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Home My WebLink About198136 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON i.i�Y►,l CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $4,399.23 4;�ci7 CARMEL IN 46032 CHECK NUMBER: 198136 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 27795 54207 4,399.23 REPAIRS Date: 06!0212011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 54207 Carmel, IN 46032 (317) 569 -9884, (317 569 -9885 (fax) E st: Aaron McGin CITY OF CARMEL 07 Chevrolet Impala 1 CIVIC SQUARE Color: WHITE FARM BUREAU Carmel, IN 46032- Type: Police 4 DR Sedan Adjustor: Home: VIN: 2G1 WS55R279342860 Phone: Work: Prod Date: Plate: IN 11908 Claim 7308800 Deductible: 0 Fax: Mileage: 84091 Loss Type: Liability Engine: 6cyl Gasoline 3.9 Qty YP P Sup Who Pays? {I Ins urance, nits Units I Units �P Type Descri tion Part Amount Labor O I I Unibody -Frame Incl Setup Frame Rpr 3.0 1 I 1 i i Sublet MuffierAssembfy SUBLET REPAIR 539.80 1 1 I 1 I Parts New Cover,Rear Wheel LT 9592879 58.45 Body Repl I I f Panel,Bodyside Otr Upr LT Blind 1.4 1 Panel,Bodyside Otr Upr RT Blnd 0.7 1 MIdg,Rocker Panel LT I Body R &I 04 1 Mldg,Rocker Panel RT Body R &I 0.4 1 MIdg,Roof Side LT 1 Body R &I 0.3 I Mldg,Roof Side RT 1 Body R &I 0.3 I I Panel,Quarter LT Body Rpr 6.0 1 I Panel,Quarter LTA Refn 2.9 1 1 I Panel,Quarter RT Body Rpr 0.5 I Panel,Quarter RT A Refn 2.8 i l I 1 Parts New Panel,Body Side Lower LT 10337146 36.49 1 Body Repl 2.3 I Panel,Body Side Lower LT A Refn 0.5 I I i Panel,Bcdy Side Lower R/R 1 Body Rpr 4.0 E Panel,Body Side Lower R/R A 1 Refn 0.5 I j 1 Parts New Emblem,Quarter Panel LT 10424491 38.63 Body Repl 0.2 I j 1 Parts New Emblem,Quarter Panel RT 10424490 38.52 Body Repl 0.2 I Sublet 1 Qtr Glass R& I LT i I Sublet I Qtr Glass R& I RT 1 I I 1 Sublet Sealant Kit,Qtr Glass LT PART ECON OMY 117.00 I Duct,Bcdyside Panel RT 1 Body R &I 0.21 I I Lid,Rear Deck Body Rpr 3.0 i I L id,Rear Deck A Refn II 2.4 1 Deck Lid R& I Body R &I 1 0.5 1 1 Mldg,Deck Lid Body R &I 01 1 1 I Parts New N /Plate,Deck Lid 15885696 17.34 Body Repl 0.2 1 Emblem,Deck Lid Body R &I 0.2 1 I 1 Parts New Striker, Rear Lock 15904683 67.64 1 Body Repl 1 Parts New Panel,Rear Body 89025214 303.47 1 Body Rep] 8.3 1 Panel, Rear Body 1 Refn 1.8 1 Pan, Rear Floor 1 Body Rpr 5.0 i 1 Pan,Rear Floor A Refn 0.5 1 Jack 1 Body R &I 1 0.21 i 1 1 j Parts AM Taillamp Assembly LT PART ECON OMY 128.001 1 Bod Repl I Taillamp Assembly RT 1 Body R &I I 1 Parts New L amp,License 15873660 29.46 1 Body Repl I Lamp,High Mounted Stop I 1 Body R &I 0 -6 I Parts Other RR Bumper Cvr Overhaul Body Addl 0.6 I ECONOMY 1 Parts AM Cover,Rear Bumper PART 422.00 Body Repl I Cover, Rear Bumper I Refn 3.6 I II 1 Parts AM Reinf,Rear Bumper ECONOMY 120.00 Body Repl I I PART Reinf,Rear BumperA Refn 0.6 INVOICE #22 06/02/2011 09:30:59 AM RO# 54207 Hubler Express Collision Carmel Page 1 Date: 06/02/2011 sup Labor T Paint Qty Type Description I Part Amount l Labor _I Op Units Units P 1 Parts New Reinf,Rear Bumper LT 10352162 36.68 Body Repl I Reinf,Rear Bumper LTA Refn 0.2 1 (ECONOMY 1 Parts AM Absorber,Rear Bumper PART 133.50 Body Repl I I 1 Parts New Brkt,Rear Bumper Mtg LT 10391197 66.23 1 Body Repl 1.6 1 I Brkt,Rear Bumper Mtg LT A I Ref 0.2 1 1 Supplies Flex Additive PART OMY 6.00 Paint Repl I 1 Sublet Corrosion Protection SUBLET 18 80 I REPAIR 1 Body Cover Car Exterior ECONOMY 5.00 Repl I Supplies PART Set Up And Measure Frame Rpr 2.0 1 Frame Sag, Rear 1 Frame Rpr 2.0 1 Frame Mash,Rear 1 I Frame Rpr 1.0 j 1 1 Haz Hazardous Waste Removal SUBLET REPAIR 3.00 Body Subl I 1 Sublet Four wheel Alignment SUBLET 47.79 1 Mech Subl I REPAIR 1 Supplies Seam Sealer PART ECONOMY 25.00 Body Repl I Parts Other Loosen Headliner Body Addl 2.0 1 Roof light bar Body R &I 2.0 I 1 Parts New Rear trunk trim retainer 22636790 6.25 1 Body Repl I Remove decals 1 Body Rpr 2.0 1 1 Trunk antenna 1 Body R &I 0.5 I 1 Sublet RT Quarter glass R &I SUBLET REPAIR 117.00 1 I I I i Pnt/Mat MISC Paint Materials 506.80 I Adjustment 114.50 SubTotal 6,234.15 Taxes 0.00 Grand Total 6,234.15 Due from Insurance Due fro m Customer Sub -Total 6,234.15! Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 6,234.15 Total 0.00 T otal Am ount 6,234.15 INVOICE #22 06/02/2011 09:30:59 AM RO# 54207 Hubler Express Collision Carmel Page 2 f� INDIANA RETAIL TAX EXEMPT PAGE City of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2nGS 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 4,9 9 HublGr Eszpfoos Collision Camol Police Dopwtmont VENDOR SHIP 3 CIVIC square SM West Carol Drive TO C2mol, IN 4= Ca mol„ IN 4I1 (317) 671 i CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 -MO M 9 Each repairs to v ehicle $4,399.23 $4,399.23 Sub Totd: $4,390.23 I V5 repairs to ca r 8 I Hug Send Invoice To: Camel Pollee Dop2dmont Attn: Tolosa Anderson 3 CIVIC squaSro Camel, IN 432= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept `�,Q5 PAYMENT 9 JJJ 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 TH PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIyTH�4TTHERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROP IA C IO SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. dif�r Iii Paco THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER i DOCUMENT CONTROL NO. 27795 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF 01 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 if claim paid motor vehicle highway fund Prescribed oy 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)) 06/02/11 54207 payment for vehicle repairs car 8 Hughes $4,399.23 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Hubler Express Collision IN SUM OF S 503 West Carmel Drive Carmel„ IN 46032 54,399.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 27795 54207 43- 510.00 S4,399.23 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 Friday, June 03, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund