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Home My WebLink About202594 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 s ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $4,771.82 CARMEL IN 46032 CHECK NUMBER: 202594 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 27915 54898 929.85 VEHICLE REPAIRS 1110 4351000 27263 54912 790.00 REPAIRS 1110 4351000 27903 6496 3,051.97 REPAIRS Date: 09130/2011 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 54898 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn CITY OF CARMEL 05 Chevrolet Impala CITY OF CARMEL Color: BLACK FARM BUREAU 3 CIVICE SQUARE Type: Police 4 DR Sedan Adjustor: Carmel, IN 46032- VIN: 2G1WF52K559380530 Phone: Home: Prod Date: Plate: IN 796AAO Claim 7311283 Deductible: 0 Work: 317- 571 -2523 Mileage: 92657 Loss Type: Liability Fax: Eng ine: 6c Gasoline 3.8 P Who Pa ys? Ins urance, C Custome_r)_ Qty Type Description Part Amount Sup Sup Labor Op Labor Paint Units Units P Lid, Rear Deck Body Rpr 1.0 i Lid, Rear Deck A Refn 21 1 Deck Lid R I Body R &I 0.5 1 1 Parts New Rod,Deck Lid Hydraulic LT 10315945 48.98 Body Repl 0.1 1 1 Parts New Rod,Deck Lid Hydraulic RT 10315945 48.98 Body Repl 0.1 1 Parts Other Rear Bumper Cover R &I Body Addl 2.2 1 Cover,Rear Bumper Body Rpr 2.5 1 Cover,Rear Bumper A Refn 3.2 1 1 Parts New Mldg,Rear Bumper Cover 10341349 132.69 Body Repl 0.3 l 1 Supplies Corrosion Protection PART ECONOMY 10.00 Body Repl 0.2 1 1 Haz Hazardous Waste Removal SUBLET 4.00 Body Subl I REPAIR Pnt/Mat MISC Paint Materials 148.40 I SubTotal 929.85 Taxes 0.00 Grand Total 929.85 Due from Insurance Due from Customer Sub -Total 929.85 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 929.85 Total 0.00 Total Amount 929.85 INVOICE #22 09/30/2011 02.13:01 PM RO# 54898 Hubler Express Collision Carmel Page 1 Date: 09/30/2011 Hubler Express Collision Plainfield INVOICE 2170 East Main Street RO 6496 Plainfield, IN 46168 (317) 839 -8940, (317) 839 -8984 (fax) Est: Hubler Express CARMEL POLICE DEPT 06 Chevrolet Impala ALLSTATE 3 CIVIC SQUARE Color: Adjustor: MARTHA GUNN Type: Police 4 DR Sedan Carmel, IN 46032- Phone: Home: 317 -571 -2548 VIN: 2GIWS551969377520 Claim 000208269654604 Work: Prod Date: Plate: 793AAO Deductible: 0 Fax: Mileage: 73625 Loss Type: Collision Engine: 6c I Gasoline 3.9 P Who Pays? I Insurance, C Customer Qty Type Description Part Amount Sup Labor Op Labor Paint Units Units P 1 Parts Used Cover,Front Bumper DHDO14 -300 318.75 1 Body Repl 01 1 Cover, Front Bumper A Refn 4.6 1 1 Parts New Cushion,Front Bumper LT 15837687 5.41 4 Body Repl I 1 Parts Used Reinf,Front Bumper JA513 -502 262.50 4 Body Repl 1.8 1 Reinf,Front Bumper A Refn 0.6 1 1 Parts New Grille,Frt Bumper Lwr 10333711 68.75 4 Body Repl I 1 Parts New Absorber,Front Bumper 15886100 197.57 4 Body Repl I 1 Parts New Brkt,Front Bumper Mtg LT 10437870 18.44 2 Body Repl 0.8 1 Brkt,Front Bumper Mtg LT A Refn 0.1 1 1 Parts New Brkt,Front Bumper Mtg RT 10437869 18.44 2 Body Repl 0.8 1 Brkt,Front Bumper Mtg RT A Refn 0.1 1 1 Parts Used Grille Assembly 104 -00294 75.00 1 Body Repl I Grille Assembly A 1 Refn 0.3 1 1 Parts Used Emblem,Grille 104 -00392 60.50 2 Body Repl 0.1 1 1 Parts Used Headlamp Assy,Halogen LT 25958359 286.95 4 Body Repl I Headlamp Assy, Halogen LTA Body R &I I 1 Parts Used Headlamp Assy, Halogen RT 25958360 287.03 4 Body Repl I 1 Parts New Retainer, Headlamp LT 15281294 5.77 4 Body Repl I 1 Parts New Retainer, Head lamp RT 15281294 5.77 4 Body Repl I 1 Parts Used Panel,Hood 117 -00302 350.00 Body Rep] 0.5 1 Panel,Hood A 2 Refn 33 1 1 Parts New Latch,Hood Panel 25868008 78.05 2 Body Repl 0.3 1 1 Parts New Supt,Hood Lock Vert 25834168 35.98 2 Body Repl 0.2 1 Pad,Insulator Hood Body R &I 0.5 1 Panel,Radiator Supt 4 Body Rpr 1.5 1 Panel,Radiator Supt A 4 Refn 0.5 1 1 Parts New Defl,Radiator Lwr Air 19130173 436.56 4 Body Rep] I Baffle, Radiator Panel Body R &I I Parts Other A/C Evac Rechrg Rcvr Mech Add1 1,8 1 1 Parts Used Condenser,A/C 679 -00117 156.25 1 Mech Repl 3.7 1 Fender,Front LT 4 Refn 1.8 1 1 Parts AM Fender,Front RT PM1241326P 106.25 4 Body Rep] 1.9 1 Fender, Front RT A Refn 1.7 1 Emblem,Front Fender RT Body Rpr 0.1 1 Emblem, Front Fender RT A Body R &I 0.2 1 Guard,Fender Mud LT 4 Body R &I 0.2 1 Guard,Fender Mud RT 4 Body R &I I Side Member Assembly LT 4 Body RprP 2.0 1 Side Member Assembly LT A 4 Refn 0.8 1 Side Member Assembly RT 4 Body RprP 2.0 1 Side Member Assembly RT A 4 Refn 0.8 1 Horn 4 Body R &I 0.3 1 1 Parts New Cooler,P /S Pump Oil 81 -70540 111.99 2 Mech Repl 0.4 1 MIdg,Rocker Panel LT 4 Body R &I 0.4 1 MIdg,Rocker Panel RT 4 Body R &I I Pnl,Front Door Outer LT 4 Refn 1A 1 1 Bodylies Corrosion Protection PAR NOMY 10.00 Body Repl I INVOICE #22 09/30/2011 03:52:14 PM RO# 6496 Hubler Express Collision Plainfield Page 1 Date: 09/3012011 Qty Type Description Part Amount Sup Labor Op Labor Paint P Units Units 1 Haz Hazardous Waste Removal SUBLET 3.00 Body Sub[ I REPAIR LIGHT MODULE Body R &I 0.5 1 1 Parts New ENG OIL COOLER 19129786 693.64 4 Body Repl I 2 wheel align Mech Rpr 0.8 I Set up and Measure 4 Body Rpr 1.5 I FT UNIBODY REPAIR 4 Frame Rpr 4.0 I Police Siren 4 Body R &I 1.0 1 Police Wiring 4 Mech Rpr 1.0 1 Pnt/Mat MISC Paint Materials 450.00 I SubTotal 6,268.45 Taxes 0.00 Grand Total 6,268.45 Due from Insurance Due from Customer Sub -Total 6,268.45 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 6,268.45 Total 0.00 Total Amount 6,268.45 INVOICE #22 09/30/2011 03:52:14 PM RO# 6496 Hubier Express Collision Plainfield Page 2 Date: 09/30/2011 I-lubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 54912 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: GREY DEPARTMENT 1 CIVIC SQUARE Type: PC 4D SED Adjustor: CARMEL, IN 46032 VIN: 2G1WD5EM4Al223812 Phone: Home: Prod Date: 0310 Plate: IN 61OUD Claim VEHICLE #149 Work: Mileage: 11306 Deductible: 0 Fax: Eng 6- 3.9L -FI Loss Ty P= ho Pays. Ins urance, C Customer) Qty Sup Labor Paint Type Description Part Amount Labor Op Units Units P P FRONT-BUMPER GRILLE R &I Party Other bumper cover loosen cover body R &I 0.5 l Parts Other FRONT LAMPS RT Headlamp assy Body R &I 0.3 1 Parts Other FENDER RT Fender Body Rpr 4.0 2.2 1 FENDER Add for Clear Coat 0.9 1 Parts Other FENDER RT Fender liner Body R &I 0.4 1 Parts Other FRONT DOOR RT Outer panel Body Rpr 1.0 2.0 1 FRONT DOOR Overlap Major Adj. -0.4 1 Panel FRONT DOOR Add for Clear Coat A 0.3 1 Parts Other FRONT DOOR RT Belt w'strip Body R &I 0.3 1 Parts Other FRONT DOOR RT Body side mldg Body R &I 0.3 1 FRONT DOOR Clean &Reback side Body 0.3 1 molding Parts Other FRONT DOOR RT Mirror assy w10 Body R &I 0.3 1 defogger grained Parts Other FRONT DOOR RT Handle, outside w10 Body R &I 0.3 1 chrome Parts Other FRONT DOOR RT R &I trim panel Body R &I 0.4 1 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 156.00 5.2 1 SubTotal 790.00 Taxes 0.00 Grand Total 790.00 Due from Insurance Due from Customer Sub -Total 790.00 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 790.00 Total 0.00 Total Amount 790.00 INVOICE #22 09/30/2011 02:13:42 PM RO# 54912 Hubler Express Collision Carmel Page 1 INDIANA RETAIL TAX EXEMPT PAGE City �1s Y of armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27M 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 V21 =1 Hublor Estpmaa Collision Carmel Police ®epmrtmertt VENDOR SHIP 3 CIVIC squm TO West Carmel Drlye Cwmel, IN 4M C ei„ IN #IW (347) 074 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 -690.6 9 Each repairs 90 vohide $700.00 $700.00 Sub `dotal: $700.00 /C� m¢ a Send Invoice To: UU Gael Police Department Attn: Toream. Andmon C€ mol, IN 482- PLEASE INVOICE IN DUPLICATE F DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT C@rmei Police Dept. PAYMENT MAD 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 THIS APPROPSUFFICIENT TO PAY FOR THE ABOVE ORDER. RIATIdN SUF SHIP REPAID. 1.�. 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 hlof of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. s o,� CLERK- TREASURER 3 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE m VOUCHER NO._ WARRANT NO. ALLOWED 20 IN THE SUM OF tr 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 INDIANA RETAIL TAX EXEMPT PAGE City of ,C armel 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. T DESCRIPTION bublo>r Enprosa Colllslon Cwmol Polka DGpartmont VENDOR SHIP 3 Civic Gquam SM ftst Cwaol Drivo TO Cwfflal, IN 462 Cool„ IN 4M (W) 571 cpuFiRMnnoN BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 4MI0.00 1 Each repairs to veh icle 03, $3,051.97 Saab Total: $3,051.97 A i. ropairs to car 1241 W Zollefs Send Invoice To:�`�' Attn: Toms& Andolgan 9 Citric 8qu CwMQI IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Caffnel Police Dept. x,051. 7 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 PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HER C TIF THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APP P ION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 3Y SHIPPING LABELS. 6.1 Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE v 1�d1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 03 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 (r7 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #rrITLE 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 F INDIANA RETAIL TAX EXEMPT PAGE C 14 .10 IF a r m e CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27916 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 ��4399 Hubler Express Colllsion Carmel POIICa Department VENDOR SHIP 3 Civic Rqum SM Weft Fn'tdMQI Dfivo TO ft 1mol, IN 4 =2 Cwmol,, IN 4M 579 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT DF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 433- 690.00 1 Each repairs to vehicle '$929.85 $929.85 Saab Total: $028.85 •"3 z ~s 1p# Send Invoice To: CWMGI PollGo DoIpartmont Attn: TGresm Ando rson 3 Civic sqr am Czrmol, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cwmel Police Dept. PAYMENT `85 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 REPAID. THIS A N!� FFICIENTTO PAY FOR THE ABOVE ORDER. r C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY a. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. j h1d of Pollco THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 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 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 $4,771.82 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members T 27915 54898 43- 510.00 $929.85 1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the 2.7903 6496 43- 510.00 $3,051,97 materials or services itemized thereon for 27263 54912 43- 510.00 $790.00 which charge is made were ordered and received except Wednesday, October 05, 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)) 09/30/11 54898 vehicle repairs $929.85 09/30/11 6496 vehicle repairs $3,051.97 09/30/11 54912 vehicle repairs $790.00 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