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Home My WebLink About199865 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 037825 Page 1 of 1 ONE CIVIC SQUARE CARMEL AUTO CONTOURS INC CHECK AMOUNT: $1,000.00 CARMEL, INDIANA 46032 10203RD AVE SW CARMEL IN 46032 CHECK NUMBER: 199865 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 A3Z8911001 1,000.00 GENERAL INSURANCE 'Z> 66/24/2011 at 02:36 PM Job Number: 4764 78621 CARMEL AUTO CONTOURS License #:024480680019 Federal ID #:351519428 "The mark of a quality repair is no mark at all." 1020 3rd AVENUE, S.W. BLDG B CARMEL, IN 46032 -2524 (317) 846 -713D Fax: (317) 846 -7180 r, iU1 AUG 01 2011 Written By: RICK KRUSE Adjuster: SARAH SCHELL nn Insured: CITY OF CARMEL ENGINEERING Claim #A3Z8911001 Dy owner: CITY OF CARMEL ENGINEERING Policy #CTSOIPEH08103036P64A Address: I CIVIC SQUARE Deductible: $1000.00 CARMEL, IN 46032 Date of Loss: Business: (317)571-2441 Type of Loss: Collision Point of Impact: 6. Rear Inspect Location: Insurance TRAVELERS Business: (630)961 -4303 Company: Days to Repair 2010 FORD F150 4X4 SUPERCAB XLT 8- S_4L -FI 4D SHORT WHT Int:YZ VIN: 1FTFX1EV9AFB02086 Lic: 67111 MUN IN Prod Date: 11/2009 Odometer: 5317 Condition: Good Air Conditioning Tilt Wheel Cruise Control Intermittent Wipers Keyless Entry Dual Mirrors Privacy Glass Overhead Console Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Mirrors AM Radio FM Radio Stereo Search /Seek CD Player Auxiliary Audio Connectio Anti -Lock Brakes (4) Driver Air Bag Passenger Air Bag Head /Curtain Air Bags Front Side Impact Air Bag 4 Wheel Disc Brakes Traction Control Stability Control Cloth Seats Rear Step Bumper Automatic Transmission 4 Wheel Drive Overdrive Aluminum /Alloy Wheels NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT 1 REAR BUMPER 2 O/H rear bumper 1.8 3 Repl Bumper chrome w/o reverse 1 451.82 Incl. sensor 4 Repl Step pad w/o trailer tow 1 133.25 Incl. 5* Rpr Reinforcement w/o hitch 2.0 6 PICK UP BOX 7 Repl 'Gail gate w/o step 1 662.35 1.7 3.0 8 Add for Clear Coat 1.2 9* Rpr RT Side panel w/o wheel 4.0 2.9 opening molding 16 Overlap Major Non -Adj. Panel -0.2 11 Add for Clear Coat 0.5 12# Rpr Transfer trim items 2.0 13# Repl Plastic retainers 1 5.58 14# Repl Cover Vehicle for Overspray 1 0.2 15# Subl Hazardous Waste Disposal -EPA 1 3.00 X 16# Repl Corrosion protection 1 10.00 0.5 17# Agreed price as above 2376.00 1 18# Completed 6/24/11 FINAL BILL 1 Subtotals 1266.00 12.0 7.6 Parts 1263.00 Body Labor 12.0 hrs 45.00 /hr 540.00 Paint Labor 7.6 hrs 45.00/hr 342.00 Paint Supplies 7.6 hrs 30.00 /hr 228.00 Sublet /Mist. 3.00 SUBTOTAL 2316.00 1 06/24/2011 at 02:36 PM Job Number: 4764 78621 2010 FORD F150 4X4 SUPERCAB XLT 8- 5.4L -PI 4D SHORT WHT Int:YZ GRAND TOTAL 2376.00 ADJUSTMENTS: Deductible 1000.00 CUSTOMER PAY 1000.00 INSURANCE PAY 1376.00 A limited warranty is provided to the registered owner at the time of repairs. It is not transferable and terminates if you sell or otherwise transfer ownership of the vehicle. It is limited in value to no more than the original cost of the repairs. Labor operations are covered for two years. Replacement parts are covered by the manufacturer warranty period applicable when purchased. The actual repairs may vary from the original estimate due to repair procedures, parts availablity, hidden damages, and adjustments to meet delivery cycle times and insurance pricing allowances. No guarantee on color match on plastic parts due to color shift from chemical off gasing from the part composition material itself. No guarantee on any repairs to existing sheet metal where it is found to be perforated with rust and /or corrosion from the backside surfaces or structural reinforcements. We are not liable for any alleged diminished value due to the fact that the vehicle that was repaired can no longer be referred to or sold as an undamaged or never repaired vehicle. our repairs are made to restore the vehicle to factory specifications and appearance, but it is impossible in some cases to duplicate the factory assembly methods. Any questions pertaining to any alleged diminished value due to the fact that repairs had to be made to the vehicle should be directed to the party responsible for those damages and the subsequent repairs required. When using parts which have been reconditioned by others, such as primed bumper covers and lights which have been repaired using glues, we can not guarantee our paint over their primers, or any parts glued together by others_ 9 F1 f1 II II I, II II ll ,1 II II II II 11 11 11 11 11 11 11 11 II II 11 II 1, I, I, I, II II ,i 11 ,I II II 11 II II d 11 9 II 11 11 11 II 11 II 11 11 II 9 II 11 II II II 11 9 !1 R II II II II Ir 11 11 II AUTHORIZATION AND DIRECTION TO PAY Agent /owner's name Vehicle description Year Make Model Vin Claim number Company 11 11 ,1 ,1 11 11 11 11 11 11 11 1, 9 q n V n p 11 9 11 ?1 ,1 II ,1 ,1 11 ,1 11 9 II 11 II II II 11 11 11 11 11 11 11 11 11 11 1, 11 11 11 11 11 9 11 11 V II 11 II II II 11 11 II 11 II 11 11 11 11 II II 11 I authorize(d) Carmel Auto Contours to estimate and repair my vehicle, and to act as my agent in all matters reqarding this repair and payments involved. vehicle owner's signature date 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 —1 11 11 11 11 1, 11 11 11 11 11 11 11 11 11 11 11 11 11 1 111 11 11 11 1 111 11 ,1 11 11 11 1, 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 9 11 11 A PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN INSURER FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION COMMITS A FELONY. 2 VOUCHER NO. WARRANT NO. Carmel Auto Contours ALLOWED 20 IN SUM OF 1020 3rd Avenue S. W. Bldg B Carmel, IN 46032 -7180 $1,000.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO, ACCT #,TITLE AMOUNT Board Members 1205 I A3Z8911001 I 43- 475.00 I $1,000.00 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 Monday, August 01, 2011 Director, Ad inistration 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/24/11 UZ8911001 ClairT $1,000.00 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