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Home My WebLink About207904 04/10/2012 CITY OF CARMEL, INDIANA VENDOR. 361690 Page 1 of 1 L1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CARMEL, INDIANA 46032 503 w CARMEL DR CHECK AMOUNT: $1,002.70 CARMEL IN 46032 CHECK NUMBER: 207904 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 26084 55609 1,002.70 REPAIRS Document Page I of 1 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 55609 Carmel, IN 46032 (317) 569 -9884, (317) 569 -9885 (fax) Est: ROBERT TRIMPL CITY OF CARMEL 09 CHEV IMPALA POLICE CITY OF CARMEL POLICE CITY OF CARMEL Color: WHITE DEPARTMENT 1 CIVIC SQUARE Type: PC 4D SED CARMEL, IN 46032 VIN: 2G1 WS57M291308498 Adjustor: Home: 317 -571 -2500 Prod Date: Plate: IN ii Phone: Work: 317 -571 -2559 Mileage: 1123 Claim Deductible: 0 Fax: Engine: 6-3.9L-Fl Loss Typee: Collision P Who Pays? I Insurance, C Customer) Qty Type Description Part# Amount Sup Labor Op Labor Paint P Units Units 1 Parts New FENDER LT Fender liner 10333703 23 69 0 Body Repl 0.4 SubTotal 42.09 Due from Insurance Due [row. Custorne, Taxes O.oG Sub -Total 42.09 Sub -Total 0.00 Tax 0.00 Tax 0.00 Grand Total 42.09 Total 42.09 Total 0.00 Total Amount 42.09 file: /C: /Users /tanderson/AppData /Local/ Microsoft Windows /"I'emporary%201nternet%20... 3/27/2012 Document Page 1 of 1 Hubler Express Collision Carmel INVOICE 503 West Carmel Drive RO 55579 Carmel, IN 46032 (317) 569-9884,(317) 569 -9885 (fax) Est: ROBERT TRIMPL CITY OF CARMEL 09 CHEV IMPALA POLICE CITY OF CARMEL Color: WHITE CITY OF CARMEL 1 CIVIC SQUARE Type: PC 4D SED Adjustor: CARMEL, IN 46032 VIN: 2G1 WS57M291308498 Phone: Home: 317 -571 -2500 Prod Date: Plate: IN 987 Claim City Deductible. 0 Work: 317 571 -2559 Mileage:57500 Loss Type: Fax: Engine: 6-3.9L-Fl P Who Pa s? I Insurance, C Customer) Qty Type Description Part It Amount Su p Labor Op Labor Paint P Units Units 1 Parts New FRONT BUMPER GRILLE Bumper cover 89025047 392.33 Body Pepl 2.0 3.0 w/c fog lamps FRONT BUMPER GRILLE Add for Clear 1 2 1 Cost__ 1 Parts New a1RONT BUMPER GRILLE Lower deflector 22744452 68.53 Body Rep1 0.3 III 1 Parts New FRONT BUMPER GRILLE Lower grille 10333711 68.75 Body Repl I center w/o SS Parts Other FRONT BUMPER GRILLE Upper grille Body R &I I W/o SS 1 Body FRONT BUMPER GRILLE Flex Additive 3.00 Body I supplies 1 Haz FRONT BUMPER GRILLE Hazardous 3.00 Body I waste removal PnUMat MISC Paint Materials 126.00 1 4.2 1 SubTotal 960,611 Due from Insurance Due from Customer Taxes 060 Sub -Total 960.61 Sub -Total 0.00 Tax 0.00 Tax 0.00 Grand Total 960.61 Total 960.61 Total 0.00 Total Ammuntl 960.61 file /C: /Users /tandersoD/AppData /Local Microsoft Windows /Temporary %20Internet %20... 3/27/2012 City /(��y� INDIANA RETAIL TAX EXEMPT PAGE l\ .illy o f Carmel CERTIFICATE N0. 0031201550020 �1/ l�. �a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28964 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP 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. DESCRIPTION klublaFExpFess Collision Carmel Police Department VENDOR SHIP 3 CIVIC Square S03 West Carmel Drive TO Carmel, IN 480 Carmel„ IN 48032 (317) 579 -2599 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-610,00 1 Each repairs to vehicle $960.61 $960.61 Sub Total: $960.81 f 1 r d. C14> Cl ems' Car 7 r S- Bickel �(D Send Invoice To: Cannel Police Department IJ Attn: Teresa Anderson 3 Civic Square Cannel, IN 48032• PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROIFCTACC UNT AMOUNT Carmel Police Dept. PAYMENT $M.61 NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE APART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN V SHIP REPAID. HIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY. SHIPPING LABELS. Chl V1 .B e POIIC® THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 26084 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.__ WARRANT NO.__, i ALLOWED 20 IN THE SUM OF f ON ACCOUNT OF APPROPRIATION FOR t. 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 $1,002.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26084 55609 I 43- 510.00 I $1,002.70 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 Wedne day, March 28, 2012 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)) 03/27/12 55609 vehicle repairs $1,002.70 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 -L6 20 Clerk- Treasurer