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Home My WebLink About217676 02/26/2013 "a 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: $4,496.13 CARMEL IN 46032 CHECK NUMBER: 217676 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25586 11646 1, 320 . 00 REPAIRS 1110 R4351000 25546 11647 1, 975 . 30 REPAIRS 1110 4351000 11703 261 . 60 AUTO REPAIR & MAINTEN 1110 R4351000 25560 11703 939 . 23 REPAIRS TO CAR 154 HURLER EXPRESS COLLISION - WorMle ID: b4ai0bca CARPEL � � INDIANA'S FIRST CHOICE IN COLLISION REPAIR! 503 W. CARMEL DR., CARMEL, IN 46032 Phone: (317) 569-9884 FAX: (317) 569-9885 F!"al Bill RO Number: 11703 Customer: Insurance: Adjuster: Estimator, Eric Tobolsld UNIT#'/54 CITY OF CARMEL Phone: (111)111-1111 Create Date: 2/6/2013 Business 1 CIVIC SQUARE Washington Point,147 Claim: CARMEL,IN 46032 Indianapolis,IN 46229 loss Date: (317)571-2559 Deductible: Year. 2012 Style. 4D SED VIN: 2GIWD5E3XC1147149 Mileage In: 14209 Make: CHEV Color: BLACK Mileage Out: Model: IMPALA POLICE License: 618HY Job Number: Vehicle Out: 2/14/2013 Line Ver Operation Description Qty EhLonded Type Labor Type Paint pdoe$ 1 E01 REAR BUMPER 2 E01 0/H rear bumper 1.9 Body 3 E01 Remove/Replace Bumper cover w/dual exh 1 526.63T OEM 0.0 Body 3.0 4 E01 Add for Clear Coat 1.2 5 S02 Remove/Replace Energy absorber 1 176.98T OEM 0.0 Body 6 E01 REAR LAMPS 7 E01 Remove/install RTTail lamp assy 0.4 Body 8 E01 Remove/Install LTTWl lamp asst' 0,4 Body 9 E01 Rex Additive 1 3.00T Other 10 E01 Hazardous waste removal 1 3.00 Other 11 S02 REAR BODY&FLOOR 12 S02 Repair Rear body panel 2.0 Body 0.7 13 S02 Overlap Major Non-Adj.Panel (0.2) 14 502 Add for Clear Coat Estinsate Totals Discount$ LNarkup$ [fate$ Total Hours Total$ Parts (35.18) 674.43 Labor,Body 43.00 4.7 202.10 Labor,Refinish 43.00 4.7 202.10 Material,Paint 122.20 Subtotal 1,200.83 Sales Tax 6 Grand Total I Zoo.Y3 T=Taxable Item,RPD=Related Prior Damage,AA=Appearamce Allawarae,UPD=UnreWtW Prior Damage.PDR=Paintiew Dent Repair,A/M=Aftemlaftt,Redo=Rechraned.Reman= RemartAchrred,OEM=New Original Equipment Manufacturer,Recor=Re-ewed,LKQ=like 16nd Quality or Used,Diag=Diagnostic:,Elec=Electrical,Mech-Mechanical,Rd=Refinish,struc= structural Z,Z:ased 2TS2TLS:01 :wO.t3 SS:TT 2TO2-02-83d HUBLER EXPRESS COLLISION - Workfile ID: 2eeecde6 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: 11647 Customer: Insurance: Adjuster: Estimator: Eric Tobolski UNIT# 133,CITY OF CARMEL SELF PAY Phone: Create Date: 11/29/2012 1 CIVIC SQ Claim: N/A CARMEL,IN 46032 Loss Date: (317)571-2559 Deductible: Year: 2008 Style: 4D UTV VIN: 1D8HB38N08F146472 Mileage In: 57859 Make: DODG Color: BLUE Mileage Out: Model: DURANGO 4X4 SXT License: 938CDD Job Number: Vehicle Out: 21712013 Line Ver Operation Description Qty Extended Type Labor Type Paint Price$ 1 E01 FRONT DOOR 2 E01 Repair RT Door shell 4.0 Body 2.4 3 E01 Add for Clear Coat 1.0 4 E01 Remove/Install RT Belt w'strip 0.3 Body 5 E01 Remove/Install RT Power mirror w/heat,w/o memory 0.4 Body 6 E01 Remove/Install RT Run channel 0.3 Body 7 E01 Remove/Install RT Handle,outside 0.3 Body 8 E01 Remove/Install RT R&I trim panel 0.5 Body 9 E01 REAR DOOR 10 SO1 Repair RT Outer panel 8.5 Body 0.0 11 SO1 Repair RT Door shell 3.0 Body 2.3 12 SO1 Overlap Major Adj. Panel (0.4) 13 SO1 Add for Clear Coat 0.4 14 E01 Remove/Replace RT Front seal 1 11.35 OEM 0.2 Body 15 E01 Remove/Install RT Belt w'strip 0.3 Body 16 E01 Remove/Install RT Fixed glass tinted 0.4 Body 17 E01 Remove/Install RT Handle,outside 0.3 Body 18 E01 Remove/Install RT R&I trim panel 0.5 Body 19 E01 QUARTER PANEL 20 E01 Repair RT Quarter pnl assy 2.0 Body 2.4 21 E01 Overlap Major Non-Adj. Panel (0.2) 22 E01 Add for Clear Coat 0.4 23 E01 Remove/Install RT Quarter glass Dodge tinted 1.7 Body 24 E01 Remove/Install RT Outer seal 0.1 Body 25 E01 REAR LAMPS 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 2/11/2013 8:20:45 AM Page 1 Final Bill RO Number: 11647 Vehicle: 2008 DODG DURANGO 4X4 SXT 4D UTV 8-4.7L-FI BLUE 26 E01 Remove/Install RT Tail lamp 0.3 Body 27 501 Remove/Replace RT REAR WHEEL COVER 17" 1 77.20 Other 0.2 Body 28 E01 Remove/Install RR Cover loosen for refinish 0.5 Body 29 SO1 glass kit 1 18.75 Other 30 E01 Intrusion beam adhesive 1 40.00 Other 31 E01 Corrosion protection 1 10.00 Other 0.2 Body 32 E01 Cover car 0.2 33 E01 Hazardous waste removal 1 3.00 Other Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$ Parts 160.30 Labor, Body 48.00 24.0 1,152.00 Labor, Refinish 48.00 8.5 408.00 Material, Paint 255.00 Subtotal 1,975.30 Sales Tax 0.00 Grand Total 1,975.30 Net Total 1,975.30 Estimate Version Total$ Original 2,289.10 Supplement S01 (313.80) Insurance Total$: 0.00 Received from Insurance$: 0.00 Balance due from Insurance$: 0.00 Customer Total$: 1,975.30 Received from Customer$: 0.00 Balance due from Customer$: 1,975.30 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 2/11/2013 8:20:45 AM Page 2 HUBLER EXPRESS COLLISION — Workfile ID: 7994dd2b 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: 11646 Customer: Insurance: Adjuster: Estimator: Eric Tobolski UNIT# 133,CITY OF CARMEL SELF PAY Phone: Create Date: 1/4/2013 1 CIVIC SQ Claim: N/A CARMEL,IN 46032 Loss Date: (317)571-2559 Deductible: Year: 2008 Style: 4D UTV VIN: 1D8HB38N08F146472 Mileage In: 59155 Make: DODG Color: BLUE Mileage Out: Model: DURANGO 4X4 SXT License: 938CDD Job Number: Vehicle Out: 2/4/2013 Line Ver Operation Description Qty Extended Type Labor Type Paint Price$ 1 E01 FENDER 2 E01 Repair LT Fender 5.0 Body 2.2 3 E01 Add for Clear Coat 0.9 4 E01 Remove/Replace RT Splash shield 1 80.00 A/M 0.4 Body 5 E01 FRONT BUMPER 6 E01 Overhaul O/H bumper assy 2.8 Body 7 E01 Remove/Replace Bumper cover accent w/o tow hooks 1 310.00 A/M 0.0 Body 8 E01 FRONT LAMPS 9 E01 Remove/Replace RT Headlamp assy 1 194.00 A/M 0.0 Body 10 E01 Aim headlamps 0.5 Body 11 E01 ELECTRICAL 12 E01 Remove/Install RT Base 0.8 Body 13 E01 Hazardous waste removal 1 3.00 Other 14 E01 Corrosion protection 1 10.00 Other 0.2 Body 15 E01 Cover car 0.2 Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$ Parts 597.00 Labor, Body 48.00 9.7 465.60 Labor, Refinish 48.00 3.3 158.40 Material, Paint 99.00 Subtotal 1,320.00 Sales Tax 0.00 Grand Total 1,320.00 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 2/11/2013 9:10:18 AM Page 1 Final Bill RO Number: 11646 Vehicle: 2008 DODG DURANGO 4X4 SXT 4D UTV 8-4.7L-FI BLUE Net Total 1,320.00 Estimate Version Total$ Original 1,320.00 Insurance Total$: 0.00 Received from Insurance$: 0.00 Balance due from Insurance$: 0.00 Customer Total$: 1,320.00 Received from Customer$: 0.00 Balance due from Customer$: 1,320.00 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 2/11/2013 9:10:18 AM Page 2 INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2554 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 119 x13 HubleF Express Collision Carmel Police Department VENDOR SHIP 3 CIVIC qu Wont Camel Ddvg TO Carmel, IN 4M2 Camel,, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account.43.6i0.00 1 Each repairs to vehicle $1,382.00 $1,382.00 Sub Total: $1,382.00 >d.. • Y �3 �V rs qA C33P /Hedrick tt Send Invoice To: � ' zfi 4 Carmel Police Department Attn. Teresa Andemon 3 Civic Square Cartel, IN 46M- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT CaTmel Police Dept. -- PAYMENT $1,382,00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND r VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE'IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION�ICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BYTJ ! SHIPPING LABELS. g�g • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE QY t'oI o AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I*5 J 6 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._------._„____.-WARRANT NO..-.--.--_--- ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR a Board Members 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 INDIANA RETAIL TAX EXEMPT PAGE City ®f -rme l CERTIFICATE NO.003120155 002 0 C//// JJJLLL PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 446 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION `i`id�Qi20i2 , HublOF Rpreas Collision Carr @l Police Copartment VENDOR SHIP 3 Civic Squam SM West Camol Drive TO Carmel, IN Carrel„ IN 46032 671-2%9 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.510.00 1 EaO repairs to vehicle $2,289.10 $2,289.10 Sub Total: $2,289.10 Al ae ell ear 133 f Hadr1 Send Invoice To: r ' ° Cannel Police Department Attn: Teresa Anderson 3.Civic Square Carmel, IN 46W2. PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �__ .�,. —7 PAYMENT $2,M.10 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APP;Z" /'ON SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY � •PURCHASE ORDER NUMBER MUST APPEAR ON ALL - SHIPPING LABELS. �§ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE w1of og f Pollco AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. � 2_5546 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO..__-. _--WARRANT NO.-_.._---_----_ ALLOWED 20 IN THE SUM OF$ 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 20 ......................................................................................................."..............................- ----..............--------...--.... Signature ....................--...........-.........................-...- -...."-............................................-............._. Title Cost distribution ledger classification if claim Laid motor vehicle highway fund C4 INDIANA RETAIL TAX EXEMPT PAGE o Carmel CERTIFICATE NO.003120155 002 0\��/// � Jl 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, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 42197120`12 Hubl @rGxpmr-ss Collision Carol Pollce Department VENDOR SHIP 3 Civic Sfluca 6W Mst Carmel Ddva TO Carmel, IN 462 Camel„ IN 45M (W)579=2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43=610.100 9 Each repairs to vehicle $939.23 $939.23 Sub Total: $939.23 s v far 9 413. Harris Send In To: ; . Carmel Poll co Depaftm ont Attn.Tessa Anderson 3 Civic Square Carrel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. , .- `, y PAYMENT SM9•23 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIIFYITIHATTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. // ,{/ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / t •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY J f��JJpH��a// �g g SHIPPING LABELS. jJC' hie of Policlo •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 05 W � ; Pj CLERK TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.____._____.WARRANT NO._---..._---------_ ALLOWED 20 IN THE SUM OF$ $ 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. ALLOWED 20 Hubler Express Collision IN SUM OF $ 503 West Carmel Drive Carmel„ IN 46032 $4,496.13 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25586 11646 43-510.00 $1,320.00 { hereby certify that the attached invoice(s), or - bill(s) is (are) true and correct and that the 5546 11647 43-510.00 $1,975.30 materials or services itemized thereon for 1110 11703 43-510.00 $261.60 which charge is made were ordered and Encumbered 25560E 11703 43-510.00 $939.23 received except Thursday, February 21, 2013 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)) 02/04/13 11646 repairs to vehicle $1,320.00 02/07/13 11647 vehicle repairs $1,975.30 02/14/13 11703 vehicle repairs/car 154- S. Harris $261.60 02/14/13 11703 vehicle repairs $939.23 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