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Home My WebLink About213501 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $2,674.55 CARMEL, INDIANA 46032 503 W CARMEL DR CARMEL IN 46032 CHECK NUMBER: 213501 CHECK DATE: 10/912012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 10902 2, 674 . 55 AUTO REPAIR & MAINTEN HUBLER EXPRESS COLLISION - Workfile ID: 5ba31b73 CARMEL INDIANA'S FIRST CHOICE IN COLLISION REPAIR! 503 W. CARMEL DR., CARMEL, IN 46032 Phone: (317) 569-9884 FAX: (317) 569-9885 Final Bill RO Number: 10902 Customer: Insurance: Adjuster: Estimator: Eric Tobolski CITY OF CARMEL TRAVELERS Phone: Create Date: 9/18/2012 1 CIVIC SQUARE Claim: ERH1164001 CARMEL, IN 46032 Loss Date: (317)571-2500 Deductible: 2,500.00 Year: 2008 Style: 4D SED VIN: 2G1WS583X81357386 Mileage In: 67143 - Maker- CHEV Color: white Mileage Out: Model: IMPALA POLICE License: 13255 Job Number: Vehicle Out: 9/24/2012 Line Ver Operation Description Qty Extended Type Labor Type Paint Price$ 1 E01 FENDER 2 E01 Remove/Install LT Fender liner 0.0 Body 3 E01 Remove/Replace LT Fender 1 190.96 OEM 2.4 Body 2.2 4 E01 Add for Clear Coat 0.9 5 E01 Add for Edging 0.5 6 S01 Repair LT Fender upper bracket 0.5 Body 0.2 7 E01 FRONT LAMPS 8 E01 Remove/Install LT Headlamp assy 0.3 Body 9 E01 FRONT BUMPER&GRILLE 10 E01 Remove/Install R&I bumper cover 0.9 Body 11 E01 Deduct for Overlap (0.4) Body 12 E01 FRONT DOOR 13 E01 Remove/Install LT Belt w'strip 0.0 Body 14 E01 Remove/Replace LT Door shell 1 826.59 OEM 4.8 Body 3.0 15 E01 Overlap Major Adj. Panel (0.4) 16 E01 Add for Clear Coat 0.5 17 E01 Add for mirror 0.3 Body 18 E01 Remove/Install LT Applique 1st design 0.0 Body 19 E01 Remove/Replace LT Body side mldg 1 129.01 OEM 0.3 Body 0.5 20 E01 Overlap Minor Panel (0.2) 21 E01 Add for Clear Coat 0.1 22 E01 Remove/Install LT Handle,outside w/o chrome 0.0 Body 23 S01 Repair HINGE HALF BODY SIDE LT 0.5 Body 24 E01 Remove/Replace LT Lower hinge 1 94.68 OEM 0.0 Body 0.3 25 E01 Add for Clear Coat 0.1 T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paintless Dent Repair,A/M=Aftermarket,Rechr=Rechromed,Reman= Remanufwtured,OEM=New Original Equipment Manufacturer,Recor=Re-cored,LKQ=Like Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,Struc= Structural 10/2/2012 10:18:03 AM Page 1 Final Bill RO Number: 10902 Vehicle: 2008 CHEV IMPALA POLICE 4D SED 6-3.9L-FI white 26 S01 Repair HINGE HALF BODY SIDE RT 0.5 Body 27 E01 Remove/Replace LT Upper hinge 1 39.51 OEM 0.0 Body 0.3 28 E01 Add for Clear Coat 0.1 29 E01 Remove/Install LT R&I trim panel 0.0 Body 30 E01 PILLARS, ROCKER&FLOOR 31 E01 Remove/Install LT Rocker molding 0.8 Body 32 E01 Repair LT Uniside assy 2.5 Body 1.5 33 E01 Overlap Major Non-Adj. Panel (0.2) 34 E01 Add for Clear Coat 0.3 35 E01 REAR DOOR 36 E01 Blend LT Outer panel 1.0 37 E01 Remove/Install LT Belt w'strip 0.3 Body 38 E01 Remove/Install LT Body side mldg 0.2 Body 39 E01 Remove/Install LT Handle,outside w/o chrome 0.3 Body 40 E01 Repair CLEAN AND REfAPE 0.2 Body 41 E01 Remove/Install LT R&I trim panel 0.4 Body 42 S01 Repair REMOVE DECALS 1.0 Body 43 E01 Remove/Replace A/M CAR COVER 1 5.00 Other 0.2 Body 44 E01 Remove/Replace A/M RESORE CORROSION PROTECTION 1 5.00 Other 0.2 Body 45 E01 Sublet HAZARDOUS WASTE REMOVAL 1 3.00 Other Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$ Parts 1,290.75 Sublet/Miscellaneous 3.00 Labor, Body 44.00 16.2 712.80 Labor, Refinish 44.00 10.7 470.80 Material, Paint 299.60 Subtotal 2,776.95 Sales Tax 0.00 Grand Total 2,776.95 Deductible (2,500.00) Appearance Allowance 150.00 Insurer Prepaid Amount (324.55) Net Total 102.40 Estimate Version Total$ Original 2,824.55 Supplement S01 102.40 Supplement S02 0.00 Insurance Total$: 102.40 Received from Insurance$: 102.40 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 10/2/2012 10:18:03 AM Page 2 Final Bill RO Number: 10902 Vehicle: 2008 CHEV IMPALA POLICE 4D SED 6-3.9L-FI white TRAVELERS 9/25/2012 102.40 Balance due from Insurance$: 0.00 Customer Total $: 2,674.55 Received from Customer$: 0.00 Balance due from Customer$: 2,674.55 T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paindess 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 10/2/2012 10:18:03 AM Page 3 INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 24 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 01170`92 Hublor Eupruss Collision Carmel Policia Department VENDOR SHIP 3 CIVIC squam S3 Mat Cufii of DdgQ TO Carmd, IN 46M Camel„ IN 4= 571 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT _T QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.690,00 1 Each repairs 4o vehicle $2,824.55 $2;824.55 Sub Totai: $2,824.55 TO y^{ L� cm21 /P�imroz �U Send Invoice o: _�. C @fmQI Pollco Dop rtm ont Attn:Twosa Andorson 3 Civic Oquzla Caf mol, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT -, ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT 02,8=24.55 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE IS AN UNOBLIGATED BALANCE IN THIS APP SWFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. .�/QQQ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ChIof of Polico AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 26235 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO` WARRANT ND`____- ALLOWED 20___ |N THE SUM OF$ [^ ON ACCOUNT OF APPROPRIATION FOR , ` ' Board Members IDPO'9' INVOICE NO. ACCT#/TITLt' AMOUNT | hereby certify that the attached invoica(a), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge ia made were ordered and received except / ' 20____ ` Signature ` Tioa ' Cost distribution ledger classification if � claim paid mom,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)) 09/24/12 10902 vehicle repairs $2,674.55 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 NO. ALLOWED 20 Hubler Express Collision IN SUM OF $ 503 West Carmel Drive Carmel„ IN 46032 $2,674.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or `2� I 10902 I 43-510.00 I $2,674.55 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, October 04, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund