Vue, Kao RECEI�/��
NOTICE OF INJURY CLAIM OF KAO VUE .�UN 03 ZO1�
CITY CLERK
TO: City of St. Paul
Attn: City Clerk
15 West Kellogg Boulevard
310 City Hall
St. Paul,MN 55102
PLEASE TAKE NOTICE that, pursuant to Minn. Stat. § 466.05, I have been retained
by Kao Vue to represent her in all matters arising out of a motor vehicle accident which occurred
on April 8, 2014, at or near the intersection of Edgerton Street and Arlington Avenue in the City
of St. Paul, County of Ramsey, State of Minnesota. That at that time Kao Vue \ owned and
operated a 2003 Toyota motor vehicie. That at that time she was involved in a collision with a
City of St. Paul Regional Water Services vehicle operated by Jacob Lee Wolf.
That at that time by reason of the negligence and carelessness of Jacob Lee Wolf and the
City of St. Paul in the management, maintenance, operation and control of his motor vehicle a
collision was caused and the Plaintiff was injured as herein after alleged.
That as a result of the accident in question, the Plaintiff has sustained injuries to her,
head, neck, back, right leg and right toe and was otherwise bruised and contused in and about her
body, and caused to suffer pain and necessitate medical care and treamient.
That it is anticipated that the Plaintiff may bring a claim for pain, suffering and disability
including medical expenses, present and future, as well as property damage in an amount which ��
i
cannot be more accurately staied at this time in a reasonable amount in excess of$50,000.00.
i�
A copy of the police report provided by the City of St. Yaui whicn is attacned 'nereia ai►d
marked Exhibit A sets forth the date, time and location of the accident.
. . I
That the Plaintiff is in a position to provide and furn�sh full information regarding the
]
nature and extent of the iniuries and damages within fifteen (15) days after the demand by the
City of St. Paul.
Dated: Mav 29, 2014 THE CODY LAW GROUP, CHARTERED
By:
Davi . Cod , A.R.#0017590
Attorney for Plain ff
359 Commerce Co rt
Vadnais Heights, MN 55127
(651) 294-0994
i
,i
�
�
' ,
2
Page 1 of 1
Accident Report
^; y��y �� � t °sQ
�ov+wcro ""� w�ao � �.`•i. .a�. ''E"'�:•��`, t. • ' O tX
14066335 N ?��i .'� .� ' . +��e.,� - .
A"C.��'DE � °'�ue '""""""` �
q�y � t.� t����',.a,...;.K: wnw wn run
'ar�a°"u" °�^� �p fM ��� • q 8 2 014 15 5 9 �
N' N d2 00 `00 k ,: ' '" � $
uwtt min �nrr�wra a s awn� ���� �wrtwt��, w __ _!8� �'� a e °P r
�1050 ,�,N � . � � <
10 Ed erCon St ' "
.rtne� acscrcraro.n �nrrtm wute�mien.mwuwTOarun�ne
�""'"0 ary 10 Arlington Ave
6 Z �r,. S t Pau L +-- ---�—
� � :r,� '17 .:/�.A+..�I' .�/ � '�'/"N ' 7G1� Q�W�0.�l�lu� s(�¢0�1
„�.��� ronmr ar+Fwuce�aKww•� n.n wu aa. raa�w awcnuawc.wern � [.� D O1 ul
O1 E415063020510 MN B Oli ; O1 G207072824109
o.�[orwm � tr�nwr-waswt� wrtnPm rrt�oni
`"G0"' "p*'�"`�`'n 10 29 84 ' KAO VUE 02 O1 57 O1
JACOB LEE WOLE' a�� �jner �r.i.an
""^"" "0°""' y ���� f L000 EDGERTON STREET APT 1007 N 90 �1
16 610 GRANGE AVE N
�«n
�� mr.�rwRn GtV,if�iElY' 612-209-8171 01
O1 OAKDALE 55128 651-983-1001 f SAINT PAUL 55130
EMf WFfGI'� /�/�MG cJf.G� iEV ,.�p0�f�1T SU LWl WElMT �tilO /YC� w�F� M{xrnG
01 �� VM �4 ""` 04 06 98 N ��I�� E �4 °"09 06 98 N O1
n,.w� Ko. ,rn me n.i .ow,w ...ueoon, .w�.r.cw�.rc iunM.+ryi
,.�. ...� a.,o ,.K ,a��.. �� ..�..K..� "�, 98 �1 98 N p�
„�' 98 �;T 98 N po p _ _ ,
• _ _. . . . . • . .. ..nw owsRw+r . .. . .. . .. ��.. .� aan
°""' °N"`"""` N • YANG DANRY MARSHALL N O1
Q2 ST PAUL REGIONAL WATER SRVS � 'N O1�
YFMM �O0�1f4 fPMD f ,
33 1900 N RICE ST N,� ' 1529 HA2ELWOOD
wunn o�rcr v��uer
vka� rnvir�*ca u owrc� � on.sun.�. �"� �1 �1
17 ST PAUL MN 55113 "Y` 0 ; ST PAUL MN 55106
u.o�«
"'°� ""`E '°°° �`"� `°`a �TOYT UCS 00 SIL 02
90 EORD SRW 200 BLU °°`�"""" 03�
oNOtev .Wl� RNO YW� � ora�f �.ca.w MtE1 1111t0 YFMIFO �m. .�
02 931651 MN 6 O1 O1 '' S36BYN MN 15 O1
''""^""°` ���� i , NNa lopwitle Insurance PP OGM 090485316
..n� w�iw .�nr��.
c�,ron ruzwi vr�o wr�fcnw i w M�� 1i ACC�EHT fNVOIVI�A COMNERCIM.NOTOR VEMtCLE,SCNOOI.BUB.OR f1EA0 iTM�BUS �ut
� � REMENBER TO NOTIPY TNE 6TATE PATROI(rpulnd un1lK MS ti9.7q antl 1Y.4311).
COIMGGK�fWRFMNlfll1.Y01q1UARtTIMYf OOTMJrA� CO�wEM14VFIRlEMMEA7.Wid1C�IC1IMM[ OOIIIU1�f�
MYO�G(RI/M�MafS UNT MM�EO�YRIM6E� IYIF Y!C MV-0 fJEG'� WS[v IVIDlI'iMIJ1Y0111 IIIMMMVII
� IAO flMV1CF
Jos�ph o.nt.i c.«s. icsi-sa�-esa�� O1 03 ��_�/ M 04 09 06 OS N N �,,,,�,
� [J.r� .w v�vcc nw M..in�
Tou Lee (651-983-15/"11 W tzili M p°^�
_ -- - - -' " p,un .r cc.�+rx �w Ka.x�
.-� -.. ponnw
r--^." "
�. .. .....- . - . .. MMbf���ar61n�1V1owmMY![n �
OMM�M OlMG1 C�WOED MIOEI�'MOOlSN��Of GW�O[0 MOR1rtrN40��'!LLW W MYWI�I _.�
`. G[vCE
AeC I�1 1 i � �'J 11MIIUlf�i Z Q�
6-K� �' � • Unit 2 was Ceaveling northbound on Edgec[on St •,;
I N �:
03 � �+ ' " .iF appcoaching Arllnqton Ave v.oAOo
�ourH � c I O :: �1
O1 € � ���11 _ _ "y' Unit 1 was direc[ly behind Uni[ 2 and passed Unit�'
� I " yi +n�
2 ort�the right hand eide Unit 1 was pulling a
a� i�' � ��� ���� ' tcailer Unit 2 merged in f�ont of Unit 1 ` ��
N I ti o- :,
�~ causing Unit 2 to strike [he t[al'ler' ��
,rrc o.rrt� �'' '
,, L •!
98 �r �(;,[^ A r+itnees sav the accident and confirmed Che q
�� �� � PTiP.1 !;1 9t0[y �wun�ai
6.11-.J1d Q 1
�, .� �- - � ��' ,
�ry, — — �" Driver of Unit L Nas cited for Improper passing ����
i . �`i of a vehicle (62090021411A) ',� 01
„otw,, :��(' Und 2 �;� �i w�r
� •
0$ � I �'•` •.1! �1 ,
�«.. � i:� .,.
/ut�wn kve "y h°',,,m„
O 1 � ; �,° y �,
,�i I , `�.. , N
.�, w,ww
�: I ; �`� :
�.�,.� �:. t` ' 90
O1 �� ���
��. MTIqLffAl� Q tU1FMi�MI la%�
onv�w�.wwr.�cwr+� �` 5T Paul PD c� Qwewrr ❑O�KA �
Officer Keng Her 915 U
EXHIBIT (�
� �
Failure to complete and return both pages will resWt in delay in the handling of your claim.
All Claims-please complete this section
Were there witnesses to the incident? Yes No Unknown circle)
Provide their names> addresses and telephone numbers: sF� A'CC rd�+- ��Ur-�'-
Were the police or law enforcement called? es No Unknown (circle)
If yes> what department or agency? �-� . �AU( �O � Case#or report# 14�1`�fD�a33 S
Where did the accident or injury take place? Provide street address,cross street, intersection, name of park or facility,
closest landmark,etc. Please be as detailed as possible. If necessary, attach a diagram. �� �g���h Q�
�p I �� Gt.CC-l[f2n-a' �'.�r�0�-t
Please indicate the amount you are seeking in compensation or what you would like the City to do to resolve this claim
to your satisfaction. SG� A�i�tAGh�c� G5f-!+�0.--�eS
Vehicle Claims-please complete this section ❑ check box if this section does not aqply
Your Vehicle: Year 2G�D3 Make '�'O�Ofi�+ Model �.(1�01�4 L�
License Plate Number 53�v$1�� State M� Color G��y �5�I��r"'
Registered Owner
Driver of Vehicle L'AtJ �/iI�
Area Damaged ��- A�C!-hed -e5-}-►,�.»a-F,�S
City Vehicle: Year Z�_Make 1 UQ-� Model S � _
License Plate Number �131 �05 I State M N Color ��v~e
Driver of Vehicle(City Employee's N�me) SGt.-�Ub 1-�-� w0 �
Area Damaged ;
In'u Claims- lease com lete this section ❑ check box if this section does not a 1
How were you injured? �J'h+'UC� I'�I Ah-� a�-F" G�UNdrAn�t O{ fL��G)-�.
What part(s)of your body were injured? h�c� ►'tiF�?GK- � �f1"GIG �' IG h'�" �-�G f'IY� �'IGl'►�" �G �,
Have you sought medical treatment? Yes No Planning to Seek Treatment(circle)
When did you receive treatment? (provide date(s))
Name of Medical Provider(s): J�'R . TOI� V�
Address MA'� ( �1✓C � U /� N I� Telephone
Did you miss work as a result of your injury? Yes N
When did you miss work? (provide date(s))
Name of your Employer: _
Address Telephone
❑ Check here if you are attaching more pages to this claim form. Number of additional pages
By signing this form,you are stating that all information you have provided is true and correct to the best
of your knowledge. Unsigned forms will not be processed.
Submitting a false claim can result in prosecution. Date form was completed
Print the Name of the Person who Completed this Form:
Signature of Person Making the Claim: � ��0_���
Revised February 2011
.
_ ,, . _ . .. .
.w
, _ :. _,,, . .: .
,,;,. . � ,.. . , �,
_ :�,
�. TOUFONG TOWING
1394 Jackson Street - Suite 319
St. Paul, MN 55117 , � 3�9�
612-998-6538
, J
- Name �C�v ��� Servi�s- e Senric�e Date y�� � ,�;�
Phone ���r��- �G`1 -�� 3� � ccid / mer enc : ow;Char e a
Plate# `7 3�-�'3 y�/ Snow/bitch Recove Milea e Char e 3
Make /�'%•��°' Police/Pri ate Im ound Doll /S ecial $
Model ��Y���% Cusfomer e uesf Stora e a25/Da a
, Color �%�� '`` Re ossessinn/Ofher ax 7% S
;;5�,;;
ear �' � � ����' Sho Re uests otal Due � ff/d
Veiticle Plc - Bemarks: yehicle Destfnation:
� ��
L..,f�CFjoc.�L (!,�,ur•t. L/F �Gr,�o ,'::..�r[:fe�/—
� �1 /c,�--�
L/R:
R/F:
R/R
Method of Pa ment
las / Check ( I D/L:
} �' 1 .
1 �`**Undersi�ned�esp`Qnsible for returned check fee of$35 plus$35 admin fee. **•*
'I� � _ i ��; Thank you for your business!
� ''.� �,{.,'
Cus mer Signature: , Authorized Personnel:
-----,------_ --- _.__ . _ . ___ _ _ ._T- -. -----------__ .. __ __ . _. _ __
qBb wo�[oo�du q�ss
wvn� edd n3� rdnw sen rool noxpno��ndp,n�6oASO,
Bas�os�qonw Bno�oy BMu qno�d sioy ne�soi�BoA qnod io�lonw lo� �e ,
�wMO�pMOry i�wiw noixy
no�q�Bn�N 9^0Id i1OH A°sl w nl qn�so��BoA'wonAuay.�
no�qoiy�lo�BnA ibu wayi p^�lu wox�w�s�son sn�wo� 'a
� , •wonAuaw lay
no�qios snw�o�lonw BoA so�IuonAuew no�no��o�wo� 'p . .
�Incy on Moya BoA so�nMO�u wMO�nasy wo�'wMO�no+nes�
so�no�qoyw pMO�u wow wifl 8eau sn�wo�wo�nioy�n�j '�
snw nes;qn�lon qn�wmoy pMo�u woxy wp�Baau sn�woy '9
wMO�qisyu woA wM�w�s�on
qo4x�pMO�u wox�wis{na�wix{no�son Baeu sn�wo�nioy��Il �D - � �
:ou qob nnoy q srna no�on nonA In�nioyy ny nino�u wio4 •lo�
� � no�wayd on BoA so�wox�wis�nonA sn�wrn�son leayx�wmx la�qis�u qoyxa is{wo�nioy�ni�nn+o�u qno{u nw
on noyy snw qoiy�6n�N qno�d sioH nasl wonl q�l^"6n�u qno�d s�oy nmo qnoi�u la9on P o�+wo�D(e?HO
� s Aawoµy d�uno��o A�i�J 6oau so�so:nnoy no�wM�Inoy on�oy�Iq sM�no�na sioy io�lonw lo� ��
833X Wf1VH 91S SISl�IXl W'a'IN f31 '
WMd1N SOl f33HXl WMX 81S1N�O�
_�_-------
Crime Victim C�ard Hmong
COV NTSIB XWM TXMEEJ LI XOV XWM
Saint Paul PoliceiDepartment
367 Grove'Street
Saint Paul,MN 55101
(651)291-11 U
Complaint Number .
�-D 6�G-335�
� ��_ �f r'�-
Officer's Name/Bad e Number
� ��i�� � �j r��Q PM 635-1/07R(Hmong)
�� b (
i
�
�
i
i
I
� • • �
° � • • ' � • • °
VEHICLE IDENTlFICATION NUMSER � YEAR MAKE MODELBODY TITLE NUMBER
1:NXBR32E83Z122266 03 TOYT 4D UCS W154�R388
DATE ISSUED OOOMETER TAX BASE CODE PLATE NUMBER CENTRAL OFFICE USE ONLY
�6/03%�3 3 013855 09 KUE2�4
EXP 01
' �IRST SE�URED PARTY DOB OWNER
03/12f�3 9�28� YANG DANRY MARSHALL
20157 VUE KAO
N S P ST PAUL CREDIT UNION
825 RICE ST 174� JULIET AVE
ST' PAUL MN: 55117' SAINT PAUL MN 557,�5-2121
�o T A� �z E n�s 1 I IIIII ullll IIIII II�I IIIII lulll�III IIIII Iilll IIII IIII I IIIIII IIIIIII 111lIIIII IIIIII III IIID Illli!Illf 1illl llll llllll lllll INII IIIII IIIII N11i iill II� `
. . . . .
z
ODOMETER DISCLOSURE STATEMENT,I(WE)CERTIFY THAT THE ODOMETER DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF MY KNOWLEDGE THIS VEHICLE
r NOW READS MO TENTHS)MILES AND TO THE ❑HAS ❑HAS NOT(CHECK ONE)SUSTAINED DAMAGE IN EXCESS OF 70%ACTUAL CASH VALUE.
BEST OF MY KNOWLEDGE THE ODOMETER MILEAGE IS: POLLUTION SYSTEM DISCIOSURE STATEMENT. TO THE BEST OF MY KNOWLEDGE THE POLWTION
� ACTUAL MILEAGE CONTROL SYSTEM ON THIS VEHICLE INCLUDING THE RESTRICTED GASOLINE PIPE
❑ �JCC�EDS MECHANICAL LIMITS OF ODOMETER ❑HAS ❑HAS NOT(CHECK ONE)BEEN REMOVED,ALTERED OR RENDERED INOPEiZ�TNE.
I'❑ NOT ACTUAL MILEAGE—WARNING ODOMETER DISCREPANCY Assignment:I(we)certily that this vehicle is free from all secunty interests,warrant title,and assign the ,
registration taz and vehide to: '
� �
SELLER'S PRINTED NAME(S) DATE OF SALE BUYER'S PRINTED NAME(S)
SELLER'S ADDRESS DEALER LICENSE# BUYER'S ADDRESS
X
SELLER'S SIGNATURE S) BUYER'S SIGNATURE(S)
IMPORTANT—PLFASE RFAD:All infortnation colleded on a motor vehide application is required by law and is used to identify
, your motw vehicle.Fadure to provide required infortnation may resufl in denial of the requesied action.Except for certain uses y 5 • ' ' ` '�
pecmrtted by.federal and state laws,personal information contained in your application may nat be discbsed to anyone without �'' �
your express consent You may e�ressly consent to Uie disdosure of your infortnafion by writing to tne folbwing address: � *�� ti, r
MINNESOTA DEPARTMENT OF PUBLIC SAFETY ' ' �
ORIVER AND VEHICLE SERVICES DIVISION � � � ��
N 445 MINNESOTA STREET,ST.PAUL,MINNESOTA 55101 � f � � �� � � + �I •
�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIIIIIIIIII) PHONe 651-297-2126 T7Y 651-282-6555 � J
PS2700-12 mndriveinfo.ora , � , , �, I I
• � � • � � � � � • • ° ' � • �
SELLER'S NOTICE OF SALE MINNESOTA MOTOR VEHICLE REGISTRATIUN CARD
When you sell this vehicie, you are responsible to file the information below with the yR n-tK MDL
Department of Public Safety within 10 davs. Please file this information over the Q 3 T 0 Y T 4 D U�S
Internet at mndriveinfo.org or complete all information on this post card and submit
by mail. This notice is not required if sold to a licensed dealer. M.S. 168A.10 v�N
1NXBR32E83Z122266
I IIH!IIIIU I�II�II IIIII III�II III Illa INa NII IIII GROSS VEHICLE WEIGHT/BASE VALUE 013 8 5 5
W1540R388 1NXBR32E83Z122266
Title Number Vehicle Identification Number PLATE k EXP
KUE204 01/31/04
Date of Sale
STICKER k T�
D0871832 184 . 0�
Purchaser's Driver License Number
RECOHDED OWNER(S):
Purchaser'S F„��rrame Purchaser's Date of Birth Y A N G D A N R Y M A R S H A L L
VUE KAO
Street Address
174� JULIET AVE
SAINT PAUL MN 55105-2121
City County S[ate Zip Code
PLEASE PRINT
i
--`_^. —.--_—,^—..--_.—.�-----___.,_
�-.:.—.—._.— —_——.—�
I !
I !
i '�,_. .,-iL ..'€:i%:!'i��;; 1`}�.1�r�x'i* a.a"�.�� ._ �
i �,:�,. � ,,: , �,���t± ��,. � � . �. . r�._ � �
i.'IG C L ��.r`L�z��s 6'f .. �sf1��4"7. �,,�r •f'c� C : � ) 'k j '1 �
I % 7!`rY{ i...w i� -��: �fwt�it'3 rt17�f„n}��t!3 ���6� i4ii�iiF's� �S� �i:�t,��
� a �i 3� 39 i . ( i Ft`^����� ��a'``� �3 S �; �1 �R F � ��1'. , '..�` 5,�� i n� L1
� , �ii� �, � + � � r��a�s-"�? � !�� t: �i �a� � �, ;�tt ��:t �I #��� ;�.�tT,+� -_��'_''i3Fsi� ��� 1
F � � �J '^°3• j� I
' '�.3;�:>;.. _.�. . ^:..��: .,�".-'' .,�.`i'��,r. � C�.. �,` �_:_.+' .. G:��i�� , s�
i .�3�E ..,. <���� ,i��,�J':t:i�: i ii: �
� �
1 s �; E� i,t ._. ..,._ . "r{-' � T�;��lf i+ie�t7 :�l'? �{;ale,�i=r �sgl• I$?s�Vw }f�`;fi Fi,�g�:��r'rf�Vl+i':`S?Y: 7i�"`. �
� . i
, i
,i.:'._r _�.�' ,t.: , z.e : •tai �Ia'�ri ;�?,j3,�, !�.t=.:,5'�a33k . j�u �i�`ai ��`� �#���� �
� _,i!...� i�.�Y�atai���:°�.1�..,.�.i�i y�?����� !�l,..if�i..ei=�.��f'�?�["iifi�:L•
i � j
f t� �
i ..�.I�i =.! i �.°ty �5.�.�c�� _: ��w3t�:t Yi��J ,�.i'ct -.� .�fF �; ..r 1�' t :���i� t'i � I.+ d�S .;, i� w �=,�t�'r3'�t�s
� i'�€Etl a.�.!:t�i�i�r_u ?._t�..f!t. 1..{"�;�i,tL . _ :�s.5'.. ..:.`°!Ssi:,�.. ���Ltta±:,.:r�:.t:,�id{���� ... �
� . �. ... _ �;.�� _ ._. '... -;�.. '�r �:.:�.: '.:.: � �
:�� :��; 3 ;�. � . �.�:
` �t:�i { ,:-ct ���s� <�I i� ,tsE.t,:4�li�C, :�`�+' �3c�:: s�i 7 Y�.3�i�t �i's; ;.;a 1�?c'_';5 fi+,�.x 1�slS' �bk'.3i.2 3 {
s ,j �
I +. :f,��'� �?��'��3'�d!?'4F ..S�_N.12�'a ��aa5 "',?a iasjf�},�;� ��L•:i�1�;� '
� s�` . •C �ci '^;��.e 4nt(f 3. CS � .s. Ti�G�=�cia'.. ?ti:'r �+nt' ���t:..t�!�Cs . I
I � r, f _, ' ,.. :�;
���.i y�:� 77 r.. �rc.�E��` � 7.'t�x 's
I i3-� � 1':,„: �� .� �
i�_., � _......_ .�:.e.:: �'?..��' .�.t_��_ .. '.��JE�i .7�"���:�'� .�e T�.�>i! .
' t +,- �i (
I .�.. , .,r-��..` i�..ts C:a�3.e3�t�Nty .��3�.S�4t ° xg i? L�� #ta�x � i i,:e�§110-; - �� ���;� `
� � t� ��s.:t:'�i!n�; .e �-.�,e���� i:�a ���a � .;i: '�eE �r2 3: � �;: �. a°+73 s � �}� a�t �
� c�i�� �:- . �,M � �? �.•�i�`_ :;k "C7 �� �in 7sde t-_^s�`X��. �ii; '�r ���f i3.(t.: �.J'�_.:a.�..._ e:� ::L.�i,,.:...,t�.ns�_L' i
, { •
:�� �,t 3 � � ', _: .._ �i}.,1�, ..�.�±?r # ,f
I .,.,,.. ,,,� ., � . _,`�.,�:".,.:m:�,.._r_.
.. _
� �-� � :.. i ,� t , L :'�r-4�.1#i ^ C.� fi�K� f
I .. 5' . . . . . ' 'ei:i. r...._. . . . ..,. _..._ ...�ti .. ...-.. ... ._ .� ..... , �
. .. .,-; �_� ��, � . '
.�_ .�. .... ._ ., . . . .,�,_ ..
_:.
' '" L. . :t 9i — � 1 1�I . tl. �; i`' _.���t 7��? t 7w 1�.� �#�� l':l1�tj! 4�'� i
+ 3 ' ' ^ _ ' . ' � �. . �
I �'f -t[�� �'�� ;. �� ,..r f L't,� � e ]� it a - : � -� i '��.'_ s..l;'K' t�r..�'�..,.�+
: .a
I .�-y � r".�.. �a,� ,.a 7 . r, �: �."��'1,: < i.: !, .� . 3 .
.� - 1 p
t. i;y'
_ t i
- 'i '� ��,:. E 1 4 u y � \ ° ��,. `' � •_�tu �
I ..s.>.6.f.� % �i �Y{t� N .;Li �
tf': �f_;r- �....-� i
I _� .� _ ��.` � ._�� . . �
Y ' f; �' �
� �
I �
I �
;
� � ►
! �
� .. . R��. z . . .__._..._� �t. ._. w_.�__ y . . .,
__......��._Y _;"j.Ys`'� „__..___._.._ ..!�E?._.-___��__._ .'!�::k��-�---- ;i��3��:`I� -p4 f7 ��-€�__..AtiY �.�_ i
�. i� _�sl•t;,„. a_:ia4'{'ix:w:, �
� � � - 1 � � .' .
� � ; -Cr.�, n 5z_� .__, ,� 1 i .;� i � r . i ;�y �G17ti i2_` a �aig � if ' ��r j� j
I -�' i? ra?s 's� t '� ,.�.:a �` � t�i S3� .? i'rl. _;:= 7� .�f,- oe.-; �+..? j,�,! �€ a� .`. ��R-? �i ��'9b� ' ` `�l-f � �`Se.n :xi�� :..tr (
. S l I 7 . `e � ^ 1
. t � . �' Ce. �: ia .� �i r �k�-� ,fiis 3 f�s }i 3�. � fye .s #":� �3r - =. -�( � �f: s S4:�..7.
� . ..A,.. . _ .. . . ._, , ,..._ , _3 _ - .. ,. � _ � ... �'' .,� � r_ /, m . (
. i�'}' t � t .+ '.r " ,! j Es_��.ti ��.� '�3 r ..i�_,'t' �v�' :;iif i �+'y7 f " � .
f � ., � ���a� ;L�,_.:` ,
_ ,
I .�� :�'.r. : ..._ ....,..�..-_ . :,..: .u� .�?_. �!,i�-. t... ._.;::, l:} ..t' ....�..r ..�. _.J.,:?» ...;:t .e�€'44� `'.��,�.'�3a�, :`��'}�e�._i
. � _ _ . ._. ,..-.,� . �
I . �
' ;� �
� _____. �
f �
I �
I �
I ,
I '
� � ��,�-
� �
� �
r . ----- ---- �----------------------
� i
? � !I
__ . 1
, �
i ,- . � � � ,_ - , l
I �
Ir- ..1e3. t�' Y,e"S�L' ,,?..t.i!;.�:..`��:.. � ' :�i' S��}'.�. "r� bi7 �� 3r �� d� �s,'i};��.� 73.±�!'-1 ..� , ._ �.. .. :. j s. .
I ��� • .a• . �.3' -i4....�....�Y�..�..7 �C P_. 1 . ;tE� 2��`fM7� [3!•I� �� i.k� ; �3i.LV��1�S .�� �
f � �5°t3 �?: fl= i.5n�i ;a s�.t �s'� ixe' i5`�?Y ��s5,��;..�?,. 1 �,x f� � t{3 }°� �1G'��S.,ny �ddi ?�If"a�� ' r�� '_ �g ��r!?. �
I } � 3 +- �� u'3 �fi��: j-U.� ' �E;sa �',�t a �fl�'Fr���ti� s�� ��FS ,�si' �if�i�-d, �3cif�?�5� �,t _7. >• .
:i 3 .. a I,� sil� .1'?tl+,a4 �C?:ii�_�.�s ,�;��?i� �
s .
} �, �;tt+� �.��€i� -� i'.i5� t�i rCs, � �±faar� ia:� ��1�3 �"4��d i`���� �#�� t�Ylrsa7 ��1'E4��
I i H �.:k.�.z� rt7( , ��1s�.�f�?t i,S��f... i Hy 7 � . s�"�_i,�.?4,'�i�}�l}j �r �8F�ix �3ti�'e �.s� #�i". . �.... ..lL.._�� i�e ,..�� _ �3_�: _,t" ?,�w�.._ . _ .�..�y. i
� ' ca �r��`1p��i? � l�t7�� ii�i �i7 �r �r; t a sa c •r,�� § �' 1�'jit � 5533 z!I s t e_ ~ �
f ' }�� �i2 ..( 3 t . ,ka! s:��s,� 5 "ti .;,,.,a i'� s-;, , x_° i; r z
` ..�tus.�.�,�'t3 i �r7.,?� f��C���l-��'4�r° E7i�3�i ar s ;+ � l i py „$ it �i � ��� e .. _., . .`.. ,._ ,.
� '� � t �C 1 �' � �Lt�T� g�._�'e tl_t;—r^a��' t t:fi i.#i3�>�?t�naa����],� �x-° t { n' �
, l .. :1`.1.<� � iiN_�:� �E,�;'nn� it t"„ .��:,�.�..{:�L92.'.a°_- iki ?fl5? `p't;Eya=. b`_' ;��'i;:'�.a ��F.��1cFr :'t`i�:;i �.<.t_;i?.c. � ...�i�.i�;iS,��ai�....F_..
I . � y jt�#��u3; i '?7;�f� �.,:?:_'t f�.'�'�? ,.w;`;.} 't, ' ? t':_. . ? a" _it ; 3. �' ai-i �' �, ,.�,�� ._.° • I
y . . .�._.. . .��:�1 !3� t .�.,_.s_t'��4_.`.. � il�,.e�13a� ra_s��w:, � .i s..�.
- a.sz Z:�L'i.... � . t:,�s��t�.�.�Y�e.. �
I `.���. �5�4 �rt �i)t+iii�iG .-��C !^Si'� ��3�:1��t8??4_ d:1��3c.T� �;? i�tt?t}7TiC.�.. ,.�i "..e'?�tt ��C,E?j�;�22:. �Yi�'; !e .,-i-.k .�' �;xir ,� +7.-. . ;s t Y �*5; 1
I _ :° t r � , - : . . � T . . ,.. ...
��) 7" -t.. 2.� 1 i'ry I
I • ' .` S Y4 .»_ .� v.t. €�� �.t_ll�{� i.f.� a_.. ..�i•�'J�. . ... .. i.L s. .....�...,...._ i � ..... ._t .�.x4. ... .r... .w�' .x� s... �
e CI
� _ .#..r_!, : , ...: ! �
` �
I ' _ . .. �` . . - 1 . .. a a '. � .. .� _,,..:.. �
; 3 r �{ r :aF j!n >> . li � ;`f � �r�F i �E+. ��.. rt' .� r �,
' .:
. �- " :-, y ,> >
( z.
I ; .:e .i J:..._. ..�sl.... ,. .`.f: .._���._ ��., .:�r.. I� .�..s J�.:.. ..,: �,.�;!3 x❑ �s.'��^ . ,i.ir _�... ., ? �<.}«5�..�4r,_�:. ,.�.?:. �
I �
I : �� .F .e �;. �
��.f � i'. .7�� � f
I _T ;I`,� ...... .., 1
�� �,�
1 4 � ���,�_.._ . �
I :'i.. } �..3.�u w �
I
I �
l r,= 7 t� �v a; 3; I
'.'t f:F.:i. 4 . .,....,�!: . �
( `
I ' <�' �`'.��',� � I
:�� � �
,�* _.�r :_;r � � , � ��;.;�� (
� -- � {
� ---�-�' I
I '
� I
I �
i �
l 1
�
} I
j I
! �
I : �
� I
i �
�
I �
� � .
I '
I
l �
I �
I �---
! �
LaMettry's Collision, Glass and More Workfile ID: bc3c3a33
FederalID: 411393089
,� Maplewood
�� "Every Customer �eaves With A Smile"
2951 Maplewood Drive, Maplewood, MN 55109
Phone: (651) 766-9770
FAX: (651) 766-8660
Preliminary Estimate
Customer:VUE, KAO
Written By:TROY GRUNDTNER
Insured: VUE, KAO Policy#: Claim#:
Type of Loss: Date of Loss: Days to Repair: 0
Point of Impact:
Owner: Inspection Location: Insurance Company:
VUE, KAO LaMettry's Collision,Glass and More
Maplewood
(000)000-0000 Business 2951 Maplewood Drive
Maplewood,MN 55109
Repair Facility
(651)766-9770 Business
VEHICLE
Year: 2003 Body Style: 4D SED VIN: 1NXBR32E83Z122266 Mileage In: 0
Make: TOYO Engine: 4-1.8L-FI License: N-A Mileage Out:
Model: COROLLA LE Production Date: State: Vehicle Out:
Color: GREY Int: Condition: Job#:
TRANSMISSION Dual Mirrors RADIO Cloth Seats
Overdrive Body Side Moidings AM Radio Bucket Seats
S Speed Transmission Console/Storage FM Radio Reclining/Lounge Seats
POWER Wood InteriorTrim Stereo WHEELS
Power Steering CONVEf�IIENCE Search/Seek Wheel Covers
Power Brakes Air Conditioning CD Player PAINT
Power Windows Intermittent Wipers SAFETY Clear Coat Paint
Power Locks Tilt Wheel Drivers Side Air Bag OTHER
Power Mirrors Rear Defogger Passenger Air Bag Power Trunk/Gate Release
DECOR Keyless Entry SEATS
I�I
i
I
5/20/2014 12:15:58 PM 053108 Page 1
I
Preliminary Estimate
Customer:VUE, KAO
Vehicle: 2003 TOYO COROLLA LE 4D SED 4-1.8L-FI GREY
Line Oper Description Part Number Qty Extended Labor Paint
Price�
1 # E-ESTIMATE FROM PHOTOS 1
_._._._._,____. . _._...u______._ _..._._._.__ ._.__.__..__... -----..___ ..._ .__. ,,._. .,- -..._ __.. -.__ _. ..._..
_.
2 FRONT BUMPER
3 Repl Bumper cover CE&LE 5211902915 1 233.50 1.4 2.6
4 Add for Clear Coat 1.0
5 Repl RT Side support 5211502061 1 24.85 0.1
_.__. . ... . --_. .._�__ _ ._.__ __ .
_� ____ ._._ _._._�,_ �_ _.__.... __ ._ ._. _
6 FENDER
7 Repl RT Fender CE&LE � 5380102060 1 247J8 2.0 2.0
8 Add for Clear Coat 0.8
9 Add for Edging 0.5
10 Add for Clear Coat 0.1
11 Deduct for Overlap -0.4
12 Repl RT Fender liner US built 5387502090 1 9436 Incl.
13 Repl RT Fender liner clip 9046710183 5 5.60
_ _...__ ..___.____�__.___...__--____.__._ ______..--..._. .. ._ _._. .._,.m.. ��_ -_. _ .___.
__�..__._...__._ _.-----.�_. __._ . _.....__.
14 FRONT DOOR
15 * Rpr RT Door shell 3,�. 2.0
16 Overlap Major Adj. Panel -0.4
17 Add for Clear Coat 0.3
18 R&I RT Belt molding 0.3
19 R&I RT Mirror assy LE,XRS, &S 0.4
model white
20 R&I RT Handle,outside CE 0.2
21 R&I RT R&I trim panel 0.4
��.. _...... --.__. _. __. ..._._ ______.. .,_ .
_ _.._�_ . n___..� _ __ �_...�...... _..-_-_ --_ _
22 WHEELS '
23 * Repl RT/Front Wheel,steel 4261102471 1 138.90 m 03 � ,
24 Repl RT/Front Wheel cover LE 42621A6060 1 102.55 IncL
25 # Repl FRONT TIRE 1 100.00 X
26 # Subl ALIGNMENT 1 89.95 X
27 # Refi Car Cover 0.2 ,
28 # Refn Corrosion Protection 0.3 I
29 # Ffex Additive 1 6.00
30 # Subl Hazardous Waste Disposal Fee 1 5.00 X
SUBTOTALS 1,048.49 7.7 9.4
5/20/2014 12:15:58 PM 053108 Page 2
, � Preliminary Estimate
Customer:VUE, KAO
Vehicle: 2003 TOYO COROLLA LE 4D SED 4-1.8L-FI GREY
ESTIMATE TOTALS
Category Basis Rate Cost$
pa� 853.54
Body Labor 7.7 hrs @ $56.00/hr 431.20
Paint Labor 9.4 hrs @ $56.00/hr 526.40
Paint Supplies 9.4 hrs @ $38.00/hr 357.20
Body Supplies ' 6.4 hrs @ $2.00/hr 12.80
Miscelianeous 194.95
Subtotal 2,376.09
Sales Tax $ 1,223.54 @ 7.1250% 87.18
Grand Total 2,463.27
Dedudible 0.00
CUSTOMER PAY 0.00
INSURANCE PAY 2,463.27
THIS REPORT IS AND ESTIMATE ONLY, BASED ON OUR INITIAL INSPECTION AND DOES NOT COVER ADDITIONAL
PARTS OR IABOR WHICH MAY BE REQUIRED AFTER THE WORK IS OPENED UP. PART PRICES SUBJECT TO
CHANGE PER THE MANUFACTiJRER AND AVAILABILITY.
WARRANTY: LIFETIME AGAINST DEFECTS IN WORKMANSHIP. WARRANTY REPAIRS DONE BY LAMETTRY'S
COLLISION ONLY. NO WARRAMY ON RUST, CORROSION RESISTANCE OR REPLACEMENT RENTAL CARS.
OUR ESTIMATED COMPLETION TIME DOES NOT INCLUDE INSURANCE OR PARTS DELAYS THAT WE MAY
EXPERIENCE.
MN ST 60A.955 -A PERSON WHO FILES A CLAIM WITH INTENT TO DEFRAUD OR HELPS COMMIT A FRAUD
AGAINST AN INSURER IS GUILTY OF A CRIME.
i
�
�
;
;
5/20/2014 12:15:58 PM 053108 Page 3
Preliminary Estimate
Customer:VUE, KAO
Vehide: 2003 TOYO COROLLA LE 4D SED 4-1.8L-FI GREY
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide
ARM8427, CCC Data Date 5/14/2014, and the parts setected are OEM-parts manufactured by the vehicles Original
Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM
(Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM
vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount.
OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships.
Asterisk (*) or pouble Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have
been modified or may have come from an alternate data source. Tilde sign (�) items indicate MOTOR Not-Included
Labor operations. The symbol (<>) indicates the refinish operation WILL NOT be performed as a separate procedure
from the other panels in the estimate. Non-Original Equipment Manufacturer aftermarket parts are described as Non
OEM or A/M. Used parts are described as LKQ, RC`f, or USED. Reconditioned parts are described as Recond.
Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto
Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor
operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries.
Some 2014 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated
data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE
estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local
dealership.
The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to
be repaired or replaced:
SYMBOLS FOLLOWING PART PRICE:
m=MOTOR Mechanical component. s=MOTOR Structural cpmponent. T=Miscellaneous Taxed charge category.
X=Miscellaneous Non-Taxed charge category.
SYMBOLS FOLLOWING LABOR:
D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category.
M=Mechanical labor category. S=Structural labor category': (numbers) 1 through 4=User Defined Labor Categories.
OTNER SYMBOLS AND ABBREVIATIONS:
Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. BInd=6lend. BOR=Boron steel.
CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel.
HYD=Hydroformed Steel. Inc1.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non
Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace.
R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel.
Sect=Section. Subl=Sublet. UHS=UItra High Strength Steel. N=Note(s) associated with the estimate line.
CCC ONE Estimating -A product of CCC Information Services Inc.
The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR
CRASH ESTIMATING GUIDE:
BAR=6ureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway
i ici i5�i0iiuii�i i ai�u Safe�y Aum�r�st�atio��. �DR=Pai��tless vci ii RENaii. vi"v=v2�iii.ic i�E�iiF��iv�� ^.U��J2f.
5/20/2014 12:15:58 PM 053106 Page 4
LATUFF BROS., INC.
880 UNIVERSITY AVENUE
ST. PAUL, MINNESOTA 55104
(651)224-2828 FAX: (651)291-0677
FEDERAL ID#41-0777034
***PRELIMINARY ESTIMATE*'*
05/20/2014 09:31 AM
�Owner �
i�
Owner: KAO VUE
Address: 359 COMMERCE COURT ' HomelDay: (651)294-0994
City State Zip: Saint Paul,MN 55116 FAX:
Email: rcody@codylawgroup.com
�Control Information � �'� � --�---_�.____ ___
Claim#: E-ESTIMATE Insured Policy#:
Ins.Company: CUSTOMER PAY
�---
! inspection � �_�� �� � ;
Inspection Date: 05/20/2014 09:23 AM Inspection Type:
Primary Impact: Right Front Side Secondary Impact:
Driveable: No Rental Assisted:
Appraiser Name: WILLIAM LATUFF Appraiser License#:
;�Repairer ��_��_ _ �^�_�_�_._T..�.__. .�._.__._.._._____�—����_d__'
Repairer: Latuff Brothers Inc Contact:
Address: 880 University Ave Work/Day: (651)224-2828
FAX: (651)291-0677
City State Zip: Saint Paul, MN 55104 Work/Day:
Email: general@latuffbrothers.com
� Remarks � � �� � � '
'*"***'***PRELIMINARY ESTIMATE'""*""*`""""***'**' '
POSSIBLE ADDITIONAL DAMAGE MAY BE FOUND AFTER DISASSEMBLY
E-ESTIMATES ARE SUBJECT TO PHYSICAL AUDIT PRIOR TO REPAIRS
Vehicle _�
2003 Toyota Corolla CE 4 DR Sedan
dr_.yl r�soline 1.$
4 Speed Automatic
Lic.Plate: 5366YN Lic State: MN
Lic Expire: 01/2015 VIN: 1NXBR32E83Z122266
Prod Date: 11/2002 Mileage:
Veh Insp#: Mileage Type: Actual
Condition: Code: Y2114A ',
Ext.Color: MOONSHADOW GREY EFFECT Int.Color:
Ext. Refinish: Two-Stage Int.Refinish: Two-Stage
05l20/2014 10:58 AM Page 1 of 4
� 2003 ToyGCa Corolla CE 4 DR Sedan
Claim#: E-ESTIMATE OS/20/2014 09�31 AM
Ext. Paint Code: 1 E6 Int.Trim Code:
Options
AM/FM CD Player Air Conditioning Automatic Trans
Bucket Seats Center Console Dual Airbags
Intermittent Wipers Power Brakes Power Mirrors
Power Steering Rear Window Defroster Rem Trunk-UGate Release
Split Folding Rear Seat Tachometer Tilt Steering Wheel
Tinted Glass Velour/Cloth Seats
�
j Damages � , I
Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R
Stri�es And Mouldinas
1 I 255 MIdg,Front Door Side RT Repair 0.5' SM
2 L 255 MIdg,Front Door Side RT Refinish 0.5 RF
0.4 Surface
0.r Two-stage
3 RI 255 MIdg,Front Door Side RT R&I Assembly 0.4 SM
Front Bumner
4 E 6 Cover,Front Bumper 5211902915 $233.50 1.4 SM
5 L 6 13 Cover,Front Bumper Refinish 3.7 RF
2.6 Surface
0.6 Two-stage setup
0�5 Two-stage
6 L 16 Prep Raw Frt Bmpr Cvr Refihish 0.5 RF
Oj5 Surtace
7 E 180 Seal,Front Bumper LT 525�i102020 $2.59 INC SM
8 E 181 Seal,Front Bumper RT 5254102020 $2.59 INC SM
Front End Panel And Lam�s
9 E 28 Grille Assembly 531b002020 $144.54 INC SM '
Radiator Sun�ort
10 I 139 07 Brkt,Rad Support Upr RT Repair 0.5" SM
11 L 139 Brkt,Rad Support Upr RT Refinish 0.5 RF i�
0.4 Surface
0.1 Two-stage �
Front Bodv And Windshield
12 BR 83 Panel,Hood Blend Refinish 1.6 RF
1.1 Blend
0.5 Two-stage
13 RI 1030 Nozzle,W/S Washer LT R 8�I Assembly 0.1 SM
14 RI 1031 Nozzle,W/S Washer RT R 8�I Assembly 0.1 SM
15 E 104 Fender,Front RT 5380102060 $247.78 1.7 SM
I O L I V4 Fender,F�Oi ii rZ i R�f�iSh 2•R ��
1.8 Surface
0.5 Edge
0.5 Two-stage
17 CG 104 Fender,Front RT Chipguard 0.3 RF
Front Bodv Interior Sheetmetal
18 E 153 Skirt,lnner Fender RT 5387502090 $94.36 INC SM
Wheels
OS/20/2014 10:58 AM Page 2 of 4
20U3 Toyoca Corolla CE 4 DR Sedan OS/20/2014 09:31 AM
Claim#: E-ESTIMATE
19 UE 902 Wheel,Front RT Replace OE Surplus $110.50" 0.3 SM
Front Doors
20 I 210 Pnl,Front Door Outer RT Repair 3.0* SM
21 L 210 Pnl,Front Door Outer RT Refinish 2.3 RF
1.9 Surface
0.4 Two-stage
22 RI 259 MIdg,Front Door Belt RT R&I Assembly 0.3 SM
• 23 RI 230 Mirror,0uter R/C RT R&I Assembly 0.3 SM
24 RI 228 Handle,Front Door Otr RT R&I Assembly 0.6 SM
Quarter And Rocker Panel
25 L 166 Pillar,Windshield RT Refinish 0.6 RF
0.� Surface
0.'� Two-stage
26 RI 1036 MIdg,Pillar Finish RT R&f'Assembly 0.2 SM
Manual Entries
27 L M14 Corrosion Protection Refinish 0.3"` RF
28 EC M22 Tire-Right Front,Balance Replace Economy $1.50* 0.3" SM
29 SB M60 Hazardous Waste Removal Sublet Repair $5.00' SM
30 I CLEAN/RETAPE RF MLDG Repair 0.3* SM*
31 EC 06396 ADHESION PROMOTER Replace Economy $2.09" SM*
32 EC 06386 1/4" DBL SIDED TAPE Replace Economy $3.60* SM"
»72"@.05./INCH
33 I ROPE WINDSHIELD MLDG Repair 0.3* SM'
34 EC VALVE STEM Replace Economy $2.00* SM`
35 SB THRUST ANGLE ALIGNMENT Sublet Repair $69.95' SM*
36 EC RF TIRE Replace Economy $135.00* SM'
»SUBJECT TO INVOICE
37 SB TIRE DISPOSAL FEE Sublet Repair $2.50' SM'
38 I FRT LICENSE PLATE R8�1 Repair 0.2* SM*
38 Items
MC Message
07 STRUCTURAL PART AS IDENTIFIED BY I-CAR
13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
; Estimate Total$Entries __�TT� � __i
Gross Parts $725.36 ;
OE Surplus Parts $110.50
Other Parts $144.19 I
Paint Materials $419.20 �
Parts 8�Material Total $1,399.25
Tax on Parts 8�Material @ 7.625% $106.69
Labor Rate Replace Repair Hrs Total Hrs
H rs
Sheet Metal(SM) $52.00 5.7 4.8 10.5 $546.00
Mech{Elec(ME� w85.00
Frame(FR) $75.00
Refinish(RF) $52.00 13.1 13.1 $681.20
Paint Materials $32.00
Labor Total 23.6 Hours $1,227.20
Sublet Repairs $77.45
Gross Total 52,810.59
Net Total $2,810.59
OS/20/2014�0:58 AM Page 3 of 4
- ' 20U3�`oyota�orolla CE 4 DR Sedan
Claim#: E-ESTIMATE 05/20/2014 0931 AM
Alternate Parts No
SPPL Yes Zip Code:55104 Default
Audatex Estimating 7.0.226 ES 05/20/201410:58 AM REL 7.0.226 DT 04/01/2014 DB 05/15/2014
Copyright(C)2013 Audatex North America, Inc. I
2.8 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATIEX'S TWO-STAGE REFINISH FORMULA.
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS
SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE.
WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE PARTS
MANUFACTURER OR DISTRIBUTOR RATHER THAN BY THE MANUFACTURER OF YOUR VEHICLE.
A PERSON WHO FILES A CLAIM WITH INTENT TO DEFRAUD OR HELPS COMMIT A FRAUD
AGAINST AN INSURER IS GUILTY OF A CRIME.
Op Codes
* = User-Entered Value E = Replace OEM NG= Replace NAGS
EC= Replace Economy OE= Replace PXN OE Srpis 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 8�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 '
�` the insured,claimant and others on a need to know basis in order to effectuate the claims process)without �
�F ��/����X Audatex's prior written consent.
i���nrpan�
Copyright(C)2013 Audatex North America,Inc.
Audatex Estimating is a trademark of Audatex North America, Inc.
05l20/2014 10:58 AM Page 4 of 4
�� ���� P�� �
;Y.' rig.;: I I
�' �' ' % �"t
���3 Y "jew����v _. �^q!�s
1 �
: � �
j ���. �' �{.
* �it' ab,`° f ht`�'� .c�;�.0
��j 3.,� ,��
;,
;�:
I
..-�T�� ��..
�ir�f:
-.✓'.?.':`"..
� }�n.:-' . .. .... . � ....._.:.' .:_
.y�
'j�•. � �...
� 4� ?.�`
`'4..
_�_ .
I
I
�
/
E ��
J�/ .,
� x
,�`
. ' . ., � �ir� � � `_
, �
_ ' r . � ir�,F�'
f�
���; .�+
�`
� r F
� . . .. .�s.._ '� ��� ��MI �
�. ��, } ��aa�-..
. �--�
� -
. � :�r ��,�:� �y;.
'�, ;!'��� a�'° �- �`����
�F� 4
/4
. ���.a• �' t�i��^i�,�� � �+..
,� r���".. ��y�.,.v �. �i.
'4" U`�'. � ..t�- - ��
��
�
v�`�er " r� ��" �e.� �y.f i_ j�, � t ,i
�Y ;��, �::�� . Llt,} ff� . P PA'� ���"�.
� �; � �� '* � — ,�i i
�y[ E_,
. � � ..h�'^�- �i� Y�a �`���� �k+�y:'�- . y►.-:� � �' ;� ..
1 J' b � � �� °y ' `�
�'i„ ;���"'��� - „3.,� �.'�. � -� r\
��a� �� ��d. +`� . �:� � �. x g� -'�,,,,
d � ,�. ,T F ��t �la- �+w
'�' 'i �� ,j�v,i¢ t -4,r.a 4� �I
„,. . . _
_ ,. � , _ ;. .
� � � __ ra. �,
A- {r e , . �
��` ; '"� •4.� .� '���; s, �_� � 4
� _ ;, .
. , ..
` � e� ! .�'`' �
� ��� �
� - . �.
I . .; �,� ..
�- ` A �
� `- � � � �, y-�� ' 'P y ��
�.. r
� .
.. . .,� �� .� .
.'
� ,� � � .�-.�_. .°.:.� , .�.. '” �i�+'.
.rt ' �.,
��'� � i;� �v=�.�'"�., �" ,;,_ <i � I__g +�'" i�rr
�� - e
,r `� y � � - - - .
.�� 'a�"` j�►.'.� ;_y. �
� + / �
� �;;'^��.�f°�� �^ � , s"e'� • , +.
,
, „, ,_
_.. ',�,
, � �
�^4Y�
� �:
,`� '
�'f
� _ .� �
� ''-. . y����.
e .W ,
�. ' ``�
� �.
. . -�,
ti
_::��:,a� � � � r � £ ;�� _ y f��� ,": .
;,x,�� �. � � '��.= .�`.'�r i � s
�'-`� �� � � .. . 3 � �,�� / ��_•+� ��IE F
) zi �
�'
r". _
z.<� ' i�,
;1�
��.
�
�„ ';�
. �;... " '-'..� �� '�
y.. �
.. $ . ' � � .$' atit+
. . _. ..�� ��..�.
♦ _
., : �. :.���t .
�
r