190308 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1
ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $926.25
CARMEL, INDIANA 46032 503 W CARMEL DR
CARMEL IN 46032 CHECK NUMBER; 190308
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 53227 691.00 AUTO REPAIR MAINTEN
1110 4351000 27012 53292 235.25 VEHICLE REPATRS /CAR 1
Date: 09107/2010
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive
Carmel, IN 46032 RO 53227
(31 7) 569 -9884, (31 7) 569 -9 fax) Est: Aaron McGinn
CITY OF CARMEL 107 CHEV IMPALA POLICE
CITY OF CARMEL 1 Color: WHITE
1 CIVIC SQUARE Type: PC 4D SED ;Adjustor:
CARMEL, IN 46032 VIN: 2G1WS55RX79401914 j Phone:
Home: Prod Date: 0407 Plate: IN 12623 Claim Deductible: 0
Work: Mileage: 44098 Lass Type: Other
_Fax
P W ho Pays? (I Insuran C C ustomer)
Qty ;Type Description Part Amount Sup Labor Op Labor Paint P
Labor Units
k j
FRONT BUMPER GRILLE R &I
I Parts Other bumper rover Body R &I 0.5 C i
Parts Other FRONT LAMPS LT Headlamp assy i Body R &I 0.3 I C
Parts Other it FENDER LT Fender Body Rpr i 2.5 j 2.2 C
FENDER Add for Clear Coat 0.9 C
Parts Other FENDER LT Fender liner 1 Body R &I 0.4 C
PILLARS, ROCKER FLOOR LT
1 Parts New 19120760 257.46 1 Body Repi i 0.8 2.1 C
i Rocker molding
j PILLARS, ROCKER &FLOOR Add for
1 0.4 C
Clear Coat A I I
Parts Other FRONT DOOR LT Outer panel Body Rpr 1 1.0 2,0' C
I FRONT DOOR Overlap Major Adj. I j I -0.4 C
E Panel
FRONT DOOR Add for Clear Coat B 0.3 C
Parts Other j FRONT DOOR LT Belt w'strip Body R &I 0.3 C
Parts Other FRONT DOOR LT Body side mldg Body R &I 0.31 C
FRONT DOOR Hazardous waste
Haz removal 3.00 Body Subl C
i FRONT DOOR REMOVE DECALS Body Rpr 1.0 C
j Bod
1 y
Supplies FRONT OOR Corrosion protection 10.00 Body 0.2 C I
FRONT DOOR Cover car 0,2 C
Parts Other FRONT DOOR LT R &I trim panel 1 Body R &I I
0.4 C
I FRONT DOOR LT Mirror assy w/o
Parts Other defogger 1 Body R &I 013 C
Parts Other FRONT DOOR LT Handle, outside 1 Body R &I I 0.3 1 C
Pnt/Mat MISC Paint Materials 0 215.6 I J
I i i i 7.71C
S ub7otal 1,190.061
axes 0.00
Grand Total I 1,190.06
_Due fr I n su rance _D ue from Custom
Sub -Total 0.00 Sub -Total 1,190.06
j Tax 0.00 Tax 0.00
Total 0.00 Total 1,19.
L Tot Amount j 1,190.06 j
it
0
INVOICE #22 09/07/2010 09:45:51 AM RO# 53227 Hubler Ex r ol'sion Carmel
Pagel
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Hubler Express Collision Carmel Purchase Order No.
503 West Carmel: Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/7/10 53227 payment for balance of invoice 499.06 already aid 691.00
Total
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
H ubler Express Collision Carmel IN SUM OF
503 West Carmel Drive
Carmel, IN 46032
691.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 53227 510 691.00 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
September 23 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Date: 09/17/2010
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive
RO 53292
Carmel, IN 46032
(31 569 -9884, (317) 56_9_ -9885 (_fax)_ Est: Aaron McGin
CITY OF CARMEL 10 CHEV IMPALA POLICE
CITY OF CARMEL Color: GRAY
1 CIVIC SQUARE Type: PC 4D SED Adjustor:
CARMEL, IN 46032 VIN: 2G1WD5EM1Al223234 Phone:
Home: Prod Date: Plate: unk Claim Deductible: 0
Work: Mileage: 0 Loss Type: Other
Fax: Engine: 6-3-9L-Fl
P Who Pa ys. (I Insu rance, C Customer)
Qty Type Description Part Amount Sup Labor Paint Labor Op Units units P
1 FRONT DOOR RT Mirror ass
1 Parts New w /defogger grained y 25947196 151.05 Body Rep! 0.3 0.6 G
FRONT DOOR Add for Clear Coat 0.1 C
Parts Other FRONT DOOR RT R &I trim panel Body R &I 0.4 C
1 Haz FRONT DOOR Hazardous waste 3.00 Body C
removal
Pnt/Mat MISC Paint Materials 19.60 0.7 C
SubTotal 235.25
Taxes 0.00
Grand Total 235.25
Due from Ins urance Due from Cus tomer
Sub -Total 0.00 Sub -Total 235.25
Tax 0.00 Tax 0.00
Total 0.00 Total 235.25
Total Amount 235.25
1
INVOICE #22 09/1712010 01:55:48 PM RO# 53292 Hubler Express Collision Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
C ity of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
g IVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CA"RNDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
AuMint S 2010 vehicle repairs
VENDOR Hubler Express Collision SHIP City of Carmel Police Department
503 W. Carmel Drive TO 3 Civic Squaae
Carmel, IN 416032 Caren &l, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
'.repairs to car 113 Flaming 235025
I
A
a qV k
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJE PROJECTACCOUNT AMOUNT
1110 510 auto repairs and n, nancPAY
I 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. ORDERED BY !�Il} G
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chdef of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
A.P.V. COPPY Y RETO.
DOCUMENT CONTROL NO. 27 012 CLER CLERK-TREASURER
SURER
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
Signature
Title
Cost distribution ledger classification if
claim paid rnotor 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
Hub ler Express Collision Purchase Order No. 27012F
503 West! Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/17/10 53292 payment for repairs to car 113 Flaming 235.25
Total
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
H ubler Express Collision IN SUM OF
503 West Carmel Drive
Carmel, IN 46032
235.25
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27012F 53292 510 235.25 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
September 21 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund