EFTA01735490.pdf

OfFENSE Peseta REPORT V.I. POLICE DEPARTMENT - United States Virgin Islands 1. OFFENSE/INCIDENT 2. ZONE C 3 DRAI 15 9.4704 Damage To A Vehicle RIA C-4 4. ARREST II PIS VI S. OCR I 6. CONCIAJNANTS NAME • FM OPENS I NOME ADDRESS II trAl' PIO* GONZALES, Juan 9. SEX M Maga I1. PACE It P06 HISPA DOMINICAN REPUBLIC, 5511 r, Ii. OCCUPATION L TRI IAN US PUS ADDRESS ORS04301 ATTENDING 16 DNA SCH PHONE I7 LOCADONOE *TA 'IT IA494,,at NICK DADDY FRIDAY DRIVE AREA OF IS. VW OF OCCURRENCE !M D Y DAY OF WEEK 6 Tit1 10 D Y DAY OF WEEK 19 PUT PEPT`RTI I I IA Ur DAYOf WM( 2:15 PM 03 19 15 ThusdEN 2:45 PM 03 19 15 Thursday mArtmONZALES 21 AifIi SS OE Tiliiiiiii' m n RACE .."AGE I NT I WI EYES MIR MU CORPI!MN °OVUM ATNIt taiiff6 RAT 9 PANTS DRIER 4 14 NIAI Cie:CO.7N 7I. rlit'Sw AI CRICK* 76. SCARS. LOMAS. DEFORMITIES 27 GLASSES ICIrsotri as inn sErinwerir . tNC WAN i 93 PROW*. DI STIARTION —.6 31. CAUSE OE ABSCACC 32. Vend. OYES 0 io xi v&NAGPreftaistr li IF YES. PAU WHERE IOCATED DESCRIBE YES 010 ANNA II 49/144. aka 35 DESCR0nOtt Of *mail I 34 0 ANON. BITE. CNCDv 0030AAWN140 37 I Fri 'eV M iti Pon 40 PI-Sil NU ADDRESS 4I nrsto,cr TtkIht 42 Mr 0ITSS PHONE 43 180 1 y waif* CF *DORY AND IOCATION nA IrCY I 4$ TRANSIISUED TO 46 TRANSPORTED BY T1 RELEASED All PROM& k rA4SE Of iilLIRYCADEATH 69 PHYSICIAN STATUSCIE VENCLE. USE APPIICABIE MIS INNIS SECTIONFOR ALL 'AUTO THEE l'OR "'plat REPORTS' DRONER TRANSPORIATON - 0 MUTORCYLI ES M AUTO 0 ukinc 0 auS 0 inm 0 Other. 9) 0 STOLEN 0 RECOVERED 0 ASAECONED 0 IMPOU4OED 0 CONTISCA SI POIROF ENTRY 0 LOCTIED DAM 0 WOOD DCCOR 0 IYINIXAY 0 VENT 0 Mint °ROOD 521.1ETHOOOF THEFT rassedwms.969. cr.) SIKEYSI4G14TION SI DESCRIBEEVVENCECf STRFfnia TAWER*6 DNMGE TOAUTO N/a 0 Yrs Ono N/a 515.COUZR gi. YRIVSEACCIEUTICE -. J. I MSC PLATENO/STCPER Blue 2007/ieeoln. triot 93 VALUE WTONEODYNYHERE 61. TneateRetworeraraten N/a N/a N/a 42 II COMPANY W TYPEOFFROPERNOVAAGE 61 VALUE OPPRCIIEFRVOPANGFAOSS Ma fre Praico Front Windshield Unk 167 ni TWAIN I 65.Nactaika Twe I66 Om* . 64 TYPE Pit WISE WIC* ( All !SI tr.fliRleD A. Reinis.‘x /4 mol :t, ti II. .0 l.'s it 74 MAI( AILMES 0 e ,r.,Azm.ia..1 - 1 .).1,1 0 it At* oak 0 nos c- 4•4 0 , J fi‘v.3.trt 4 Wn4levlerve NICK CADDY FIIILIAY DRIVE 0 sueol -n , 0 Knicc" , vv- - • -• 0 ner-i Cr' istheer” : 0 Halor, 1 - M IC4 7.".4, . 0 i ..., , . 1 Q. 4 Sick R um 69 POINT Of ENTRY 72 Pf011Is INt :RIP 71 0 er.E.J., • 0 it. rr ..• t 0'' • IrAjPand 0 Aillacrit Pirsc, bog OA, 0 COl ,9. Sialt..i OIL v•illar.f. 0 0 Wets/ 0 Nam. 0 InrrArt 0 Srel ANA 0 07 5w/40Dane 0 Only - Sidre; Glass Q Prth s>:• nil &curt/ Par.: • Oho AA 0 WA 41f 9I,rq 0'9 WA Ach, rt 0 Rod 0 NUNN I ncleigi %Nos O yens IN.& OM Mend (-di 0 Grace 0 Lgtiape.0.4 a stow' Q 1.10.--.it 0 Hallvay T Y Contra 8 (Ns:, "A 0" Pue 0 0 Palo 0 wee 0 12 brail C , ?;.4 0 Unintin ril °ism WA 13 I ne Cable. 0 e ()het WA ria Ore' 70 LOCATION OF ENTRY 71 WEAPON NIA 73 PROPERT, TYPE 0 Port E.i., N S E WUrl cumin., /5 EVIDENCE 0 0 T...9i3IVA. WA 0 Jrs Ity Melt WA 0 lap* BrandN.11-e numb(' 0 cAts- ; 0 %w.f., 0 114004.- Aland*, 0 57.9sur I4 P:c.itITNI 0 MAI opribM a II. LOC.ATIONCF EXIT 0 reitv....NI. Rachos.C.intri, L'. 0 f 0, eoprn, 0 Ra• 0 tla • elerS 0 AO•A 0 fooltirtni PI 5 E NUM, 0 Iick.,..../0 livei A 0 LAANArti 0 eger NA a Cunt Nib Ci nt.4 NA °sells 13 et . so Slot, Inn • A Q:117'4 .... la. 0 0 at 63 rift-mm1, ft lig - IIIIIIMMIII- St rifted) CflICFR NAM 11111 '4 % . 1 41111 • 'STN: I ot&.:• • .• EFTA_R1_00019359 EFTA01735490  Date: 5/19/2015 08:54 AM Estimate ID: 26894 Estimate Version: 0 Preliminary Profile ID: BS S C TO SEE PHOTOS OF OUR WORK GO TO FACEBOOK.COM AND SEARCH "BUDGET SUPER SERVICE CENTER" search "BUDGET SUPER SERVICE CENTER" on facebook.com 8269 SUBBASE P.0 .THOMAS, VI 00803 Fax Damage Assessed By AUCKLAND SE MPER Classification: Drive-In Type 01Loss Collision Arrival Date 5/19/2015 Deductible UNKNOWN Policy No JUAN GONZALES Owner Address Telephone Work Phone: Mitchell Service: 910782 Description: 2007 Jeep Patriol Sport Body Style. 4D Ut Drive Train: 2.4L Inj 4 Cyl 2WD VIN. 1J8FT28W87D326520 License: TES-187 Mileage: 68.867 OEM/ALT: 0 Search Code: None Color BLUE Options: PASSENGER AIRBAG, POWER STEERING, REAR WINDOW DEFOGGER, REAR WINDOW WIPER TILT STEERING COLUMN, AM/FM STEREO, DRIVER AIRBAG FRONT SIDE AIRBAG WITH HEAD PROTECTION, ANTI-LOCK BRAKE SYS., TRACTION CONTROL AUXILIARY INPUT, CD PLAYER, FIRST ROW BUCKET SEAT, VINYL SEAT SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION. ELECTRONIC STABILITY CONTROL REAR BENCH SEAT Line Entry Labor Line Item Part Type/ Dollar Labor Item Number Type Operation Description Part Number Amount Units Windshield 1 002833 GLS REMOVE/REPLACE W/Shield Glass DW01682GBN 415.10 3.5'11 2 SUBJECT TO 27.00% GLASS ADJUSTMENT 3 000477 BOY REMOVE/REPLACE W/Shield Adhesive N.A 50 00 • Additional Costs & Materials 4 936009 ADC/L COST Estimate Charge 35.00 • 5 ADM COST Shop Materials 18 11 • - Judgement Item # - Labor Note Applies ESTIMATE RECALL NUMBER: 05/19/2015 08:50.02 26894 Mitchell Data Version: OEM APR_15_V Copyright (C) 1994 - 2015 Mitchell inlernakonal Page 1 of 2 Software Version. 7 1.177 All Rights Reserved EFTA_R1_00019360 EFTA01735491  Date: 5/19/2015 08.54 AM Estimate ID: 26894 Estimate Version: 0 Preliminary Profile ID: BSSC Add.] Labor Sublet i. Labor Subtotals Units Rale Amount Amount Totals II. Pan Replacement Summary Amount Glass 3.5 57.50 0.00 0.00 201.25 T Taxable Parts 465.10 Parts Adjustments 25.00 Taxable Labor 201.25 Glass Adjustments @ 27.000% 112.08 Labor Summary 3.5 201.25 Total Replacement Parts Amount 602.18 III Additional Costs Amount IV. Adjustments Amount Taxable Costs 53.11 Customer Responsibility 0 00 Total Additional Costs 53.11 I. Total Labor: 201.25 II. Total Replacement Parts: 602.18 III. Total Additional Costs' 53.11 Gross Total: 856.54 IV. Total Adjustments: 0.00 Net Total: 856.54 This is a preliminary estimate. Additional changes to the estimate may be required for the actual repair. ESTIMATE RECALL NUMBER: 05/19/2015 08:50:02 26894 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Page 2 of 2 Software Version: 7.1.177 All Rights Reserved EFTA_R1_00019361 EFTA01735492  I fopiA) A-00 67,4s3- fr j/v5.00,(721 -R1-00019362 EFTA EFTA01735493