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Home My WebLink About158317 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 I I i �1 i� 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 -A 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