179601 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING
CARMEL, INDIANA 46032 306 GRADLE DRIVE CHECK AMOUNT: $4,685.80
CARMEL IN 46032
CHECK NUMBER: 179601
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 21244 4,685.80 REPAIRS TO CAR 74
CARMEL AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 1871
Carmel, IN 46032 Report No: 1911
1111912009 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel Police Dept. Car 16 Accident Location
2009 Chevrolet Impala 3 civic square
Style: 4D SED POLICE Carmel, IN 46032
C61br: Home Phone: (317) 571 -2500
Color Code: Work Phone: (317) Phone #1:
Production Date: 0 Fax (317) Phone #2:
License: State: IN Insured Claimant
VIN: 2G1 WS57MX91307714
Miles In: 0
Miles Out: 0 Home Phone: (317) Home Phone: (317)
Condition: Work Phone: (317) Work Phone: (317)
Estimator: Fax (317) Fax (317)
Date Assigned: 10/27/2009 Date of Loss: 1 0 2 7 2 009 Date of Inspection: 10/27/2009
Description of Work Part Number Price Labor Paint Other
INFORMATION LABELS- LABELS
Replace Emission label 19180225 $24.07 0.2 body
FRONT BUMPER GRILLE BUMP,ER COMPONENTS
Overhaul bumper assy 2.4 body
Replace Front Bumper cover, w/o fog lamps 89025047 $392.33 Included 3.0
+Clearcoat (12) 1.2
Replace Front Lower deflector, w/o POLICE 25855329 $85.81 Included
Replace Front Impact bar 25957549 $126.12 Included 1.0
+Clearcoat (02) 0.2
Replace Front Energy absorber 15886100 $197.57 Included
FRONT BUMPER GRILLE GRILLE COMPONENTS
Replace Right Front Lower grille, outer 10339893 $27.92 Included
Replace Front Lower grille, center, LS, LT, LTZ, 10333711 $68.75 Included
POLICE
Replace Front Upper grille, LS, LT, LTZ, POLICE 10333709 $84.95 0.2 body
Replace Front Emblem 15839172 $39.32 0.1 body
FRONT LAMPS HEADLAMP COMPONENTS
Replace Right Front Headlamp assy 25958360 $287.03 0.3 body
RADIATOR SUPPORT- RADIATOR SUPPORT
Repair Radiator support 4.0* Struct 1.5
HOOD HOOD COMPONENTS
Replace Hood 89023526 $434.96 1.5 body 3.2
Non adjacent (02) +Underside (1.6) +Clearcoat (0.6) 2.0
R &I Insulator 0.3 body
FENDER FENDER COMPONENTS
Replace Right Fender 89023524 $190.96 2.4 body 2.2
Adjacent (0.4) +Edging (0.5) +Clearcoat (0.5) -Body Overlap (0.4) -0.4 0.6
Replace Right Fender 10333702 $22.02 0.4 body
-Body Overlap (0.4) -0.4
Blend Left Fender 1.1
R &I Left Fender liner 0.4 body
-Body Overlap (0.4) -0.4
FENDER EXTERIOR TRIM
Replace Both Emblem, GM 15223484 $9.60 0.4* body
FENDER STRUCTURAL COMPONENTS RAILS
Repair Right Upper rail 1.5* Struct 0.7
Adjacent (02) +Clearcoat (0.1) -0.1
Replace Right Bumper bracket 10437869 $18.44 1.0 Struct
Repair Right Lower rail, 3.9, 5.3 liter 6.0* Struct 1.0*
Adjacent (0.4) +Clearcoat (02) -0.2
Page 1 of 2
CARMEL AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 1871
Carmel, IN 46032 Report No: 1911
1111912009 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Description of Work Part Number Price Labor Paint Other
ELECTRICAL HORN
Replace Horn, low note 89046918 $67.15 0.2 body
Replace Horn, high note 89046919 $63.41 0.2 body
FRONT SUSPENSION BRAKE COMPONENTS
Wheel alignment, align front wheels 1.2 mech
WINDSHIELD WIPER WASHER COMPONENTS
Replace Washer reservoir 19120261 $35.24 0.5 body
PILLARS. ROCKER FLOOR EXTERIOR TRIM
R &I Right Rocker molding 0.8 body
R &I Left Rocker molding 0.8 body
Replace Both Rocker molding, retainer, natural 12 10323057 $55.68
clips
FRONT DOOR DOOR COMPONENTS
Blend Right Front Door Outer panel 1.0
FRONT DOOR EXTERIOR TRIM
R &I Right Front Door Belt w'strip 0.3 body
R &I Right Front Door Body side mldg 0.3 body
FRONT DOOR OUTSIDE MIRRORS
R &I Right Front Door Mirror assy, w/o defogger 0.3 body
FRONT DOOR LOCK HARDWARE
R &I Right Front Door Handle, outside, Handle, outside, 0.3 body
w/o chrome
FRONT DOOR INTERIOR TRIM
R &I Right Front Door trim panel, LS, LT, LTZ w/o sport 0.4 body
pkg w/o POLICE, ebony
set/up measure 2.0' body*
Cover car for paint $5.00" nontaxed
Replace tire 225/6006 P6 97V $161.71 0.3" body"
Repair unibody frame repair 6.0" frame"
balance wheel tire $10.16" sublet
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 13.8hrs $45.00 /hr $621.00
Paint Labor 15.6hrs $45.00 /hr $702.00
Clearcoat Labor 2.8hrs $45.00 1hr $126.00
Frame Labor 6.Ohrs $58.00 /hr $348.00
Mech Labor 1.2hrs $70.00 /hr $84.00
Structural Labor 12.5hrs $55.00 /hr $687.50
OEM Parts $2,393.04
Paint Supplies 15.6hrs $28.00 /hr $436.80
Clearcoat 2.8hrs $28.00 /hr $78.40
Sublet $10.16
Misc Non -Taxed $5.00
Tax Non -Taxed
Grand Total
yob V-,�
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise notes all dams are derived from the Guide. N GS P mbers
Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS inform "on are MOTOR
suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR1CB06). 8/09
Indicates Estimator's Judament
T Indicates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 2 of 2
INDIANA RETAIL TAX EXEMPT PAGE
C i t y o I 1i Carmel CERTIFICATE NO.003120155 002 0 ORD f PURCHASE ER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
32M-' CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE I ATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
November 3 20 9 vehicle repairs
VENDOR Carmdl Auto Refinishing SHIP City of Carmel Police Department
308 Gradle Drive TO 3 Civic Square
Carl, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car Sroadnax 4,685.80
f�
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and maintena c r)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
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. rA/
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY L
PURCHASE ORDER NUMBER MUST APPEAR ON ALL LLL/� y ?'.4 h ,4 G "`"��f"!`GY_/,7
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
21 L� CLERK TREASURER
DOCUMENT CONTROL NO. A.P.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
I
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. 21244F
308 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/19/01 pa ent for repairs to car 16 Broadnax 4,685.80
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
C armel Auto Refinishing IN SUM OF
308 Gradle Drive
Carmel, IN 46032
4,685.80
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21244F 510 4,685.80 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
Novemher 70 20 ng
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund