177133 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING
0 CHECK AMOUNT: $1,304.01
CARMEL, INDIANA 46032 308 GRAOLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 177133
CHECK DATE: 9/15/2009
DEPAR ACCOUNT PO NUMBER IN VOICE NUM AMOUNT DESCRIPTI
1110 4351000 782.51 AUTO REPAIR MAINTEN
1110 4351000 21066 521.50 VEHICLE REPAIRS
i
CARMEL AUTO REFINISHING
INVOICE Federal Tax ID: 0
308 GRADLE DRIVE. Customer No: 1804
Estimate Carmel, IN 46032 Report No: 1845
813112009 Phone M (317) 815 -8379 Claim
Fax M (317) 844 -6659 As No:
Vehicle Information Owner Carmel Police Dept. Car 58 Accident Location
2006 Chevrolet Impala 3 civic square
Style: 4D SED POLICE 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 WS551969376948
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: 8/28/2009 Date of Loss: 8/28/2009 Date of Inspection: 8/28/2009
Description of Work Part Number Price Labor Paint Other
REAR BUMPER BUMPER COMPONENTS
R &I Rear Bumper cover, LS 1.1 body
Repair Rear Bumper cover, LS 4.0* body 3.0
+Clearcoat (1.0 1.0
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 5.1 hrs $45.00 /hr $229.50
Paint Labor 3.Ohrs $45.001hr $135.00
Clearcoat Labor 1.0hrs $45.00 /hr $45.00
Paint Supplies 3.Ohrs $28.00 /hr $84.00
Clearcoat 1.0hrs $28.00 /hr $28.00
Tax Non -Taxed
Grand Total $521.50
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 CB06). 8/09
Indicates Estimator's Judament
T Indicates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 9 of 1
INDIANA RETAIL TAX EXEMPT PAGE
Cli of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7
3,0� CIVIC SQUARE FSHIING BER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
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
Jul 22 2009 1 1a ra
SHIP
VENDOR
RffiHdLXKXyM To City of Carmel Police Department
Carmel Uto Refinishing 3 Civic Square
308 Gradle Drive Carmel, IN 46032
Carmel IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car 58 Jellison 51.4°40
A "I
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n
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k
Send Invoice To: City of Carmel Pole �t
ATTN: Teresa Anderson
6 Civic Square
Carmel, IN 46032
PLEASE INVOICE. IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 510 auto repairs and main an p YMENT
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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. rri f f
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY N I 4�. r''
SHIPPING LABELS. I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Bolice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2. 'a CLERK- TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VQUCHER 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 invoices 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
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 Refinishi Purchase Order No. 2 1066F
308 Gradle D Terms
Carmel, 1N 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/31/09 payemnt for repairs to car 58 Jellison 521.50
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 Refiishing IN SUM OF
308 Gradle Drivd:
Carmel, IN 46032
521.50
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
21066F 510 521.50 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
September 2 20 09
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
WOWS CARMEL AUTO REFINISHING
Federal Tax ID: 0
Estimate Carmel, GRADLE DRIVE. Customer No: 1741
Carmel, IN 46032 Report No: 1782
91912009 Phone M (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel Police Dept. Car 75 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 WF55K859369341
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: 7/23/2009 Date of Loss: 7/23/2009 Date of Inspection: 7/23/2009
Description of Work Part Number Price Labor Paint Other
FENDER FENDER COMPONENTS
Replace Left Fender 89025179 $204.14 2.5 body 2.0
+Edging (0.5) +Clearcoat (1.0) 1.5
WHEELS WHEEL COVERS TRIM
Replace Wheel cover 9596253 $53.37
FRONT SUSPENSION BRAKE COMPONENTS
Wheel alignment, align front wheels 1.2 mech
Refinish tint/match paint 1.0"
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 2.5hrs $45.00 /hr $112.50
Paint Labor 3.5hrs $45.00 /hr $157.50
Clearcoat Labor 1.0hrs $45.00 /hr $45.00
Mech Labor 1.2hrs $70.00 /hr $84.00
OEM Parts $257.51
Paint Supplies 3.5hrs $28.00 /hr $98.00
Clearcoat 1.0hrs $28.00 /hr $28.00
Tax Non -Taxed
Grand Total $782.51
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 (DR1CB00). 5/09
Indicates Estimator's Judament
T Indicates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 1 of 1
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.
308 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/9/09 a ent for repairs to car 75 Loveall 782.51
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
VOt. NO. WARRANT NO.
ALLOWED 20
Carmel Auto Refinishing
IN SUM OF
308 Gradle Drive
Carmel, IN 46032
782.51
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 510 782.51 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
S ember 14 20 Og
Ignature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund