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Home My WebLink About214564 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366717 Page 1 of 1 ONE CIVIC SQUARE AMERIPRISE CARMEL, INDIANA 46032 3500 PACKERLAND DRIVE CHECK AMOUNT: $45.89 ATTN: IDS PROPERTY CASUALTY INS CHECK NUMBER: 214564 DEPERE WI 54115 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 45 . 89 AUTO REPAIR & MAINTEN Ameriprise IDS Property Casualty Insurance Company 3500 Packerland Drive De Pere, WI 54115 To Whom it May Concern: Please find enclosed a check in the amount of$45.89 for tax. The City of Carmel is tax exempt and we do not pay tax to the vendor that repairs our vehicles. The Policy/Claim Number is 1553054-3-1211. If you have any, questions please contact me at 317-571-2559. Sincerely, Teresa Anderson Budget Administrator Carmel Police Department 2 ;;,17) ;_2;")00 ANationall yAccredited'Law'EnforcernentAgency i=1« :li) c,71-25'l 9IDS Property Casualty Insurance Company Ameriprise W 3500 Packerland Drive R E•ti�f�.• Auto&HomeInsurance De Pere,WI 54115 OCT 2 9 29-12 : ir:- r a T Check Number: 0002694653 Date of Check: 10/26/2012 Amount of Check: "'wa"$985.12 CARMEL CITY 3 CIVIC SQUARE CARMEL, IN 46032 CLAIMANT THIS PAYMENT HAS BEEN ISSUED UNDER THE VEHICLE PROPERTY DAMAGE COVERAGE FOR YOUR SUBMITTED CLAIM. FOR EQ NUM LINK, VIN 2G1WD5E3C1150054, LIC PLATE 976KAV. An Estimate has been enclosed for your review. Claim Number: 1553054 User ID:ALAGODNY Insured Name: Kamaljit Singh E Costco Loss Date: 10/10/2012 Detach this portion before depositing GN-00437 (4/10) •o a e • e e• o -o e • • o e • •e•• o IDS-Property Casual_ Insurance Come"an :" :Wei Fa`r o"Bank,Ohi6;N.A. tY P Y 9 56 382' .:...: Amerl rise _ 3500 Packerland Drive".; 115 Hospital Dr p Van Wert,OH 45891_ 412 Auto F�Home7nsurance De Pere,WI" 54115 Policy/Claim Number Check Number " Date"of..Check Arno"unt i 1553054-3-1211 0002694653 10/26/2012 ****..***.$985:12 rrrrrwaaraaarrrr,vrrwwrra+wear+*rkrrrrar+�♦ Please"Cast)promptly. P1�/ Nine Hundred Eighty Five and.12/100 dollars i Void"after 90 days. T CITY OF"CARMEL 1 0 � Security features I 8 included:: ! Il°000 269465311' e:04 2038 24e: 9600 �9 276511° HUSLER EXPRESS COLLISION - Workfile ID: e172a5ae CARMEL Federal ID: 06-1805064 State ID: 0126423717 INDIANA'S FIRST CHOICE IN COLLISION REPAIR! 503 W. CARMEL DR., CARMEL, IN 46032 Phone: (317) 569-9884 FAX: (317) 569-9885 Preliminary Estimate Customer: CARMEL POLICE DEPARTMENT Written By: Robert Trimpl Insured: CARMEL POLICE Policy#: Claim #: 1553054 DEPARTMENT Type of Loss: Date of Loss: Days to Repair: 0 Point of Impact: 06 Rear Owner: Inspection Location: Insurance Company: CARMEL POLICE DEPARTMENT HUBLER EXPRESS COLLISION -CARMEL AMERIPRISE AUTO&HOME INSURANCE 3 CIVIC SQUARE 503 W.CARMEL DR. CARMEL,IN 46032 CARMEL, IN 46032 (317)571-2500 Cellular Repair Facility (317)571-2559 Business (317)569-9884 Business VEHICLE Year: 2012 Body Style: 4D SED VIN: 2GIWD5E33C1150054 Mileage In: 13555 Make: CHEV Engine: 6-3.6L-FI License: 976KAV Mileage Out: Model: IMPALA POLICE Production Date: State: IN Vehicle Out: Color: Black Int: Grey Condition: Job#: TRANSMISSION Tinted Glass AM Radio 4 Wheel Disc Brakes Automatic Transmission Body Side Moldings FM Radio SEATS Overdrive Wood Interior Trim Stereo Bucket Seats POWER Dual Mirrors Search/Seek WHEELS Power Steering CONVENIENCE CD Player Styled Steel Wheels Power Brakes Air Conditioning Auxiliary Audio Connection PAINT Power Windows Rear Defogger SAFETY Clear Coat Paint Power Locks Tilt Wheel Anti-Lock Brakes(4) OTHER Power Driver Seat Cruise Control Driver Air Bag Traction Control Power Mirrors Intermittent Wipers Passenger Air Bag Stability Control Power Trunk/Tailgate Keyless Entry Head/Curtain Air Bags DECOR RADIO Front Side Impact Air Bags 10/23/2012 1:04:46 PM 024979 Page 1 Preliminary Estimate Customer: CARMEL POLICE DEPARTMENT Vehicle: 2012 CHEV IMPALA POLICE 4D SED 6-3.6L-FI Black Line Oper Description Part Number Qty Extended Labor Paint Price$ 1 REAR BUMPER 2 0/H rear bumper 1.9 3 Repl Bumper cover w/dual exh 19120961 1 526.63 Incl. 3.0 4 Add for Clear Coat 1.2 5 # Flex Additive 1 3.00 6 # Hazardous waste removal 1 3.00 X SUBTOTALS 532.63 1.9 4.2 ESTIMATE TOTALS Category Basis Rate Cost$ Parts 529.63 Body Labor 1.9 hrs @ $46.00/hr 87.40 Paint Labor 4.2 hrs @ $46.00/hr 193.20 Paint Supplies 4.2 hrs @ $30.00/hr 126.00 Miscellaneous 3.00 Subtotal 9.23. TF Grand Total -1 4PS.12 Deductible 0.00 CUSTOMER PAY 0.00 INSURANCE PAY -98542— ***THIS IS A VISUAL DAMAGE EVALUATION ONLY.*** HIDDEN DAMAGE OR OMITTED DAMAGE BY THE ESTIMATOR IS NOT CALCULATED IN THIS REPORT. PART PRICES AND LABOR CHARGES MAY CHANGE AFTER A COMPLETE DISASSEMBLY AND REINSPECTION IS PERFORMED BY THE ESTIMATOR, TECHNICIAN, PARTS VENDORS, OR INSURANCE PERSONNEL. AN ITEMIZED INVOICE WILL BE PROVIDED AFTER REPAIRS ARE COMPLETED. A PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN INSURER FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION COMMITS A FELONY. 10/23/2012 1:04:46 PM 024979 Page 2 VOUCHER NO. WARRANT NO. ALLOWED 20 Ameriprise IDS Property Casualty Insurance Company IN SUM OF $ 3500 Packerland Drive De Pere, WI 54115 $45.89 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 1110 43-510.00 $45.89 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 Thursday, November 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)) 10/26/12 tax reimbursement $45.89 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