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Home My WebLink About177133 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 ga. Z g0 a n c a g '0g, o 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