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Home My WebLink About157000 03/05/2008 CITY OF CARMEL,'INDIANA VENDOR: 00350155 Page 1 of 1 ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $1,533.05 CARMEL INDIANA 46032 308 GRADLE DRIVE CARMEL IN 46032 CHECK NUMBER: 157000 CHECK DATE: 3/5/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 17316 1,533.05 REPAIRS TO CAR 6 �s CARMEL AUTO REFINISHING Federal Tax ID: 0 308 GRADLE DRIVE. Customer No: 1023 Estima Carmel, IN 46032 Report No: 1048 212212008 Phone (317) 815 -8379 Claim Fax (317) 844 -6659 Assign No: Vehicle Information Owner Carmel police dept. Car 6 Accident Location 2004 Chevrolet Impala 3 civic sq 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 WF55K149415039 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: 12/11/2007 Date of Loss: 12/11/2007 Date of Inspection: 12/11/2007 Options: Part Color Description of Work Part Number Price Labor Paint Other FRONT BUMPER BUMPER COMPONENTS. W/O IMPALA SS R &I Front Bumper cover, Impala 1.3 body Repair Front Bumper cover, Impala 2.0* body 2.6* +Clearcoat (0.5 0.5 Replace Front Molding 10308765 $117.02 FRONT LAMPS HEADLAMP COMPONENTS Replace Right Front Headlamp assy 10356098 $276.43 0.3 body HOOD HOOD COMPONENTS Repair Hood 3.0* body 3.0 +Clearcoat (0.6) 0.6 FENDER FENDER COMPONENTS Repair Right Fender 89025178 4.5* body 2.0 Adjacent (0.4) +Edging (0.5) +Clearcoat (0.4) 0.5 Other operations mldg left fender clean and retape 0.2* body* urethane adhesive remove 0.5* body* Sub Totals THANK YOU FOR LETTING US SERVE YOU Hours Rate Total Body Labor 11.8hrs $42.00 /hr $495.60 Paint Labor 7.7hrs $42.00 /hr $323.40 Clearcoat Labor 1.5hrs $42.00 /hr $63.00 OEM Parts $393.45 Paint Supplies 7.7hrs $28.00 /hr $215.60 Clearcoat 1.5hrs $28.00 /hr $42.00 Tax Non -Taxed Grand Total $1,533.05 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 (DR1CB00). 5/07 Indicates Estimator's Judoment t Indicates Taxed Item Page 1 of 1 t i INDIANA RETAIL TAX EXEMPT PAGE C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER �Xial FEDERAL EXCISE TAX EXEMPT Police Deparcmet nt 35 60000972 1 79 14 ONE CIVIC SOIIARE THIS NUMBER MUST APPEAR ON INVOICES, AIF CARMEL, INDIANA UARE2584 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 SHIP VENDOR Carmel_ Auto Refinishing TO Ci t.f of Carmel Police Department 308 Gvidle Drive 3 Ciftc0quaize Ce.rmel., IN 46032 Carriel., IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION rn-pairs to car 6 0 S. Bickpi 1,559.35 9 Q a F as d ry, L Send Invoice To:'� PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 11 510 auto repairs and mat*.iten..ince PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. k NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND r 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 Y SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A n 4 r {'h 4 n r F 'a 1 4 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO 1 7 3 i. V. COPY SIGN AND RETURN TO CLERK'S 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 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 Refinishing Purchase Order No. 17316F 308 Gradle Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2122/08 a ment for repairs to car 6 1,533.05 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 C armel Auto Refinishing IN SUM OF 308 Drive Carmel, IN 46032 1,533.05 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 17316F 510 1,533.05 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 February 28 2008 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund