HomeMy WebLinkAbout189329 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364669 Page 1 of 1
ONE CIVIC SQUARE FISHERS COLLISON REPAIR
CHECK AMOUNT: $1,766.23
CARMEL, INDIANA 46032 12685 FORS DRIVE
FISHERS IN 46038 CHECK NUMBER: 189329
CHECK DATE: 8/31/2010
DEPARTMENT ACCO PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 14983 1,766.23 OTHER EXPENSES
FISHERS COLLISION REPAIR
12685 FORD DRIVE
FISHERS, IN 46038
PH 317 -513 -1310
FAX 317 --813 -1316
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Fishers Collision Repair
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12685 Ford Drivc
faatc: 8/19 /2010 Fishers, IN 46038
Time; 10 :50:32Aiv1 (317) 813 -1310 I -nx: (317) 813 1316 Final still Po-iL� I all
190472C12451 Makc: 2008 Ford Nationwide
CITY OF CARMEL Model: F250 4X4 10585 N. Meridian
345QW 131ST Style; 2L] P/U Indiamipolls, IN 16226
CARMEL, iN 46074 Liccnec: 73192
Color: BLUF, Adjuster: PAUL WRF,NTMORE 50
Home: (3 17) 733 -2855 ViN; 1 FTNI'21 588F.A62447 Ins, Co. Phone (888) 762
Work Milca.ge: 31,385 Claim 9113C50803807271001 U
Est.: Angola Hilfiker i•lat Nn.: 190472 Date of Loss:
Scheduled: 8/6 /2010 Arrival: 8/6 /2010 1 Unit No.: Source;
Thanlr Vou for choosing FPS- 1- 11FR5 COLLISION i.REPAIR
Line Line ltew Price Labor fairs. Ol:lmr
1 Ovcrhaul DH bumper assy [FRON BUMPER] i 1,9 B
2 Repl A/M Bumper F250 -350 chronic [FRONT 502,60 A
•T3UMPER.]
3 Repl A /1\4 i,T Headlamp w/o HARLEY DAVIDSON S2 290.00 A 03 3
1 FRONT LAMPS]
4 Aim licadlamps FRONT LAMI'Si 0.5 B
5 Repr RT Fender F250, F350 (I ISS) S2 6.0 B 2.6 R
6 Add for Clear Coat [FEN1?ER,] 1.0 R
7 R &1 RT Vent w/o Harlcy Davidson 5.4 Lilcf 02 B
1
8 ;;R&I 'RT Fender linear w /gas engines 52 0.5 B
9 R &I R.&I bumper assy [Ri:AR BUMPER] S2 I .0 13
10 Repr RT Outer panel w/o keyless [FRONT DOORi 0,3 B 2.5 R
11 Overlap Major Adj. Panel [l`k0Ni' DOOR] -O.d R
12 Add for Clear Coat IFRONT DOOR I 0.4 R
13 Re in RF DUCF RASE -0.2 R
14 R &1 RT Belt, w'st:rip [FRONT DOOR.] 0.3 B
15 R&I IR'I' Mirror manual [FRONT DOOR] 0.3 13
16 R &1 RT Handle, outside: charcoal [FRONT DOOR] 0.3 B
17 Appr, Allow.(R.epi A/M DOOR GRAPHICS, $75.00) S4
18 R&I IRJ R&I trim panel f FRON`1' DOOR) 0.7 R
19 Mask for Overspray S2 7.00 P
20 Corrosion Protection 52 0,2 13 5,00 B
21 Hazardous Waste S3 4.207
22 R&I RT Run channel [FROM' DOORI S2 0.2 B
23 REMOVE DECALS S2 0.5 R
24 Rcp] Set back box assy (PICK UP 130X] S2 1,5 B
25 Repr ROPE BACK GLASS S3 0.4 R
26 Repr RT Cai panel [CAB] S2 0.5 B 1.6 R
27 Overlap MujorNon -Adj. Panel [CAi3] S2 0.2 It
28 Add for Clear Coat [CAR] S2 0.3 R
29 R&I RT Weatherstrip [CA BI S2 0.3 B
30 R &i RT Roof molding [CAU1 92 0'5 B
31 Paint Materials S2' 197,60 1'
Fishers Collision Repa 140 M014983
12685 Ford Dive
Date- 8/19/2010 FWicrs, IN 4603$
Tina: 10;50;32n
(317) 813 1310 Fax: (317) 913 Fint�l Bill 1'a�e 2 of
n9
Totals Original SupPl. 1+inal
Parts. A(terinarlceS (A) 867.60 -75.00 792.60 10.00 0.00
Parts, Other (0)
Ports TOW 877.60 -85.00 792.60
Labor, Bosky (3) 16.0 O 544.00 418.00 286.00 704.00
Labor, Refinish (11) 8.0 $44,00 294.130 57.20 352.00
Lah(jr Total 712.80 343,20 1.056.0
Materials, Paint (P) 174.20 0.00
Sublet. Labor (L) -3,00 0.00
Hazardous Waste (Z) 0 4.20 4.20
Materials, Faint (P) 0.00 202.60 202.60
Materials, Shot) (B) 0.00 5.00 5.00
Other Total 177.20 34.60 211.80
--4
Subtotal 1.767.60 292.80 2,060.4Q
SALES TAX (Rate 7.000 73.63 -3.97 6+9.66'
M----------------
Total 1,84123 288.83 2,130.06
Appearance Allowance 0.00 75.00 75.00
Insurance Total 1,841.23 363.83 2,205.06
Customer Duc 0.00 75.00 75.110,
VOUCHER 102554 WARRANT ALLOWED
T0696 IN SUM OF
FISHERS COLLISON REPAIR
12685 Ford Drive
Fishers, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
14983 01- 6500 -05
n
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Forms No. 201 (Rev 1905)
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
T0696
FISHERS COLLISON REPAIR Purchase Order No.
12685 Ford Drive Terms
Fishers, IN 46038 Due Date 8/24/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2010 14983 $1,841.23
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