159812 05/28/2008 ,a CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
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ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $1,757.00
ao CARMEL, INDIANA 46032 308 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 159812
CHECK DATE: 5/2812008
DEPARTMENT ACCOUNT PO NUMBER INVOI NU MBER AMOUNT DE
1110 4351000 16678 1,757.00 PAINT VAN
i
CARMEL AUTO REFINISHING
a Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 1186
Estimate Carmel, IN 46032 Report No: 1215
511212008 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel police dept Swat van Accident Location
1994 Chev -GMC Truck Full Size Van 3 civic sq
Style: Carmel, IN 46032
Cotor: Home Phone: (317) 571 -2500
Color Code: Work Phone: (317) Phone #1:
Production Date: 0 Fax (317) Phone #2:
Lioense: State: IN Insured Claimant
VIN: 1 GCHG35K8RF151608
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: 4/21/2008 Date of Loss: 4/21/2008 Date of Inspection. 412112008
Descri tion of Work Part Number Pride Labor Paint Other
Repair complete paint job exterior 15.0* body* 10.0*
+Clearcoat (2.5 2.5
smooth rust sides paint all around except roof
Repair sliding door patch rust bottom door 6.0* body*
Sub Totals 21 O 12.9
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 21.Ohrs $42.00 /hr $882.00
Paint Labor 10.0hrs $42.00 /hr $420.00
Clearcoat Labor 2.5hrs $42.00 /hr $105.00
Paint Supplies 10.Ohrs $28.00 /hr $280.00
Clearcoat 2.5hrs $28.00 1hr $70.00
Tax Non -Taxed
Grand Total $1,757.00
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 (DE 1 GB81). 9107
Indicates Estimator's Judoment
t Indicates Taxed Item
Page 1 of 1
C4 INDIANA RETAIL TAX EXEMPT PAGE
147 o Carmel PURCHASE ORDE CERTIFICATE NO. 003120155 002 0 A a R NUMBER
FEDERAL EXCISE TAX EXEMPT
Police VDpartcmnt 35- 60000972
GNE- CIVIC SQUARE TBER MUST APPEAR ON INVOICES, AfP
CA3 RME�`'INDIANA460322584 DELIVERY MEMO, PACKING SLIPS
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
Ap -1 1 30 12a t vehicle
VENDOR Carmel Auto Refinishing SHIP City of Carmel Police Departemnt
308 Gradle Drive TO 3 Civic Square
Carmel, 'IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET rONTFACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE
paint.prisoner van 1,505000
�?N_�
All
R
mg a r,
IV
Send Invoice To:
V
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 510 r auto repairs and maintAhnane PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i 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. hw
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l�
f
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 1 6 6 7AR -v. COPY SIGN'AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
r 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
Tide
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Carmel Auto R Purchase Order No. 16678F
308 Gradl6eD. ive Terms
Car IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/16/08 payment forppa ntingt-prisoner van 1,757.00
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
1,757.00
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
16678F 510 1,757 .00 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
May 21 20 08
Signature
Chief -'of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund