HomeMy WebLinkAbout243827 03/31/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 367730
ONE CIVIC SQUARE TOM WOOD COLLISION CENTER CHECKAMOUNT: $*******469.20*
CARMEL, INDIANA 46032 9727 BAUER DRIVE CHECK NUMBER: 243827
INDIANAPOLIS IN 46280 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 22139 469.20 AUTO REPAIR & MAINTEN
TOM WOOD COLLISION CENTER Workfile ID: b99c2c5f
M,
TO, WOOD
9727 BAUER DR, INDIANAPOLIS, IN 46280
` Phone: (317) 848-6707
FAX: (317) 575-6882
Final Bill
RO Number: 22139
Customer: Insurance: Adjuster: Estimator: MICHAEL TAYLOR
CITY OF CARMEL SELF PAY Phone: Create Date: 3/10/2015
1 CIVIC SQUARE Claim:
CARMEL,IN 46032 Loss Date:
(317)571-2476 Deductible:
Year: 2015 Style: 41)UTV VIN: JF2SJAAC2FH537856 Mileage In:
Make: SUBA Color: Mileage Out:
Model: FORESTER AWD License: Job Number: Vehicle Out: 3/26/2015
Line Ver Operation Description Qty Extended Part Labor Type Paint
Price$ Type
1 E01 REAR DOOR
2 E01 Remove/Install LT R&I door assy 1.1 Body
3 E01 Repair LT Door shell 1.0 Body 2.0
4 S01 Add for Three Stage 1.4
5 E01 Remove/Install LT Belt w'strip 0.5 Body
6 E01 Remove/Install LT Molding 0.3 Body
7 E01 Remove/Install LT Handle,outside paint to match 0.4 Body
8 E01 Remove/Install LT R&I trim panel 0.5 Body
9 E01 Remove/Replace CORROSION PROTECTION 1 10.00T Other 0.5 Body
10 E01 Hazardous Waste 1 3.00T Other
Estimate Totals Discount$ Markup$ Rate$ Total Hours Total$
Parts 13.00
Labor,Body 46.00 4.3 197.80
Labor,Refinish 46.00 3.4 156.40
Material,Paint 0
Subtotal 469.2
Sales Tax
Grand Total
Net Total 477.25
Estimate Version Total$
Original -4TOT._J�
Supplement S01 76.M
Insurance Total$: i 9 0.00
l�
T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Paintiess Dent Repair,A/M=Aftermarket,Rechr=Rechromed,Reman=
Remanufactured,OEM=New Original Equipment Manufacturer,Recor=Re-cored,LKQ=Uke Kind Quality or Used,Diag=Diagnostic,Elec=Electrical,Mech=Mechanical,Ref=Refinish,Struc=
Structural
3/26/2015 12:05:02 PM Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tom Wood Collision Center
IN SUM OF$
9727 Bauer Drive
Indianapolis, IN 46280
$469.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 22139 43-510.00 $469.20 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
Monday, March 30, 2015
' y I
Directo
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))
03/26/15 22139 $469.20
I
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