205569 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 361200 Page 1 of 1
ONE CIVIC SQUARE PERFORMANCE COLLISION CENTER CHECK AMOUNT: $2,871.38
CARMEL, INDIANA 46032 10710 NOTTINGHAM WAY
ZIONSVILLE IN 46077 CHECK NUMBER: 205569
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 14470 2,871.38 CAR REPAIRS
PLRFORMANCE COLLISION CENTER Final Invoice
10710 Nottingham Way
Zionsville IN 46077 Date :16- JAN -2012
Tel 317.733.2758 Fax 317.733.2759 R.O. 14470
Vehicle
=I:: Insurance
CITY OF CARMEL WATER I Make: 06 Chevrolet WESTERN RESE
3450 W. 131st Model K2500 4X4 SILVERADO
WORK
Carmel, IN License 71821
46074 Color: B lue
Phone 1 (31 733 -2855 VIN No.: 1GCHK2 Contact
Phone 2 Mileag 68699 Phone:
Policy C laim 13A9811
ail: Est/Ad" Trey Howe Open: 28- DEC -11
e O;' eration Descr `t iorl' Refs
Labor to Pre
REAR L AMPS 0
Body Remove/Re LT Go mtio °la ass t' 1/2 &3/4 ton Chevrol O r
PICK UP BOX p
Body Remove /Replace' LT Outer side panel` 13 0 r 3
Refinish Add for Clear Coat 0 1.4 0.0
Body `Remove /Replace= T Reap brace
Body Remove /Replace LT Shield .2
Botl Remove /Install Fuel door
Refinish Blend Fuel doo .0 .2 0.0
Body�� ,YRenove /R`eplace LTD "4x4",
Body d finish
LT Flare lare graine 4
Body�� Rem %I nstall LT Upper molding AIM molding
Body Repair Adhesive Removal .3
Body Repair ea n Backing Reta e upper
r
p 9
Body Remove /Install R &I box assy 2.5
Body,: r Re pair LT W
Body Repair Tie dow for pull inner 1.0
Rep _Rough pull inner prior to repairer 1 0 �F f
Body_ Sublet All Whe Ali gnment .0
Body q Sublet Mount Balance LT rear wheel
Body Sublet Hazardo Waste Di sposal .0
Refinish :Refinish Cover,Vehicle
Body Remove /Replace Weld thru primer .0
Bodyh Re_mov_e /R eplace Corrosion Protection
Body Remove /Replace Caulk Seam Sealer 4
Body Remove /Replace Underco_atin9,, W v 2
r
Refini Refi nish Tint color .0 .5 0.0
:Refinish,. f Refirnsl� Blend UVeld Ad fa Panels_
ST x Des.cri :tion
s
New 19169004 LT Combo lamp assy 1/2 3/4 ton Chevrol 1 165.74 165.74
New 15195678 LT�Outer side pan 1
New 150 72625 LT Rear brace 1 33.29 33.29
Nevv�: 15072622 LT.
New 15779675 LT Decal "4x4" 1 14.42 14.42
Vew 10374844 LT Flare rained
Sublet All finish t,. 1 t T` 125 „74 125 74
9..u. 9
Wheel Ali nment 1 99.95 99.95
Mount &Balance LT rear wheel
iublet Hazardous Waste Disposal 1 3 3 0__.
F �h
Voucher No. Warrant No.
X p 1
1� ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
OQMANC Favor f
P
co IP 't 110-w
x ri
(0 710 ;tig hkm WI) k/
2 1 fv s o I I P A) 'f 6
Total Amount of Voucher
u' Deductions
J1, 656 p
Amount of Warrant
Month of 19
t, Acct.
VOUCHER RECORD No.
Source of Su pply
Water Treatment
Transmission and Dist.
N° Customer Accounts
4 r#H Administrative and General
Operation-Maintenance
„r
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
,x a Board of Control
Filed
Official Title
$f' BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325
PLRFORMANCE COLLISION CENTER Final Invoice
10710 Nottingham Way
Zionsville IN 46077 Date :16- JAN -2012
Tel 317.733.2758 Fax 317.733.2759 R.O. 14470
Vehicle:, h.
:Insurance
CITY OF C ARMEL WATER Make 06 Chevrolet WESTERN RESERVE
3450 W. 131 st Model K2500 4X4 SI LVERADO
WORK
Carm el, IN License 71821
46074 Color: Blue
P hon e 1 (31 733 -2855 VI No.: 1GCHK24U76E191398 Contact
Phone 2 Mileag 68699 Phone
Polic Claim 13A9811
Email Est/Ad' Trey Howe Open: 28- DEC -11
T e O °16rafion`
Des,cri tionm aLabor Refin P.re,
REAR LAMPS 0
Bod Remove /Re lace LT Comb la m; ass 1/2 3/4 ton ChevroU 0
w
._P P Y ,.1.._.. z.��
PICK UP BOX .0
Body Remoue /Replace LT outer side
Refinish Add for Clear Coat .0 1.4 0.0
Tr
C t"
Body Remove %Replacev LT Rear brace 0 M.
Body Remove /Replace LT Shield .2
RemOV2/IllS tall FUeI ab6r
Refinish Blend Fuel door .0 .2 0.0
Remove /Replace'
Body Remove /Replace LT Flare grained finish 4
BodY_W.rv_mT. Remove /Install..T__._ %`LT UPP,er rnolding,'A/M' molding' >�m..5.'
Body Repair Adhesive Removal .3
Body Repair r Clean Backing Retap,eupper Mldg 5
Body Remove /Install R &I box assy 2.5
LT Wheelhouse`
Body Repair Tie down for pull inner 1.0
Body Repair�� w= �Rough� pull inner „pnorto�repair� a; 1 0 Y x m y
...,m., v�_ r
Body Sublet All Wheel Alignment .0�
Body Sublet`' Mount Balance LT rear wheel
Body Sublet Hazardous W }e Disposal 0
Refinish,Refinis CoverVehicle 0 2� x zpp
Body Remove /Replace Weld thru primer 0�
Botly Remove /Replace p Protection G 4 x
Body x Remove /Replace Caulk Seam Sealer .4
Body Remove /Re lace Undercoating'
P
f Refinish Refinish Tint color 0 5 0.0
Refinish °_Refinish �rBlendU1%el A
d d'acent,Panels
DescriLL 'tion r
Q n i E h
ac Totalfi.
New 19169004 LT Combo lamp assy 1/2 3/4 ton Chevrol 1 165.74 165.74
1 95678 ._.M._. LT'Outer'side panel
New 15072625 LT Rear brace 1 33.29 33 29
News 'w4 F LT:Shield i sr 1 s ,..m.. X 33 63
New 15779675 LT Decal "4x4' 1 14 42 14.42
Ne
e
LTFlare graind finish
T
Sublet All Wheel Alignment 1 99.95 99.95
Sublets Mount Balance „ALT rear wheel s ar 1 15< 15 00
Sublet Hazardous Waste Disposal 1 3 3 00
ua. �g0
8 0
Inv. 14470 page 2 of 2
T em "Rart Descri Qt Each T ot
al...$
Other Corrosion Protection 1 7 7.00
Other iu
.m �N., Caulk &Seam Sealer
Other Undercoating 1 5 m 5.00 mm
Ho� "26r hour Taza'ble No`niTax. Tota`I
05
Labor Tota 31.0 .00 1395.00 1395.00
�aY.. 23
I 066:50 1066:50
.+t. a..... N i
Refinish 7.3 0.00 328.50 328.50
P Total 1177:52 117:95 1295'47 s
��..n
New 1139.52 0.00 1139.52
Other ...:mx� 38 OO 0 00 3&
Sublet 0
00 117 95 117.95
,171m 00 0 '._17100
2 Stage Paint 42.00 0 00 42.00
Material Total 219. 0.00 2
Preuous Net
Net Supplement '00" R j p 2735 53
'WIC
Total Amount
2909 -47
�tiTaXTO o'd ca (n d c b P
3007 4 23
Net Total
Custoiner�Due 287138
7''
PERFORMANCE COLLISION CENTER RECOMMENDS TO WAIT AT LEAST 30 DAYS BEFOR
E
ANY HAND APPLIED WAX OR POLISH. THIS ALLOWS TIME FOR THE PAINT TO FINISH THE
CURING PROCESS.