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Home My WebLink About209191 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISION CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $2,212.27 CARMEL IN 46032 CHECK NUMBER: 209191 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 26138 10104 2,212.27 REPAIRS TO VEHICLES HUBLER EXPRESS COLLISION Workfile ID: 4e7214b9 CARMEL INDIANA'S FIRST CHOICE IN COLLISION REPAIR! 503 W. CARMEL DR., CARMEL, IN 46032 Phone: (317) 569 -9884 FAX: (317) 569 -9885 Final Bill RO Number: 10104 Customer: Insurance: Adjuster: Estimator: Robert Trimpl CARMEL POLICE DEPARTMENT City of Carmel Phone: Create Date: 3/26/2012 3 CIVIC SQUARE Claim: 99 CARMEL, IN 46032 Loss Date: (317) 571 -2500 Deductible: Year: 2007 Style: 41D SED VIN: 2GiWS55R979403878 Mileage In: 123 Make: S .1 1 C:,icr: White Mileage Out: M ode l: IMPALA POLICE License: 12624 Job Number: Vehicle Out: 5/ Line Ver Operation Description Qty Extended Type Labor Type Paint Price 1 E01 FRONT DOOR 2 E01 Remove /Replace RT Door shell 1 826.59 OEM 4.8 Body 3.0 3 E01 Add for Clear Coat 1.2 4 E01 Remove /Install RT Belt w'strip 0.0 Body 5 E01 Remove /Replace RT Body side mldg 1 92.00 A/M 0.3 Body 0.5 6 E01 Overlap Minor Panel (0.2) 7 E01 Add for Clear Coat 0.1 8 E01 Remove /Install RT Applique 0.0 Body 9 E01 Remove /Install RT Mirror assy w/o defogger 0.0 Body 10 E01 Remove /Install RT Run channel 0.0 Body 11 E01 Remove /Install RT Handle, outside 0.0 Body 12 E01 Remove /Install RT Lock assy LS, POLICE 0.0 Body 13 E01 Remove /Install RT R&I trim panel 0.0 Body 14 S01 Remove /Replace RT Upper hinge 1 40.49 OEM 0.0 Body 0.3 15 Sol Add for Clear Coat 0.1 16 SO! I Rernove /Replace RT Lower hinge 1 93.39 OEM 0.0 3ody 0.3 17 S01 Add for Clear Coat 0.1 18 E01 REAR DOOR 19 E01 Blend RT Outer panel 1.0 20 E01 Remove /Install RT Belt w'strip 0.3 Body 21 E01 Remove /Install RT Applique front 0.3 Body 22 E01 Remove /Install RT Applique rear 0.3 Body 23 E01 Remove /Install RT Body side mldg 0.2 Body 24 E01 Remove /Install RT Run channel 0.2 Body 25 E01 Remove /Install RT Handle, outside 0.3 Body T Taxable Item, RPD Related Prior Damage, AA Appearance Allowance, UPD Unrelated Prior Damage, PDR Paintless Dent Repair, A/M Aftermarket, Rechr Rechromed, Reman Remanufactured, OEM New Original Equipment Manufacturer, Recor Re- cored, LKQ Like Kind Quality or Used, Diag Diagnostic, Elec Electrical, Mech Mechanical, Ref Refinish, Struc Structural 5/9/2012 3:22:21 PM Page 1 Final Bill RO Number: 10104 Vehicle: 2007 CHEV IMPALA POLICE 4D SED 6- 3.9L -FI White 26 E01 Remove /Install RT R &I trim panel 0.4 Body 27 SO1 PILLARS, ROCKER FLOOR 28 S01 Remove /Install RT Rocker molding 0.8 Body 29 E01 FENDER 30 E01 Blend RT Fender 1.1 31 E01 Remove /Replace RT Emblem GM 1 5.00 OEM 0.2 Body 32 S01 Alignment RT Fender 1.0 Body 33 E01 FRONT LAMPS 34 E01 Remove /Install RT Headlamp assy 0.3 Body 35 E01 Remove /Replace Aim headlamps 0.5 Body 36 E01 FRONT BUMPER GRILLE 37 E01 Remove /Install R&I bumper cover 0.7 Body 38 E01 Hazardous waste removal 1 3.00 Other 39 E01 Corrosion protection 1 10.00 Other 0.2 Body 40 E01 Cover car 0.2 41 E01 Repair Clean off Decales 1.0 Body 42 SO1 Repair Clean retape molding (each) 0.3 Body Estima T ota l s Di scou n t M a rk up R ate Total Hours T ota l Parts 1,070.47 Labor, Body 46.00 12.1 556.60 Labor, Refinish 46.00 7.7 354.20 Material, Paint 231.00 Subtota 2,212.27 Sales Tax 0.00 Grand Total 2,212.27 Net Total 2,212.27 Estimate Version Total Original 1,920.99 Supplement S01 291.28 Insurance Total 2,212.27 Received from Insurance 0.00 Balance due from Insurance 2,212.27 Customer Total 0.00 Received from Customer 0.00 Balance due from Customer 0.00 T Taxable Item, RPD Related Prior Damage, AA Appearance Allowance, UPD Unrelated Prior Damage, PDR Paintless Dent Repair, A/M Aftermarket, Rechr Rechromed, Reman Remanufactured, OEM New Original Equipment Manufacturer, Recor Re- cored, LKQ Like Kind Quality or Used, Diag Diagnostic, Elec Electrical, Mech Mechanical, Ref Refinish, Struc Structural 5/9/2012 3:22:21 PM Page 2 INDIANA RETAIL TAX EXEMPT PAGE C of Carmel CERTIFICATE NO. 003120155 002 0 PU SE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT C 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. 'U, CHASE DER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION G Y G H lorb itpreas C oll ision one" p al ice epa nmernt 3 Civic Sguaro VENDOF6M Mgt CZMQI Dr1V0 TOIP Catrmol, IN 4 C2mol, IN 46M (w) 671 CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION L9Ct OUn 1 Each repairs 4® vehicle $1,920.99 $1,920.99 Sub Total: $1,920.99 lk car 90 OSrlan 41 asp( Send Invoice To: Cwt ®I Pollce Department Attn: Toms@ Anderson 3 Civic s qum Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE O�rnn�l QE�f�4fLlIN� ACCOUNT PROJECT PROJECT ACCOUNT �q �'PM OPJNT 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 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THISAPPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. r..,..+ 1 •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ll0 a l�rg SHIPPING LABELS. ,4 J THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE^ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 6 1 3 8 A.P.V. COPY SIGN AND RETURN TO CLERK'S 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 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)) 05/10/12 10104 vehicle repairs $2,212.27 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 VOUCHER NO. WARRANT N ALLOWED 20 Hubler Express Collision IN SUM OF 503 West Carmel Drive Carmel„ IN 46032 $2,212.27 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26138 I 10104 I 43- 510.00 I $2,212.27 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 Thursday, May 17, 2012 A A Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund