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Home My WebLink About155235 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 <pp G 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 li 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