159029 04/30/2008 i
CITY OF CARMEL, INDIANA VENDOR: 361200 Page 1 of 1
ONE CIVIC SQUARE PERFORMANCE COLLISION CENTER
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CARMEL, INDIANA 46032 10710 NOTTINGHAM WAY CHECK AMOUNT: $1,000.00
ZIONSVILLE IN 46077 CHECK NUMBER: 159029
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 1696 1,000.00 AUTO REPAIR MAINTEN
I
0/21/2008 07:54 3177332759 PERFORMANCE PAGE 02/03
PEARSON FORD Final I nvoice
10710 NOTTINGHAM WAY
ZIONSVILLE IN 46077 Date :18 -APR -2008
Tel :317.733.2758 Fax: 317.733.2759 R.O. 1696
20.5202960
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City Of Carmel Make 07 CHEVROLET TRAVLERS
Model: TA
License:
Color. TAN MIKE
Phon 1 VIN No.: 1 GNFK130X Contact:
Phone 2 Miiea 29709
Poli P hone:
cy ZPP Claim A8G771200
Email I E St/Adj Jon McCord I Open: 24- MAR -08
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Body Remove/Replace BUMPER,FRONT 2.8
oc#}r f7emov�IReplaceb1 ER ,FRIV:�.�iUM'ER
1. Refinish Refinish COVER,FRONT BUMPER 0.0 4.0 0.0
6
RmovelReplGe... ;SUE?T;IT B1J(V1PEIOU�R
Body Remove/Replace CLOSURE,FRONT BUMPER RT 0.1
Bgdy Repair l CLAMP :ASSY,HAL9G>`N RT
Body Remove,9nstall HEADLAMP ASSY,HALOGEN RT 0.0
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Refinish Refinish PANEL,HOOD 0.0 3.2 0.0
ish hdENC)ER,fCJN�
Body Remove/lnstall SKIRTINNER FENDER RT 0.0
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Body Remove/Replace PINSTRIPES TAPE 0 3
60 F YnC3ve1R� 1' ace O:RR 51 N P 0' E':C7tfJN:
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New 15854109GMPART BUMPER,FRONT 1 223 223.90
1 CQVEI;I";Rf7NT$UMPER
New 15882454GMPART SUPT,FRT BUMPER COVER 1 45.78 45.78
Nei 15893'97 05IJR>n,l"RPNT J3UMF'E '<RT :1 ,22 70
New NEWPART PINSTRIPES -TAPE 1 15.00 15,00
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Body 8.4 45.00 378.00 378.00
45 b l 3870 387 f1r]
Labor Total i7.o
76 5.0 0 �ss:oo
p l s Tasfia x8 �s 78r� 1E8
Pa
aint supplies 258.00 258.00
IVew,_
7.84.'7 E341;'
Material Total 258.00 258.aD
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04/21/2008 07:54 3177332755 PERFORMANCE PAGE 03/03
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Page 1 of 1
Snyder, Denise W
From: Jennifer Provence U provence @Performancecollision.net]
Sent: Thursday, April 24, 2008 12:32 PM
To: Snyder, Denise W
Subject: CITY OF CARMEL BILL
To whom it may concern:
The city of Carmel is responsible for the $1000.00 deductible. I have recieved the check for the $807.18. Please mail a check to
Performance Collision Center at 10710 Nottingham Way Zionsville, In 46077.
Any questions please contact Jennifer 317 733 -2758.
4/24/2008
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))
04/18/08 1696 Deductible FD Portion $1,000.00
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
l'eformance Collision Center
IN SUM OF
10710 Nottingham Way
Zionsville, IN 46077
$1,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1696 43- 510.00 $1,000.00 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
S k� Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund