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329788 09/10/18
CITY OF CARMEL, INDIANA VENDOR: 372102 ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: $*****2,01 1.20* CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 329788 •y�roN�°` INDIANAPOLIS IN 46280 CHECK DATE: 09/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 101642 942.20 AUTO REPAIRS 1110 4351000 101857 1,069.00 VEHICLE REPAIRS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $942.20 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 101642 0 43-510.00 $942.20 1 hereby certify that the attached invoice(s),or 8/30/18 0 SWAT van repairs $942.20 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 Friday,August 31,2018 &. E�4� 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 Aug 2818 03:04p Hollywood's Collision 3178449452 p.1 HOLLYWOODS'S BUMP&GRIND COLLISION CENTER LLC 10550 JESSUP BLVD. INDIANAPOLIS,IN 46280 PHONE:317-946-4444 FAX:317-846-6560 "*FINAL BILL*"' 05/02/2018 02:07 PM Owner f Address: Jz Work/Day: (317)995-0407 Email: pyoung@carmel.in.gov inspection Inspection Date: 05/02/201 B 02:08 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 46280 FAX: (317)846-6560 Email: info@hollywoodscollision.com I Repairer Repairer: Jeff Francis Contact: Address: 10550 Jessup Blvd Work/Day: (317)946-4444 City State Zip: Indianapolis,IN 46280 FAX: (317)846-6560 Email: info@hollywcodscollision.com Target Complete DateRime: Days To Repair. 4 Vehicle � 2007 Ford E-250 STD 2 DR Cargo Van Bcyl Gasoline 4.6 4 Speed Automatic Lic Expire: VIN: 1 FTNE24W57DB07467 Veh Insp#: Mileage Type: Actual Condition: Code: P6165C Ext.Refinish: Two-Stage Int Refinish, Two-Stage Options AM/FM Stereo Air Conditioning Anti-Lock Brakes Bucket Seats Dual Airbags Engine Cover Console Intermittent Wipers Lighted Entry System Power Brakes Power Steering Tachometer Tilt Steering Wheel Tinted Glass Vinyl Seats Damages Line Op Guide MC Description MFR.Part No. Price ADJ% 13% Hours R 08/2812016 DIGS PM Page 1 or 3 Aug 2818 03:04p Hollywood's Collision 3178449452 p.2 2007 Ford E-250 STD 2 DR Cargo Van Ctalm P: 05/0212018 02:07 PM Body Side Panel,Right 1 1 224 Panel,Bodyside Rear RT Repair 6.0" SM 2 L 224 # Panel,Bodyside Rear RT Refinish 3.5t RF 2.0 Surface 0.6 Two-stage setup 0.9 Two-stage #=10. 13 Rear Bumper 3 EP 565 Bumper,Rear Replace PXN $155.00 1.3 SM 4 L 565 Bumper,Rear Refinish 1.7 RF 1.4 Surface 0.3 Two-stage 4 Items MC Message 10 INCLUDES AUDATEX TIME TO CLEAR ENTIRE PANEL 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE Estimate Total S Entries Other Parts $155.00 Paint&Materials 5.2 Hours @ $36.00 $187.20 Parts&Material Total $342.20 Labor Rate Replace Repair His; Total Hrs Hrs Sheet Metal(SM) $48.00 1.3 6.0 7.3 $350.40 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $48.00 5.2 5.2 $249.60 Labor Total 12.5 Hours $60D.00 Gross Total $942.20 Net Total(Final Bill) $942.20 Alternate Parts Y/01/01100/00/00 CUM 01101100100/00 Zip Code:46280 Default Rate Name Default Audatex Estimating 8.0.555 ES 08/28/2018 03:05 PM REL 8.0.555 DT 04101/2018 OB 0811512018 ©2018 Audatex North America, Inc. 1.6 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEVS;TWO-STAGE REFINISH FORMULA. A PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN INSURER FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION COMMITS A FELONY. 08/282018 03:05 PM Pegs 2 of 3 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $1,069.00 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 101857 0 43-510.00 $1,069.00 1 hereby certify that the attached invoice(s),or 8/9/18 0 vehicle repairs-Hood $1,069.00 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 Friday,August 31,2018 &,� lax.L.A.� Jim Barlow Chief 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 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 ***FINAL BILL*** 08/09/2018 12:36 PM Owner Owner: HOOD CARMEL POLICE Email: pyoung@carmel.in.gov Inspection Inspection Date: 08/09/2018 12:37 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 46280 FAX: (317)846-6560 Email: info@hollywoodscollision.com Repairer Repairer: Jeff Francis Contact: 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 Datefrime: Days To Repair: 3 Vehicle 2017 Ford Explorer Police Intercptr 4 DR Wagon 6cyl Gasoline 3.7 6-Speed Automatic Lic Expire: VIN: 1 FM5K8AR8HGC78476 Veh Insp#: Mileage Type: Actual Condition: Code: P8473F Ext.Refinish: Two-Stage Int.Refinish: Two-Stage Options 1st 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 Airbags Elect.Stability Control Electric Steering Floor Mats Full Size Spare Tire Halogen Headlights Head Airbags Heated Rear Window Wiper Heated W/S Wiper Washers Heavy Duty Battery Intermittent Wipers LED Brakelights Lighted Entry System MP3 Decoder Manual Lumbar Adjustment Overhead Console Power Adjustable Pedals Power Brakes Power Door Locks Power Drivers Seat Power Mirrors Power Windows Rear Spoiler Rear View Camera Rear Window Defroster Rear Window Wiper/Washer Rem Trunk-L/Gate Release Side Airbags 08/23/2018 03:06 PM Page 1 of 3 2017 Ford Explorer Police Intercptr 4 DR Wagon Claim#: 08/09/201812:36 PM Split Folding Rear Seat Stability Cntrl Suspensn Steel Wheels 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 Tailgate 1 1 479 Shell,Tailgate Repair 3.0' SM 2 L 479 13 Shell,Tailgate Refinish 3.8 RF 2.7 Surface 0.6 Two-stage setup 0.5 Two-stage Rear Body. Lamas And Floor Pan 3 PC 533 Taillamp Assembly LT Replace PXN Reconditioned $553.00 1.1 SM 3 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE Estimate Total&Entries Other Parts $553.00 . Paint&Materials 3.8 Hours @ $36.00 $136.80 Parts&Material Total $689.80 Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $48.00 1.1 3.0 4.1 $196.80 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $48.00 3.8 3.8 $182.40 Labor Total 7.9 Hours $379.20 Gross Total $1,069.00 Net Total(Final Bill) $1,069.00 Alternate Parts Y/01/01/00/00/00 CUM 01/01/00/00/00 Zip Code:46280 Default Rate Name Default Audatex Estimating 8.0.555 ES 08/23/2018 03:06 PM REL 8.0.555 DT 07/01/2018 DB 08/15/2018 ©2018 Audatex North America,Inc. 1.1 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA. 08/23/2018 03:06 PM Page 2 of 3