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Home My WebLink About195074 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON s 1 0 I� CHECK AMOUNT: $676.35 CARMEL, INDIANA 46032 503 W CARMEL DR CARMEL IN 46032 CHECK NUMBER: 195074 CHECK DATE: 3/2/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 27271 53938 440.60 REPAIRS 1110 4351000 27270 53939 235.75 REPAIRS TO VEHICLES Date: 02118/2011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 53939 Carmel, IN 46032 (317) 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: CARMEL, IN 46032 VIN: 2G1WS57M991307297 Phone: Home. Prod Date: 0509 Plate: IN 14375 Claim VEHICLE #97 Work: Mileage: 19058 Deductible: 0 Fax: Engine: 6-3,9L-Fl Loss Ty Other P Who Pays? (I Insurance, C Customer) Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units 1 Parts New FRONT DOOR RT Mirror assy w/o 25947194 147.35 Body Repl 0.3 0.6 C defogger grained_ 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 21.00 0.7 C SubTotal 235.75 Taxes 0.00 Grand Total 235.75 Due from Insurance Due from Customer Sub -Total 0.00 Sub -Total 235.75 Tax 0.00 Tax 0.00 Total 0.00 Total 235.75 Total Amount 235.75 INVOICE #22 02/18/2011 01:34:21 PM RO# 53939 Hubler Express Collision Carmel Pagel Date: 02/1612011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 53938 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn CITY OF CARMEL 08 DODG DURANGO 4X4 SXT CITY OF CARMEL POLICE CITY OF CARMEL Color: BLUE DEPARTMENT 1 CIVIC SQUARE Type: UV 4D UTV Adjustor: CARMEL, IN 46032 VIN: 1D8HB38N08F146472 Phone: Home: 317- 000 -0000 Prod Date: 0308 Plate: IN 938CDD Claim VEHICLE #133 Work: Mileage: 33901 Out: 33901 Deductible: 0 Fax: Engine: 8-4.7L-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 New REAR BUMPER OIH bumper assy Body Ovrh 1.6 I 1 1 Parts New REAR BUMPER Bumper cover w/o 88002934AB 367.00 Body Repl park assis SubTotal 440.60 Taxes 0.00 Grand Total 440.60 Due from Insurance Due from Customer Sub -Total 440.60 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 440.60 Total 0.00 Total Amount 440.60 INVOICE #22 02/1612011 04:39:50 PM RO# 53938 Hubler Express Collision Carmel Page 1 INDIANA RETAIL TAX EXEMPT PAGE C of C4 rme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2� 35- 60000972 ONE 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 211/2011 Hubler Express Collision Carmel Police Department VENDOR SHIP 3 Civic Square TO Mot Cumol Drive Camel, IN Cann ial„ IN 46M (W) 579 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 =M0.00 I E @ch repairs to vlehide $4 W0.60 Sub Total; $444.66 1 iii "I "a gym..✓ �rt o' l> t gin C n g *F 0 1331 Hedrick Duel Polio G Dop"'Atmont Attn: Toros@ Anderson 3 Civic Oquarra Cumel, IN 4 td PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT .60 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 REPAfD. THIS APPROPHIA IOWSUFFICIENT TO PAY FOR THE ABOVE ORDER. 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 hlo g o f Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. �J A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF C� 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 City �l f C armel CE INDIANA RTIFICA E NO E 003 20 5 0 2 0 PAGE PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 M70 ONE 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 211 i Hublar Enpross Collision Carmel Police Department VENDOR SHIP 3 Civic Squm TO of Cwmel Drive CarmQ1, IN 4mm im @r ol" IN 4i (317) 5711 2M CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43. 610.00 9 Each mpairs 9P veined $232.75 $232.75 Sub Total: $232.75 t SE ci f J er�ic I V To T Hill Coal Police Department Attn: oros@ Andomon 3 Civic Squaro Comol, IN 4I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cwmol Police Dept. PAYMENT $232.75 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 AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATIO I NT 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 Pa THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE d OF Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 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 20 Signature Title 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 Carmel„ IN 46032 $67 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO ACCT# /TITLE AMOUNT Board Members 27271 53938 43- 510.00 $440.60 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 27270 53939 43- 510.00 $235.75 materials or services itemized thereon for which charge is made were ordered and received except Friday, February 25, 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)) 02/16/11 53938 repairs to car 133 I Hedrick $440.60 02/18/11 53939 repairs to car 97 1 Hill $235.75 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