HomeMy WebLinkAbout168898 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1
f ONE CIVIC SQUARE CARMEL AUTO REFINISHING CHECK AMOUNT: $999.10
CARMEL, INDIANA 46032 308 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 168898
CHECK DATE: 2/1712009
DEPARTMENT' ACCOUN PO NUMB I NVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 999.10 AUTO REPAIR MAINTEN
l CARMEL AUTO REFINISHING
Federal Tax ID: 0
308 CRADLE DRIVE. Customer No: 1505
Estimate Carmel, IN 46032 Report No: 1541
112012009 Phone M (317) 815 -8379 Claim
Fax (317) 844 -6659 Assign No:
Vehicle Information Owner Carmel Police Dept. Car 35 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
VI N: 2G 1 WS551469379840
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: 1/20/2009 Date of Loss: 1/20/2009 Date of Inspection: 1/20/2009
Options: Part Color
Description of Work Part Number Price Labor Paint Other
FRONT,. JMPER4 GRILLE BUMPER COMPONENTS
Replace'Fronf.Bumper cover, w/o fog lamps 89025047 $392.33 1.8 body 2.6'
+Clearcoat (1.1 1.1
FRONT BUMPER GRILLE GRILLE COMPONENTS
Replace Front Lower grille, center, LS, LT, LTZ, 10333711 $68.75 0.2 body
POLICE
Replace Front Upper grille, LS, LT, LTZ, POLICE 10333709 $84.95 0.3 body
FRONT LAMPS HEADLAMP COMPONENTS
Replace Left Front Headlamp assy 15942839 $265.95 0.3 body
HOOD HOOD COMPONENTS
Repair Hood 2.6" body 2.8'
+Clearcoat (0.4'°) 0.4
Sub Totals
THANK YOU FOR LETTING US SERVE YOU
Hours Rate Total
Body Labor 5.2hrs $42.00 /hr $218.40
Paint Labor 5.4hrs $42.00 /hr $226:80
Clearcoat Labor 1.5hrs $42.00 /hr $63.00
OEM Parts $811.98
Paint Supplies 5.4hrs $28.00 /hr $151.20
Clearcoat 1.5hrs $28.00 /hr $42.00
Tax Non -Taxed
Grand Total $1,513.38
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide. NAGS Part Numbers and
�pp cqmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR
ested labor operati
4b� fi on times. NAGS labor operation times are not included. Guide used is (DR1 C606). 11/08
fes Estimator's Judament
T IiQiGates Taxed Item
CCC Comp -Est A product of CCC Information Services Inc.
Page 1 of 1
THE TRAVELERS NAPERVILLE CL CLAIM 39 6 71 29906 2
COMMERCIAL AUTO CLAIM
P.O. BOX 3204
NAPERVILLE IL 60566 -7204
U D01106
TRe414ELERS J
DATE: 01/02/09
LOSS DATE: 12/27/08
CITY OF CARMEL, ATTNE: TIM GREEN FILE NUMBER: 028 ADA5C6480A
3 CIVIC SQ
CARMEL IN 46032
AGENT:
HYLANT GROUP INC
ACCOUNT NAME:
CITY OF CARMEL
ST. PAUL MERCURY INSURANCE COMPANY
EXPLANATION OF PAYMENT
COLLISION $514.28 C LJ
TOTAL PAID $514.28
e
2006 CHEVY IMPALA, VIN 9840
FOR ADDITIONAL INFORMATION CONTACT: JENNIFER MARTENS AT (G30)961-8175
:007946 OVRPUNS2 -1 285
DETACH CHECK DETACH CHECK
Citibank, M.A. TR,4VELERS J 896® 71299062 82.2°
One Penns Way 311
teal Castle D E 18720 P.O. BOX 3204 THIS CHECK HAS A RED BACKGROUND
NAPERVILLE IL 60566 -7204
(630)961 -8175
DATE ACCOUNT NUMBER FILE NUMBER VOID IF NOT PRESENTED WITHIN
11/02/09 J99 028 AD A5C6480 A ONE YEAR AFTER DATE OF ISSUE
FIVE HUNDRED FOURTEEN AND 28/100 PAY: *514.28
U(M
PAY CARMEL AUTO REFINISHING
TO THE AND CITY OF CARMEL
RDER OF 308 GRADLE DRIVE
1106 CARMEL IN 46032
101106 cll�
AUTHORIZED SIGNATURE
1k11nIuu1lddlud111dIIInnlluhu6mululuhuumlhJuudddJllJlunllhu1um116uuIlulld6111u6oudLJluLdnhdnln6dn6d111ulululn6dn11111111duIn6dldullhldluu111udIoullmJlmdI66JI6Idnd111ddInlhlnlluullunl6dlaJIIIn6161u1u616dudulnddu111111nnlLmdlldllhl6dl
11'11 29906 211 1:0 3 1 1 00 209a: 38 6 2 28 9 20
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))
1/20/09 a ent for deductible 999.10
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
Carmel Auto Refinishing IN SUM OF
308 Gradle Drive
Carmel, IN 46032
999.10
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 510 999.10 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
February 12 20 09
Signature
Chief 66 Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund