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Home My WebLink About210028 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $4,764.51 CARMEL IN 46032 CHECK NUMBER: 210028 CHECK DATE: 6/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 26162 10221 3,171.85 REPAIRS TO CAR 102 1110 R4351000 27931 10228 595.85 VEHICLE REPAIRS 1110 4351000 26129 10229 996.81 REPAIRS TO VEHICLE HURLER EXPRESS COLLISION Workfile ID: 43c94bc8 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: 10221 Customer: Insurance: Adjuster: Estimator: Robert Trimpl City of Carmel FLEET Phone: Create Date: 5/7/2012 3 Civic Sq. Claim: Carmel Carmel, IN 46032 Loss Date: (317) 571 -2509 Deductible: Year: 2011 Style: 4D SED VIN: 2G1WD5EM9B1288642 Mileage In: 123 Make: CHEV Color: WHITE Mileage Out: Model: IMPALA POLICE License: Poliece Job Number: Vehicle Out: 5/25/2012 Line Ver Operation Description Qty Extended Type Labor Type Paint Price 1 Sol Remove Decales 2.0 Body 2 E01 FRONT BUMPER GRILLE 3 S01 Remove /Install R&I bumper cover 0.7 Body 4 E01 FRONT LAMPS 5 E01 Remove /Install RT Headlamp assy 0.3 Body 6 Sol WINDSHIELD 7 Sol Remove /Install Windshield GM all 2.0 Body 8 E01 FENDER 9 S01 Repair RT Fender 6.0 Body 2.2 10 Sol Add for Clear Coat 11 S01 Remove /Install RT Fender liner 0.4 Body 12 E01 FRONT DOOR 13 E01 Repair RT Outer panel 2.0 Body 2.0 14 E01 Overlap Major Adj. Panel (0.4) 15 Sol Add for Clear Coat 16 S01- Remove/ Replace ;2T Belt w'strip 1 57.50 OEM 0.3 Bodv 17 E01 Remove /Install RT Body side mldg 0.3 Body 18 E01 Remove /Install RT Applique 2nd design 19 Sol Remove /Replace RT Mirror assy w/o defogger smooth 1 147.35 OEM 0.3 Body 0.6 20 S01 Overlap Minor Panel (0,2) 21 S01 Add for Clear Coat 22 E01 Remove /Install RT Run channel 0.2 Body 23 S01 Repair RT Handle, outside w/o chrome 0.5 Body 0.5 24 E01 Overlap Minor Panel (0,2) 25 Sol Add for Clear Coat 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 5/31/2012 4:04:56 PM Page 1 Final Bill RO Number: 10221 Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6- 3.9L -FI WHITE 26 Sol Remove /Install RT Door glass GM 0.5 Body 27 E01 Remove /Install RT R&I trim panel 0.4 Body 28 Sol Remove /Install RT Handle, outside w/o chrome 0.3 Body 29 E01 REAR DOOR 30 E01 Repair RT Outer panel 6.0 Body 2.0 31 E01 Overlap Major Adj. Panel (0.4) 32 Sol Add for Clear Coat 33 E01 Remove /Install RT Belt w'strip 0.3 Body 34 E01 Remove /Install RT Applique front 0.2 Body 35 E01 Remove /Install RT Applique rear 0.3 Body 36 E01 Remove /Install RT Body side mldg 0.2 Body 37 E01 Remove /Install RT Run channel 0.2 Body 38 E01 Repair RT Handle, outside w/o chrome 0.5 Body 0.5 39 E01 Overlap Minor Panel (0.2) 40 Sol Add for Clear Coat 41 E01 Remove /Install RT R&I trim panel 0.4 Body 42 S01 Remove /Install RT Handle, outside w/o chrome 0.3 Body 43 Sol Remove /Install RT Door glass GM 0.5 Body 44 E01 QUARTER PANEL 45 S01 Repair RT Quarter panel 3.0 Body 2.2 46 E01 Overlap Major Adj. Panel (0.4) 47 S01 Add for Clear Coat 48 Sol Remove /Install RT Qtr glass GM 1.5 Body 49 S01 Sublet U. KIT 1 30.00 Other 50 Sol Remove /Install RT Wheelhouse liner 0.3 Body 51 E01 REAR LAMPS 52 E01 Remove /Install RT Tail lamp assy 0.4 Body 53 E01 REAR BUMPER 54 SOS Hazardous waste removal 1 21.60 Other 55 S01 Remove /Install R&I bumper cover 0.6 Body 56 E01 Corrosion protection 1 10.00 Other 0.2 Body 57 Sol Cover car 1 5.00 Other 0.2 Body 58 Sol PILLARS, ROCKER FLOOR 59 S01 Repair RT Uniside assy 6.0 Body 3.0 60 Sol Overlap Major Adj. Panel (0.4) 61 Sol Add for Clear Coat 62 SOS Remove /Install Top Light Bar 1.0 Body 63 Sol Repair Clean retape molding (each) 0.3 Body 64 S01 Remove /Install RT Rocker molding 0.8 Body 65 S01 ROOF 66 S01 Remove /Install RT Molding 0.4 Body 67 Sol Refinish CLEAR COAT 2.5 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 5/31/2012 4:04:56 PM Page 2 Final Bill RO Number: 10221 Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6- 3.9L -FI WHITE BACKGLA f 69 IS01 S01 I Sublet I O ICE DEC S I 1 125.00 Othe I 0.3 Body Estimate Totals Discount Markup Rate Total Hours Total Parts 241.45 Sublet /Miscellaneous 155.00 Labor, Body 45.00 40.1 1,804.50 Labor, Refinish 45.00 13.3 598.50 Material, Paint 3 Subtotal 3,171.85 Sales Tax 0.00 Grand Total 3,171.85 N et Total 3, Estimate Version Total Original 2,062.89 Supplement S01 1,108.96 Insurance Total 0.00 R eceived from Insurance 0.00 Balance due from Insurance 0.00 Customer Total 3,171.85 Received from Customer 0.00 Balance due from Customer 3,171.85 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 5/31/2012 4:04:56 PM Page 3 HUSLER EXPRESS COLLISION Workfile ID: 387ebd9a 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: 10228 Customer: Insurance: Adjuster: Estimator: Robert Trimpl City of Carmel SELF PAY Phone: Create Date: 5/24/2012 3 Civic Sq. Claim: VEHICLE 76 Carmel, IN 46032 Loss Date: (317) 571 -2509 Deductible: Year: 2010 Style: 4D SED VIN: 2G1WD5EM5Al226332 Mileage In: 51198 Make: CHEV Color: WHITE Mileage Out: 51198 Model: IMPALA POLICE License: Job Number: Ve Out: 5/30/2012 Line Ver Operation Description Qty Extended Type Labor Type Paint Price 1 E01 FRONT BUMPER GRILLE 2 E01 Remove /Install R&I bumper cover 1.4 Body 3 E01 Repair Bumper cover w/o fog lamps 4.0 Body 2.5 4 E01 Add for Clear Coat 1.2 5 E01 Remove /Replace Lower grille center w/o SS 1 68.75 OEM 0.2 Body 6 E01 Flex Additive 1 5.00 Other Estimat T ota l s Disc ount Markup R Total Hours To Parts 73.75 Labor, Body 45.00 5.6 252.00 Labor, Refinish 45.00 3.7 166.50 Material, Paint 1 03.60 Subtotal 595.85 Sales Tax 0.00 Grand Total 595.85 Net Total 595.85 Estimate Version Total Original 595.85 Insurance Total 0.00 Received from Insurance 0.00 Balance due from Insurance 0.00 Customer Total 595.85 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 5/30/2012 11:54:07 AM Page 1 Final Bill Ito Number: 10228 Vehicle: 2010 CHEV IMPALA POLICE 4D SED 6- 3.9L -FI WHITE Received from Customer 0.00 Balance due from Customer 595.85 T Taxable Item, RPD Related Prior Damage, AA Appearance Allowance, UPD Unrelated Prior Damage, PDR Paintless Dent Repair, AIM 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 5/30/2012 11:54:07 AM Page 2 HUBLER EXPRESS COLLISION Workfile ID: d75dc29e 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: 10229 Customer: Insurance: Adjuster: Estimator: Robert Trimpl City of Carmel SELF PAY Phone: Create Date: 5/24/2012 3 Civic Sq. Claim: Carmel, IN 46032 Loss Date: (317) 571 -2509 Deductible: Year: 2010 Style: 4D SED VIN: 2G1WD5EM5Al226332 Mileage In: 51198 Make: CHEV Color: WHITE Mileage Out: 51198 Model: IMPALA POLICE License: Job Number: Vehicle Out: 5/30/2012 Line Ver Operation Description Qty Extended Type Labor Type Paint Price 1 E01 REAR BUMPER 2 E01 Remove /Replace Bumper cover w /dual exh 1 535.55T OEM 1.9 Body 3.0 3 E01 Add for Clear Coat 1.2 4 E01 Flex Additive 1 5.00T Other 5 E01 Hazardous waste removal 1 3.00 Other Estimate Totals Discount Markup Rate Total Hours Total Parts 543.55 Labor,Body 46.00 1.9 87.40 Labor, Refinish 46.00 4.2 193.20 Material, Paint 126.00 Subtotal 950.15 Sales Tax 46.66 Grand Total 996.81 Net Total 996.81 Estimate Version Total Original 996.81 Insurance Total 0.00 Received from Insurance 0.00 Balance due from Insurance 0.00 Customer Total 996.81 Received from Customer 0.00 T Taxable Item, RPD Related Prior Damage, AA Appearance Allowance, UPD Unrelated Prior Damage, PDR Palndess 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 5/30/2012 11:58:48 AM Page 1 Final Bill RO Number: 10229 Vehicle: 2010 CHEV IMPALA POLICE 4D SED 6- 3.9L -FI WHITE Balance due from Customer 996.81 T Taxable Item, RPD Related Prior Damage, AA Appearance Allowance, UPD Unrelated Prior Damage, PDR Paintless Dent Repair, AIM Aftermarket, Rechr Rechromed, Reman Remanufactured, OEM New Original Equipment Manufacturer, Recor Re- cored, LKQ Llke Kind Quality or Used, Diag Diagnostic, Elec Electrical, Mech Mechanical, Ref Refinish, Struc Structural 5/30/2012 11:58:48 AM Page 2 City 1(��/// INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 261 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 019 912092 Hudier Elaproos Collision Carmel Police Dopadment VENDOR SHIP 3 Civic sguars SM Wort Cumol Driv o TO Cumol, IN Carmel„ IN 4 (397) Pj792 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTIT43 Y UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 9 Each repairs to vehicle $2,062.89 $2,062-:,8 Sub Total: .s,062.89 V 4 g �I s I N A,� �4 car 9021 Hughos 4g t Send Invoice To:' 1 Cumel Police Depanmont Attn: Yours@ Anderson 3 Civic Squam Carmel, IN 2° PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $2,082.89 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ie? of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 6 1 6 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO�____- ALLOWED 20 |N THE SUM OF$ ON ACCOUNT {)F APPROPRIATION FOR Board Members PO# or DEPT INVOICE NO, ACCT#/TITLE AMOUNT hereby certify that the attached invoiuo(s).nr bill(s) is (ova) hue and correct and that the materials orservices itemized thereon for which charge ia made were ordered and received except 20 S Title Cost distribution ledc ger classification if claim paid momr vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE Chit Of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2Mq 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 BOARDOF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION I;i99 HubloP Ettpross Collision Cool Police Department VENDOR SHIP 3 Civic Squ SM ftst CormGl Drive T c 2m ol, IN 4 Cmmol,, IN 46M (399) 5711 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 -810.0 9 Each repairs 4o vehide $505.85 $595.85 Sub Total: $595.85 All Q e.; a 1 za tar 78 f Snow s I, U a (i �V Send Invoice To: p Camol Police Depaftont Attn: Toros@ Andorson 3 Civic Squm CwmGl, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Pollco Dept. PAYMENT 'E5 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 ATTACHE D. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIA'T ON S PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,,Q y SHIPPING LABELS. t�Y i'rC� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE J AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Q CLERK TREASURER DOCUMENT CONTROL NO- 27 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.- WARRANT 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 INDIANA RETAIL TAX EXEMPT PAGE City of ciaimel 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4110012 Nublow Expross Collision Camel Police Depadmoet VENDOR SHIPS CIVIC Square SM Mat Carmel DrIve TO Carmel, IN 4m- Carmel, IN 4 2- (397) 671 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 9 Each repairs to vehicle $9,693.88 $9,693.88 .,Z"� 2>>1S, eo vp ae a l qq t F Sen2110aifTd'h Camel Police Dopa>ftont Attn: Tolosa Andorson 3 Civic Squm C @mel IN 4632= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT C armel PAYMENT y age Carmel Police Dept. A/P VOUCHER CANNOT BE APPROVED FOR PAYC6 F7N SS E PO. 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 APPROPRIATION SUFFICIENT TQ.PAY FOR 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.__.---- WARRANT N ALLOWED 20 IN THE SUM OF f 4� 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------- 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 $4,764.51 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26162 10221 43- 510.00 $3,171.85 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 26129 10229 43- 510.00 $996.81 Encumbered materials or services itemized thereon for 27931 10228 43- 510.00 $595.85 which charge is made were ordered and received except Friday, June 15, 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)) 05/07/12 10221 repairs to car 102 Hughes $3,171.85 05/24/12 10229 repairs to car 76 Snow $996.81 05/24/12 10228 repairs to car 76 Snow $595.85 I 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