157875 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE O CIVIC SQUARE CARMEL AUTO REFINISHING
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CARMEL, INDIANA 46032 308 GRADES DRIVE CHECK AMOUNT: $3,128.04
CARMEL IN 46032 CHECK NUMBER: 157875
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 315.00 AUTO REPAIR MAINTEN
1110 4351000 17389 2,813.04 REPAIRS TO CAR 25
1
C,ARMEL AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 1129
Estimate Carmel, IN 46032 Report No: 1158
311812008 Phone M (317) 815 -8379 Claim
Fax M (317} 844 -6659 Assign No:
Vehicle Information Owner Carmel police dept Car 25 Accident Location
2006 Chevrolet Impala 3 civic square
Styae: LIMITED 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 WS551X69376991
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: 313/2008
Options: Toyota
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 (12) 1.2
Replace Front Impact bar 15810000 $108.68 Included 1.0
+Clearcoat (02) 0.2
Replace Front Energy absorber 15886100 $19275 0.2 body
Replace Front Lower deflector, w /POLICE 19130173 $204.99 Included
FRONT BUMPER GRILLE GRILLE COMPONENTS
Replace Front Lower grille, center, LS,LT,LTZ 10333711 $67.07 Included
POLIGE
Replace Front Upper grille, LS,LT,LTZ POLICE 10333709 $82.88 0.3 body
Replace Front Emblem 15839172 $26.10 0.1 body
FRONT LAMPS HEADLAMP COMPONENTS
Replace Left Front Headlamp assy 15942839 $259.46 0.3 body
HOOD HOOD COMPONENTS
Replace Hood 89023526 $424.35 1.1* body 3.1*
Non adjacent (0.2) +Underside (1 -4) +Clearcoat (0.6) 1.8
FENDER FENDER COMPONENTS
Repair Left Fender 2.0* body 1.5*
Adjacent (0.4) +Clearcoat (0.3 -0.1
Blend Right Fender 1.1
Sub Totals $1,749.04 4.0
THANK YOU FOR LETTING US SERVE YOU Hours Rate Total
Rody Labor 4.Ohrs $42.00 1hr $168.00
Paint Labor 10.5hrs $42.00 /hr $441.00
Clearcoat Labor 2.3hrs $42.00 /hr $96.60
OEM Parts $1,749.04
Paint Supplies 10.5hrs $28.00 /hr $294.00
Clearcoat 2.3hrs $28.00 /hr $64.40
Tax Non -Taxed
Grand Total $2,813.04
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 (DR10606). 11/07
k Indicates Estimator's Judament
t Indicates Taxed Item
Page 1 of 1
CARMEL AUTO REFINISHING
Federal Tax ID: 0
Estimate 308 GRADLE DRIVE. Customer No: 1097
Carmel, IN 46032 Report No: 1124
311912008 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel police dept Car 28 Accident Location
2006 Toyota Highlander Hybrid 3 civic square
Styie: LIMITED 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: JTEEW21A760031144
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: 2/4/2008 Date of Loss: 2/4/2008 Date of Inspection: 2/4/2008
Options: Toyota
Description of Work Part Number Price Labor Paint Other
HOOD HOOD COMPONENTS
Repair Hood 1.0' body 2.8
+Clearcoat (1.1) 1.1
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 1.0hrs $42.00 /hr $42.00
Paint Labor 2.8hrs $42.00 /hr $117.60
Clearcoat Labor 1.1 hrs $42.00 /hr $46.20
Paint Supplies 2.8hrs $28.00 /hr $78.40
Clearcoat 1.1hrs $28.00 /hr $30.80
Tax Non -Taxed
Grand Total $315.00
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 line with the NAGS information are MOTOR
suggested labor operation times. NAGS labor operation times are not included. Guide used is (ARM8437). 5/07
Indicates Estimator's Judament
t Indicates Taxed Item
Page 1 of 1
INDIANA RETAIL TAX EXEMPT PAGE
City o C arme� CERTIFICATE NO. 003120155 002 0 a R a
1L t� �S.i PURCHASE ORDER NUMBER
16 P61" ice Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17389
3 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
Mara 10 2008 i f la
VENDOR Carmel Auto Refinishing SHIP City of Cariml Police Aepattment
308 Gradle Drive TO 3 Civic Sq>aere
Camel, IN 46032 Carmel, IN 46032
CONFIRMATION B=UN(T PAYMENTTERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
repairs to car 35 x
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-4 n
lk
P
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repatrs and mainten
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
tf 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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY L. Po
�1 .d ce r f
SHIPPING LABELS, Chief O f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 1 3 8 9A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.__
ALLOWED 20
S
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Sward 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 distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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. 17389F
308 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/19/08 a ent for rea irs to car 28 315.00
3/18/08 a ent for repairs to car 25 2,813.04
Total 3,128.04
1 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
Cat-mel Auto Refinishing IN SUM OF
308 Gradle Drive
Carmel, IN 46032
3,128.04
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
1110 510 315.00 bill(s) is (are) true and correct and that the
510 2,813. 4 materials or services itemized thereon for
which charge is made were ordered and
received except
March 26 20 08
Signature
Chief of:- 'Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund