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Home My WebLink About178645 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1 ONE CIVIC SQUARE CARMEL AUTO REFINISHING CARMEL, INDIANA 46032 308 GRADLE DRIVE CHECK AMOUNT: $661.51 CARMEL IN 46032 CHECK NUMBER: 178645 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 21099 661.51 VEHICLE REPAIRS r' L .IIWOICE CARMEL AUTO REFINISHING Federal Tax ID: 0 308 GRADLE DRIVE. Customer No: 1809 Estimate Carmel, IN 46032 Report No: 1850 1011312009 Phone (317) 815 -8379 Claim Fax (317) 844 -6659 Assign No: Vehicle Information Owner Carmel Police Dept Car 23 Accident Location 2005 Chevrolet Impala 3 civic square Style: 4D SED Carmel, IN 46032 Color: 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 WF55K859363233 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: 9/2/2009 Date of Loss: 9/2/2009 Date of Inspect 9 Description of Work Part Number Price Labor Paint Other FRONT BUMPER BUMPER COMPONENTS. W/O IMPALA SS R &I Front Bumper cover, Impala 12* body Repair Front Bumper cover, Impala 1.0* body 2.8 +Clearcoat (1.1) 1.1 HOOD HOOD COMPONENTS Blend Hood 1.5 FENDER FENDER COMPONENTS Replace Aftermarket Left Fender 89025179 $169.00 2.5 body 2.0 +Edging (0.5) +Clearcoat (0.5) 1.0 Replace Left Fender liner 15214874 $41.24 0.4 body FRONT SUSPENSION BRAKE COMPONENTS Wheel alignment, align front wheels 1.2 mech FRONT DOOR DOOR COMPONENTS Blend Left Front Door Outer panel 1.1 FRONT DOOR EXTERIOR TRIM R &I Left Front Door Belt v/strip 0.5 body FRONT DOOR OUTSIDE MIRRORS R &I Left Front Door Mirror assy, w/o defogger 0.3 body FRONT DOOR LOCK HARDWARE R &I Left Front Door Handle, outside, primer 0.3 body FRONT DOOR INTERIOR TRIM R &I Left Front Door trim panel, cloth, blue 0.4 body remove decal clean glue 1.0* body* clean retape mldg 0.4* body* Sub Totals CiARMEL AUTO REFINISHING Federal Tax ID: 0 308 GRADLE DRIVE. Customer No: 1809 Estimate Carmel, IN 46032 Report No: 1850 1011312009 Phone (317) 815 -8379 Claim Fax (317) 844 -6659 Assign No: THANK YOU FOR LETTING US SERVE YOU Hours Rate Total Body Labor 8.0hrs $45.00 /hr $360.00 Paint Labor 7.9hrs $45.00 /hr $355.50 Clearcoat Labor 1.6hrs $45.00 /hr $72.00 Mech Labor 1.2hrs $70.00 /hr $84.00 OEM Parts $41.24 Aftermarket Parts $169.00 Paint Supplies 7.9hrs $28.00 /hr $221.20 Clearcoat 1.6hrs $28.00 /hr $44.80 Tax Non -Taxed Grand Total $1,347.74 Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR1 CB00). 8/09 Indicates Estimator's Judament T Indicates Taxed Item 1- Indicates aftermarket part taken from KEYSTONE pricing guide. Call (317) to order. CCC Comp -Est A product of CCC Information Services Inc. Page 2 of 2 Z PAGE "�C Car INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 1 o I E L �1 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 21099 POLICE DEPARTMENT 35- 60000972 (DNE -CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9/$/2009 VEHICLE REPAIR SHIP VENDOR Carmel Auto Refinishing To City of Carmel Police Department 308 Gradle Dr 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT ti QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 23 661.51 Officer mike Miller t� 1 ��a 1 op Send Invoice To: City of Carmel Attn: Teresa Ander,y 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT 1110 510 -auto repairs and PAYMENT maintenanc f A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. a 1, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND x`1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. fi r^'_..•' ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Chief of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A. COPY SIGN AND RETURN TO CLERK'S OFFICE \./OUCHER 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 the reon for which charge is made were ordered and received except 20 Signature I -I Title Cost distribution ledger classification if claim paid motor vehicle highway fund Presc& *d 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 21099F 308 Gradle Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/13/0) pa ent for repairs to car 23 M. Miller 661.51 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 Carmel Auto Refinishing IN SUM OF 308 Gradle Drive Carmel, IN 46 032 661.51 ON ACCOUNT OF APPROPRIATION FOR police generla fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21099F 510 661.51 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 October 19 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund