156527 02/21/2008 CITY OF CARMEL, INDIANA VENDOR; 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING
CARMEL, INDIANA 46032 3o8 CRADLE DRIVE CHECK AMOUNT: $7,524.18
CARMEL IN 46032 CHECK NUMBER: 156527
CHECK DATE: 2/2112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351,000 17338 7,524.18 REPAIRS TO VEHICLES
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Federal Tax ID: 0
Estimate Carmel, GRADLE DRIVE. Customer No: 1066
Carmel, IN 46032 Report No: 1091
2(7/2008 phone (317) 815 -8379 Claim A9Y1907001
Fax M (317) 844 -6669 Assign No:
Vehicle Information Owner Carmel police dept Car 38 Accident Location
2005 Ford Crown Victoria 3 civic square
Style: 4D SED POLICE 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: 2FAFP71 W95X176111
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: 1/10/2008 Date of Loss: 1/10/2008 Date of Inspection: 1/10/2008
Options: Ford, 400, 4.6 Liter, Fuel Injection, 8 Cylinder
Description of Work Part Number Price Labor Paint Other
FRONT BUMPER BUMPER COMPONENTS
Replace Front Bumper cover 3W7Z17D957CA $336.03 2.3 body 2.8
+Clearcoat (1.1) 1.1
Replace Right Front Mount bracket 6W1Z17752A $59.72 0.2* body
Replace Left Front Mount bracket 6W1Z17753A $59.72 0.2* body
Replace Left Front Absorber 4W7Z17F799AA $78.08 Included
Replace Front License bracket 6W7Z17A385AA $26.97 0.2 body
Replace Front Impact bar 3W7Z17757AA $103.35 Included
Replace Left reinf front bumper 3W7Z17C817BA $38.65
FRONT PANELS FRONT PANEL
Replace Front panel 3W7Z8190AA $300.35 2.6 body 1.7
+Edging (0.5) +Clearcoat (0.4) 0.9
Replace Front Panel Grille, w/o chrome emblem, 1 W7Z8200BAJ $125.27 0.3 body
midnight gray
Replace Front Panel Emblem, w/o fleet F8UZ8213AA $13.07 0.1 body
FRONT LAMPS HEADLAMP COMPONENTS
Replace Left Front headlamp assy 5W7Z13008BA $101.95
FRONT LAMPS SIDE MARKER LAMPS
Replace Left Front Side marker lamp, w /police pkg. 1 W7Z15A201AB $151.22
RADIATOR SUPPORT- RADIATOR SUPPORT
Repair Radiator support 4.0* body 0.5*
AIR CONDITIONER HEATER CONDENSER. COMPRESSOR LINES
Replace Aftermarket Condenser Unknown' $220.00 1.2* mech
AC Service, evacuate recharge 1.8* mech
HOOD HOOD COMPONENTS
Replace Hood 6W7Z16612A $471.32 1.5 body 3.0
Adjacent (0.4) +Underside (1.5) +Clearcoat (0.5) 1.6
Repair Right Hinge reinf 0.3* body
Repair Left Hinge reinf 0.3* body
FENDER FENDER COMPONENTS
Replace Left Fender 7W7Z16006A $284.68 2.6 body 1.8*
Adjacent (0.4) +Edging (0.5) +Clearcoat (0.4 -Body Overlap (0.4) -0.4 0.5
Repair Right Fender 3.0* body 1.8*
Adjacent (0.4) +Clearcoat (0.4
FRAME FRAME COMPONENTS
Repair Front c'member 1.0* body 0.4*
STEERING COLUMN STEERING COLUMN ASSEMBLY
Replace Column assy, column shift 7W1Z3C529A $798.98 2.7* mech
Page 1 of 2
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CARMEL AUTO REFINISHING
Federal Tax ID: 0
Estimate Carmel, CRADLE DRIVE. Customer No: 1066
Carmel, IN 46032 Report No: 1091
2/7/2008 Phone (317) 815 -8379 Claim A9Y1907001
Fax (317) 844 -6659 Assign No:
Descrietion of Work Part Plumber Price Labor Paint Other
RESTRAINT SYSTEMS AIR BAG COMPONENTS
Replace Driver air bag, flint 5W7Z54043813BA $683.56
Replace Control module, w/o side airbags, to 11/29/04 5W7Z14B321AA $21530 0.7 mech
Replace Clockspring, all 6W1Z14A664A $72.29 1.1 mech
RESTRAINT SYSTEMS FRONT SEAT BELTS
Replace Left Front Retractor assy, flint 5W7Z54611 B09AA $142.95 1.1 body
FRONT DOOR DOOR COMPONENTS
Blend Left Front Door Outer panel, w/o keyless 1.1
Adjacent (0.4) -0.4
FRONT DOOR EXTERIOR TRIM
R &I Left Front Door Belt w'strip 0.3 body
R &I Left Front Door Body side midg, 3 1/4" wide 0.5 body
molding,
FRONT DOOR OUTSIDE MIRRORS
R &I Left Front Door Mirror assy, w/o heated glass 0.5 body
FRONT DOOR -.LOCK HARDWARE
R &I Left Front Door Handle, outside, Handle, outside, 0.6 body
primed
Other ooeratlons
pull core and crossmember 3.0* frame*
Replace airbag sensor inter left 6W1Z14B345AA $66.11 0.2* body*
Replace Airbag sensor inter right 6W1Z14B345AA $66.11 0.2* body`
Replace Airbag sensor seat left 1W1Z14B416AA $34.54 1.3* body*
set up measure 2.0* frame*
Replace Airbag sensor front left 5W1Z14B004AA $47.98 0.3* body*
Replace Airbag sensor front right 5WIZ14BO04AA $47.98 0.3* body*
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 23.5hrs $42.00 /hr $987.00
Paint Labor 14.Ohrs $42.00 /hr $588.00
Clearcoat Labor 2.8hrs $42.00 /hr $117.60
Frame Labor 5.Ohrs $58.00 /hr $290.00
Mech Labor 7.5hrs $70.00 /hr $525.00
OEM Parts $4,326.18
Aftermarket Parts $220.00
Paint Supplies 14.Ohrs $28.00 /hr $392.00
Clearcoat 2.8hrs $28.00 /hr $78.40
Tax Non -Taxed
Grand Total $7,524.18
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 (DR2JA03)_ 10/07
Indicates Estimator's Judament
t Indicates Taxed Item
1- Indicates aftermarket part taken from KEYSTONE pricing guide. Call (317) to order.
Page 2 of 2
C' C INDIANA RETAIL TAX EXEMPT PAGE
of C rmel CERTIFICATE NO. 003120155 002 0
��1.// Ii C!� �1✓ JL PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE 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
January 29, 2008 repairs to uakicle
VENDOR Carmel Auto Refinishing SHIP City of Carmel Police Department
306 Gradle Drive. TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 460031
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car 38 with 6,394.47
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X41 a
A
141%
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT J PROJECT ACCOUNT AMOUNT
13 0 510 auto repairs and terra 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 6. 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, t P
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief f of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 173n- V. COPY SIGN AND RETURN TO CLERK'S OFFICE
V,OUCHER 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. 17338F
308 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/7/08 a ent for airs to car 38 Smith 7,524.18
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 Gradle Drive
Carmel, IN 46032
7,524.18
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17338F 510 7,524.1 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 15 20o8
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund