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Home My WebLink About329097 08/22/18 CITY OF CARMEL, INDIANA VENDOR: 372102 ('91 ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: $*******895.00* CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 329097 INDIANAPOLIS IN 46280 CHECK DATE: 08/22/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 101775 144.20 VEHICLE REPAIRS 1110 4351000 101829 750.80 VEHICLE REPAIRS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP &GRIND IN SUM OF$ CITY OF CARMEL 10550 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 $144.20 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 ®101775 0 43-510.00 $144.20 1 hereby certify that the attached invoice(s),or 8/14/18 0 vehicle repairs-pool car Keinsley $144.20 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except �j Tuesday,August 14,2018 W Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $750.80 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 IL 101829 0 43-510.00 $750.80 1 hereby certify that the attached invoice(s),or 8/14/18 0 pool car-Keinsley $750.80 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 Tuesday,August 14,2018 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 11!LUt/-U.L0 1r1:00 31 lti4bbbbb HOLLYWOOD COLLISION PAGE 01/02 FtAL la1%NOW HOLLYWOODS'S BUMP&GRIND COLLISION CENTER LLC 10550 JESSUP BLVD, INDIANAPOLIS,IN 46280 PHONE:317-946-4444 FAX:317.846-6560 07/31/2018 09:13 AM Owner _......._..,..._,.�...,.._ ..w.,.,_ ..... .,,,.,.._.__......._,_.,..,., .,,, ....w...,.__....._...,,,....... .............. _ ._. _.�.,,......,........,_...._____ Owner. CAR#56 CARMEL POLICE ' Inspection �. . ,.., .,..w._._ . _-. •..,r �..�....��. ..._ _ , ., „. ,� ---, , . . _,��. ._ .,..�., _ ...,� Inspection Date: 07/31/2018 09:16 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: infoc@holiywoodscollision,com r Repairer Repairer: Jeff Francis ��Contact:W Address: 10550 Jessup Blvd Work/Day: (317)946-4444 City State Zip: Indianapolis, IN 46280 FAX: (317)846-6560 Email: info@hollywoodscollision.com Target Complete Date/Time: Days To Repair: 2 Vehicle OEM Part Price Quote ID: `+-• -� 2012 Chevrolet Impala Police 4 DR Sedan 6 Cyl Gas Flex Fuel 3.6 6-Speed Automatic Lic Expire: VIN: 201 WDSE30CI284181 Veh Insp#: Mileage Type: Actual Condition: Code: U4173E Ext.Refinish: Two-Stage Int.Refinish: Two-Stage Options AM/FM CD Player Air Conditioning Alarm System Anti-Lock Brakes Auto Headlamp Control Bucket Seats Cargo[Trunk Mat Cruise Control Daytime Running Lights Dual Airbags Dual Zone Auto A/C Emergency S,O,S.System I Halogen Headlights Head Airbags Heavy Duty Cooling Heavy Duty Suspension Intermittent Wipers Keyless Entry System Lighted Entry System OnSter System Power Brakes Power Door Locks Power Drivers Seat Power Mirrors Power Steering Power Windows Rear Bench Seat Rear Window Defroster Rem Trunk-L/Gate Release Side Airbags Steel Wheels Tachometer Theft Deterrent System Tilt Steering Wheel Tinted Glass Traction Control System Trip Computer Velour/Cloth Seats 08/0812018 08A1 AM Pagel of 3 11/10/L01b 10:b8 3178466560 HOLLYWOOD COLLISION PAGE 62/02 2012 Chevrolet impels P0110e a OR Sedan Claim f! 07/31/2016 08:13 AM Damages �,,.- -•-_ . - Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R Rear Bumper 1 EP 566 Cover,Rear Bumper Replace PXN $302.00 0.4 SM 2 L 566 13 Cover,Rear Bumper Refinish 4.2RF 3.0 Surface 0.6 Two-stage setup 0.6 Two-stage 3 EC 5s5 49 Reinf,Rear Bumper Replace Economy $125,00' . 2.0 SM 3 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE 49 UNPRINTED ALTERNATE PARTS COMPARE ! Estimate Total&Entries - Other Parts $427.00 Paint&Materials 4.2 Hours @ $36.00 $151.20 Parts&Material Total $578,20 Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $48,00 2.4 2.4 $115.20 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $48.00 4.2 4.2 $201.60 Labor Total 6.6 Hours $316.80 Gross Total $895.00 Net Total $895.00 Alternate Parts Y/02/01/00/01/00 CUM 02/01/00/01/00 Zip Code:46280 Default OEM Part Prloes DT 07/31/2018 09:13 AM EstimatelD 453546965116928000 Quotel D Rate Name Default Audatex Estimating 8.0.414 ES 08/08/2018 08:41 AM REL 8.0.414 OT 07/01/2018 a 2018 Audatex North America,Inc. 1.2 HRS WERE;ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA. A PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN INSURER FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION COMMITS A FELONY. 0eroen018 05;41 AM Page 2 of a