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Home My WebLink About169840 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1 i' ONE CIVIC SQUARE CARMEL AUTO REFINISHING 0 CHECK AMOUNT: $780.38 308 GRADLE DRIVE 1a CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK NUMBER: 169840 CHECK DATE: 3118/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4351000 19012 780.38 REPAIRS TO CAR 47 CARMEL. AUTO REFINISHING Federal Tax ID: 0 Estimate Carmel, GRADLE DRIVE. Customer No: 1536 Carmel, IN 46032 Report No: 1573 212612009 Phone (317) 815 -8379 Claim A5C4815001 Fax M (317) 844 -6659 Assign No: Vehicle Information Owner Carmel Police Dept. Car 47 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 WS55R179342039 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: 2/26/2009 Date of Loss: 2/26/2009 Date of Inspection: 2/2612009 Options: Part Color 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 1.7* body 3.0 +Clearcoat (0.7 0.7 FRONT BUMPER GRILLE GRILLE COMPONENTS Replace Front Lower grille, center, LS, LT, LTZ, 10333711 $68.75 POLICE Sub Totals THANK YOU FOR LETTING US SERVE YOU Hours Rate Total Body Labor 1.7hrs $42.00 /hr $7T Paint Labor 3.Ohrs $42.00 /hr $126.00 Clearcoat Labor 0.7hrs $42.00 /hr $29.40 OEM Parts $461.08 Paint Supplies 3.Ohrs $25.00 /hr $75.00 Clearcoat 0.7hrs $25.00 /hr $17.50 Tax Non -Taxed Grand Total $780.38 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 (DR1CB06). 11/08 Indicates Estimator's Judament T Indicates Taxed Item CCC Comp -Est A product of CCC Information Services Inc. Page 1 of 1 0 INDIANA RETAIL TAX EXEMPT PAGE l o f C anal CERTIFICATE NO. 003120155 002 0 F �i \�1// lS.�s. li PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 o 1) 3 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICE CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SHIPPING LABELS AND ANY CORRESPON FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Decenber 18. 2 08 repairs to veh &le VENDOR Carmel Auto Refinishing SHIP City of Carmel Police Department 308 Gradle Drive TO 3 Civic 0quafe Carmel, IN $6032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car 47 819.13 j t m mg Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maintena ce 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 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 1 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. /f PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDE RED B 'l'lf,E'�.l�.r.au" SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH'CHAPTER 99 ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLE RK- TREASURER DOCUMENT CONTROL NO A�Pg COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER 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 i 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 Refinishing Purchase Order No. 19012RF 308 Gradle Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/26/09 a ent for repairs to car 47 Lytle 780.38 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. il ALLOWED 20 Carm Auto Refinishing IN SUM OF 308 Gradle Drive Carmel, IN 46032 780.38 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 190129 510 780.38 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 March 12 2009 ignature Assistant Chief of Polic Cost distribution ledger classification if Title claim paid motor vehicle highway fund