HomeMy WebLinkAbout196389 04/13/2011 `eM CITY OF CARMEL, INDIANA VENDOR; 361690 Page 1 of 1
ONE CIVIC SQUARE HUBLER EXPRESS COLI_ISON
CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $373.27
CARMEL IN 46032
o CHECK NUMBER: 196389
CHECK DATE: 4113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351000 26993 54089 373.27 CAR 31 REPAIRS
Date: 03/25/2011
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive RO 54089
Carmel, IN 46032
(317) 5 -9884, (317) 569 -9885 fax) Est: Aaron McGinn
CITY OF CARMEL 06 CHEV IMPALA POLICE CITY OF CARMEL
CITY OF CARMEL Color: white Adjustor:
1 CIVIC SQUARE Type: PC 4D SED Phone
CARMEL, IN 46032 VIN: 2G1WS551569379653 Claim VEHICLE #31
Home: Prod Date: 0406 Plate: IN 11137 Deductible: 0
Work: Mileage: 81057 Loss Type: Other
Fax:_ Engine: 6-3.9L-Fl
P Who Pay s? (I Insurance, C Customer)
Sup Labor Paint
Qty Type Description Part Amount Labor Op Units Units P
1 Parts New FRONT DOOR LT Body side mldg 19120770 122.98 Body Repl 0.3 0.5 C
FRONT DOOR Add for Clear Coat 0.1 C
FRONT DOOR CLEAN ADHESIVE Body Rpr 0.2 -G
1 Parts New REAR DOOR LT Body side mldg A 19120768 109.89 Body Repl 0.2 0.4 C
REAR DOOR Overlap Minor Panel -0.2 C
REAR DOOR Add for Clear Coat A 0.1 C
REAR DOOR Color Tint Refn 0.5 C
REAR DOOR CLEAN ADHESIVE A Body Rpr 0.2 C
Pnt/Mat MISC Paint Materials 39.20 1.4 C
SubTotal 373.27
Taxes 0.00
Grand Total 373.27
Due from Insurance Due from Customer
Sub -Total 0.00 Sub -Total 373.27
Tax 0.00 Tax 0.00
Total 0.00 Total 373.27
Total Amount 37327
INVOICE #22 03/25/2011 03:36:50 PM RO# 54089 Hubler Express Collision Carmel
Page 1
Ci INDIANA RETAIL TAX EXEMPT PAGE
,J�r Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Pol Department FEDERAZ EXCISE TAX EXEMPT
35- 60000972 2 6993
M
(DCIVIC 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
A- ugm at 6 2010 F repptiis
VENDOR Hubler Express Collision SHIP City of earmel, Police Department
503 W. Carmel Drive TO 3 Civic Square
Carmel, IN 46032 Carmel., IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car 31 Scott .363046
u
I�
Y
C h
Send Invoice To: 3
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and m4ntena di
AYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLfGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
f/ y�
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ,S'
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
IN THE SUM OF S
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 -m .m-
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
$373.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
P0# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26993 54089 43- 510.00 $373.27
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, March 30, 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))
12/31110 54089 payment for vehicle repairs to car 31 I Scott $373.27
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