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HomeMy WebLinkAbout194621 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 s` 0 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $3,385.26 CARMEL, INDIANA 46032 503 W CARMEL DR •��ibii `off CARMEL IN 46032 CHECK NUMBER: 194621 CHECK DATE: 2/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 53732 112.25 AUTO REPAIR MAINTEN 1110 R4351000 27054 53732 233.82 VEHICLE REPAIRS 1110 R4351000 27120 53882 3,039.19. CAR 141 REPAIRS Date: 01/2812011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 53732 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn CITY OF CARMEL 07 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: 2G1WS55R479341032 Phone: Home: Prod Date: 0207 Plate: IN 11909 Claim VEHICLE #30 Work: Mileage: 0 Deductible: 0 Fax: Engine: 6-3.9L-Fl Loss Type: Other P Who Pays. (I Insurance, C Customers Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units 1 Parts New FRONT DOOR LT Body side midg 19120770 122.98 Body Repl 0.3 0.5 1 FRONT DOOR Add for Clear Coat 0.1 1 FRONT. DOOR Clean adhesive on door Body 0.3 1 1 Parts New REAR DOOR LT Body side mldg A 19120768 109.89 Body Repl 0.2 0.4 1 REAR DOOR Overlap Minor Panel -0.2 1 REAR DOOR Add for Clear Coat A 0.1 1 REAR DOOR Clean adhesive on door A Body 0.3 1 PntlMat MISC Paint Materials 25.20 0.9 1 SubTotal 346.07 Taxes 0.00 Grand Total 346.07 Due from Insurance Due from Customer Sub -Total 346.07 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 346.07 Total 0.00 Total Amount 346.07 INVOICE #22 01128/2011 11:59:28 AM RO# 53732 Hubler Express Collision Carmel Pagel Date: 02/08/2011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 53882 Carmel, IN 46032 31 569 -9884, 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: MOORE- WINTERS, CARMEL, IN 46032 VIN: 2G1WS57M791305225 BRENDA Home: Prod Date: 0409 Plate: IN 14374 Phone: 800 332 -3226 Work: Mileage: 17671 Claim 004224480 -202 Fax: Engine: 6-3.9L-Fl Deductible: 0 Loss T ype: Liability P Who Pays. I Insurance, C Customer Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units Parts New REAR BUMPER O/H bumper assy Body Ovrh 2.3 1 1 Parts REAR BUMPER RECOND Bumper 19120961 428.00 Body Rep[ 3.0 1 Recond cover LT, LTZ, SS, POLICE REAR BUMPER Add for Clear Coat 1.2 1 1 Parts AM REAR BUMPER Qual Repl Parts GM1170200D 142.00 Body Repl I Energy absorber S 1 Supplies REAR BUMPER Flex Additive 5.00 Body I 1 Haz REAR BUMPER Hazardous waste 3.00 Body I removal 1 Parts New REAR BUMPER Impact bar 25865729 144.98 1 Body Repl 1.0 1 REAR BUMPER Add for Clear Coat A 1 0.2 1 Parts Other REAR LAMPS FIT Tail lamp assy Body R &I 0.4 I Parts Other REAR LAMPS LT Tail lamp assy Body R &I 0.4 I 1 Parts New REAR LAMPS License lamp 15873660 29.46 Body Repl I Parts Other REAR LAMPS High mount lamp Body R &I 0.3 I TRUNK LID Decals per invoice Body Repl I 1 Parts New TRUNK LID Emblem 15839172 42.80 Body Repl 02 I 1 Parts New TRUNK LID Nameplate 'I M PALA' 15885696 17.34 Body Repl 0.3 1 Parts New TRUNK LID Applique panel LS, LT, 15826274 115.20 Body Repl 0.3 I LTZ, POLICE chrom TRUNK LID Nameplate 'E -85' Body R &I 0.2 I TRUNK LID Clean &Reback Body Rpr 0.2 I Parts Other TRUNK LID Weatherstrip Body R &I 0.4 I 1 Parts Used TRUNK LID Qual Recy Parts trunk lid 19179354 593.75 Body Repl 0.7 3.5 1 assy +25% TRUNK LID Add for Clear Coat B 1.4 1 Parts Other TRUNK LID Latch Body R &I Q3 I 1 Parts New TRUNK LID Striker 15904683 67.64 1 Body Rep1 I 1 Parts New REAR BODY FLOOR Sill trim 15276338 98.87 Body Repl 1 Parts New REAR BODY FLOOR Rear body 89025214 303.47 1 Body Repl 6.5 1.5 1 panel REAR BODY FLOOR Overlap Major 1 -0.2 1 Non -Adj, Panel REAR BODY FLOOR Add for Clear 1 0.3 I Coat C REAR BODY FLOOR Add for Inside 1 0.8 1 REAR BODY FLOOR Pull Rear body Frame 2.0 1 panel 1 Body REAR BODY FLOOR Corrosion Supplies protection 8.00 Body 0.2 I REAR BODY FLOOR Cover car 0.2 1 Parts Other REAR BODY FLOOR FIT Side trim 1 Body R &I 0.2 1 Parts Other REAR BODY FLOOR LT Side trim i Body R &I o.2 I Body 1 Supplies REAR BODY FLOOR Seam sealer 15.00 1 Body Repl I Parts Other QUARTER PANEL RT Tail lamp pocket 1 Body Rpr 2.0 0.5 1 QUARTER PANEL Overlap Minor Panel I 1 1 1 -0.2 1 INVOICE #22 02/0812011 03:17:02 PM RO# 53882 Hubler Express Collision Carmel Pagel Date: 02/08 /2011 Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units QUARTER PANEL Add for Clear Coat D 1 0.1 1 Pnt/Mat MISC Paint Materials 345.80 13.3 1 Adjustment -40.99 SubTotal 3,622.12 Taxes 4 Grand Total 3,784.26 Due from Insurance Due from Customer Sub -Total 3,622.12 Sub -Total 0.00 Tax 162.14 Tax 0.00 Total 3,784.26 Total 0.00 Total Amount 3 .IC J q r LLJJ INVOICE #22 02/08/2011 03:17:02 PM RO# 53882 Nubler Express Collision Carmel Page 2 INDIANA RETAIL TAX EXEMPT PAGE Ul 'o f C CERTIFICATE N0. 003i 20155 002 0 t PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 7 3%gR 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Decembe r 20 2010 vehicle repairs VENDOR Hubler Express Collision SHIP City of Carmel Police Department 503 W. Carmel Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 141 Long 3,039.19 yl1 A, 9 iv I Send Invoice To:� PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maintenanceP 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. I HEREBY CERTIFY THAT T 5IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS SHIP REPAID. THIS APPROPRIATION S�IFFIGENTTO PAY FOR THE -ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE OROER NUMBER MUST APPEAR ON ALL ORDERED BY P SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Assistant Chief Of olice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 1 2 0 A.P.V. COPY -SIGN AND RETURN 70 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 it claim paid motor vehicle highway fund u 0 INDIANA RETAIL TAX EXEMPT PAGE of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE'ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 27 05 4 3 (X�C;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 October 18, 20il) p re Rairs Y VENDOR Hnbler Express Collisi SHIP City of Carmel Police Department 503 W. Carmel Drive To 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 30 Iliegman 233.82 (01 j Send Invoice To:' r ,PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maintenane A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE 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 APPROPRIATIO UFOCIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. C THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Assistant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO- CLERK-TREASURER DOCUMENT CONTROL NO. 2 7 ®5 4 ARV. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 2© IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #MTLE 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Hubler Express Collision IN SUM OF 503 West Carmel Drive �b! Carmel„ IN 46032 $3,385.26 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO ACCT #rrITLE AMOUNT Board Members Pe rmr EirruwberM I hereby certify that the attached invoice(s), or 27120 53882 43- 510.00 $3,039.19 1'AVF-*kVr Eurninb red bill(s) is (are) true and correct and that the 27054 53732 43 510.00 $233.82. materials or services itemized thereon for 1110 53732 1 43 510.00 1 $112.25 which charge is made were ordered and received except Thursday, February 10, 2011 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)) 12/31/10 53882 payment for repairs to car 141 1 Long $3,039.19 12/31/10 53732 payment for repairs to car 30 1 Wiegman $233.82 01/28/11 53732 payment for repairs to car 30 Wiegman $112.25 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