The URL can be used to link to this page

Home My WebLink About167931 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00350155 Page 1 of 1 g 0 ONE CIVIC SQUARE CARMEL AUTO REFINISHING CARMEL, INDIANA 46032 308 GRADLE DRIVE CHECK AMOUNT: $1,376.91 CARMEL IN 46032 CHECK NUMBER: 16791 CHECK DATE: 1121/2009 MPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4351000 19008 1,376.91 VEHILE REPAIRS `3 CAR EL AUTO REFINISHING Federal Tax ID: 0 308 GRADLE DRIVE. Customer No: 1485 E stimate Carmel, IN 46032 Report No: 1520 1/6/2009 Pf (317) 815 -8379 Claim Fax M (317) 844 -6659 Assign No Vehicle Informatlon Owner Carmel P a qt. Car 39 Accident Location 2004 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 VI N: 2G 1 WF55K349413454 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: 12/27/2008 Date of Loss: 12/27/2008 Date of Inspection: 12/27/2008 Options: Part Color Description of Work Part Number Price Labor Paint Other FRONT BUMPER BUMPER COMPONENTS. W/O IMPALA SS R &I Front Bumper cover, Impala 1.3 body Repair Front Bumper cover, Impala 1.8* body 2.8 +Clearcoat (1.1) 1.1 FRONT LAMPS HEADLAMP COMPONENTS Replace Right Front Headlamp asst' 10356098 $275.11 0.3 body HOOD HOOD COMPONENTS Repair Hood 2.0* bw 3.0 +Clearcoat (0.6) 0.6 FENDER FENDER COMPONENTS Repair Right Fender 1.0* body 2.0 Adjacent (0.4) +Clearcoat (0.3) -0.1 Repair Left Fender 1.0* body 2.0 Adjacent (0.4) +Clearcoat (O.3) -0.1 Sub Totals THANK FOR LETTING US SERVE YOU Hours Rate Total Body Labor 7.4hrs $42.00 /hr $310.80 Paint Labor 9.Ohrs $42.00 /hr $378.00 Clearcoat Labor 2.3hrs $42:00 /hr $96.60 OEM Parts $275.11 Paint Supplies 9.Ohrs $28.00 /hr $252.00 Clearcoat 2.3hrs $28.00 /hr $64.40 Tax Non -Taxed Grand Total x$1,376.91 Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from't�� Guide. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line w th the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Guide used is (DR1 CBOQ). 8/0 Indicates Estimator's Judament T Indicates Taxed Item CCC Comp -Est A product of CCC Information Services Inc. Page 1 of 1 INDIANA RETAIL TAX EXEMPT PAGE ci 6 li Caimei CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 a n 3 2Id� 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 Deee hem 17, 2 C08 vehicle re air VENDOR Carmel AUto Refinishing SHIP City of Carmel Police DeparMent 308 Gradle Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to vehicle 39 1,379091 0 I'll, 114b g 'R unt Cal Send Invoice To: a I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 510 auto repairs and mainte ncd PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE APART 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 SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. A'Ft.�t.l; f I_ PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY F r"5"K.`/l'S j SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE. Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO A•P• COPY SIGN AND RETURN TO CLERK OFFICE WARRANT r 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 1 0 rdered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) r. 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. 19008RF 308 Gradle Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 116109 a ent for repairs to car 39 Bodenhorn 1,376.91 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 VQUCHER NO. WARRANT NO. ALLOWED 20 Carmel AUto Refinishing IN SUM OF 308 Gradle Drive Carmel, IN 46032 1,376.91 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 19008RF 510 1,376. 1 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 January 13 20 09 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund