HomeMy WebLinkAbout214684 11/20/2012 a CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1
D ONE CIVIC SQUARE HUBLER EXPRESS COLLISON
CARMEL, INDIANA 46032 503 W CARMEL DR CHECK AMOUNT: $18,957.28
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`? CARMEL IN 46032 CHECK NUMBER: 214684
CHECK DATE: 11/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 25489 11008 10, 943 . 26 REPAIRS TO CAR 39
1110 4351000 25488 11062 8, 014 . 02 REPAIRS TO CAR 102
HUBLER EXPRESS COLLISION - Workfile ID: 10690b24
CARMEL
INDIANA'S FIRST CHOICE IN COLLISION REPAIR!
503 W. CARMEL DR., CARMEL, IN 46032
Phone: (317) 569-9884
FAX: (317) 569-9885
Final Bill
RO Number: 11062
Customer: Insurance: Adjuster: Estimator: Eric Tobolski
CITY OF CARMEL, UNIT# 102 TRAVELERS Phone: Create Date: 10/16/2012
1 CIVIC SQ Claim: CER0471001
CARMEL,IN 46032 Loss Date:
(317)733-4600 Deductible: 2,500.00
Year: 2011 Style: 4D SED VIN: 2G1WD5EM9B1288642 Mileage In: 26972
Make: CHEV Color: WHITE Mileage Out:
Model: IMPALA POLICE License: 5633 Job Number: Vehicle Out: 11/1/2012
Line Ver Operation Description Qty Extended Type Labor Type Paint
Price$
1 E01 FRONT LAMPS
2 E01 Remove/Install LT Headlamp assy 0.3 Body
3 E01 FENDER
4 S01 Remove/Replace LT Fender 1 190.96 OEM 2.4 Body 2.2
5 E01 Add for Clear Coat
6 E01 Add for Edging 0.5
7 E01 Remove/Install LT Fender liner 0.0 Body
8 E01 FRONT BUMPER&GRILLE
9 E01 Remove/Install R&I bumper cover 0.7 Body
10 E01 Deduct for Overlap (0.4) Body
11 E01 HOOD
12 E01 Blend Hood 1.6
13 E01 PILLARS, ROCKER&FLOOR
14 E01 Remove/Replace LT Rocker molding 1 197.19 OEM 0.8 Body 2.1
15 E01 Add for Clear Coat
16 S01 Repair LT Uniside assy 10.0 Body 3.0
17 E01 Overlap Major Adj. Panel (0.4)
18 E01 Add for Clear Coat
19 S01 Remove/Replace LT Weatherstrip 1 53.05 OEM 0.0 Body
20 E01 Remove/Install LT Carpet retainer front ebony 0.0 Body
21 E01 Remove/Install LT Carpet retainer rear ebony 0.0 Body
22 S01 Remove/Install RT Rocker molding 0.8 Body
23 E01 FRONT DOOR
24 E01 Remove/Install LT Door w'strip ebony,titanium 0.0 Body
25 S01 Remove/Replace LT Door shell 1 826.59 OEM 4.8 Body 3.0
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
11/12/2012 10:30:05 AM Page 1
Final Bill
RO Number: 11062
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
26 E01 Overlap Major Adj. Panel (0.4)
27 E01 Add for Clear Coat
28 E01 Add for mirror 0.3 Body
29 S01 Remove/Replace LT Belt w'strip 1 45.38 OEM 0.0 Body
30 S01 Remove/Replace LT Body side mldg 1 129.01 OEM 0.3 Body 0.5
31 Sol Overlap Minor Panel (0.2)
32 E01 Add for Clear Coat
33 E01 Remove/Install LT Mirror assy w/o defogger smooth 0.0 Body
34 S01 Remove/Replace LT Door glass GM +25 1 93.75 Glass 0.0 Body
35 E01 Remove/Replace LT Applique 2nd design 1 54.39 OEM 0.0 Body
36 E01 Remove/Replace LT Handle,outside w/o chrome 1 55.81 OEM 0.0 Body 0.5
37 E01 Overlap Minor Panel (0.2)
38 E01 Add for Clear Coat
39 E01 Remove/Install LT R&I trim panel 0.0 Body
40 E01 Remove/Replace LT Upper hinge 2nd design 1 40.49 OEM 0.0 Body 0.3
41 E01 Add for Clear Coat
42 E01 Remove/Replace LT Lower hinge 2nd design 1 94.68 OEM 0.0 Body 0.3
43 E01 Add for Clear Coat
44 E01 Remove/Replace LT Belt w'strip 1 30.01 OEM 0.0 Body
45 Sol Remove/Replace LT Lock assy all 1 169.96 OEM 0.0 Body
46 E01 Repair UPPER HINGE POST SIDE 0.3 Body
47 E01 Repair LOWER HINGE POST SIDE 0.3 Body
48 S02 Remove/Replace LT Window regulator 1 177.80 OEM 0.0 Body
49 S02 Remove/Replace LT Rear channel 1 31.06 OEM 0.0 Body
50 E01 REAR DOOR
51 S01 Remove/Replace LT Door shell 1 814.86 OEM 4.5 Body 3.0
52 E01 Overlap Major Adj. Panel (0.4)
53 E01 Add for Clear Coat
54 E01 Remove/Replace LT Belt w'strip 1 60.70 OEM 0.0 Body
55 E01 Remove/Replace LT Body side mldg 1 115.27 OEM 0.2 Body 0.4
56 E01 Overlap Minor Panel (0.2)
57 E01 Add for Clear Coat
58 E01 Remove/Install LT Handle,outside w/o chrome 0.0 Body
59 E01 Remove/Install LT R&I trim panel 0.0 Body
60 E01 QUARTER PANEL
61 S01 Repair LT Quarter panel 9.5 Body 2.2
62 E01 Overlap Major Adj. Panel (0.4)
63 E01 Add for Clear Coat
64 E01 ADD FOR LOCK PILLAR 0.5
65 E01 Remove/Install Fuel door 0.3 Body
66 E01 Refinish Fuel door 0.3
67 E01 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,Remain=
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
11/12/2012 10:30:05 AM Page 2
Final Bill
RO Number: 11062
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
68 E01 CLEAR COAT 2.5
69 E01 Remove/Install LT Qtr glass GM 1.5 Body
70 E01 Remove/Install LT Wheelhouse liner 0.3 Body
71 E01 REAR LAMPS
72 E01 Remove/Install LT Tail lamp assy 0.4 Body
73 E01 ROOF
74 E01 Remove/Install LT Molding 0.4 Body
75 E01 WHEELS
76 S01 Remove/Replace LT/Front Wheel cover w/POLICE 1 53.37 OEM 0.2 Body
77 S01 Remove/Replace LT/Rear Wheel cover w/POLICE 1 53.37 OEM 0.2 Body
78 Sol RADIATOR SUPPORT
79 S01 Remove/Replace RT Diagonal brace 1 45.36 OEM 0.3 Body
80 S01 Remove/Replace LT Diagonal brace 1 28.15 OEM 0.3 Body
81 E01 REAR BUMPER
82 E01 Repair Bumper cover w/dual exh 1.0 Body 2.6
83 E01 Add for Clear Coat 1.2
84 E01 Remove/Install R&I bumper cover 1.1 Body
85 E01 Remove/Install SPOT LIGHT 0.5 Body
86 E01 Remove/Install POLICE ROOF LIGHTS 0.5 Body
87 E01 Repair REMOVE POLICE DECAL 1.0 Body
88 SO1 Flex Additive 1 2.90 Other
89 E01 Cover car 1 5.00 Other 0.2 Body
90 E01 Sublet FOUR WHEEL ALIGNMENT 1 89.95 Other
91 SO1 Urethane glass kit 1 12.50 Other
92 SO1 Corrosion protection 1 5.00 Other 0.5 Body
93 E01 Repair SET-UP AND MEASURE 2.0 Body
94 E01 Repair CLEAN BROKEN GLASS 2.0 Body
95 E01 Repair UNIBODY FRAME REPAIR 3.0 Frame
96 S01 Repair PULL FRONT END TO SQUARE 6.0 Frame
97 S01 Repair PINCH WELDS- LT SIDE 0.5 Body 0.5
98 S01 Repair PINCH WELDS- RT SIDE 0.5 Body 0.5
99 SO1 Remove/Install BATTERY 0.3 Body
100 S01 Repair GLASS CLEAN-UP 1.0 Body
101• S02 Remove/Replace CLIP 1 6.26 Other
Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$
Parts 3,392.87
Sublet/Miscellaneous 89.95
Labor, Body 44.00 49.8 2,191.20
Labor, Refinish 44.00 25.5 1,122.00
Labor, Frame 56.00 9.0 504.00
Material, Paint 714.00
Subtotal 8,014.02
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
11/12/2012 10:30:05 AM Page 3
Final Bill
RO Number: 11062
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
Sales Tax 0.00
Grand Total 8,014.02
Deductible (2,500.00)
Appearance Allowance 225.00
Insurer Prepaid Amount (5,964.02)
Net Total (225.00)
Estimate Version Total$
Original 7,225.59
Supplement S01 1,023.31
Supplement S02 (9.88)
Insurance Total$: (225.00)
Received from Insurance$: 0.00
Balance due from Insurance$: (225.00)
Customer Total $: 8,014.02
Received from Customer$: 0.00
Balance due from Customer$: 8,014.02
T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paintless Dent Repair,A/M=Aftermarket,Rechr=Rechromed,Reman=
Remanufactured,OEM=New Original Equipment Manufacturer,Recor=Re-cored,LKQ=Like Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,Struc=
Structural
11/12/2012 10:30:05 AM Page 4
HUBLER EXPRESS COLLISION - Workfile ID: 2ae4c294
CARMEL
INDIANA'S FIRST CHOICE IN COLLISION REPAIR!
503 W. CARMEL DR., CARMEL, IN 46032
Phone: (317) 569-9884
FAX: (317) 569-9885
Final Bill
RO Number: 11008
Customer: Insurance: Adjuster: Estimator: Eric Tobolski
CITY OF CARMEL TRAVELERS Phone: Create Date: 10/5/2012
1 CIVIC SQUARE Claim: EUY9382001
Loss Date:
(317)571-2523 Deductible: 2,500.00
Year: 2011 Style: 4D SED VIN: 2G1WD5EM1B1290479 Mileage In: 29885
Make: CHEV Color: WHITE Mileage Out:
Model: IMPALA POLICE License: 5433 Job Number: Vehicle Out: 10/26/2012
Line Ver Operation Description Qty Extended Type Labor Type Paint
Price$
1 E01 RADIATOR SUPPORT
2 E01 Repair Radiator support 3.5 Body 1.5
3 E01 FRONT LAMPS
4 E01 Remove/Replace RT Headlamp assy clip 1 5.77 OEM
5 E01 Repair ADD FOR POLICE OPTION 0.5 Body
6 S02 Remove/Replace RT Headlamp assy 1 286.90 OEM 0.3 Body
7 E01 Aim headlamps 0.5 Body
8 E01 FRONT BUMPER&GRILLE
9 S02 Overhaul O/H bumper assy 2.6 Body
10 S02 Remove/Replace Impact bar 1 124.02 OEM 0.0 Body 1.0
11 S02 Remove/Replace Lower deflector all 1 67.38 OEM 0.0 Body
12 E01 Remove/Install License bracket 0.0 Body
13 S02 Remove/Replace Energy absorber 1 194.27 OEM 0.0 Body
14 S02 Remove/Replace Bumper cover w/o fog lamps 1 385.80 OEM 0.0 Body 3.0
15 E01 Add for Clear Coat 1.2
16 E01 HOOD
17 S02 Remove/Replace Hood 1 427.72 OEM 1.5 Body 3.2
18 E01 Add for Clear Coat 0.0
19 E01 Add for Underside(Complete) 1.6
20 E01 Remove/Install Insulator 0.0 Body
21 E01 FENDER
22 E01 Blend LT Fender 1.1
23 S02 Remove/Replace RT Fender 1 187.78 OEM 2.4 Body 2.2
24 E01 Overlap Major Adj. Panel (0.4)
25 E01 Add for Clear Coat 0.0
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
11/12/2012 10:32:25 AM Page 1
r
Final Bill
RO Number: 11008
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
26 E01 Add for Edging 0.5
27 E01 Deduct for Overlap (0.4) Body
28 E01 Remove/Install LT Fender liner 0.4 Body
29 S02 Remove/Replace RT Fender liner 1 21.65 OEM 0.0 Body
30 E01 Repair RT Apron panel 1.0 Body 0.0
31 E01 Repair RT Front panel 1.5 Body 0.3
32 E01 Add for Clear Coat 0.1
33 S02 Remove/Replace RT Upper rail 1 141.67 OEM 3.5 Body 0.7
34 E01 Overlap Minor Panel (0.2)
35 E01 PILLARS, ROCKER&FLOOR
36 E01 Remove/Install LT Rocker molding 0.8 Body
37 E01 Remove/Replace RT Rocker molding 1 187.98 OEM 0.8 Body 1.7
38 E01 Add for Clear Coat 0.4
39 E01 Repair RT Uniside assy 3.0 Body 1.2
40 E01 Overlap Major Adj. Panel (0.4)
41 E01 Add for Clear Coat 0.3
42 E01 WHEELS
43 S02 Remove/Replace RT/Front Wheel cover w/POLICE 1 52.48 OEM
44 S02 Remove/Replace RT/Front Wheel,steel w/o threaded insert 1 209.18 OEM 0.3 Body
45 Sol FRONT SUSPENSION
46 S02 O/H frt susp rt 3.0 Mech
47 S01 Remove/Replace RT Strut w/POLICE 1 118.72 OEM 0.0 Mech
48 S02 Remove/Replace LT Lower cntrl arm w/POLICE 1 90.73 OEM 1.0 Mech
49 S02 Remove/Replace RT Knuckle w/POLICE 1 177.73 OEM 0.0 Mech
50 S02 Deduct for Overlap (0.4) Mech
51 S02 Remove/Replace RT Lower cntrl arm w/POLICE 1 90.73 OEM 0.0 Body
52 S02 Deduct for Overlap 0.0 Body
53 E01 ELECTRICAL
54 E01 Remove/Install Battery 0.3 Body
55 S01 Remove/Replace Horn low note 1 69.80 OEM 0.2 Body
56 SO1 Remove/Install Battery tray 0.2 Body
57 S01 Remove/Install ELECTRIC COMPONETS ON RT APRON 1.5 Body
58 S02 Remove/Replace Pressure sensor 1 72.44 OEM 0.2 Mech
59 E01 FRONT DOOR
60 S02 Remove/Replace RT Body side mldg 1 126.87 OEM 0.3 Body 0.4
61 S02 Overlap Minor Panel (0.2)
62 E01 Add for Clear Coat 0.1
63 S02 Remove/Replace RT Door shell 1 812.82 OEM 4.8 Body 2.6
64 E01 Overlap Major Adj. Panel (0.4)
65 E01 Add for Clear Coat 0.4
66 E01 Add for mirror 0.3 Body
67 E01 Remove/Install RT Belt w'strip 0.0 Body
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
11/12/2012 10:32:25 AM Page 2
t
Final Bill
RO Number: 11008
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
68 S02 Remove/Replace RT Mirror assy w/o defogger smooth 1 161.92 OEM 0.0 Body 0.5
69 E01 Overlap Minor Panel (0.2)
70 E01 Add for Clear Coat 0.1
71 E01 Remove/Install RT Handle, outside w/o chrome 0.0 Body
72 E01 Remove/Install RT R&I trim panel 0.0 Body
73 S01 Remove/Replace RT Upper hinge 2nd design 1 40.49 OEM 0.0 Body 0.3
74 SO1 Add for Clear Coat
75 E01 WINDSHIELD
76 E01 Remove/Install Washer reservoir 0.5 Body
77 E01 REAR DOOR
78 E01 Remove/Install RT Belt w'strip 0.3 Body
79 E01 Repair RT Outer panel 2.5 Body 1.9
80 E01 Overlap Major Adj. Panel (0.4)
81 E01 Add for Clear Coat 0.3
82 E01 Remove/Install RT Body side mldg 0.2 Body
83 E01 Remove/Install RT R&I trim panel 0.4 Body
84 E01 Repair RT Handle,outside w/o chrome 0.4
85 E01 Overlap Minor Panel (0.2)
86 E01 Add for Clear Coat 0.1
87 E01 Repair RT Body side mldg 0.7 Body 0.3
88 E01 Overlap Minor Panel (0.2)
89 E01 Add for Clear Coat 0.1
90 E01 QUARTER PANEL
91 E01 Remove/Install RT Wheelhouse liner 0.3 Body
92 S01 Repair RT Quarter panel 10.0 Body 1.9
93 E01 Overlap Major Adj. Panel (0.4)
94 E01 Add for Clear Coat 0.3
95 E01 ADD FOR LOCK PILLAR 0.5
96 E01 CLEAR COAT 2.3
97 E01 Remove/Install RT Qtr glass GM 1.5 Body
98 E01 Refinish ADDITIONAL CLEAR COAT RT UPPER 0.5
RAIL
99 E01 ROOF
100 E01 Remove/Install RT Molding 0.4 Body
101 S02 Remove/Replace RT Molding 1 120.58 OEM 0.0 Body
102 E01 REAR LAMPS
103 E01 Remove/Install RT Tail lamp assy 0.4 Body
104 E01 REAR BUMPER
105 E01 0/H rear bumper 1.9 Body
106 S02 Remove/Replace Bumper cover w/dual exh 1 526.63 OEM 0.0 Body 3.7
107 E01 Overlap Major Non-Adj. Panel (0.2)
108 E01 Add for Clear Coat 0.7
109 E01 Sublet FOUR WHEEL ALIGNMENT 1 89.95 Other
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
11/12/2012 10:32:25 AM Page 3
Final Bill
RO Number: 11008
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
110 E01 Sublet BALANCE WHEEL/TIRE 1 15.00 Other
111 E01 Remove/Replace A/M CAR COVER 1 5.00 Other 0.2 Body
112 E01 Remove/Replace A/M RUBBER VALVE STEM 1 2.50 Other
113 E01 Remove/Replace A/M FLEX ADDITIVE 1 3.00 Other
114 E01 Remove/Replace A/M RESTORE CORROSOIN PROTECTION 1 10.00 Other 0.5 Body
115 E01 Remove/Replace A/M GLASS INSTALLATION KIT 1 15.00 Other
116 E01 Remove/Install ROOF POLICE LAMP 0.5 Body
117 E01 Repair SET UP AND MEASURE 2.0 Body
118 S01 Repair UNIBODY FRAME REPAIR 4.0 Frame
119 E01 Sublet HAZ WASTE 1 3.00 Other
120 E01 Repair REMOVE POLICE DECALS 2.0 Body
121 S01 MATCH INSUR EST REFINISH 1 28.40 Other
122 S02 Remove/Replace FREIGHT CHARGES 1 37.99 Other
123 S02 Remove/Replace FREIGHT CHARGES 1 32.96 Other
124 S02 Sublet REPAIR SIR LIGHT 1 673.20 Sublet
Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$
Parts 4,836.91
Sublet/Miscellaneous 781.15
Labor, Body 44.00 54.1 2,380.40
Labor, Refinish 44.00 34.2 1,504.80
Labor, Frame 56.00 4.0 224.00
Labor, Mechanical (Sol) 0.0 0.00
Labor, Mechanical (S02) 68.00 3.8 258.40
Material, Paint 957.60
Subtotal 10,943.26
Sales Tax 0.00
Grand Total 10,943.26
Deductible (2,500.00)
Appearance Allowance 225.00
Net Total 8,668.26
Estimate Version Total$
Original 9,144.16
Supplement Sol 582.41
Supplement S02 1,441.69
Insurance Total $: 8,668.26
Received from Insurance$: 0.00
Balance due from Insurance$: 8,668.26
Customer Total $: 2,275.00
T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paintless Dent Repair,A/M=Aftermarket,Rechr=Rechromed,Reman=
Remanufactured,OEM=New Original Equipment Manufacturer,Recor=Re-cored,LKQ=Like Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,Struc=
Structural
11/12/2012 10:32:25 AM Page 4
Final Bill
RO Number: 11008
Vehicle: 2011 CHEV IMPALA POLICE 4D SED 6-3.9L-FI WHITE
Received from Customer$: 0.00
Balance due from Customer$: 2,275.00
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
11/12/2012 10:32:25 AM Page 5
INDIANA RETAIL TAX EXEMPT PAGE
City O Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2US
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 REQUISITIO7 t VENDOR NO. L DESCRIPTION
10IM12
Hublor smProag Celllseon Carmel Police Dopartment
VENDOR SHIP 3 Chic Square
gysyWest[C��@rjpel Drive TO Carmel, Il�a�4Q6M
C ial, IN 4C{kDv'�G (3 A7)571.2 9
CONFIRMATION BLANKLCONTRACT PAYMENTTERMS FREIGHT
QUANTITY U DESCRIPTION UNIT PRICE EXTENSION
Account 43. 90.0
9 Each repairs to vehicle $7,225.59 $7,225.59
Sub Total: $7,225.59
-4
r 102 f Hughes 't ®
Send In To:
Camel Police Department
Attu: Teresa Anderson
3 Civic Square
Carrel, IN 41332- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $7,225.59
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. r` +
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. � \ \ g
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE '� "�` 1 Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 Z54 8 8 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#ITITLE 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 ®;I' 3 C°�rme l CERTIFICATE NO.003120155 002 0 1i �V CR.tt JJLL 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,
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
10012
HublarExpross Collision Carrel Police Department
VENDOR SHIP 3 Civic Square
TO
5M watt Carmel Drivo Car l, IN 460
Carmel„ IN 4 (317)671-2559
CONFIRMATION =UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
Account 43,610.00
4 Each repairs to vehide $9,144.16 $9,144.16
Sub'Total: $9,144.16
Al
Sb
car 391 Matthews f �'
Send Invoice To: 4` %
Central police Department
Attn. 'Teresa Anderson
3 Civic Square
Camel, IN 42m PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $9,144.16
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS •.I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. Ya
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY "_:°"� •ti\-y1-tZ-.:.S.. Y
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL _..,
SHIPPING LABELS. d, Chief R6ilcc
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 'a '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
L-.,.
DOCUMENT CONTROL NO. . °.P COPY-SIGN AND RETURN TO CLERK'S OFFICE
r
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hubler Express Collision
IN SUM OF $
503 West Carmel Drive
Carmel„ IN 46032
$18,957.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25489 11008 43-510.00 $10,943.26 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25488 11062 43-510.00 $8,014.02
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 11008 vehicle repairs $10,943.26
11/01/12 11062 vehicle repairs $8,014.02
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