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326102 06/12/18
.c±qy�R� CITY OF CARMEL, INDIANA VENDOR: 372102 ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: $*******574.20* /=a CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 326102 M��oN�. INDIANAPOLIS IN 46280 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 101458 MABIE 135.60 AUTO REPAIRS 1110 4351000 101543 MABIE 438.60 AUTO REPIARS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ CITY OF CARMEL 10550 JESSUP BLVD 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. INDIANAPOLIS, IN 46280 Payee $135.60 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 101458 Mabie 43-510.00 $135.60 1 hereby certify that the attached invoice(s),or 6/4/18 Mabie repairs car 11 $135.60 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,June 4,2018 Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ CITY OF CARMEL 10550 JESSUP BLVD 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. INDIANAPOLIS, IN 46280 Payee $438.60 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 101543 Mabie 43-510.00 $438.60 1 hereby certify that the attached invoice(s),or 6/4/18 Mabie repairs car 11 $438.60 1110 101 1110 101 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 Monday,June 4,2018 Jim Barlow Chief 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 09/13/2015 19:31 3178466560 HOLLYWOOD COLLISION PAGE 01/04 HOLLYWOODVS BUMP&GRIND COLLISION CENTER LLC 10550 JESSUP BLVD. INDIANAPOLIS,IN 46280 i PHONE:317-946-4444 FAX:317-848-6560 I I _ 05/09/2018 05: 6 PM Owner J i _ .__---•---...,_ �. __,.�...�....,....... __•-__. ...�`ori .,_ - ----.�......�,�....�.....,.........�_........�. ..,.__�._,_.1..A,�.., Owner: MIKE MAYBIE I Inspection Inspection Date: 05/0912DIB 05:26 PM Inspection Type: Company: Hollywood's Collision Center Appraiser License 9: Contact: Jeff Francis Address: 10550 JESSUP BLVD Work/Day: (317)946.4444 City State Zip: Indianapolis,IN 46260 FAX: (317)846.6560 Email: info@hollywoodsoollision.com i i Re aairer Repairer: Jeff Francis Contact: i Address: 10550 Jessup Blvd Work/Day: (317)946-4444 I City State Zip: Indianapolis,IN 46280 FAX: (317)846-6560 Email: info@hollywoodscollision.com j Target Complete Date/Time: Days To Repair: 3 L.Vehicle.._,.,,-,._...,...—_® _......,.,..,Mm.,. ...,,.._..,,,. -----------_.......�. � ,.... i OEM Part Price Quote ID: *R*R 2013 Chevrolet Tahoe Police 4 OR Wagon Scyl Gasoline 5.3 FLEX 6-Speed Automatic Lie Expire: VIN: 1GNLC2E09DR308804 Veh Insp#: Mileage Type: Actual Condition: Code: U7412A Ext.Refinish: Two-Stage Int.Refinish: Two-Stage I I Options i 2nd Row Head Alrbags AM/FM CD Player Anti-Lock Brakes Auto Headlamp Control Bodyside Moldings Bucket Seats Center Console Color-Keyed Bumper(s) Cruise Control Daytime Running Lights Dual Air Conditioning Dual Airbags Dual Power Seats Dual Zone Auto A/C Flip-Up Littgate Window Full Size Spare Tire Halogen Headlights Head Airbags i Heated Power Mirrors Heavy Duty Battery Heavy Duty Cooling Heavy Duty Suspension Illuminated Visor Mirror Intermittent Wipers Keyless Entry System Lighted Entry System MP3 Decoder Overhead Console Power Brakes Power Door Lacks Power Steering Power windows Privacy Glass Rear.Heater Rear Spoiler Rear Window Defroster Rear Window WipedWasher Running Boards Side Airbags 06/01/2016 04:16 PM Page 1 of 3 I 09/13/2015 19:31 3178466560 HOLLYWOOD COLLISION PAGE 02/04 I 2013 Chewolel Tahoe PDllw 4 OR Wagon claim P; MUM%Cf PM Sirius Satellite Radio Skid Plates Split Folding Rear Seat Stability Cntrl Suspensn Steel Wheels Tachometer i Theft Deterrent System Tilt Steering Wheel Tinted Glass Tire Pressure Monitor Tow Hooks Traction Control System Trip Computer Velour/Cloth Seats Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours i R Tailgate 1 1 479 Shell,Tailgate Repair 4.0" ESM 2 L 479 13 Shell,Tallgate Refinish 3.7 !RF 2,6 Surface 0.6 Two-stage setup 0.5 Two-stage 3 RI 471 Appllque,Tailgate R&I Assembly 0.7 ISM 4 RI 493 Handla,Toilgate Outer . R&I Assembly 0.2 ISM Manual Entries 5 L M17 Cover Car Exterior Refinish 0.31 ;RF 6 SB M60 Hazardous Waste Removal Sublet Repair $3.00" ism 6 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE I Estimate Total&Entries��� �� ����� Paint&Materials 4.0 Hours @ $36.00 $144.00 Parts&Material Total $144.00 Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $48.00 0.9 4.0 4.9 $235.20 Mech/Elec(ME) $85.00 Frame(FR) $85;00 Refinish(RF) $48.00 4.0 4.0 $192.00 Labor Total 8.9 Hours $427.20 Sublet Repairs $3.00 Gross Total $574.20 Net Total $574.20 Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code:46280 Default OEM Part Prices DT 05/09/2018 05:26 PM Estimate10'423592702509096960 QuotelD Rate Name Default I Audatex Estimating 8.0.414 ES 06/01/2018 04:18 PM REL 8.0.414 DT 04/01/2018 ©2018 Audatex North America,Inc. 1.1 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA. 0N112D16 04:16 PM Page 2 of 3