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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