HomeMy WebLinkAbout222438 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 361690 Page 1 of 1
ONE CIVIC SQUARE HUBLER EXPRESS COLLISON CHECK AMOUNT: $1,425.30
CARMEL, INDIANA 46032 503 W CARMEL DR
CARMEL IN 46032 CHECK NUMBER: 222438
CHECK DATE: 7/3012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 25364 2619 1, 425 . 30 VEHCILE REPAIRS
Date: 0711812013
ABRA HE Carmel INVOICE
AUTO} BODY & GLASS 503 West Carmel Drive
RO #: 2619
Carmel, IN 46032
(317) 569-9884, (317) 569-9885 (fax) Est: Eric Tobolski
CARMEL PD UNIT#102 11 CHEV IMPALA POLICE
1 CIVIC SQUARE Color: WHITE Customer Pay
CARMEL, IN 46032 Type: PC 4D SED Adjustor:
Home: 317-571-2559 VIN: 2G1WD5EM961288642 Phone:
Work: Prod Date: 0611 Plate: IN 5633 Claim#: N/A Deductible: 0
Fax: Mileage: 43605 Loss Type: Collision
Engine: 6-3.9L-Fl
P=Who Pay I= Insurance, C=Customer
Qty Type Description Part# Amount Sup Labor Op Labor Paint P
# Units Units
I- Parts Other PILLARS, ROCKER&FLOOR RT Body R&I 0.8 C
Rocker molding
Parts Other PILLARS, ROCKER&FLOOR RT Body Rpr 1.0 2.1 C
Rocker molding A
PILLARS, ROCKER&FLOOR Add for 0.4 C
Clear Coat
Parts Other FENDER RT Fender Body Rpr 2.0 2.2 C
FENDER Add for Clear Coat A 0.9 C
Parts Other FENDER RT Fender liner Body R&I 0.4 C
Parts Other FRONT DOOR RT R&I door assy Body R&I 1.2 C
Parts Other FRONT DOOR RT Door shell Body Rpr 2.0 2.0 C
FRONT DOOR Overlap Major Non-Adj. -0.2 C
Panel
FRONT DOOR Add for Clear Coat B 0.4 C
Parts Other FRONT DOOR RT Outer panel Body Rpr 4.0 C
Parts Other FRONT DOOR RT Belt w'strip Body R&I 0.3 C
Parts Other FRONT DOOR RT Body side mldg Body R&I 0.3 C
'Clean&Retape Molding Body Rpr 0.3 C
Parts Other FRONT DOOR RT Mirror assy w/o Body R&I 0.3 C
defogger grained
Parts Other FRONT DOOR RT Handle,outside w/o Body R&I 0.3 C
chrome
Parts Other FRONT DOOR RT R&I trim panel Body R&I 0.4 C
Parts Other FRONT LAMPS RT Headlamp assy Body R&I 0.3 C
Parts Other FRONT BUMPER&GRILLE R&I Body R&I 0.5 C
bumper cover
'Corrosion Protection Refn 0.5 C
1 Haz Waste 'Hazardous Waste 3.00 Body C
1 Pnt Mat Car Cover 3.00 Body Repl C
Parts Other MISCELLANEOUS OPERATIONS Body Rpr 2.5 C
REMOVE DECALS
Pnt/Mat MISC Paint&Materials 249.00 8.3 C
SubTotal 1,425.30
Taxes 0.00
Grand Total 1,425.30
Due from Insurance Due from Customer
Sub-Total 0.00 Sub-Total 1,425.30
Tax 0.00 Tax 0.00
--------- ---------
Total 0.00 Total 1,425.30
Total Amount 1,425.30
INVOICE #22 07/18/2013 08:50:26 AM RO#2619 ABRA HE Carmel
Pagel
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 1i, PURCHASE ORDER NUMBER
v. FEDERAL EXCISE TAX EXEMPT 36364
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
71182013
Hublor Express o Carmel Carmel Polico Department
VENDOR SHIP 3 CIVIC Square
TO
503 blest Cannel Drive Carmel, IN &RM
Carmel„ IN 4 (317)57M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY{ UNIITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-6 A 10.00
1 Each repairs to vehicle $1,425.30 $$1,425.30
Sub Total: $1,425.30
Car 1021 Hughes �4 � �] • "J
Send Invoice To:
Carmel Policy Depadmont
Attn;Tessa Anderson
3 Civic Square
Camel, IN 46=u PLEASE INVOICE IN DUPLICATE
I, DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �
`� PAYMENT $1,425.30
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPRIATI}}jjjJJJ U�FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. '
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE jhI@'f o y Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 3 6- 4 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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