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Home My WebLink About206699 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 s' s ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $1,700.75 CARMEL, INDIANA 46032 503 W CARMEL OR CARMEL IN 46032 CHECK NUMBER: 206699 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 26049 55398 1,053.95 REPAIRS TO VEHICLE 9 1110 4351000 26056 55416 646.80 REPAIRS Date: 02/07/2012 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 55416 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: A Brumfield CITY OF CARMEL 08 CHEV IMPALA POLICE CITY OF CARMEL CITY OF CARMEL Color: GREY Adjustor: 1 CIVIC SQUARE Type: PC 4D SED Phone: CARMEL, IN 46032 VIN: 2G1WS583181352254 Claim UNIT 131 Deductible: Home: 317 571 -2500 Prod Date: 0608 Plate: IN 13242 Work: 317 -571 -2559 Mileage: UNK O Loss Type: Fax: Engine. 6-3.9L-Fl P Who Pays? (I Insurance, C Customer) Qty Type i Description Part Amount Sup Labor Op Labor Paint P Units Units Parts Other FRONT DOOR RT Outer panel Body Rpr 1.5 2.0 1 FRONT DOOR Add for Clear Coat 03 1 Parts Other FRONT DOOR RT Belt w strip Body R &I 03 1 Parts Other FRONT DOOR RT Body side mldg Body R &I 0.3 1 FRONT DOOR Clean &Retape side Body Rpr 0.3 1 molding Parts Other FRONT DOOR RT Mirror assy w/o Body R &I 0.3 1 defogger smooth Parts Other FRONT DOOR RT Handle, outside w/o Body R &I 0.3 1 chrome Parts Other FRONT DOOR RT R &I trim panel Body R &i 0.4 I Parts Other REAR DOOR RT Outer panel A j Body Rpr 1.0 2.0 1 REAR DOOR Overlap Major Adj. Panel -0-4 1 REAR DOOR Add for Clear Coat A 03 1 Parts Other REAR DOOR RT Belt w'strip A Body R &I 0.3 1 Parts Other REAR DOOR RT Body side mldg A Body R &I 0.2 1 REAR DOOR Clean &Retape side Body Rpr 03 I molding A Parts Other REAR DOOR RT Handle, outside w/o Body R &I 03 1 chrome A Parts Other REAR DOOR RT R &I trim panel A Body R &I 0.4 1 Haz REAR DOOR Hazardous waste removal 3.00 i Body i REAR DOOR Cover car 0.2 1 Pnt/Mat MISC Paint Materials 147.00 1 4.9 1 SubTotal 646.80 Taxes 0.00 Grand Total 646.80 Due from Insur Due from Customer Sub -Total 646.80 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 646.80 Total 0.00 Total Amount 646.80 INVOICE #22 02/07/2012 11:16:39 AM RO# 55416 Hubler Express Collision Carmel Page 1 L Date 02/10/2012 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 55398 Carmel, IN 46032 (317) 569 -9884, (317) 56_ 9 -9885 (fax) Est: A Brumfield CITY OF CARMEL 11 CHEV IMPALA POLICE CITY OF CARMEL Color: WHITE CITY OF CARMEL 1 CIVIC SQUARE Type: PC 4D SED Adjustor: CARMEL, IN 46032 VIN: 2G1 WD5EM8B1288065 Phone: Home: 317 571 -2500 Prod Date: 0411 Plate: IN 5425 Claim UNIT #9 Deductible: 0 Work: Mileage: 123546 Loss Type: Fax: j Engine: 6-3.9L-Fl P Who Pays? (I Insurance, C Customer) Qty Type Description Part Amount Sup Labor 4p Labor Paint Units Units P 1 Parts New a h AR BUMPER Bumper cover w /dual 19120961 535.55 i Body Repl 1.9 3.0 1 REAR BUMPER Add for Clear Coat 1,2 1 1 Body upplies REAR BUMPER Flex Additive 3.00 Body 1 Hap REAR BUMPER Hazardous waste 3.00 Body removal Parts New REAR BUMPER O/H bumper assy Body Ovrh 2.3 1 1 Parts New REAR BUMPER Energy absorber 20759789 166.64 i Body Repl I Pnt/Mat MISC Paint Materials 126.00 4.2 1 SubTotal 1,220.59 Taxes 0.00 Grand Total 1,220.59 Due from Insuranc Due_ from Customer Sub -Total 1,220.59 Sub -Total 0.00 Tax 0.00 Tax 0.00 Total 1,220.59 Total 0.00 Total Amount 1,220.59 i 053, y5 C-Pb t INVOICE #22 02/10/2012 11:02:01 AM RO# 55398 Hubler Express Collision Carmel Pagel INDIANA RETAIL TAX EXEMPT PAGE ul of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28M 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46432 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION 10M12 Hublor Egmss Colligion Car mol Police Depadme ti VENDOR SHIP 3 Civic 'Squ M gt carmol Drive TO Ca8"ri ol, IN Sliw carnal„ IN 4= (3117) 571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 -610.03 1 Each repairs 8c while $1,053.95 $1,053.95 Saab Total: $1,053.95 p Send Invoice To: Cumel Policy Dopafmant Attu: Tomes Andy son 3 Civic Baum cufflral, IN m PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Deist. PAYMENT $11,053.95 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 TH RErS AN UNOBLIGATED BALANCE IN SHIP REPAID, THIS APPROPRIATIO IaIIf TO PAY F E.1 -THE ABOVE ORDER. 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 (4 Q? PoileG 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# EP or INVOICE NO. ACCT /TITL€ 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 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. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 21192 Hubler Estpmoo Collision Carmel Polies Dapa (tent VENDOR SHIP 3 CIVIC squaw SM West Carrel Drivo TO Carmel, IN 46 Camel„ IN 46M (397) 6794M coNFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.614.00 1 Each repairs to vehicle $848.80 $648.80 Sub Total: $846.80 7t F r R reivirs to car 131 L. Callins Sen Invoice To: Carmal Police Department Attn: Tones Anderson 3 CIVIC ashe s Carmol, IN 4&M- PLEASE INVOICE IN DUPLICATE DEPARTMENT ,ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Crrtel Police PAYMENT RD i�r 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 T% PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CER RY�HATTHERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID, >APPR, THIS IA r ON SUFFI ENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. �eleP �1 1'aII�! THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, CLERK TREASURER DOCUMENT CONTROL NO. 260 56 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO.—e__ 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 $1,700.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 26056 55416 43- 510.00 $646.80 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 26049 55398 43- 510.00 $1,053.95 materials or services itemized thereon for which charge is made were ordered and received except Thursday, February 23, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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)) 02/07/12 55416 repairs to car 131 L. Collins $646.80 02/10/12 55398 car repairs car 9 Malloy $1,053.95 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