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220640 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 354127 Page 1 of 1 ONE CIVIC SQUARE HARVEYS COLLISION CENTER INC CARMEL, INDIANA 46032 16915 WESTFIELD PARK ROAD CHECK AMOUNT: $1,266.00 WESTFIELD IN 46074 CHECK NUMBER: 220640 CHECK DATE: 6/4/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 21974 1, 266 . 00 AUTO REPAIR & MAINTEN C Page 3 HARVEY'S COLLISION CENTER CITY OF CARMEL, FIRE Printed: 5/22/2013 11:35:00 AM Estimate:21974 Created:05/16/2013 FINAL BILL Repair Order:21974 16915 WESTFIELD PARK DR WESTFIELD, IN 46074 (317)896-9358 FAX:(317)896-9348 Customer:Insured Vehicle: Ins.Company: CITY OF CARMEL, FIRE DEPT CHEVR SEDAN IMPALA CUSTOMER PAY CARMEL, IN YEAR:2007 Claim Number: BATALLION CARS Color:White Date of Loss'05/16/2013 License: 15055 IN Mileage In: 1 VIN:2G1 WS55R979337428 Sched.Arrival Date:05/16/2013 Arrival Date:05/16/2013 Proj. Delivery Date:05/16/2013 Drivable: Unknown Written by:NICKEL,DANNY Labor Faint .Item Price Ext. Price Units Units PT BT 1 1 PANEL ASSY,BODY SIDE LT CAR#1 3.0 B 2.0' 2 SB DETAIL IN&'OUT X 3 CARS 450.00 450.00 U 3 RE PANEL ASSY, BODY SIDE LT CAR#2 3.0 B 2.0 4 RE PANEL ASSY,BODY SIDE LT CAR#3 3.0 B 2.0 FINAL BILL SUMMARY PARTS LABOR Regular Supp Total Department Units Supp Units Rate Total Units Body 9.0 0.0 $44.00 $396.00 9.0 Paint 6.0 0.0 $44.00 $264.00 6.0 Regular Supp Total Sublet: $450.00 $0.00 $450.00 Labor Total: $660.00 $0.00 $660.00 Paint/Material: $156.00 $0.00 $156.00 $1.0-9�—$0TO—'- —44. �. - Total: $1,276.92 TOTAL CUSTOMER PAY PAYABLE REPAIR TOTAL --$-16 92•-- AUTHORIZED AND ACCEPTED:You are hereby authorized to make the above specified repairs. I understand that payment in full will be due upon release of the vehicle,including additional supplemental damage charges,and hereby grant you and/or your employees permission to operate the vehicle herein described on the street, highway or elsewhere for the purpose of testing and/or inspection.An express mechanic's lien is hereby acknowledged on the above vehicle to secure the amount of repairs thereto.You will not be held responsible for loss or damage to vehicle or articles :left in vehicle in case of fire,theft,accident or any other cause beyond your control. Parts removed from the above vehicle will be discarded unless otherwise instructed. 'Repair Order authorized by Date E=NEW PART EC=ECONOMY PART EU=SALVA E PART EP= EE PX REPORT P=CHE K 1=REPAI ALI NMENT L=REFINISH N=ADDITIONAL LABOR OPERATION TE=PART/PARTIAL REPLACE ET=LABOR/PARTIAL REPLACE IT=LABOR/PARTIAL REPAIR AA=APPEARANCE ALLOWANCE RP=RELATED PRIOR DAMAGE UP=UNRELATED PRIOR DAMAGE Labor Dept Codes:B-Body D-Detail I-Tear down E-Prime&Prep F-Frame G-Build up M-Mechanical P-Paint S-Structural PT-Price Types: O-New(OEM);A-New(Non-OEM);V-Used Parts;R-Reconditioned;Space-No Type L-Labor;M-Material;H-Hazardous;S-Storage;T-Towing;U-Sublet BT-Billing Types: No Code-Insurance Charge;CC-Customer Charge;BT-Betterment;AP-Appearance Allowance PD-Prior Damage;NC-No Charge (')Indicates Estimator Judgement. Underline Indicates Supplement. ADP Data,Copyright 1998-2008 Audatex North America,Inc. The elements of data used to calculate this Estimate were obtained from an ADP Database. ProfitNet[Ver.9.00.1507]©1989-2012 YADA Systems,Inc.All rights reserved.Licensed by HARVEY'S COLLISION CENTER 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 21974 Repair BC Cars $1,266.00 1 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 Harvey's Collision Center IN SUM OF $ 16915 Westfield Park Drive Westfield, IN 46074 $1,266.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 112 I 21974 I 43-510.00 I $1,266.00 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 JUN 0 3 2013 IZO Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund