HomeMy WebLinkAbout206276 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1
ONE CIVIC SQUARE HURLER EXPRESS COLLISON
CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $2,772.51
CARMEL IN 46032 CHECK NUMBER: 206276
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 55166 262.00 AUTO REPAIR MAINTEN
1110 R4351000 25906 55362 1,950.71 VEHICLE REPAIRS
1110 4351000 26050 585417 559.80 REPAIRS TO VEHICLE 99
Date: 011/1812012
Hubler Express Collision Carmel INVOKE
503 West Carmel Drive RO 55166
Carmel, IN 46032
317 569.9884, 317 569 -9885 fax Est: Aaron McGinn
CITY OF CARMEL 09 CHEV IMPALA POLICE CITY OF CARMEL POLICE
CITY OF CARMEL Color: WHITE
1 CIVIC SQUARE Type: PC 4D SED DEPARTMENT
Adjustor:
CARMEL, IN 46032 VIN: 2G1 WS57MB91905265
Phone:
Home: 317 -571 -2500 Prod Date: 0409 Plate: IN 14253
Claire Deductible: 0
Wort: Mileage: 0
Fax: En ins:6- 3.9L -FI
Loss Type:
P Who Pay s? I Insurance. C Customer
Oty Type De3cripilon Part Amount Sup Labor Op Labor Paint P
Units Units
TEARDOWN 0 Body Rpr 3.0 1
1 Sublet M18C Towing 124.00
SubTotal 262.00
Taxes 0.00
Grand Total 262.00
Due from Insurance Due from Customer
Sub -Total 262.00 Sub -Total 0.00
Tax 0.00 Tax 0.00
Total 262.00 Total 0.00
Total Amount 1 262.00
INVOICE #22 01/18/2012 12:34;12 PM RO# 55166 Hubler Express Collision Carmel
Page 1
2,2:a6 @d 2TS2TLS :0f :ao,ad 92 ;2T 2T02- 8T -NUf
Date: 02/07/2012
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive
Carmel, IN 46032 RO 55417
(317) 569 -9884, (317) 569 -9885 (fax) Est: A Brumfield
CITY OF CARMEL 07 CHEV IMPALA POLICE
CITY OF CARMEL Color: WHITE CITY OF CARMEL
1 CIVIC SQUARE Type: PC 4D SED Adjustor:
CARMEL, IN 46032 VIN: 2G1WS55R979403878 Phone:
Home: 317 -571 -2500 Prod Date: Plate: IN unk Claim Deductible: 0
Work: 317 -571 -2559 Mileage: unk Loss Type:
Fax: Engine. 6-3.9L-Fl
P Who Pays? (I Insurance, C Customer)
Qty Type Description Part j Amount Sup Labor Op Labor Paint P
Units Units
Parts Other REAR BUMPER R &I bumper cover Body R &I 1.1 1
Parts Other
REAR BUMPER Bumper cover w /dual Body Rpr 1 4.0 1 3.0
REAR BUMPER Add for Clear Coat 1.2 l
1 Supplies REAR BUMPER Flex Additive 3.00 Body I
1 Haz REAR BUMPER Hazardous waste 3 -00 Body I
removal
Pnt/Mat MISC Paint Materials 126.00 4.2 1
SubTotal 559.80
Taxes 0.00
Grand Total 559.80
Due from Insurance Due from Customer
'Su b- Total 559.80 'Sub-Total 0.00
Tax 0.00 Tax 0.00
Total 559.80 Total 0
I 0.0
Total Amount 559 -80
INVOICE #22 02/07/2012 04:36:26 PM RO# 55417 Hubler Express Collision Carmel
Page 1
Date: 01/3112012
Hubler Express Collision Carmel INVOICE
503 West Carmel Drive
RO 55362
Carmel, IN 46032
(317) 569 -9884, (317) 569 -9885 (fax) Est: Aaron McGinn
CITY OF CARMEL 08 CHEV IMPALA POLICE TRAVELERS
CITY OF CARMEL Color: WHITE Adjustor:
1 CIVIC SQUARE Type: PC 4D SED
CARMEL, IN 46032 VIN: 2G1WS583981352499 Phone:
Claim ESP0368001
Home: 317- 571 -2500 Prod Date: Plate: IN 13257
Work: Mileage-.61534 Deductible: 1000
Fax: Engine: 6-3.9L-Fl Loss Type: Collision
P Who Pays? (I Insurance, C Customer)
Qty Type Description Part Amount Sup Labor Op Labor Paint Units Units P
1 Parts New FRONT BUMPER GRILLE Bumper 89025047 392.33 1 Body Rep] 2.0 3.0 1
cover w/o fog lamps
FRONT BUMPER GRILLE Add for 1 1.2 1
Clear Coat
1 Parts New FRONT BUMPER GRILLE Upper 10333709 84.95 Body Repl I
grille w/o SS
1 Parts New FRONT BUMPER GRILLE Emblem 22756414 42.80 Body Repl I
Parts Other FRONT LAMPS RT Headlamp assy Body R &I 0.3 1
Parts Other FRONT LAMPS LT Headlamp assy Body R &I 0.3 1
1 Parts New HOOD Hood 89023526 434.96 Body Repl 1.5 3.2 1
HOOD Add for Clear Coat A 1.3 1
HOOD Add for Underside(Complete) 1.6 1
Parts Other HOOD Insulator Body R &I I
Parts Other FENDER RT Fender Blnd 1.1 1
Parts Other FENDER LT Fender Blnd 1.1 1
Parts Other FENDER RT Fender liner 1 Body R &I 0.4 1
Parts Other FENDER LT Fender liner 1 Body R &I 0.4 1
Parts Other PILLARS, ROCKER &'FLOOR RT Body R &I 0.8 1
Rocker molding
Parts Other PILLARS, ROCKER FLOOR LT Body R &I 0.8 1
Rocker molding
PILLARS, ROCKER FLOOR Remove Body Rpr 1.0 1
decals
1 Body PILLARS, ROCKER FLOOR Cover 5.00 Body Repl 0.2 1
Supplies car
1 Body PILLARS, ROCKER FLOOR Flex 3.00 Body Repl I
Supplies additive
Pnt/Mat MISC Paint Materials 350.00 12.5 1
SubTotal 2,201.84
Taxes 0.fl0
Grand Total 2,201.84
Due from Insurance Due from Customer
Sub -Total 1,201.84 Sub -Total 1,000.00
Tax 0.00 Tax 0.00
Total 1,201.84 Total 1,000.00
Total Amount 2,201.84
"0
INVOICE #22 01/31/2012 11:02:35 AM RO# 55362 Hubler Express Collision Carmel
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
C ity of C arms CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
I FORM APPROVED BY STATE BOARD,OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE GATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1W=2
HubloP Expmgs Collision Camel Police Dopariment
VENDOR
SHIP 3 Civic $tau=
SM St Carmol Drive TO Cumol, IN 46M
Camel„ IN 4 (317)571-25M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.510.
I Each Irepoirs to vehid o $550.80 $559.80 F
Sub Total $559.80
GA
0
car 99 Thols
Send Invoice To.
C @rmol Police Dopartmont
C &mei, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT M80
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 r NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THgT VEAE IS AN UN013LIGATED BALANCE IN
SHIP REPAID.
THIS APPROP F IENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �a�lid`e
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Cdf
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 26 O 5 O 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
or INVOICE NO. ACCT AMOUNT
D I hereby certify that the attached invoices 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
Cis C CERTIFICATE N0. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT_
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12 P8 I
HublGr Expreass Collision Carmel Police Department
VENDOR SHIP 3 Civic Squ
WQst Carmel Delve TO Cali' d, IN +4i1
Camol„ IN 4M (31 7) 67i -2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 -610.00
1 Each repairs to vehicle K950.71 $1,050.71
Sub Total: $1,050.71
I
,t
end f;'�
car 17 t SodbG
Send Invoice To:
Carmel Police Dapartmont
Attn: Torosa Anderuon
3 Civic squam
Ca=sl, IN d PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Canml Police Dept. PAYMENT $1,950.71
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 APPROPRIATI UFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �f I� I�
SHIPPING LABELS. h1of B of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 5 9 ®6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO..
ALLOWED 20
IN THE SUM OF
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-
z
20
Signature LL
Title
Cost distribution' ledger classification it
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
$2,772.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 43- 510.00
bill(s) is (are) true and correct and that the
1110 55166 43- 510.00 $262.00
Encunih red materials or services itemized thereon for
259060, 55362 43- 510.00 $1,950.71 which charge is made were ordered and
26050 55417 43- 510.00 $559.80 received except
Thursday, February 09, 2012
f
J
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No 261 (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))
01/30/11
01/18/12 55166 tear down tow car 138 $262.00
01/31/12 55362 vehicle repairs car 17 $1,950.71
02/07/12 55417 vehicle repairs car 99 $559.80
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer