162779 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 361690 page 1 of 1
0 t ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $979.35
Q CARMEL, INDIANA 46432 503 W CARMEL DR
CARMEL IN 46032 CHECK NUMBER: 162779
CHECK DATE: 8120/2006
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 50382 979.35.AUTO REPAIR MAINTEN
i
Date: 07/31/2008
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive RO 50382
Carmel, IN 46032
(317) 569 -9884, (317) 569 -9885 (fax) Est: JENNIFER GREGG
City Of Carmel Fire Dept. 02 PONT BONNEVILLE SE
City Of Carmel Fire Dept. Color: Blue
2 Civic Square Type: PC 4D SED Adjustor:
Carmel, IN 46032 VIN: 1G2HX54K924196253 Phone:
Home: 317 -571 -2600 Prod Date: Plate: IN 73620 Claim Deductible: 0
Work: 317 664 -0958 Mileage: 20000 Loss Type: Other
Fax: Engine: 6-3.8L-Fl
P Who Pays.. jl Insurance, C Customer
Qty Type Description Part Amount Su p Labor Op Labor Paint P
Units Units
Parts Other FRONT DOOR LT Mirror assy w/o seat Body R &I 0.5 C
memory unheated
Parts Other FRONT DOOR LT Mirror asst/ w/o seat memory unheated B Body Rpr 0.5 0.5 C
FRONT DOOR Add for Clear Coat 0.1 C
Parts Other FRONT DOOR LT R &I trim panel Body R &I 0.5 C
Parts Other QUARTER PANEL LT Quarter panel Body Rpr 6.5 2.2 C
QUARTER PANEL Overlap Minor Panel -0.2 C
QUARTER PANEL Add for Clear Coat B 0.8 C
Parts Other QUARTER PANEL Fuel door Body R &I 0.3 C
Parts Other QUARTER PANEL Fuel door B Blnd 0.2 C
1 Parts Used REAR LAMPS Qual Recy Parts LT Tail 15228564 118.75 Body Repl 0.4 C
lamp assy +25%
Parts Other REAR BUMPER R &I bumper cover Body R &I 1.2 C
Parts Other REAR BUMPER Bumper cover SE Body Rpr 1.0 2.6 C
REAR BUMPER Add for Clear Coat C 1.0 C
PnVMat MISC Paint Materials 172.80 7.2 C
Sub
Total 97
Taxes 1
Grand Total 9 6
Due from Customer
Agreed Amt �9 .76
Discounts 0.00
Betterment 0.00
Appearance Allowances 0.00
Total c'
Total Amount 999.76
INVOICE #22 07/31/2008 03:17:11 PM RO# 50382 Hubler Express Collision Carmel
Pagel
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))
50382 Repair Pool Car $979.35
I 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 Collison
IN SUM OF
503 West Carmel Drive
Carmel, IN 46032
$979.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 50382 43- 510.00 $979.35 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund