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331184 10/17/18
(9, CITY OF CARMEL, INDIANA VENDOR: 372102 ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: $*****2,062.76* CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 331184 INDIANAPOLIS IN 46280 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 674.37 AUTO REPAIR & MAINTEN 1110 4351000 101642 348.60 AUTO REPAIRS 1110 4351000 101960 1,039.79 VEHICLE REPAIRS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP &GRIND IN SUM OF$ CITY OF CARMEL 10550 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 $674.37 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 0 43-510.00 $674.37 1 hereby certify that the attached invoice(s),or 10/11/18 0 vehicle repair-Navanete $674.37 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, October 12,2018 Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $348.60 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 0101642 0 43-510.00 $348.60 1 hereby certify that the attached invoice(s),or 10/11/18 0 vehicle repair-Navarrate $348.60 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, October 12,2018 Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP&GRIND IN SUM OF$ 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 $1,039.79 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 0401960 0 43-510.00 $1,039.79 1 hereby certify that the attached invoice(s),or 10/11/18 0 vehicle repairs-Navarrete $1,039.79 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, October 12,2018 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:317-846-6560 FAX:317-844-9452 ***FINAL BILL*** 10/05/2018 08:07 AM Owner Owne cpd navarrete-#g City State Zip: FAX: Email: pyoung@carmel.in.gov Inspection Inspection Date: 10/05/2018 08:09 AM 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: 7 Vehicle OEM Part Price Quote ID: 37150345 2014 Ford Explorer Police Intercptr 4 DR Wagon 6cyl Gasoline 3.7 6-Speed Automatic Lic Expire: VIN: 1 FM5K8AR4EGC38102 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 Electric Steering 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 Window Defroster Rear Window Wiper/Washer Rem Trunk-L/Gate Release Side Airbags 10/10/2018 01:39 PM Page 1 of 3 2014 Ford Explorer Police Intercptr 4 DR Wagon Claim#: 10/05/2018 08:07 AM 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 Front Bumuer 1 1 23 Cvr,Front Bumper Upr Repair 3.0* RF* 2 L 23 13 Cvr,Front Bumper Upr Refinish 3.6 RF 2.5 Surface 0.6 Two-stage setup 0.5 Two-stage 3 E 74 46 Cvr,Front Bumper Lwr BB5Z17D957BB $220.68* 1.1 SM 4 RI 74 Cvr,Front Bumper Lwr R&I Assembly INC SM 5 E 5 46 Reinf,Front Bumper BB5Z17757A $235.37 2.8 SM 6 E 43 46 Reinf,Frt Bmpr Cover LT BB5Z17E814B $25.17 0.2 SM 7 EC 75 46 Grille,Frt Bmpr Cvr Replace Economy $41.41* INC SM 8 E 139 Cover,Tow Hook Access BB5Z17A900APTM $32.13 1.0* RF* 9 L 139 Cover,Tow Hook Access Refinish 0.4 RF 0.3 Surface 0.1 Two-stage Front Body And Windshield 10 1 83 Panel,Hood Repair 4.0* SM Aluminum 11 L 83 Panel,Hood Refinish 3.4 RF 2.8 Surface 0.6 Two-stage Manual Entries 12 1 M01 Clear Coat Repair 0.1* RF 13 L M15 Color Tint Refinish 1.0* RF 14 SB M60 Hazardous Waste Removal Sublet Repair $3.00* SM 14 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE 46 PRINTABLE ALTERNATE PARTS COMPARE Estimate Total&Entries Gross Parts $513.35 Other Parts $41.41 Paint&Materials 12.5 Hours @ $38.00 $475.00 Parts&Material Total $1,029.76 Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $50.00 4.1 4.0 8.1 $405.00 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $50.00 9.4 3.1 12.5 $625.00 Labor Total 20.6 Hours $1,030.00 10/10/2018 01:39 PM Page 2 of 3 2014 Ford Explorer Police Intercplr 4 DR Wagon Claim#: 10/05/2018 08:07 AM Sublet Repairs $3.00 Gross Total $2,062.76 Net Total(Final Bill) $2,062.76 Alternate Parts Y/04/00/00/04/03 CUM 04/00/00/04/03 Zip Code:46280 Default OEM Part Prices DT 10/05/2018 08:07 AM EstimatelD 477447987090432000 QuotelD 37150345 Rate Name Default Audatex Estimating 8.0.555 ES 10/10/2018 01:39 PM REL 8.0.555 DT 09/01/2018 ©2018 Audatex North America,Inc. 1.8 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. 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 N =Additional Labor BR= Blend Refinish I = Repair IT = Partial Repair CG= Chipguard RI = R&I Assembly P = Check AA=Appearance Allowance RP= Related Prior Damage This report contains proprietary information of Audatex and may not be disclosed to any third party(other than f'A u da the insured,claimant and others on a need to know basis in order to effectuate the claims process)without tex Audatex's prior written consent. a Solera Company 1, So era -- ©2018 Audatex North America,Inc. AUDATEX is a trademark owned by Audatex North America, Inc.All rights reserved. v 10/10/2018 01:39 PM Page 3 of 3