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332308 11/13/18
CITY OF CARMEL, INDIANA VENDOR: 372102 ® ONE CIVIC SQUARE HOLLYWOODS BUMP&GRIND CHECK AMOUNT: $*******579.80* CARMEL, INDIANA 46032 10550 JESSUP BLVD CHECK NUMBER: 332308 INDIANAPOLIS IN 46280 CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 102042 0 579.80 VEHICLE REPAIRS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372102 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HOLLYWOODS BUMP &GRIND IN SUM OF$ 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 $579.80 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 . 102042 0 43-510.00 $579.80 1 hereby certify that the attached invoice(s),or 10/31/18 0 vehicle repairs-M.Harris $579.80 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 Thursday, November 1,2018 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*** RO# 49 09/28/2018 09:49 AM Owner Owner- tanderson@carmel.in.gov mail: tanderson@carmel.in.gov Inspection Inspection Date: 09/28/2018 09:50 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: 3 Vehicle OEM Part Price Quote ID: ... 2013 Chevrolet Impala Police 4 DR Sedan 6 cyl Gas Flex Fuel 3.6 6-Speed Automatic Lic Expire: VIN: 2G1 WD5E36D1253017 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 Cruise Control Daytime Running Lights Dual Airbags Dual Zone Auto A/C Emergency S.O.S.System Halogen Headlights Head Airbags Heavy Duty Suspension Intermittent Wipers Keyless Entry System Lighted Entry System OnStar 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 Stability Cntrl Suspensn Steel Wheels Tachometer Theft Deterrent System Tilt Steering Wheel Tinted Glass Traction Control System Trip Computer 10/26/2018 08:55 AM Page 1 of 3 2013 Chevrolet Impala Police 4 DR Sedan Claim#: 09/28/2018 09:49 AM Velour/Cloth Seats Damages Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R Front Bumper 1 RI 6 Front Bumper Cover R&I R&I Assembly 1.0 SM 2 1 6 Cover,Front Bumper Repair 2.5* SM 3 L 6 13 Cover,Front Bumper Refinish 4.6 RF 3.3 Surface 0.6 Two-stage setup 0.7 Two-stage 3 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE Estimate Total&Entries Paint&Materials 4.6 Hours @ $38.00 $174.80 Parts&Material Total $174.80 Tax on Parts&Material @ 7.000% 4 ti Labor Rate Replace Repair Hrs Total Hrs Hrs Sheet Metal(SM) $50.00 1.0 2.5 3.5 $175.00 Mech/Elec(ME) $85.00 Frame(FR) $85.00 Refinish(RF) $50.00 4.6 4.6 $230.00 Labor Total 8.1 Hours $405.00 Gross Total $5 . 4 Net Total(Final Bill) 592.04 Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code:46280 Default OEM Part Prices DT 09/28/2018 09:49 AM EstimatelD 474936905255936000 QuotelD**** Rate Name Default Audatex Estimating 8.0.555 ES 10/26/2018 08:55 AM REL 8.0.555 DT 09/01/2018 ©2018 Audatex North America,Inc. 1.3 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. 10/26/2018 08:55 AM Page 2 of 3