IN 46M
Carmol„ IN Q (317)571-2%9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.00
1 Each vehicle repairs $551.27 $551.27
Sub'Total: $551.27
� ® -4 -
r�P
Send Invoice To: �V
C @real Pollco Departmo»t
Attn.Teresa Anderson
3 Chic squ2m
Cafmol, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
'armel Police Dept. ' , ' PAYMENT $551.27
- '• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI/ONNN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. •
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chlof$f Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
215 414 CLERK-TREASURER
)OCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
- I
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))
11/07/13 3191 repairs car 53 $742.25
11/07/13 3041 repairs car 65 $551.27
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
$1,293.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25445 3191 43-510.00 $742.25 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
25414 3041 43-510.00 $551.27
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, November 14, 2013
1
&.Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund