HomeMy WebLinkAbout192838 12/15/2010 Q -D CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1
ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $232.75
CARMEL, INDIANA 46032 503 W CARMEL DR
CARMEL IN 46032 CHECK NUMBER: 192838
CHECK DATE: 12/1512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 27080 53645 232.75 VEHICLE 140 REPAIRS
Date: 12/0312010
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive RO 53645
Carmel, IN 46032
(317) 569 9 8_8 4, (317) 569 -9885 (fax) Est: Aaron McGinn
CITY OF CARMEL 09 CHEV IMPALA POLICE CITY OF CARMEL POLICE
CITY OF CARMEL Color: WHITE DEPARTMENT
1 CIVIC SQUARE Type: PC 4D SED Adjustor:
CARMEL, IN 46032 VIN: 2G1WS57M191307388 Phone:
Home: Prod Date: 0509 Plate: IN 14251 Claim VEHICLE #140
Work: Mileage: 0 Deductible: 0
Fax: Engine: 6- 3.9L -Fl Loss T Other
P= ho Pa s? (I Insurance, C Customer)
Qty Type Description Part Amount S# Labor Labor Op U nits Units P
1 Parts New FRONT DOOR LT Mirror assy wlo 25947195 147.35 Body Repi 0.3 0.6 i
defogger grained
FRONT DOOR Add for Clear Coat 0.1 1
Parts Other FRONT DOOR LT R &I trim panel Body R &I 0.4 1
Pnt/Mat MISC Paint Materials 21.00 0.7 1
SubTotai 232.75
Taxes 0.00
Grand Total 232.75
Due from Insurance Due from Customer
Sub -Total 232.75 Sub -Total 0.00
Tax 0.00 Tax 0.00
Total 232.75 Total 0.00
Total Amount F 2 32.7 5
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INVOICE #22 12/03/2010 11:01:44 AM RO# 53645 Hubler Express Collision Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
City of C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3m,)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
Nove er 11. 2010 vehicle re airs
VENDOR Hubler Express Collision SM IP City of Carmel Police DeparWent
503 W. Carmel Drive TO 3 Civic Squase
Carmel, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car 140 hoveall 232075
wD
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and m ntennaxt'c PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE APART 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 APkORIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
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 Chdftf 5f Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
SIGN
DOCUMENT CONTROL NO. 27 0 8 0 N
A.P.V. APV. COPY -SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO._
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
t
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill( 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
Tide
Cost distribution ledger classification it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hubler Express Collision
IN SUM OF
503 West Carmel Drive
Carmel„ IN 46032
$232.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
I Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
27080 53645 43- 510.00 $232.75 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, December 09, 2010
&I AA J> AA
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))
12/03/10 53645 payment for repairs to car 140 Loveall $232.75
1 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