HomeMy WebLinkAbout199865 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
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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