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Home My WebLink About330156 09/19/18 �,q+, CITY OF CARMEL, INDIANA VENDOR: 372791 • ONE CIVIC SQUARE JIMMY LUTHER CHECK AMOUNT: $*****1,503.52* r. _� CARMEL, INDIANA 46032 1719 DOG LAKE DRIVE CHECK NUMBER: 330156 '�"�r`on VENICE FL 34285 CHECK DATE: 09/19/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4347500 1,503.52 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 372791 JIMMY LUTHER IN SUM OF$ CITY OF CARMEL 1719 DOG LAKE DRIVE 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. VENICE, FL 34285 Payee $1,503.52 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Fire Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-475.00 $1,503.52 Ihereby certify that the attached invoice(s),or 9/18/18 0 Repairs and Rental Car Reimbursement for $1,503.52 1120 101 1120 101 Vehicle damaged by CFD Tiller 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, September 18,2018 David Haboush Fire 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 5-11-10-1.6 120— Clerk-Treasurer 20Clerk-Treasurer _ Rental Agreement#: 3GQDFK - -"" ' i ' Bill Ref#: 6500-2766-1121 Invoice Date: 09/17/2018 4310E 96TH ST Account#: INDIANAPOLIS, IN 46240 {�B�lLi1VGDETAIL _ Description Qty/PerrRate Amount TIME&DISTANCE 6 DAY 30.50 183.00 Subtotal 183.00 JIMMY LUTHER RENTAL EXCISE TAX PCT 4.00 7.36 1719 DOG LAKE DR6 DAY 0.17 1.02 VENICE,FL-34285 VEHICLE LICENSE FEE RECOVERY SALES TAX PCT 7.00 12.88 t2 NTAL•INFQRa'Vf A-T-10 Total Charges USD 204.26 Date/Time Out Date/Time In PAYMENTS ,_ 09/12/2018 09:37 AM 09/17/2018 08:59 AM Payment MasterCard 204.26 Renter Total Payments (USD) -204.26 LUTHER,JIMMY �3tE1VT�1L_4'ESTCLI l Amount Due (USD) 0.00 Miles/Kms Sndvfdu 1 line(tam c as cut)t as ramal tatea'fa Tfm° d nu,, arse aka e0;char s Color License Model Unit Out In }q js►1 or" ��a°�%can/�o gra. 0s` a`�a agD9equ RED MED FL277AAR COMP 7Q4KPH 6,810 7,056 ' oro rnd ra unalcon VIN:3C4NJDBBOJT392457 CLAiiV INFORNtAT'.1 Claim#/PO#1 RO# Insured Date of Loss Type of Loss Type of Vehicle Repair Shop 'ror;Bliin -2ngulries/•Payment-Terms:: Tel#:3177577100 .INDARADMIN@EHI.COM Payment Due within days of invoice date Late payments are subject to a finance charge. Thank You For Choosing Enterprise ............-....--.......------------------------------------------------- --------------------------------------------------------- Please Return This-Portion With Remittance Amount Due(USD) 0 Remit To: Paid By: ENTERPRISE RENT-A-CAR JIMMY LUTHER 7111 W WASHINGTON ST 1719 DOG LAKE DR INDIANAPOLIS,IN 4 624 1-2 81 1 VENICE,FL 34285 Fed Tax Id: 35-1416634 Account# Rental Agreement Amount GPBR 3GQDFK 0 0805 � TOM wooD TOM WOOD COLLISION CENTER Workrile ID: 14a77d58 COLLISION CENTER DRIVEN To Move YOU DRIVEN To Move YOU 9727 BAUER DR, INDIANAPOLIS, IN 46280 Phone: (317)848-6707 FAX: (317) 575-6882 Final Bill RO'Number: 33651 Customer: Insurance: Adjuster: Estimator: Matt Paris LUTHER,JIMMY Phone: Create Date: 9/6/2018 363 CARMEL DR Claim: CARMEL,IN 46032 Loss Date: 9/3/2018 (317)257-7300 Deductible: 2015 LEXU ES 350 4D SED 6-3.5L-FI GRAY MET VIN: JTHBKIGG1F2188616 Interior Color: Beige Mileage In: 67,208 Vehicle Out: 9/17/2018 License: 886DLF Exterior Color: GRAY MET Mileage Out: 67,208 State: FL Production Date: 2/2015 Condition: Good Job#: tony d. Line Ver Operation Description Qty Extended Part Labor Type Paint Price$ Type 1 E01 Repair ***Lookup and Provide Manufacture Procedures*** 2 E01 Repair ***TEMPORARY CONCESSION*** 3 E01 Repair Pre scan Vehicle Trouble Codes 0.5 Mech 4 E01 REAR BUMPER 5 S01 Overhaul 0/1-1 bumper assy OEM 2.2 Body 6 S01 Remove/Install LT Reflector 0.0 Body -7 501 Remove/Install RT Reflector 0.0 Body 8 E01 Remove/Replace Bumper cover w/o park sensors ES350 1 463.80T OEM 0.0 Body 2.6 9 E01 Add for Gear Coat 1.0 10 E01 Remove/Replace Prep unprimed bumper OEM 0.7 it S01 Remove/Replace Applique 1 59.00T OEM 0.4 Body 12 S01 Repair ADHESIVE\STRIPE REMOVAL 0.5 Body 13 501 Repair MASK UNPAINTED AREAS ON BUMPER 0.5 Body COVERS 14 E01 Repair post-Scan vehicle for Trouble Codes 0.5 Mech 15 E01 HAZARDOUS WASTE 1 3.00 Other 16 E01 buff It mirror&add touch up paint-free Estimate Totals Discount$ Markup$ Rate$ Total Hours Total_$ Parts 525.80 Labor,Body 56.00 3.6 201.60 Labor,Refinish 56.00 4.3 240.80 Labor,Mechanical 104.00 1.0 104.00 Material, Paint 146.20 T=Taxable Item,RPD=Related Prior Damage,AA=Appearance AUowance,.UPD=Unrelated Prior Damage,PDR=Paintless Dent Repair,AIM=Aftermarket,Rechr=Rechromed,Reman= Remanufactured,OEM=New Original Equipment Manufacturer,Recor=Re-cored,RECOND=Reconditioned,LKQ=Like Kind.Quality or Used;Diag=Diagnostic,Elec=Electrical,Mech= Mechanical,Ref=Refinish,Struc=Structural 9/17/2018 8:40:34 AM Page 1 Final Bill RO Number: 33651 2015 LEXU ES 350 41)SED 6-3.5L-FI GRAY MET Material,Shop 7.50 4.2 31.50 Subtotal 1,249.90 Sales Tax 49.04 Grand Total 1;298.94. Net Total 1,298.94 Estimate Version Total$ Original 1,149.38 Supplement SO 149:56 Insurance Total$: 1,298.94 Received from Insurance$: 0.00 Balance due from Insurance$: 1,298.94 Customer Total$: 0.00 Received from.Customer$: 0.00 Balance due from Customer$; 0.00 T=Taxable Item,RPD=Related Prior Damage,AA=Appearance Allowance,UPD=Unrelated Prior Damage,PDR=Palndess Dent Repair,AIM=Aftermarket,Rechr=Rechromed,Reman= Remanufactured,OEM=New Orlglnal.Equlpment Manufacturer,Rechr=Re-cored,.RECOND='Reconditioned,,LKQ=Like Kind Quality or Used,Dlag=Diagnostic,Elec=Electrical,Mech= Mechanical,Ref=Refinish,Struc=Structural 9/17/2018 8:40:34 AM Page 2 Original Receipt. Clerk: CLAND TOM WOOD COLLISION 9727 Bauer Dr Indianapolis, IN 46280 PHONE: (317) 848-6705 Name: JIMMY LUTHER Card Number: XXXXXXXXXXXX9883 Card Exp Date: XX/XX Card Present Transaction Type: MC SALE Transaction:Amount: $1298..94 Auth Code: 55090P Ticket#: .350819465 Invoice #: 33651 Date: 09/17/18 08:40:21 AM CARDMEMBER.ACKNOWLEDGES RECEIPT OF GOODS AND/OR SERVICES IN THE AMOUNT OF THE TOTAL SHOWN HEREIN AND AGREES TO PERFORM THE OBLIGATIONS SET FORTH BY THE CARDMEMBER's AGREEMENT WITH ISSUER le- 7 �r SIGNATURE CUSTOMER COPY