250800 10/21/15 J`/ tf. CITY OF CARMEL, INDIANA VENDOR: 368119
® ONE CIVIC SQUARE PANEL CRAFT PAINT&BODY WORK CHECK AMOUNT: $*****1,241.60*
9 ;?a; CARMEL, INDIANA 46032 3616 N SHADELAND AVENUE CHECK NUMBER: 250800
°j��ioN�°' INDIANAPOLIS IN 46226 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 15454 1,241.60 OTHER EXPENSES
PANEL CRAFT PAINT&BODY WORK
3616 N.SHADELAND AVE.
INDIANAPOLIS, IN.46226
PHONE:317-731-6621 FAX:317-731-6629
***INVOICE***
RO# 15454
09/11/2015 01:04 PM
Owner
Owner: CITY OF CARMEL
Inspection
Inspection Date: 09/11/2015 01:06 PM Inspection Type:
Appraiser Name: RYAN COOK Appraiser License#:
Vehicle
2007 Ford F-150 STX 4 DR Ext Cab Short Bed
8cyl Gasoline 4.6
4 Speed Automatic
Lic Expire: VIN: 1 FTRX14W47FB28885
Veh Insp#: Mileage Type: Actual
Condition: Code: P8014C
Ext.Color: RED Int.Color:
Ext. Refinish: Two-Stage Int.Refinish: Two-Stage
Options
4-Wheel Drive AM/FM CD Player Air Conditioning
Anti-Lock Brakes Auto Locking Hubs(4WD) Chrome Steel Wheels
Dual Airbags Intermittent Wipers Power Brakes
Power Steering Privacy Glass Rear Bench Seat
Rear Step Bumper Split Front Bench Seat Theft Deterrent System
Tilt Steering Wheel Tinted Glass Tow Hooks
Velour/Cloth Seats
Damages
Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R
Front Doors
1 EC 207 Door Shell,Front LT Replace Economy $650.00* 4.2 SM
2 L 207 13 Door Shell,Front LT Refinish 5.0 RF
2.7 Surface
1.0 Edge
0.6 Two-stage setup
0.7 Two-stage
2 Items
10/13/2015 09:50 AM Page 1 of 2
2007 Ford F-150 STX 4 DR Ext Cab Short Bed
Claim#: 09/11/2015 01:04 PM
MC Message
13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
Estimate Total&Entries
Other Parts $650.00
Paint&Materials 5.0 Hours @ $30.00 $150.00
Parts&Material Total $800.00
Labor Rate Replace Repair Hrs Total Hrs
Hrs
Sheet Metal(SM) $48.00 4.2 4.2 $201.60
Mech/Elec(ME) $80.00
Frame FR $80.00
Refinish(RF) $48.00 5.0 5.0 $240.00
Labor Total 9.2 Hours $441.60
Gross Total $1,241.60
Net Total $1,241.60
Audatex Estimating 7.0.533 ES 10/13/2015 09:50 AM REL 7.0.533 DT 08/01/2015
Copyright(C)2015 Audatex North America,Inc.
1.3 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA.
Op Codes
* = User-Entered Value E = Replace OEM NG= Replace NAGS
EC= Replace Economy OE= Replace PXN OE Srpls UE= Replace OE Surplus
ET= Partial Replace Labor EP= Replace PXN EU= Replace Recycled
TE.=_Partial.Replace Price__ PM= Replace PXN Reman/Reblt UM= Replace Reman/Rebuilt z
L = Refinish PC= Replace PXN Reconditioned UC= Replace Reconditioned
TT = Two-Tone SB= Sublet Repair N = Additional Labor
BR= Blend Refinish I = Repair IT = Partial Repair
CG= Chipguard RI = R& I Assembly P = Check
AA= Appearance Allowance RP= Related Prior Damage
This report contains proprietary information of Audatex and may not be disclosed to any third party(other than
the insured, claimant and others on a need to know basis in order to effectuate the claims process)without
Au da tex Audatex's prior written consent.
i d SWe:i cUtnpolTy
Copyright(C)2015 Audatex North America,Inc.
Audatex Estimating is a trademark of Audatex North America, Inc.
10/13/2015 09:50 AM Page 2 of 2
VOUCHER # 156498 WARRANT # ALLOWED
368119 IN SUM OF $
i
PANEL CRAFT PAINT & BODY WORK
3616 N. SHADELAND AVE.
INDIANAPOLIS, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
15454 01-7502-06 $1,241.60
I
l
Voucher Total $1,241.60 I
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
368119
PANEL CRAFT PAINT& BODY WORK Purchase Order No.
3616 N. SHADELAND AVE. Terms
INDIANAPOLIS, IN 46226 Due Date 10/16/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/201! 15454 $1,241.60
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
Date Officer