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HomeMy WebLinkAbout193126 12/22/2010 a CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 b ONE CIVIC SQUARE HUBLER EXPRESS COLLISION CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $948.63 2 CARMEL IN 46032 CHECK NUMBER: 193126 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 27075 53666 948.63 VEHICLE REPAIRS Date: 12/0912010 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 53666 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn CITY OF CARMEL 08 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: 2G1WS583481360400 Phone: Home. Prod Date: 0608 Plate: IN 13256 Claim VEHICLE 11 Work: Mileage: 57070 Deductible: 0 Fax: Engine. 6-3.9L-Fl Loss Type: Other P Who Pays? (I Insurance, C Customer) Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units Parts Other Align -front suspension Mech Rpr 0 -9 1 J Parts New FRONT BUMPER GRILLE O/H Body Ovrh 2.4 1 bumper assy 1 Parts New FRONT BUMPER GRILLE Bumper 89025047 392.33 Body Repl 3.0 1 cover w/o fog lamps FRONT BUMPER GRILLE Add for 1.2 1 Clear Coat 1 Parts New FRONT BUMPER GRILLE Lower 10333711 68.75 Body Repl I grille center LS, LT, LTZ, POLICE 1 Body FRONT BUMPER GRILLE Flex 100 Body Supplies Additive y Pnt/Mat MISC Paint Materials 117.60 4.2 1 SubTotal 948.63 Taxes 0.00 Grand Total 948.63 Due from Insurance Due from Customer Sub -Total 948.63 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 948.63 Total 0.00 Total Amount 948.63 INVOICE #22 12/09/2010 03:49:28 PM RO# 53666 Hubler Express Collision Carmel Page 1 f% P C iiice PAGE INDIANA RETAIL TAX EXEMPT 1 of 1 ci t 0 armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 27075 3)pM 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION November S, 20 10 vehicle repairs VENDOR Hubler Express Collision SHIP City of Carmel Police Department 503 W. Carsial Drive TO 3 Civic Squaca Carl, IN 46032 Carmel, IN 46432 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 11 Lovitt 1,034044 77 A s 4, 110, Send Invoice To:�� I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT_ AMOUNT 1110 510 auto repatts and main!ten#hce PAYMENT 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 APP 0PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f:C f PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. i THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE C 6 of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO-270 A.P.V. COPY SIGN AND RETURN TO CLERK 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 2© Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Hubler Express Collision IN SUM OF 543 West Carmel Drive Carmel„ IN 46032 $94 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 27075 53666 43 510.00 $948.63 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 Wednesday, December 15, 2010 WAN 0 1) —�'y I LI 4 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 invoices) or bill(s)) 12/09/10 53666 repairs to car 11 Lovitt $948.63 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