The URL can be used to link to this page

Home My WebLink About213957 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1 ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $444.80 CARMEL, INDIANA 46032 503 W CARMEL DR o� CARMEL IN 46032 CHECK NUMBER: 213957 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 26199 10987 444 . 80 REPAIRS - HUBLER EXPRESS COLLISION - Workfile ID: 76c66c09 CARMEL INDIANA'S FIRST CHOICE IN COLLISION REPAIR! 503 W. CARMEL DR., CARMEL, IN 46032 Phone: (317) 569-9884 FAX: (317) 569-9885 Final Bill RO Number: 10987 Customer: Insurance: Adjuster: Estimator: Robert Trimpl Carmel Police Department FLEET Phone: Create Date: 6/4/2012 3 Civic Square Claim: Carmel,IN 46032 Loss Date: (317)733-4600 Deductible: Year: 2012 Style: 4D SED VIN: 2G1WD5E36C1283021 Mileage In: 5230 Make: CHEV Color: Grey Mileage Out: Model: IMPALA POLICE License: 7146 Job Number: Vehicle Out: 10/3/2012 Line Ver Operation Description Qty -Extended Type Labor Type Paint Price$ 1 E01 REAR BUMPER 2 E01 Remove/Install R&I bumper cover 1.5 Body 3 E01 Repair Bumper cover w/dual exh 1.5 Body 3.0 4 E01 Add for Clear Coat 1.2 5 E01 Flex Additive 1 3.00 Other 6 E01 Hazardous waste removal 1 3.20 Other Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$ Parts 6.20 Labor, Body 44.00 3.0 132.00 Labor, Refinish 44.00 4.2 184.80 Material, Paint 121.80 Subtotal 444,80 Sales Tax 0.00 Grand Total 444,80 Net Total 444,80 Estimate Version Total$ Original 444.80 Insurance Total $: 444.80 Received from Insurance$: 0.00 Balance due from Insurance$: 444.80 Customer Total $: 0.00 T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paintless Dent Repair,A/M=Aftermarket,Rechr=Rechromed,Reman= Remanufactured,OEM=New Original Equipment Manufacturer,Recor=Re-cored,LKQ=Like Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,Struc= Structural 10/4/2012 11:34:12 AM Page 1 Final Bill RO Number: 10987 Vehicle: 2012 CHEV IMPALA POLICE 4D SED 6-3.6L-FI Grey Received from Customer$: 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 10/4/2012 11:34:12 AM Page 2 INDIANA RETAIL TAX EXEMPT PAGE City ®�:��C°,�rme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 261M 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. t VENDOR NO. DESCRIPTION fi/9 M'12 Hubler gitpross Collision Camel Police Department VENDOR SHIP 3 CIVIC squ31m SW Sfi Carmel Drive TO Camel, IN 46M Ca m ol„ IN 4M (W)591.2M CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-610.00 9 Each repairs 4®vehide $444.80 $444.80 Saab Total: $444.80 ',. V y •$S � Vh tt�qq\� -N�e' W M v Aye 1. S 1 >// 6 car 9041 Fester Send Invoice To: Cmel Police Depaitmer Attn:Toms@ Anderson 3 Civic I Sum Cel, IN 4&M- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. 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 1 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 -�� ., . a• .�J • PURCHASE ORDER NUMBER MUST APPEAR ON ALL day, �y SHIPPING LABELS. SN `@yhlo�g of r Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lS 1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 26199 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 - VOUCHER NO. WARRANT NO. Hubler Express Collision ALLOWED 20 IN SUM OF $ 503 West Carmel Drive Carmel„ IN 46032 $444.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 26199 I 10987 I 43-510.00 I $444.80 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, October 18, 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)) 10/03/12 10987 vehicle repairs $444.80 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