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HomeMy WebLinkAbout330147 09/19/18 a`% CITY OF CARMEL, INDIANA VENDOR: 372102 ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: $********75.00* '3 CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 330147 s94jj�T�N�p INDIANAPOLIS IN 46280 CHECK DATE: 09/19/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 101642 19.80 AUTO REPAIRS 1110 4351000 101775 55.20 VEHICLE REPAIRS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 J 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 101775 0 43-510.00 $55.20 1 hereby certify that the attached invoice(s),or 9/10/18 0 vehicle repairs-Lt.Miller 1110 101 1110 101 n 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,September 13,2018 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 20Cost 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:317-846-6560 FAX:317-844-9452 08/22/2018 02:48 PM Owner Owner: CARMEL POLI EMILLER / Address: Work/Day: (317)416-4288 City State Zip: IN FAX: Inspection Inspection Date: 08/22/2018 02:51 PM Inspection Type: Appraiser Name: Jeff Francis Appraiser License#: Address: 10550 JESSUP BLVD Work/Day: (317)846-6560 City State Zip: Indianapolis, IN 46280 FAX: (317)844-9452 Email: info@hollywoodscollision.com Repairer Repairer: Jeff Francis Contact: Address: 10550 Jessup Blvd Work/Day: (317)846-6560 City State Zip: Indianapolis, IN 46280 FAX: (317)844-9452 Email: info@hollywoodscollision.com Target Complete Date/Time: Days To Repair: 2 Vehicle 2018 Ford Explorer Police Intercptr 4 DR Wagon 6cyl Gasoline 3.7 6-Speed Automatic Lic Expire: VIN: 1 FM5K8AR2JGB80873 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 Black Grille Bodyside Cladding Center Console Color-Keyed Bumper(s) 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 Lip Spoiler Rear View Camera Rear Window Defroster Rear Window Wiper/Washer Rem Trunk-L/Gate Release 0823/201810:12 AM Page 1 of 3 2018 Ford Explorer Police Intercptr 4 DR Wagon Claim#: 0822/2018 02:48 PM Side Airbags Split Folding Rear Seat Stability Cntrl Suspensn Steel Wheels Strg Wheel Radio Control Sunvisor 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 Front Doors 1 1 207 Door Shell,Front LT Sublet Repair $75.00* SM 1 Items Estimate Total&Entries Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $50.00 Mach/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $50.00 Sublet Repairs $75.00 Gross Total $75.00 Net Total $75.00 Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code:46280 Default Rate Name Default Audatex Estimating 8.0.555 ES 08/23/201810:12 AM REL 8.0.555 DT 07/01/2018 DB 08/15/2018 ©2018 Audatex North America,Inc. 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. Op Codes = User-Entered Value A = Labor Matches System Assigned Rates E = Replace OEM NG= Replace NAGS EC= Replace Economy OE= Replace PXN OE Srpls UE= Replace OE Surplus ET= Partial Replace Labor EP= Replace PXN EU= Replace Recycled TE= Partial Replace Price PM= Replace PXN Reman/Reblt UM= Replace Reman/Rebuilt L = Refinish PC= Replace PXN Reconditioned UC= Replace Reconditioned TT = Two-Tone SB= Sublet Repair 0823201810:12 AM Page 2 of 3