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Home My WebLink About190793 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $1,147.36 CARMEL, INDIANA 46032 503 W CARMEL DR CARMEL IN 46032 CHECK NUMBER: 190793 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 27027 53323 1,147.36 REPAIRS TO CAR 89 Date: 09/23/2010 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 53323 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn CITY OF CARMEL 07 CHEV IMPALA POLICE CITY OF CARMEL Color. GREY CITY OF CARMEL 1 CIVIC SQUARE Type: PC 4D SED Adjustor: CARMEL, IN 46032 VIN: 2G1WS55RX79334778 Phone: Home: Prod Date: 0207 Plate: IN 927AAP Claim 27027 Deductible: 0 Work: Mileage Loss Type: Other Fax: Engine: 6- 3.9L -FI P Who Pays? (I Insurance, C Customer) Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units Polish Hood panel 2 Body 1.6 C 1 Parts New FENDER LT Fender L 89023525 190.96 Body Repl 2.4 2.2 C FENDER Clear Coat 0.9 C FENDER Add for Edging 0.5 C FENDER Add for Clear Coat A 0.1 C Parts Other FENDER LT Fender liner Body R &I C 1 Parts New FENDER LT Emblem GM 15223484 5.00 Body Rep] 0.2 C Parts Other PILLARS, ROCKER FLOOR LT Body R &I 0.8 C Rocker molding PILLARS, ROCKER FLOOR LT 2 Body Rpr 1.0 1.0 C Hinge pillar Parts Other FRONT DOOR LT Outer panel Body Rpr 2.0 2.0 C FRONT DOOR Overlap Major Adj. -0.4 C Panel FRONT DOOR Add for Clear Coat B 0.3 C Parts Other FRONT DOOR LT Belt w'strip Body R &I 0.3 C Parts Other FRONT DOOR LT Mirror assy w/o Body R &I 0.3 C defogger Parts Other FRONT DOOR LT Handle, outside Body R &I 0.3 C Parts Other FRONT DOOR LT R &I trim panel Body R &I 0.4 C Parts Other FRONT DOOR LT Body side mldg Body R &I 0.3 C FRONT DOOR Clean &Reback side Body 0.4 C molding 1 Supplies FRONT DOOR Corrosion protection 10.00 Body 0.2 C 1 Haz FRONT DOOR Hazardous waste 3.00 Body C removal FRONT DOOR Cover car 0.2 C Pnt/Mat MISC Paint Materials 190.40 6.8 C SubTotal 1,147.36 Taxes 0.00 Grand Total 1,147.36 Due from Insurance Due from Customer Sub -Total 0.00 Sub -Total 1,147.36 Tax 0.00 Tax 0.00 Total 0.00 Total 1,147.36 Total Amount 1,147.36 INVOICE #22 09/23/2010 04:30:06 PM RO# 53323 Hubler Express Collision Carmel Pagel INDIANA RETAIL TAX EXEMPT PAGE C ity of .0 C rme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3 OkNKCIVIC SOUARE 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 Sept mber 15, 2010 J repairs to vehicle VENDOR Hubler Express Collis6on SHIP City of Carmel Police Department 503 N. Carmel Drive TO 3 Civic Square C IN 46032 Carmel, IN 46302 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 89 f Horner 1,076.16 r Send Invoice To: 11 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maint nance�AYMENT 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 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ,C �j THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 66� �Iol ce AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, CLERK- TREASURER DOCUMENT CONTROL No.27027 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 Signature __T 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 bilf 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 Collison Carmel Purchase Order No. 27027' 503 West: Carmel Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/23/10 53323 payment for vehicle .-repairs 1,147.36 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 urler Express Collision Carmel IN SUM OF 503 West Carmel Drive Carmel, IN 46032 1,147.36 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members Po# or INVOICE NO.. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 27027F 53323 510 1,147.36 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 October 6 2 0 10 h&AZe. b. 12 A Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund