165694 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING
CARMEL, INDIANA 46032 308 GRADLE DRIVE CHECK AMOUNT: $1,176.67
CARMEL IN 46032 CHECK NUMBER: 165694
CHECK DATE: 11112/2008
DEPARTMENT ACCOUNT PO N UMBE R INVO N UMB ER AMOU DESCR
1110 4351000 18965 1,176.67 VEHICLE REPAIRS
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CARMEL AUTO REFINISHING
Federal Tax ID: 0
Estimate 308 GRADLE DRIVE. Customer No: 1425
Carmel, IN 46032 Report No: 1457
1012412008 Phone (317) 815 -8379 Claim
Fax M (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel Police Dept. Car 86 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 WF52K359376461
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: 10/24/2008 Date of Loss: 10124/2008 Date of Inspection: 10124/2008
Options: Part Color
Description of Work Part Number Price Labor Paint Other
FRONT DOOR DOOR COMPONENTS
Repair Left Front Door Outer panel 4.5* body 2.5*
+Clearcoat (0.9) 0.9
FRONT DOOR -EXTERIOR TRIM
Replace Left Front Door Body side midg, Body side 10347956 $54.73 0.3 body
midg, w/o LS
R &I Left Front Door Belt w'strip 0.5 body
FRONT DOOR OUTSIDE MIRRORS
Replace Left Front Door Mirror assy, w/o defogger 10331492 $156.31 0.3 body 0.6
+Clearcoat (0.1) 0.1
FRONT DOOR LOCK HARDWARE
R &I Left Front Door Handle, outside, primer 0.3 body
FRONT DOOR INTERIOR TRIM
R &I Left Front Door trim panel, cloth, blue 0.4 body
REAR DOOR DOOR COMPONENTS
Repair Left Rear Door Outer panel 3.5* body 2.2
Adjacent (0.4) +Clearcoat (0.4)
DEAR DOOR EXTERIOR TRIM
Replace Left Rear Door Body side midg, Body side 10347954 $40.03 0.2 body
midg, charcoal
R &I Left Rear Door Belt w'strip 0.3 body
REAR DOOR LOCK HARDWARE
R &I Left Rear Door Handle, outside, primer 0.3 body
REAR DOOR INTERIOR TRIM
R &I Left Rear Door trim panel, cloth, blue 0.4 body
Other operations
corrosion protection $10.00 0.3' body*
Sub Totals $291.07 11.3 6.
Page 1 of 2
CARMEL. AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 9425
Estimate Carmel, IN 46032 Report No: 1457
1012412008 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 11.3hrs $42.00 /hr $474.60
Paint Labor 4.9hrs $42.001hr $205.80
Clearcoat Labor 1.4hrs $42.00 /hr $58.80
OEM Parts $261.07
Paint Supplies 4.9hrs $28,00 /hr $137.20
Clearcoat 1.4hrs $28.00 /hr $39.20
Tax Non -Taxed
Grand Total $1,176.67
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 tine with the NAGS information are MOTOR
suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR1CB00). 8108
Indicates Estimator's Judament
T Indicates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 2 of 2
INDIANA RETAIL TAX EXEMPT PAGE 155 002 0 1 Ci o f Carmel CERTIFICATE NO. 003120 11 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 9) CIVIC 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 DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
October 22, 20(8 vehicle red tts
VENDOR Carmel Auto Refinishing SHIP City of Carmel Police Depar=ent
308 Gradle 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 86 McNair. 1,177.77
1
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4 47
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Send Invoice To:i
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and m ntenance PAYMENT
f I 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 CERTIFYY,HAj THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FO�ABOVE ORDER.
C -O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL //tr
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE eistant Chief of Police
K
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
G CLERK- TREASURER
DOCUMENT CONTROL NO. A.P COPY- SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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
I'
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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
Carmel Auto Refinishing Purchase Order No. 18965F
308 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
101 24M paymnent for re aris to car 86 McNair 1,176.67
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, IN 46032
1,176.67
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18965F 510 1,176.67 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
November 5 20 08
Signature
Chiefof Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund