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Home My WebLink About174256 07/08/2009 F CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1 ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $2,143.74 CARMEL, INDIANA 46032 308 GRADLE DRIVE CARMEL IN 46032 CHECK NUMBER: 174256 CHECK DATE: 7/812009 DEPARTME ACC OUNT PO NUMBER INVOICE N UMBE R AMOUNT DESCRIPTION ,L110 4351000 20998 2,143.74 REPAIRS TO CARS 76 INVOICE Federal AUTO REFINISHING Federal Tax ID: 0 308 GRADLE DRIVE. Customer No: 1660 Estimate Carmel, IN 46032 Report No: 1699 611812009 Phone (317) 815 -8379 Claim Fax M (317) 844 -6659 Assign No: VeAicle Information Owner Carmel Police Dept. Car 76 Accident Location 2003 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 WF55K039313097 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: 5/22/2009 D ate o f Loss: 5 /22/2009 Date of Inspection: 5/22/2009 Description of Work Part Number Price Labor Paint Other FRONT BUMPER BUMPER COMPONENTS. W/O IMPALA SS Replace Front Bumper cover, Impala 12335505 $375.00 2.0* body 3.0* +Clearcoat (1.2 1.2 FRONT BUMPER GRILLE COMPONENTS Replace Front Grille 10289769 $126.02 Included HOOD HOOD COMPONENTS Replace Hood 19120224 $558.02 1.0 body 3.0 +Underside (1.5) +Clearcoat (1.2 2.7 FENDER FENDER COMPONENTS Blend Right Fender 1.0 Blend Left Fender 1.0 'Other operations R &I right bodyside mldg 0.4* body* R &I left body side mldg 0.4* body* Repair clean adhesive 1.0* body* Sub Totals THANK YOU FOR LETTING US SERVE YOU Hours Rate Total Body Labor 4.8hrs $45.00 /hr $2:1 Paint Labor 9.5hrs $45.00 /hr $427;WL Clearcoat Labor 2.4hrs $45.00 /hr' $108.00 OEM Parts $9;059.04 Paint Supplies 9.5hrs $28.00 /hr $266:00 Clearcoat 2.4hrs $28.00 /hr $67.20 Tax Non -Taxed Grand Total $2,143.74 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 (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 C 4 INDIANA RETAIL TAX EXEMPT PAGE 1� ®CERTIFICATE NO. 003120155 002 0 f llll�....� PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 )nQG 39 -NI.R 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 May 28 2009 vehicle tepairs VENDOR Carmel Auto Refinishing SHIP City of Carmel Police Department 308 Gradle Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 76 Williams 2,143.74 CA Send Invoice To: Y10 H PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1210 510 auto reppris and maintenance/- J/ PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND J 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. J' PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY A" .fl D I l /�il SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. J 9 9 CLERK TREASURER DOCUMENT CONTROL NO. A.P. .COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. c° 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 receivedexcept 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund PrescritrCd by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 7995) i 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. 20998F 308 Gradle Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) p ayment for vehicle repairs to car 76 WIlliams 2,143.74 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 J' C armel Auto Refinishing IN SUM OF 308 Gradle Drive Carmel, 1N 46032 2,143.74 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 20998F 510 2,143.74 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 June 30 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund