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Home My WebLink About214328 11/07/2012 "., 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 $2,418.09 CARMEL IN 46032 CHECK NUMBER. 214328 CHECK DATE. 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25465 11033 2 , 418 09 REPAIRS TO VEHICLES HUBLER EXPRESS COLLISION — Workfile ID- 55cc45c7 CARMEL INDIANA'S FIRST CHOICE IN COLLISION REPAIR! 503 W CARMEL DR., CARMEL, IN 46032 Phone (317) 569-9884 FAX (317) 569-9885 Final Bill RO Number 11033 Customer- Insurance: Adjuster, Al -Rep Team Estimator, Eric Tobolski CITY OF CARMEL STATE FARM INSURANCE Phone: (888)888-8888 Create Date: 10/10/2012 Evening 3400 W 131ST ST Washington Point, 147 Claim. 14-175W-17602 CARMEL,IN 46074-8267 Indianapolis,IN 46229 Loss Date: 8/16/2012 (317) 571-2500 Deductible, Year- 2009 Style: 4D SED VIN 2GlWS57M491305666 Mileage In 67990 Make: CHEV Color- DK BLUE Mileage Out: Model. IMPALA POLICE License: 14213 Job Number- Vehicle Out: 10/19/2012 Line Ver Operation Description Qty Extended Type Labor Type Paint Price$ 1 Sol FINAL BILL POA ON FILE PAY SHOP DIRECT 2 E01 REAR DOOR 3 E01 Repair RT Outer panel 1.0 Body 2.0 4 E01 Add for Clear Coat 0.8 5 E01 Remove/Install RT Body side mldg 0.2 Body 6 E01 Repair RT Body side mldg 0.5 Body 0.4 7 E01 Overlap Minor Panel (0.2) 8 E01 Add for Clear Coat 0.1 9 E01 Remove/Install RT Belt w'strip 0.3 Body 10 E01 Remove/Install RT Handle,outside w/chrome 0.3 Body 11 E01 Remove/Install RT R&I trim panel 0.4 Body 12 E01 QUARTER PANEL 13 E01 Repair RT Lower panel 2.0 Body 0.8 14 E01 Overlap Minor Panel (0.2) 15 E01 Add for Clear Coat 0.1 16 E01 Repair RT Quarter panel 10.0 Body 2.2 17 E01 Overlap Major Adj. Panel (0.4) 18 E01 Add for Clear Coat 04 19 E01 Remove/Replace RT Emblem flying impala 1 39 49T OEM 0.2 Body 20 E01 Remove/Install RT Qtr glass GM 1.5 Body 21 E01 Repair RT Outer wheelhouse 2.0 Body 0.4 22 E01 Add for Clear Coat 0.1 23 E01 Remove/Install Pressure vent 0.2 Body 24 E01 REAR LAMPS 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,SVn C= StrucWrd! Page 1 10117)2012 2:05 12 PM p # x „+, 'p Final Bill RO Number, 11033 Vehicle: 2009 CHEV IMPALA POLICE 4D SED 6-3.9L-FI DK BLUE 25 E01 Remove/Install RT Tail lamp assy 0.4 Body 26 E01 REAR BUMPER 27 E01 0/H rear bumper 1.9 Body 28 E01 Remove/Replace Bumper cover w/dual exh 1 526.63T OEM 0.0 Body 3.0 29 E01 Add for Clear Coat 1.2 30 E01 Remove/Install Energy absorber 0.0 Body 31 E01 Remove/Replace Glass Kit 1 26.80T Other 32 E01 Repair Adhesive Removal(per item) 0.1 Body 33 E01 Flex Additive 1 3.00T Other 34 E01 Repair Clean&retape(1/2 of R&I time) 0.1 Body 35 E01 Hazardous waste removal 1 300 Other 36 E01 Corrosion protection 0.3 Body 37 E01 PILLARS, ROCKER&FLOOR 38 E01 Remove/Install RT Rocker molding 0.8 Body 39 E01 Repair RT Rocker molding 0.5 Body 2.1 40 E01 Add for Clear Coat 0.4 41 E01 ROOF 42 E01 Remove/Install RT Molding 0.4 Body 43 E01 ROPE BACK GLASS MLDG 0.2 Body 44 E01 ROPE WINDSHIELD MLDG 0.2 Body 45 E01 Repair ROUGH PULL RT QTR AND WHEEL HOUSE 1.5 Body 46 E01 Blend RT Roof rail 0.8 Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$ Parts (28.31) 570.61 Labor,Body 42.00 25 0 1,050.00 Labor,Refinish 42.00 14.0 588.00 Material, Paint 350.00 Subtotal 2,558.61 Sales Tax 64.23 Grand Total 2,622.84 Insurer Prepaid Amount (2,418.09) Net Total 204.75 Estimate Version Total$ Original 2,622.84 Supplement S01 0.00 Insurance Total$ 20475 Received from Insurance$. 0.00 Balance due from Insurance$ 20475 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,Rechr=Re-cored,LKQ=Like Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,5truc= SWCt I Page 2 10717y2�12205�2PM 77. _: - �: Final Bill RO Number 11033 Vehicle. 2009 CHEV IMPALA POLICE 4D SED 6-3.9L-FI DK BLUE Customer Total$ 2,418.09 Received from Customer$ 0.00 Balance due from Customer$. 2,418.09 T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paintless Dent Repair A/M=Aftermarket,Rechr=Rechromed,Reman= Remanufactured,OEM=New Original Equipment Manufacturer Recor=Re-cored,LKQ=Like Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,Struc= Structural 10/17/2012 2:05 12 PM Page 3 CA INDIANA RETAIL TAX EXEMPT PAGE ity o Carmel CERTIFICATE NO 003120155 002 0 Jl PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25465 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION O 12 Hubler°Expreco Collision Carpel Police Department VENDOR SHIP 3 Civic Squam S3 woot Camel Ddva TO Camol, IN 4 Camol,$ IN 41 (W)571-2ffig CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-614.00 1 Each repairs to vehicle $2jat. 1' $2,70-Wd Sub Total: IP-r701.30 (a CIO t 1 .. .. & C . ��• ' 6n)) w4 Uj 3 —a 1 car 1U I M.Miller end Invoice To Camel Police Department � Attu:Teresa Andersen 3 Civic Square Camel, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT nel Police Dept. � PAYMENT —42-,701.30` 1 f A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. i ! NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTI•FYITHAT/THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR ABOVE ORDER. VP REPAID. O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I •••�°' IRCHASE ORDER NUMBER MUST APPEAR ON ALL s /j1 g ,IPPING LABELS. /„R�l r � Police 8 IS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE J��3 V 3 ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. p�,'ca 5 4 CLERK TREASURER CUMENT CONTROL.NO A•p COPY -SIGN AND RETURN TO CLERK'S OFFICE 0- 13T. "1''-:cam _ .';.':.-.a _ .. d. *.,. '.,�.� _ . _ 'Ti� VOUCHER NO WARRANT NO___ ALLOWED 20___ |N THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR ` Board Members PO#or INVOICE NO ACCT#/TITLE AMOUNT DEPT # | hereby certify that the attached inv000(e)' 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 Title Cost distribution|auoen`/asmmcativn 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)) 10/10/12 11033 vehicle repairs $2 418 09 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 $2,41809 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO ACCT#/TITLE AMOUNT Board Members 25465 I 11033 I 43-51000 I $2,41809 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, November 01, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund