158317 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING
CHECK AMOUNT: $1,694.67
CARMEL, INDIANA 46032 308 CRADLE DRIVE
4 oM CARMEL IN 46032 CHECK NUMBER: 158317
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 17388 1,694.67 REPAIRS TO CAR 51
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CARMEL AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 1130
Estimate Carmel, IN 46032 Report No: 1159
Phone (317) 815 -8379 Claim
312812008- Fax (317) 844 -6659 Assign No:
Vehict'e.lnformation Owner Carmel police dept Car 51 Accident Location
200, Chevrolet Impala 3 civic sq
t.
Style: 4D SED POLICE Carmel, IN 46032
'Col Home Phone: (317) 571 -2500
CA Work Phone: (317) Phone #1:
'P��t Uction Date: 0 Fax (317) Phone #2:
License: State: IN Insured Claimant
VI N: 2G 1 WS551969379235
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: 3/3/2008 Date of Loss: 3/3/2008 Date of Inspection: 3/3/2008
Options: Part Color
Description of Work Part Number Price Labor Paint Other
FRONT BUMPER GRILLE BUMPER COMPONENTS
Replace Front Bumper cover, w/o fog lamps 89025047 $382.76 Included 3.0
+Clearcoat (1.2) 1.2
Replace Front Energy absorber 15886100 $192.75 0.2 body
FRONT LAMPS HEADLAMP COMPONENTS
Replace Left Front Headlamp assy 15942839 $259.46 0.3 body
Aim headlamps 0.5 body
FENDER FENDER COMPONENTS
Replace Left Fender 89023525 $186.30 2.7' body 2.2
Edging (0.5) +C (0.5) 1.0
Sub Totals $V021 3.7
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 3.7hrs $42.00 /hr $155.40
Paint Labor 5.7hrs $42.00 /hr $239.40
Clearcoat Labor 1.7hrs $42.00 /hr $71.40
OEM Parts $1,021.27
Paint Supplies 5.7hrs $28.00 /hr $159.60
Clearcoat 1.7hrs $28.00 /hr $47.60
Tax Non -Taxed
Grand Total $1,694.67
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 line with the NAGS information are MOTOR
suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR1 C606). 11/07
Indicates Estimator's Judament
t Indicates Taxed Item
Page 1 of 1
f PAGE
0 INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0 y
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING sups,
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
Ma rh 10 vebirle rPn it
VENDOR Carmel. Auto Refinishing SHIP City of Carmel Police Department
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 caur51 Myers 1,703.07
�r"? 7'
.11
4v
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4: 1
F x 0
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and ma t tena a PAYMENT
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. y
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. f 'I{ �r
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED $Y J I YYY „ij i j
SHIPPING LABELS. @hief o f P olice f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO 1 3 COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
t ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE 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 disidbution ledger classification if
claim paid motor vehicle highway fund
Presc?Wd by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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. 17388F
308 Gradle Drive Terms
Carmel, _IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/28/08, pa ent for repairs to car 51 1,694.67
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
r
Carmel AUto Refinishing IN SUM OF
308 Gradle Drive
Carmel, IN 46032
1,694.67
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
17388E 510 1,694.67 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
April 2 20 08
Signature
Chief of police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund