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Home My WebLink About167018 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1 c ONE CIVIC SQUARE CARMEL AUTO REFINISHING CARMEL, INDIANA 46032 308 GRADLE DRIVE CHECK AMOUNT: $951.51 CARMEL IN 46032 CHECK NUMBER: 167018 CHECK DATE: 12/1712008 ,QEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 18989 951.51 REPAIRS TO CAR 9 CARMEL AUTO REFINISHIING Federal Tax ID: 0 Estimate Carmel, GRADLE DRIVE. Customer No: 1473 Carmel, IN 46032 Report No: 1507 1211212008 Phone (317) 815 -8379 Claim Fax (317) 844 -6659 Assign No: Vehicle Information Owner Carmel Police Dept. Car 07 Accident Location 2005 Chevrolet Impala 3 civic square Style: 4D SED Carmel, IN 46032 Color: Home Phone: (317) 571 -2500 Color Code: Work Phone: (317) Phone #1: Production Date: 0 Fax (317) Phone #2: License: State: IN Insured Claimant VIN: 2G1 WF55K359364824 Miles In: 0 Miles Out: 0 Home Phone: (317) Home Phone: (317) Conditiow Work Phone: (317) Work Phone: (317) Estimator: Fax (317) Fax (317) Date Assigned: 12/12/2008 Date of Loss: 12/12/2008 Date of Inspection: 12/12/2008 Options: Part Color Description of Work Part Number Price Labor Paint Other REAR BUMPER BUMPER COMPONENTS Replace Rear Molding 10341349 $131.51 0.3 body Replace Rear Bumper cover, w/o LS, w/o side mldg 12335487 $398.60 1.9 body 3.2 +Clearcoat (1.2') 1.2 Other oaeratlons Polish scuff on right tail light 0.5" body* Sub Totals $530.11 2.7 THANK YOU FOR LETTING US SERVE YOU Hours Rate Total Body Labor 2.7hrs $42.007hr $113.40 Paint Labor 3.2hrs $42.00lhr $134.40 Clearcoat Labor 1.2hrs $42.00 /hr $50.40 OEM Parts $530.11 Paint Supplies 3.2hrs $28.00lhr $89.60 Clearcoat 1.2hrs $28.001hr $33.60 Tax Non -Taxed Grand Total $951.51 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 tires listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR1CB0G). 8/08 Indicates Estimator's Judament T Indicates Taxed Item CCC Comp -Est A product of CCC Information Services Inc. Page 1 of 1 C o INDIANA RETAIL TAX EXEMPT PAGE 1 of Carmel CERTIFICATE NO. 003120155 002 0 1 4f 1 �L. V 1a: PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 18989 3 (EWCIVIC 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 QATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION December 40 20 IS vehicle repairs VENDOR Carmel Auto Refinishing SHIP City of Carmel Police DepartMent 3087Gradle Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 9 S. Harris 951.51 4V A K��. Send Invoice To: J PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maintenance PA YMENT 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. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. f 1 ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL i {'),i.,fr_.I•' _l�Y /a.�l SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r�o CLERK TREASURER DOCUMENT CONTROL NO A COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO.._ ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR 1 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 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 5995) 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 Carmel Auto Refinishing Purchase Order No. 18989F 308 Gradle Drive Terms Carmel, In 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12.121,08 paymen t for repairs to car 9 951.51 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Auto Refinishing IN SUM OF 308 Gradle Drive Carmel, TN 46 032 951 51 ON ACCOUNT OF APPROPRIATION FOR p olice general fund Board Members INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or I RQRQ'V 910 951.51 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 December 12'. 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund