155235 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $1,319.16
CARMEL, INDIANA 46032 308 GRADLE DRIVE
-CARMEL IN 46032 CHECK NUMBER: 155235
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CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 84351000 17258 894.96 REPARRS TO CAR 8
1110 4351000 17314 424.20 REPAIRS TO CAR 8
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I,
CARMEL AUTO REFINISHING
Federal Tax ID: 0
Estimate Carmel, GRADLE DRIVE. Customer No: 992
Carmel, IN 46032 Report No: 1016
1211412007 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel police dept Car 8 Accident Location
2007 Chevrolet Impala 3 civic sq
Style: 4D SED POLICE Carmel, IN 46032
Color: Home Phone: (317)
Color Code: Work. Phone: (317) 571 -2500 Phone #1:
Production Date: 0 Fax (317) Phone #2:
License: State: IN Insured Claimant
VIN: 2G1 WS55R279342860
Miles In: 0
Miles Out: 0 Home Phone: (317) Home Phone: (317)
Conditiom Work Phone: (317) Work Phone: (317)
Estimator: Fax (317) Fax (317)
Date Assigned: 11/912007 Date of Loss: 11/9/2007 Date of Inspection: 11/912007
Options: Part Color
Description of Work Part Number Price Labor Paint Other
REAR BUMPER BUMPER COMPONENTS
R &I Rear Bumper cover, LS 1.1 body
Repair Rear Bumper cover, LS 2.0"' body 3.0
+Clearcoat (1.2) 1.2
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 3.1 hrs $42.00 /hr 130.20
Paint Labor 3.Ohrs $42.00 /hr $126.00
Clearcoat Labor 1.2hrs $42.00 /hr $50.40
Paint Supplies 3.Ohrs $28.00 /hr $84.00
Clearcoat 1.2hrs $28.00 /hr $33.60
Tax Non -Taxed
Grand Total $424.20
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 Nationat Auto Glass Specifications. Labor operation times listed on the fine with the NAGS information are MOTOR
suggested labor operation times. NAGS labor operation times are not included_ Guide used is (DR1CB06). 5/07
Indicates Estimator's Judament
t Indicates Taxed Item
Page i of 1
C t� CAR EL AUTO REFINI SING
Federal Tax ID: 0
Estimate 308 GRADLE DRIVE. Customer No: 952
Carmel, IN 46032 Report No: 874
10/41007 Rhone (317) 815 -8379 Claim
Fax 317) 844 .6659 Assign Np;
Vehicle information Owner Carmel :notice dent Car 8 Accident location
2007 Chevrolet Impala 3 civic sq
Style: 4D SED POLICE Carr net, IN 46032.
Color: Home Phone; (311)
Color Code: Work Phone: (317) 571• -2500 Phone #1:.
P.roductipn Date: 10 Fax ft, (317) Phone #2:
License: State: IN
VIN: 2G1 WS55R279342860 tared Claimamtt
Miles In- 0
Miles Out 0 Home Phone: (317) Home Phone: 31
Condition; Work Phone: (317) Work Phone: (317)
Estimator Fax (317) Fax* (317)
Date Assigned: 101412007 Date of loss: 10/4/2007 Date of Inspection, 10/4/2007
Option&: Part Color
Dekdaton of Work Part Nu bor Price Labor Paint Other
FRONT BUMPER GRILLE BUMPER COMPONENTS
Replace Front Bumper cover, wlo fog lamps 89025047 $359.39 1.8 body 3.0
+Clearcoat (1 -2)
1.2
FRONT 51JUPER GRILLE GRILLE 8 COMPONEMTS
Replace Front Lower grit e, center, LS,LT,LTZ 10333711 $67.07 0.2 body
POLICE
Replace Front Upper grille, LS,LT,LTZ &POLICE 10333708 $77.90 0.3 bpd
S "o
THANK YOU FOR LETTING US SERVE YOU
Floury Date TOIAI
Body Labor 2.3hrs $42.00/hr 96.60
Paint Labor 3.0hrs $42.00 1hr $126.00
Clearcoat Labor 1.2hrs $42.00/hr $50.40
OEM Parts $504.38
Paint Supplies 3. Ohm $28.DOIhr $84.00
Clearcost 1.2hrs $28.00/hr $33.60
'fax Nan -Taxed
Grand Total $894.86
Estimate based on MOTOR CRASH ESTIMATING 9UTAE. Unless othemrise noted sin items are derived from the Guide. NAGS Pon Numbers and
6enchrnark Prioes,are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR
auggested tabor operation times. NAGS labor operation times are not included. Guide used is (DR1 CB06)- 5107
Indicates Estimator's Judgment,
I Indicates Taxed item
Page 1 of 1
f� INDIANA RETAIL TAX EXEMPT PAGE C i ty o Carmel PURCHASE ORD CERTIFICATE NO.003120155 Ob2 0 E �51� JL ER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 179 58
3 ONE�CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
(lets er '40 2017 repairs to vehicle
VENDOR Carmel Auto Refinishing SHIP 'City of Carmel, Police Department
308 Cradle Drive TO 3 Civic Square
Carmel, IN 46032 Carmel IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car 8 Kinkade 894.96
7
V
t
f�
•n,
A� Ic t
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and mai -x enaniae P AYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. /�e
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Asst tant Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO 172,%- 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
C d f� I INDIANA RETAIL TAX EXEMPT PAGE
ny o C rme l PURCHASE CERTIFICATE NO. 003120155 002 0 OR DER NUMBER JL (S.al JJJIiI I OR
3 Civic Square FEDERAL EXCISE TAX EXEMPT
35- 60000972
QIVE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
3 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032 -2584
I 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 City of Carm, -j Police Department
308 Gr.adle Drive 3 Civic Squarew
Carmml, 114 46032 Carmel, 114 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repaircttea car 8 Kinkade 424.20
r I�r
4
qtr
b a
a 4
rl
mm
gym' f��,
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
t NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
1 f 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
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A n 4 t C!t' 4 n t' -r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 1 3 -14 v. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.---
ALLOWED 20
IN THE SUM OE$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 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. 17258RF 17314F
308 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
in/i4/07 payment for repairg to rar 9 894.96
Total
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
C'armPl Aiirn Refinishing
IN SUM OF
308 Cradle Drive
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Port 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
17114F 510 424-2.0 materials or services itemized thereon for
which charge is made were ordered and
received except
January 4 20 08
Signature
Acting Chief cif Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund