251928 12/02/ 1 5 a-.
CITY OF CARMEL, INDIANA VENDOR: 00350155
ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $"""'1,728.16'
CARMEL, INDIANA 46032 308 GRADLE DRIVE CHECK NUMBER: 251928
CARMEL IN 46032 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4720 431.60 OTHER EXPENSES
651 5023990 4721 1,296.56 OTHER EXPENSES
WVOICE CARMEL AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 4639
Estimate Carmel, IN 46032 Report No: 4721
11/18/2015 Phone#: (317) 815-8379 Claim#:
Fax#: (317) 815-3856 Assign No:
Vehicle Information Owner-Carmel Utilities Truck 61 Accident Location
2014 Ford Pickup F250 9609 hazel dell parkway
Style: Indianapolis, IN 46280
Calor: Work Phone: (317)571-2634
Color Code: Work Phone: (317) - Phone#1: -
Production Date: /0 Fax#: (317) - Phone#2: -
License: State: IN Insured - Claimant-
VIN: 1FTBF2B69EEA92756
Miles In:0
Miles Out: 0 Home Phone: (317) - Home Phone: (317) -
Condition: Work Phone: (317) - Work Phone: (317) -
Estimator: Fax#: (317) - Fax#: (317) -
Date Assigned: 10/23/2015 Date of Loss: 10/23/2015 Date of Inspection: 10/23/2015
Description of Work Part Number Price Labor _Paint Other
PICK UP BOX, 8 FOOT BOX-FRONT&SIDE PANELS
Repair Right Side panel, w/o dual wheel 1.0*body 3.5
+Clearcoat(1.4) 1.4
Repair Left Side panel,w/o dual wheel 0.5*body 3.5
-Adjacent(0.4) +Clearcoat(0.6) 0.2
PICK UP BOX. 8 FOOT BOX- TAIL GATE
Repair Tail gate,w/o flex step 2.0*body 3.0
-Adjacent(0.4) +Clearcoat(0.5) 0.1
R&I Handle, all, black 0.5 body
PICK UP BOX. 8 FOOT BOX-EXTERIOR TRIM. BODY SIDE
Replace Both Body Decal,"4X4", silver BC3Z9925622AA $108.36 0.8*body
R&I Right Body Upper molding, black 0.6 body
R&I Left Body Upper molding, black 0.6 body
PICKUP BOX. 8 FOOT BOX-EXTERIOR TRIM. TAIL GATE
R&I Tail gate mldg,w/o flex step, black 0.3 body
R&I Emblem,w/o rear camera 0.2 body
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 6.5hrs $46.00/hr $299.00
Paint Labor 9.2hrs $46.00/hr $423.20
Clearcoat Labor 2.5hrs $46.00/hr $115.00
OEM Parts $108.36 T
Paint Supplies 9.2hrs $30.00/hr $276.00 T
Clearcoat 2.5hrs $30.00/hr $75.00 T
Tax Non-Taxed
Grand Total $1,296.56
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide. NAGS Part Numbers and
Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR
suggested labor operation times. NAGS labor operation times are not included. Guide used is(DR2ME11). 7/15
`Indicates Estimator's Judoment
T Indicates Taxed Item
CCC Comp-Est A product of CCC Information Services Inc.
Page 1 of 1
0
6c).3 Sol SS
CARMEL AUTO REFINISHING
INVOICE Federal Ta
�vID 0
308 GRADL'E DRIVE. Customer No: 4638
Estimate Carmel,IN 46032 Report No: 4720
11118/2015 Phone#: (317) 815-8379 Claim#:
Fax#: (317) 815-3856 Assign No:
Vehicle Information Owner-Carmel Utilities Truck 57 Accident Location
2014 Ford Pickup F250 9609 hazel dell parkway
Style: Indianapolis, IN 46280
Color: Work Phone: (317) 571-2634 �^
Color Code: Work Phone: (317) - Phone#1: -
Production Date: /0 Fax#: (317) - Phone#2: -
License: State: IN Insured - Claimant-
VIN: 1 FTBF2B67EEA92755
Miles In: 0
Miles Out: 0 Home Phone: (317) - Home Phone: (317) -
Condition: Work Phone: (317) - Work Phone: (317) -
Estimator: Fax#: (317) - Fax#: (317) -
Date Assigned: 10/23/2015 Date of Loss: 10/23/2015 Date of Inspection: 10/23/2015
Description of Work Part Number Price Labor Paint Other
FRONT DOOR-DOOR& COMPONENTS
Repair Right Front Door Outer panel, w/o keyless 2.0"body 2.5
lock pad
+Clearcoat(1.0) 1.0
FRONT DOOR-EXTERIOR TRIM
R&I Right Front Door Belt w'strip 0.3 body
FRONT DOOR-OUTSIDE MIRRORS. W/O TRAILER TOW
R&I Right Front Door Mirror, manual 0.4 body
FRONT DOOR-LOCK&HARDWARE
R&I Right Front Door Handle, outside, black 0.4 body
FRONT DOOR-INTERIOR TRIM. W/O POWER WINDOWS
R&I Right Front Door trim panel, steel gray 0.5 body
Sub Totals
THANK YOU FOR LETTING US SERVE YOU Hours Rate Total
Body Labor 3.6hrs $46.00/hr $165.60
Paint Labor 2.5hrs $46.00/hr $115.00
Clearcoat Labor 1.0hrs $46.00/hr $46.00
Paint Supplies 2.5hrs $30.00/hr $75.00 T
Clearcoat 1.0hrs $30.00/hr $30.00 T
Tax Non-Taxed
Grand Total $431.60
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide. NAGS Part Numbers and
Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR
suggested labor operation times. NAGS labor operation times are not included. Guide used is(DR2ME11). 7/15
'Indicates Estimator's Judament
T Indicates Taxed Item
CCC Comp-Est - A product of CCC Information Services Inc.
Page 1 of 1
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
00350155
CARMEL AUTO REFINISHING Purchase Order No.
308 GRADLE DRIVE Terms
CARMEL, IN 46032 Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201! 4721 $1,296.56
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
///Z S//S
Date Officer
VOUCHER # 156723 WARRANT # ALLOWED
00350155 IN SUM OF $
CARMEL AUTO REFINISHING
308 GRADLE DRIVE
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4721 01-7502-06 $1,296.56
y Sao ot --15oo.-oa
I.7A, i(o
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund