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326766 06/29/18
Q CITY OF CARMEL, INDIANA VENDOR: 372102 ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: S*****2,433.80* CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 326766 INDIANAPOLIS IN 46280 CHECK DATE: 06/29/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 GERDT 42.10 AUTO REPAIR & MAINTEN 1110 4351000 101458 GERDT 316.80 AUTO REPAIRS 1110 4351000 101698 GERDT 800.40 AUTO REPAIRS 1110 4351000 101699 GERDT 516.70 AUTO REPAIRS 1110 4351000 101699 RODRIGUEZ 757.80 AUTO REPAIRS 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 J ESSUP 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 $1,274.50 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 1016990 Gerdt 43-510.00 $516.70 1 hereby certify that the attached invoice(s),or 6/20/18 Gerdt repairs car 46 $516.70 1110 101 1110 101 101699 Rodriguez 43-510.00 $757.80 bill(s)is(are)true and correct and that the 6/20/18 Rodriguez repairs car 19 $757.80 1110 101 1 materials or services itemized thereon for 1110 1 101 which charge is made were ordered and received except Thursday,June 21,2018 ac," li-:N..,, Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ CITY OF CARMEL 10550 J ESSUP 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 $316.80 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 101458'4 Gerdt 43-510.00 $316.80 1 hereby certify that the attached invoice(s),or 6/20/18 Gerdt repairs car 46 $316.80 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday,June 21,2018 &" e6.j.w Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $800.40 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 1016980 Gerdt 43-510.00 $800.40 1 hereby certify that the attached invoice(s),or 6/20/18 Gerdt repairs car 46 $800.40 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday,June 21,2018 Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $42.10 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 Gerdt 43-510.00 $42.10 I hereby certify that the attached invoice(s),or 6/20/18 Gerdt repairs car 46 $42.10 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 Thursday,June 21,2018 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 HOLLYWOODS'S BUMP&GRIND COLLISION CENTER LLC 10550 JESSUP BLVD. INDIANAPOLIS, IN 46280 PHONE:317-946.4444 FAX:317-846-6560 06/07/2018 09:01 AM L Owner__ ::__—�� wner: GERDT CARMEL P LICE dress: Work/Day: (317)440.7698 Home/Evening: (317)995.8711 ^Inspection Inspection Date: 06/07/2018 09:02 AM Inspection Type: Company: Hollywood's Collision Center Appraiser License# Contact: Jeff Francis Address: 10550 JESSUP BLVD Work/Day: (317)946-4444 City State Zip: Indianapolis,IN 46280 FAX: (317)846-6560 Email: info@hollywoodscollision,com T Repairer: JeffFrancis,.-...--_...-_.._ , - -—.-.,;—_,.._----w- r —___....--I Address: 10550 Jessup Blvd ' Contact: _..,_.,. City State Zip: Indianapolis,IN 46280 Work/Day: (317)946-4444 Email: info holt .PAX: (317)846-6560 Q ywaodscollision.com Target Complete Date/Time: Days To Repair: 5 r._—.-.,.- _ L._Vehicie 2017 Ford Explorer Police Intercptr4 DR Wagon 6cyl Gasoline 3.7 6-Speed Automatic Lic Expire: Veh Insp#: VIN: 1 FMSKBARXHGC78480 Condition: Mileage Type. Actual , Ext.Refinish: Two-Stage Code: P6473F Int.Refinish: Two-Stage Options list Row LCO Monitor(s) 2nd Row Head Airbags AM/FM CD Player 4-Wheel Drive Bodyslde CladdingAir Conditioning Bucket Seats Ahti-Lock Brakes Cruise Control Driver Information Sys Center Console Dual Airbags Elect.Stability Control Electric Steering Floor Mats Full Size Spare Tire Halogen Headlights Heated Rear Window Wiper Heated W!S Wiper Washers Head Airbags Intermittent Wipers Heavy Duty Battery MP3 Decoder LED al Lu ig Lumbar Lighted Entry System Po Mable Pedals Manual Lumbar Adjustment Overhead Console ''rs Seat Power Brakes Power Door Locks Power Mirrors Power Windows Rear View Camera Rear Window Defroster Pogo 7 of$ 1 ' t,0/10 39VCI NOISIi7OD QOOMA-171011 09999POLTE 11:61 SIOZ/Z0/01 2017 Ford Explorer Police Intorcptr 4 pp Wagon Claim#: ' 06/07!2016 09:01 AM Rear Window Wiper/Washer Rem Trunk-L/Gate Release Side Airbags Split Folding Rear Seat Stability Cntrl Suspensn Steal Wheals Strg Wheel Radio Control Tachometer Tilt Steering Wheel Tinted Glass Tire Pressure Monitor Traction Control System Trip Computer Trunk/Cargo Organizer Velour/Cloth Seats Damages_ ' Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R 7�il�te 1 1 479 Shell,Tailgate Repair 4.0' SM 2 L 479 13 Shell,Tailgate Refinish 3.8 RF 2.7 Surface 0.6 Two-stage setup 0.5 Two-stage Rear Bumper 3 PC 519 Cover,Rear Bumper Upr Replace PXN Reconditioned $353.00 1.2 SM 4 L 519 Cover,Rear Bumper Upr Refinish 3.0 RF 2.5 Surface 0.5 Two-stage 5 PC 66 Cover.Rr Bumper Lower Replace PXN Reconditioned $291.00 4.4 SM 5 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE .�.,..�.,_ Total&Entries .,..._� ....._ _-._.._.,, r....�....._��._._......._._.,..w..,.�-�..w..W.__�N��. �-..,.�m_.,,....,...�._..�....w_W.,.......�.�t Other Parts $644.00 f Paint&Materials 8.8 Hours @ $36.00 $244.80 Parts&Material Total $888.80 Tax on Parts&Material @ 7.000% $62.22 Labor• Rate Replace Repalr Hrs Total Hrs Hrs Sheet Metal(SM) $48.00 5.6 4.0 9.6 - $460.80 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $48.00 6.8 6.8 $326.40 Labor Total 16.4 Hours $7K8.22 Gross Total $1,7 Net Total $1� Alternate Parts Y/02/0 2/ 0 0/00 Zi 1V V 2/00/00/00 CUM 02/0 0 /0 p Coda:46280 Default Rate Name Default Audatex Estimating 8.0.414 ES 06115/2018 02:80 PM REL 8.0.414 DT 05/01/2018 ©2018 Audatex North America,Inc. 0611512016 02:60 PM Pege 2 013 WZ0 3JGd NOISI-nOD QOOMA SOH 0999968LTE T1:61 9TOZ/Z0/0T 10/02/2015 19:12 3178466560 HOLLYWOOD COLLISION PAGE 01/03 HOLLYWOODS'S BUMP&GRIND COLLISION CENTER LLC 10550 JESSUP BLVD. INDIANAPOLIS,IN 46280 PHONE:317-946-4444 04X:317-846-6560 ���' Z------ 06/07/2018 05:58 PM Owner n Owner: CAR#19 CARMEL POLICE t Inspection M__z. •+_ _,,,nn _,_r.,.,,,nu_v._•_wx--�,___�..wreu4•._...___.rww, _nnvr.•.,...ru__._r..w�r,v- n.wr._r._r.___,_.�-„- _,w._ur. +_r,w�,•,...--�rv,v.-u.w.__Y ,�,I Inspection Date: 06/07/2018 05:59 PM Inspection Type: Company: Hollywood's Collision Center Appraiser License#: Contact: Jeff Francis Address: 10550 JESSUP BLVD Work/Day: (317)946-4444 City State Zip: Indianapolis,IN 46260 FAX. (317)846-6560 Email: lnfo@hollywoodscollision.com Repairer _ � "'"�""`"" —' • Repairer: Jeff Francis Contact: Address: 10550 Jessup Blvd Work/Day' (317)946-4444 City State Zip: Indianapolis,IN 46250 FAX: (317)846-6560 Email: info@hollywoodscollision.com Target Complete Date/Time: Days To Repair: 4 Vehicle 2016 Ford Explorer Polioe Intercptr 4 DR Wagon , 6cyl Gasoline 3.7 6-Speed Automatic Lie Expire: VIN: 1 FM5K6AROGGD05605 Veh Insp#: Mileage Type: Actual Cdndition: Code: P8473F Ext,Refinish. Two-Stage Int,Refinish: Two-Stage Options 1 st Row LCD Monitor(s) 2nd Row Head Airbags 4-Wheel Drive AM/FM CD Player Air Conditioning Anti-Lock Brakes Bodyside Cladding Bucket Seats Center Console Cruise Control Driver Information Sys Dual Alrbegs Electric Steering Floor Mats Full Size Spare Tire Halogen Headlights Head Airbags Heated Rear window Wiper Heated WIS Wiper Washers Heavy Duty Battery Intermittent Wipers LED Brakellghts Lighted Entry System MP3 Decoder Manuel Lumbar Adjustment Overhead Console Power Adjustable Pedals Power Brakes Power Door Locks Power Drivers Seat Power Mirrors Power Windows Rear Spoiler Rear Window Defroster Rear Window Wiper/Washer Rem Trunk-L/Gate Release Side Airbags Split Folding Rear Seat Stability Cntrl Suspensn Steel Wheels Strg Wheel Radio Control Tachometer 06'H/201609:21 AM Pap 1 of a 10/02/2015 19:12 3178466560 HOLLYWOOD COLLISION PAGE 02/03 2070 Fara 9Kp1orcr PoUcq Intaropir4 OR wagon Claim 0: 00/07/2019 ftop Pm Tilt Steering Wheel Tinted Glass Tire Pressure Monitor Traction Control System Trip Computer Trunk/Cargo Organizer Velour/Cloth Seats i Damages Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R Quarter And Rocker Panel 1 1 389 Panel,Quarter LT. Repair 5.0" SM 2 L 389 13 Panel,Quarter LT Refinish 4.0 RF 2.8 Surface 0.6 Two-stage setup 0,6 Two-stage Rear Bumper 3 BR 519 Cover,Rear Bumper Upr Blend Refinish 1.5 RF 1,0 Blend 0.5 Two-stage Rear Body.Lamps And Floor Pan 4 RI 533 Taillamp Assembly LT R&I Assembly 1.1. SM Manual Entries 5 SB M60 Hazardous Waste Removal Sublet Repair $3.00" SM 5 Items' MC Message 13 INCLUDES D.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE Estimate Total&Entries '^^� Paint&Materials 5.5 Hours @ $36.00 $198.00 Parts&Material Total $198.00 Tax on'Parts&Material @ 7,000% $13.86 Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $48.00 1.1 5.0 6.1 $292.60 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $48.00 5.5 5.5 $264.00 Labor Total 11,6 Hours $556.80 Sublet Repairs $3.00 Gross Total $771 Net Total 1.66 Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code:46280 Default Rate Name Default Audatex Estimating 8.0.414 ES 06/11/2018 09:21 AM REL 8.0,414 DT 05/01/2018 OEM 1/2018 08:21 AM • Pago 2 of 3