172246 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $3,344.74
CARMEL, INDIANA 46032 308 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 172246
CHECK DATE: 5/1312009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1110 4351000 20111 3,106.24 REPAIRS TO CAR 99
1125 4351000 1570 238.50 AUTO REPAIR MAINTEN
s 8
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a
RWOICE CADS EL AUTO REFINISHING
Federal Tax ID: 0
308 GRADLE DRIVE Customer No: 1533
Estimate Carmel, IN 46032 Report No: 1570
412712009 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel clay park &recreation Unit Accident Location
2007 Ford Ranger 1427 El 16 TH STREET
Style: Carmel, IN 46032
Color: Cell Phone: (317) 710 -5671
Color Code: Work Phone: (317) 571 -4144 Phone #1:
Production Date: 0 Fax (317) Phone #2:
License: State: IN Insured Claimant
VIN: 1FTYR15E37PA82441
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: 2/23/2009 Date of Loss: 2/23/2009 Date of Inspection: 2/23/2009
Options: 4 Liter, Fuel Injection, 6 Cylinder
Description of Work Part Number Price Labor Paint Other
PICK UP BOX. STYLESIDE FRONT SIDE PANELS
Repair Left Side panel, 6 foot bed w/o whl openi" 4.0* body
midg
REAR LAMPS COMBINATION LAMPS W/O STX PKG
R &I Left Rear Tail lamp assy 0.3 body
Other operations
R &I tool box 1.0* bo dy*
Sub Totals 5.
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 5.3hrs $45.00 1hr $238.50
Tax Nan -Taxed
Grand Total M$238:50
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Description pri
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Purchaser
Approval
Date.,..,_.._ eseyojnd
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless 9therwise 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 MOTOf
suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR2MD98). V09
Indicates Estimator's Judament
T Indicates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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 Purchase Order No.
00350155 Carmel Auto Refinishing
Terms
308 Gradle Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
20790 238.50
4/27/09 1570 Body work on truck P07
E 8.50
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.
00350155 Carmel Auto Refinishing Allowed 20
308 Gradle Drive
Carmel, IN 46032
In Sum of
238.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 1570 4351000 238.50 1 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
7 -May 2009
Signature
238.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
=J CARMEL AUTO REFINISHING
Federal Tax ID: 0
RW®10E 308 GRADLE DRIVE. Customer No: 1605
Carmel, IN 46032 Report No: 1644
51512009 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel Police Dept. Car 99 Accident Location
2007 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 WS55R979403878
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: 4/13/2009 Date of Loss: 4/13/2009 Date of Inspection: 4/13/2009
Description of Work Part Number Price Labor Paint Other
FRONT BUMPER GRILLE BUMPER COMPONENTS
Replace Front Bumper cover, w/o fog lamps 89025047 $392.33 1.5* body 3.0
+Clearcoat (0.5 0.5
Replace Front Energy absorber 15886100 $197.57 0.2 body
FRONT LAMPS HEADLAMP COMPONENTS
Replace Left Front Headlamp assy 15942839 $265.95 0.3 body
R &I Left Front Headlamp assy, clip
R &I Right Front Headlamp assy 0.3 body
RADIATOR SUPPORT RADIATOR SUPPORT
Repair Radiator support left side spotin 1.0* Struct 0.5*
HOOD HOOD COMPONENTS
Replace Hood 89023526 $434.96 0.9* body 3.2
+Underside (1.6) +Clearcoat (0.6) 2.2
FENDER FENDER COMPONENTS
Replace Left Fender 89023525 $190.96 2.4 body 2.2
Adjacent (0.4) +Edging (0.5) +Clearcoat (0.5) 0.6
Replace Left Fender liner 10333703 $23.47 0.3 body
Blend Right Fender 1.1
R &I Right Fender liner 0.3 body
FENDER EXTERIOR TRIM
Replace Both Emblem, MARK OF EXCELLENCE 15223484 $9.50 0.4* body
FRONT DOOR DOOR COMPONENTS
Blend Left Front Door Outer panel 1.0
FRONT DOOR EXTERIOR TRIM
R &1 Left Front Door Belt w'strip 0.3 body
FRONT DOOR OUTSIDE MIRRORS
R &I Left Front Door Mirror asst', w/o defogger 0.3 body
FRONT DOOR INTERIOR TRIM
R &I Left Front Door trim panel, LS, LT, LTZ w/o sport 0.4 body
pkg w/o POLICE, ebony
Other operations
Repair inner fender left 0.5* body* 0.3*
corrosion protection $11.70 0.5* body*
decal removal 1.0* body*
R &I housing air cleaner 0.6* body*
Hazardous Waste Disposal $5.00*
Sub Totals
Page 1 of 2
CAR EL AUTO REFINISHING
Federal Tax ID: 0
Estimate Carmel, GRADLE DRIVE. Customer No: 1605
Carmel, IN 46032 Report No: 1644
51512009 Phone (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 10.2hrs $45.00 1hr $459.00
Paint Labor 13.Ohrs $45.00 /hr $585.00
Clearcoat Labor 1.6hrs $45.00 /hr $72.00
Structural Labor 1.0hrs $55.00 /hr $55.00
OEM Parts $1,526.44
Paint Supplies 13.Ohrs $28.00 /hr $364.00
Clearcoat 1.6hrs $28.00 /hr $44.80
Tax Non -Taxed
Grand Total $3,106.24
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 C606). 2109
Indicates Estimator's Judoment
T Indicates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 2 of 2
PAGE
0 INDIANA RETAIL TAX EXEMPT
C C are CERTIFICATE NO.003120155 002 0 of PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3.0 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
An i 70 a air to Y;rP i e to
VENDOR Carmel Auto Refinishing SHIP City of Carmel Police Department
308 Gradle give TC 3 Civic Square
Carmml, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car 99 Paris 3,106024
A
rj
Ai
9 0 g
�r'.4 v e et i� r
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 510 auto reapris and maint PAYMENT
4y A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
YY 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. fr'
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. f C
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. a
CLERK- TREASURER
DOCUMENT CONTROL NO. A COPY SIGN AND RETURN TO CLERK OFFICE
VOI,JCHER 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
receivedexcept
20
Signature
Title
Cost distribution ledger classification if
claim Laid 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. 20111F
308 Gradle Drive Terms
Carmel, IN $6032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/5/ payment for repairs to car 99 Paris 3,106.24
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
3,106.24
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
20111F 510 3,106.24 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
May 7 20 09
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund