The URL can be used to link to this page

Home My WebLink About199522 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 w, ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $1,147.40 CARMEL, INDIANA 46032 503 W CARMEL DR CARMEL IN 46032 CHECK NUMBER: 199522 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25755 54484 1,147.40 REPAIRS TO VEHICLE Date: 06/30/2011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 54484 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn CITY OF CARMEL 10 CHEV IMPALA POLICE CITY OF CARMEL POLICE CITY OF CARMEL Color: GRAY MET DEPARTMENT 1 CIVIC SQUARE Type: PC 4D SED Adjustor: CARMEL, IN 46032 VIN: 2G1WD5EM1Al223234 Phone: Home: 317 571 -2500 Prod Date: Plate: 15080 Claim Deductible: 0 Work: Mileage: 19977 Fax: Engine: 6-3.9L-Fl Loss Type: Other P= ho Pa ys. (I Insurance, C Customer S I Labor Paint P Type Description Part Amount up Labor Top U Qty nits Units Parts Cthar REAR BUMPER R &I bumper corer Body R &I 1.1 I 1 Parts Other REAR BUMPER Bumper cover LT, LTZ, SS, POLICE Body Rpr 1.5 3.0 I REAR BUMPER Add for Clear Coat 1.2 1 REAR BUMPER Partial Refinish Ref -0.5 1 Parts Other REAR DOOR LT Outer panel Body Rpr 6.0 2.0 1 REAR DOOR Overlap Major Non -Adj. Panel 0.2 I REAR DOOR Add for Clear Coat A 0.4 1 REAR DOOR Partial Refinish A Refn -0.3 1 Parts Other REAR DOOR LT Belt w'strip Body R &I 0.3 1 Parts Other REAR DOOR LT Body side midg Body R &I 0.2 1 Parts Other REAR DOOR LT Handle, outside w/o Body R &I 0.3 1 chrome REAR DOOR Clean Retape Body Rpr 0.3 1 Parts Other REAR DOOR LT R &I trim panel Body R &I 0.4 1 Parts Other FRONT DOOR LT Outer panel A Bind 1.0 I Parts Other FRONT DOOR LT Belt w'strip A Body R &I 0.3 1 Parts Other FRONT DOOR LT Body side mldg A Body R &I 0.3 1 Parts Other FRONT DOOR LT Body side mldg B Body Rpr 0.8 0.5 1 FRONT DOOR Overlap Minor Panel -0.2 1 FRONT DOOR Add for Clear Coat B 0.1 1 Parts Other FRONT DOOR LT Mirror assy w/o Body R &I 0.3 1 defogger grained Parts Other FRONT DOOR LT Handle, outside w/o Body R &I 0.3 1 chrome A Parts Other FRONT DOOR LT R &I trim panel A Body R &I 0.4 1 1 Supplies FRONT DOOR Flex Additive 3.00 Body I 1 Haz FRONT DOOR Hazardous waste 3.00 Body I removal 1 Supplies FRONT DOOR Corrosion protection 10.00 Body 0.2 1 FRONT DOOR Cover car 0.2 1 Pnt/Mat MISC Paint Materials 216.00 7.2 1 SubTotal 1,147.40 Taxes 0.00 Grand Total 1,147 -40 Due from In surance Due from Cu Sub -Total 1,147.40 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 1,147 -40 Total 0.00 INVOICE #22 06/30/2011 03:07:42 PM RO# 54484 Hubler Express Collision Carmel Pagel C ®f INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25755 35- 60000972 ONE 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 X1999 Hubler Enpross Collision CwmGI Police DeparQmen2 VENDOR SHIP 3 CIVIC agum SM West Carmol Ddvo TO Comol, IN 4m Curxiel„ IN 4 d9 o a X89 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-690.00 9 Each repairs 4o vehicle $1,947.40 $9,947.40 Sub TotaO: $1,147.40 'S! U 145 Qm P 11 rT J Send Invoice To: G v Camel Police Department Attn: Tama Anderson 3 Civic Squm Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. Vim` 01 ,141. 40 PAYMENT 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 PRpPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERT�Y THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROP ION SUFFICIENT Q FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. lei of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I CLERK TREASURER DOCUMENT CONTROL NO- 257 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF a a 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 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)) 06/30/11 54484 payment for vehicle repairs $1,147.40 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 503 West Carmel Drive Carmel„ IN 46032 $1,147.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25755 I 54484 I 43- 510.00 I $1,147.40 1 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 Thursday, July 14, 2011 Chief o Pol Title Cost distribution ledger classification if claim paid motor vehicle highway fund