HomeMy WebLinkAboutClaim 562 - R. PrincipeREQUEST:
DATE:
C
CITY OF PALM DESERT
COMMUNITY SERVICES DIVISION
CITY CLERK OPERATIONS
STAFF REPORT
CLAIM AGAINST THE CITY (#562) BY ROBERTA PRINCIPE IN THE
AMOUNT OF $19,581
September 14, 2006
CONTENTS: I. Staff Report
II. Claim No. 562
Recommendation:
By Minute Motion, reject the Claim, in anticipation of its being tendered to the
Coachella Valley Water District, and direct the City Clerk to so notify the Claimant.
Background:
Based on a review of the subject Claim and the recommendation of the Claims Adjuster,
Risk Manager, City Attorney, and staff, it is recommended that the Claim be rejected.
Discussion of this item should be held in Closed Session pursuant to Government Code Section
54956.9(b), potential litigation.
Submitted by:
CHELLE D. KLASSEN, CMC
CITY CLERK
Approved:
CARLOS L. ORTE
CITY MANAGER
rd k
Attachment (as noted)
SHEILA . GILLIGAN,
FOR COMMUNITY
T. CITY MANAGER
ICES/P.I.O.
ITY COUNCIL ACTION:
APPROVED ;�.... DENIED
$ IVED __ OTHER ... .
vEs 0 C F TE
AYES JQr1 K .
>\TOtaS .
ABSENT :
BSTAIN:.���I P.........
VERIFIED BY:._....
Origina). on 7":! with
�.ty Clerk`. rit:F.t'F:
H:1WPdataIWPDOCSICLAIMSt562-rejectstaf rept.wpd
August 15, 2006
TO: City of Palm Desert
ATTENTION: � Rachelle Klassen
RE: Claimant
D/Event
Rec'd Y/Office
Our File
Roberta Principe
�7-4-2006
7-26-2006
S 1431684 PMQ
We have reviewed the above captioned claim and request that you take the action indicated
below:
• CLAIM REJECTION: Send a standard rejection letter to the claimant.
Please provide us with a copy of the notice sent, as requested above. If you have any
questions please contact the undersigned.
Very truly yours,
cc: CJPIA
Attn: Executive Director
CARL WARREN & COMPANY
�Pete McNulty
COP TO '� - ��1� �
� . �C�? hCu�Yl
DAl'E / �l a /�y2:
CARL WARREN & CO.
CLAIMS MANAGEMENT•CLAtMS ADJUSTERS
750 The City Drive • Ste 400 • Orange, CA 92868
Mail: P.O. Box 25180 • Santa Ana, Ca 92799-5180
Phone: (714) 740-7999 •(800) 572-6900 • Fax: (714) 740.9412
�
d _�
4, �
a � '�
� ,_ -.
� � � �.::
-- Y— r: -
�
� �� r:
�n r: ;
a � R �
3 �o vi f`_
�. `y0 G�
��
c, n' �
m
, i.
� �
' � ;—rl�; rR�.l_� tii•',�I:I:.G L?r�i�.�r
; PALr,� Deser.��, CALIFOR[�ilA 9�z6o-1578
�rE�:76o �4G—o6t�
FtL�:76o 3no—o574
infoC palm-drscr[.oro
�
TO: CJPIA (c/� CARL WARREN & CO.), CITY MANAGER!t�"�( A�'TC�Y,
ACM FOR DEVELOPMENT SERVICES, DIRECTOR OF PUBLIC WORKS,
RISK MANAGER
FROM:
DATE:
CITY CLERK
JULY 27, 2006
SUBJECT: CLAIM NO. 562 - CLAIM AGAINST THE CITY BY ROBERTA PRINCIPE IN
THE AMOUNT OF $19,581
The attached Claim No. 562 is being transmitted to you for the following:
❑ Information only.
or
�� e.F�����Ad�r��'a�,�to the Cfaims Review Committee for any action
`•' required by the City of Palm Desert.
We would appreciate your report, if requested, by August 28, 2006, for timely response
to the Claimant.
��,<:�� Attached to this report for your reference is an April 27, 2006, Staff Report by Ryan
Gayler and the subsequent City Council Meeting Minutes relative to the Coachella Valley
Water DistricYs Sewer Line Installation Project in the vicinity of the incident giving rise to
the subiect c{aim.
<
�1
RACHELLE D. KLASSEN, CMC
CITY CLERK
Attachments (as noted)
cc:
John Garcia, Engineering Manager
Ryan Gayler, Project Administrator
I � (�
�! Y
< ���
M.ffC 0.i tf(�:IIJ 1J�[
CITY OF PALM DESERT
� 4'v ���� D ASSIGNED CLAIM NO��
CLAIM AGAIIVST 'fH� CITY OF PALM DESE1�T� Y C L E R�' S 0 F F I C E
(For Damage(s) to Person(s) or Personal Proper E}�A L H D E S E R T, C A
Received by:
via: U.S. Mail Interoffice Mail
2006 JUL 26 PM 4� 46
Over-the-Counter
A CLAIM MUST BE FILED WITH THE CITY CLERK OF THE CITY OF PALM DESERT WITHIN SIX
MON'THS AFTER WHICH THE INCIDENT OR EVEI�iT OCCURRED. BE SURE YOUR CLAIM LS
AGAllVST THE CITY OF PALM DESERT, NOT ANOTHER PUBLIC ENTITY. WHERE SPACE IS
INSUFFICIENT, PLEASE USE ADDITIONAL PAPER AND IDENTIFY INFORMATION BY
PARAGRAPH NUMBER. COMPLE"I'ED CLAIMS MUST BE MAILED OR DELIVERED 1'O THE CITY
CLERK. CITY OF PALM DESERI', 73-510 FRED WARING DRIVE, PALM DESERT, CA 92260.
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Palm Desert, California:
The undersigned respectfully submit(s) the following claim and information reiative to damagets) to
person(s) and/or personal property:
1.
2.
3.
CLAIMANT INFORMATION:
NAME � �i^�� �-- - 1 � � �,1 � �, _
ADDRESS � .e _... .,, .--,., . . ,. . , � �G �. , ., , .. - • 6
:�.J
PHONE NO. ('l�i_; S� lir+ i q �r nirc ► n: � . _ ,_
SOCIAL SECURITY 1V0. SDRIVER'S LI�:tNSE NO. -
Name, telephone number and post office address to which claimant desires notices to be
sent, if other than above•
s'�M� /�' �s�V�
Occurrence or event from which the clairn arises:
a. DATE: � l�'�i.o b. TI E: �'�i'� Y� c. PLACE (exact and specific
location)��� s'LC�� J� ��(��((_..
�P�z-�`'! .A�� '
d. How and under what circumstances did damage or injury occur? Specify the particular
occurrence, event, act or ommission you claim caused he injury or ciamage. (Use �.
additional paper if necessary.) ! ���.� �J I � �. �()� G�i �d�l� �+
-Pf'i 'g�'� �l`! -�t 1/�L1J N�' ��-�Xi x� ht L r
N� �-r► - o�- S� 1 Ly �+'t� . C�'s�� �qs U N_ � ii
� vJuM�3�� o� VZ�-c - t�+� � R��rfi,'S���
NP�(� c>w � N C� 'i' £ U r�36 . ��� -,-�- %�y � T�, ►
,�.�tii �. 4. ]�Rel� ''r� a, �.,4 S• H F /�nwl� (.1JAs �FR}� 1-��Rt� ��il�
e. What particular action by the City, or its employees, caused the alleged damage or
injury? �!�� �5 �i^ � ��-� '� 1 N(� I`'�'1/
��+ t E'r..�' 1 _- �?i � ( �e�^ �!� � N7���� �ild� U J
cr� ��►�t� Af.�n ! � NQ lu�N � � 'ii�i �fZ+��,! Co�e.��
..�� , i'S G cr' .5� l`<uC� � u�tE� rTEt/�N i N E t� W C'a 2.t�F..�12 ."i'
�Sr►av� F1-�Y� �hp �=�c--E�R� QI' 1-i�f+� �v7-'�-t-�1�E�
Page I of 2 S� �V CGV�-�� SC� "�7t-� �.G�IJ�.� ���� �YQL' �4t2E �l�rtfii
Gl� a' (� 0 � t �-
4. Give a general description of the indebtedness, obligation, injury, damage, or loss incurred
so far as it may be known at the time of preseritation of the claim. If there were no
injuries, state "no injuries": _,�� �"�'(�,t-( r`-�11�= �
S.
6.
7.
Give the name(s) of the City employee(s) causing the damage or injury: ��
Name and address of any other person(s) injured: �
Name and address of the owner of any damaged property: �i 1�['
8. Gamages claimed:
a. Amount claimed as of this date: ${�i ��/ ���
b. Estimated amount of future costs: $�����,GQ,� _._
c. Total amount claimed: $ I.aO
d. Basis for computation of amounts claime include copi�s
estimates, etc.): S�. A��c—� �c�vv�
9.
10.
Names and addresses of all witnesses, hospitals, doctors, etc.: j�'
of all bills, invoices,
Any additional information, including police reports, which might be helpful in considering
this claim: �` �
VfIARNING:IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM! (PENAL CODE 72;
INSURANCE CODE 556.1).
I have read the matters and statements made in the above claim, and I know the same to be true of
my own knowledge, except as to those matters stated upon information or belief as to such matters
I believe the same to be true. I certify under penalty of perjury that the foregoing is TRUE AND
CORRECT.
Signed tFus a� day� •.� U�-� , 20 C)6, at �% �N% .
�
` 1�
SIGNATURE OF CLAIMAINT ' SIGNATURE OF CLAIMANT
Office of the City Clerk, Palm Desert, California DOC. NO. DATE FILED
Page 2 of 2
4'
i
�
1
�
l
t,j.i
4'�'
�a
�'
�
��}
�
� —
1 �r
�
t
-�
�
�
0
�
�
�
\ /
D
�
N
N
O'�
O
�
�
0
�
�
�
�
v
�
�
�
-v
m
III �.
��
i;
�
- �_
��
I 1 � ��
W �SG�
��i� �a
o —�
T �
7]
m
o �
� �
,a
��
I Z -p
�
p �1
II� �
;m
Iro
� ��
rn �D✓
m C�
� ��
� D �
�r
I O
Z
D
IN
�
��-
i
:r.;
�:
.,ti
_�
r
u �
� �' o -Ut�l7ft?
�` Q N ,'�� s�j
r p 1
1
� W D
G F
A � F �
y W
+ N �' �
hi � 1
� � ��
� r�
O
m �, ,
rn o�g '
o a� � �
�
�
Continuation of 3. d. How and under what circumstances did damage
or injury occur?...
was not lit with any lights. I was in the right lane as I had
just passed through an area of the roadway that was barracaded
to one lane and had opened to two lanes shortly before Sheryl
Road. As I was passing through the intersection of Cook and
Sheryl, which was very dark, I did not see that the SW corner
curb juts out about 7' further into Cook St. than the NW corner
curb that I just travelled past. I turned the steering wheel
to avoid the curb but it was too late and the right front and
rear wheel hit the curb. The car spun around to the left but
I managed to straighten it out and came to a �top in the middle
section of the roadway among a number of barrlcades that were
scattered throughout that area. I called AAA roadside service
and they sent out a flatbet truck to transport the car to my
residence. �
The AAA tow truck man said... that part of Cook that was under
construction was very hazardous at night because it is so dark
out there. .
Response to #4. Give a general description of indebtedness...
1. My '94 Honda Civic EX was considered totalled by my insurance
company. (AIG estimate attached)
2. AIG has offerred me $4,400.00 if I keep the car and have
it repaired on my own.
or
$5,074.00 if I decide not to keep the car.
3. The body shop verbally informed me on Tuesday 7/25/06 that
my car has serious damages including a bent frame and the
cost to repair it would be way over the AIG estimate of
$4,400.00. They said just for the obvious damage without
repairing the frame and the unseen damage under the car
repair would start at $5,000.00.
I have thus d�cided to take AIG's settlement of $5,074.00.
Now I'm faced with trying to replace this car for $5,074.00
which I-feel would be an impossible task. This was not an
average car for it's age...it was in great shape.
The car has under 80K miles on it and was in excellent over
all condition, well maintained throughout the years and
loaded... �
air conditioning power steering, power brakes, power windows,
power door locks, tilt wheel, cruise control, am/fm stereo
cassette, dual front air bags, ABS (4-wheel), moon roof,
alloy wheels.
I had just purchased (6/7/06) 4 new tires at the cost of
$426.56 from America's Tire Co. as well as a four wheel
allignment in the amount of $79.95. (invoices enclosed)
I also had the master brake cylinder replaced on the car
on 6/3/06 by Honda of the Desert at the cost of $368.69
(invoice enclosed)
I am still paying on these items and consider these as part
the loss due to accident.
4. I have had to assume payment of a rental car as of July
21st due to the fact that AIG will no longer pay for
it. (invoice enclosed)
5. I am gaing to a chiropractor due to stiffness and pain in
my neck occurring after the accident.
� .�'r'�`-�`—��' �,r-.�-� i�f� ,� �
.� - �'F�—S� � 9� (� C�M +�v�-i IC1� G� � o��--� ��-f����. a
��! (` �7 c��c��rJ C��� ix�� '���.�-� �-��/ad• ac
1�'"'� � �c�?3� G3 rl � y= .i��}�/5 = / I 5 • �
� �'� f c�
���(G�
��3k�
�1��Ic��
PV ��►.l-+I'��a'J 4- �I�.uI �S -��`'1
�,� � � � � ts- � ; � �. �o . < �� �,.�v�c� �
�,
4- I � �L t �'f�l 1"t �.�� �C �--JI � C--1 � P�1�J
/�1/�-� " CSE� rr���c.� �
� a�. ��
��.a�
� A-S �� � f� �.c� �, i � �2 ��� �� ���-�-`� 3 ��s'. � i
�3 y �. c�v p �}-. �c� �-� "� s��"'' �sE � � u v v � � )
Cr�-i 6G'�?C� ��o.c�
� c
� Nt c��.r{ �-�� �`` � �s c� �.t-4t� ��a;� -� � 1 �3, . c�� .
. �.
Cl+� (� P�/-�c..�� C
�� �,`� ��--�.
��
� � t G�P�-� -�4 t-� �' � ` �� (���-�- /�-5�
� C�M�°��'�� Vr � � cL E
���
� �— � � �SG� u�cL'�t+
�� � ���.
f�� x� � � �� �s ��� ,� �
.�-�� � �. �v�� �
�� � 1 M�r�e f�
��,s�
ST�� +�
u ��s �N �"
��,�. y�Ar�
Ar�ov►.�'� C� � Fv`�,e�
� �� �
`
�
�� _
t, ��ia ---
j 0� �o�, �
��Jdc�, �
a�� �
�. �
--___
� � 3 44�c� c�
�_---- �
� pu,�;- C�-1 � � � �'1 �', � 8 � -��
�
I am 65 years of age, retired and living on a fixed income and
was not considering purchasing another automobile.
This accident will cost me monies that I cannot afford.
The stress involved in dealing with the insurance company and
the body shop and the delays in getting the answers I needed
to make an informed decision have been difficult for me to
handle. Now I am faced with the task of replacing my vehicle
and the cost involved to do so.
0
AIG Insurance Company
Claim No. 0600262496
Claims Adjuster: Oscar Castellon
1-800-560-8398 ext. 36373
Mr. Rogers Auto Body
68704 Perez Rd.
Cathedral City, CA 92234
Attn: Vicki
Phone: (760) 324-1830
Fax: (760) 324-3512
- ■ . � . . . ..,.:_��i
;�,r..,.�J, ��.�.,;
, .. �',.at • • -:i , _ . , �.2 • �'r-.. ,
� � � �� ���� � �
�
Dr. Kristen 6ohnet, D.C., L.Ac.
Acupuncture & Chiropractrc
- r. :� ,? � �-,;., �:J�
,� ,�� <�t�d � �l. ; -�;, I R �!(':
.. . ..�o. . �. . .:�i��_ ..... tk:r&.�. . .
The Wellness Center � yY� r; -.•-I�
..�'�����i' .rR�i>, .
72-855 Fred Waring Dr., Ste. G20 �� �y`�• • �b �"'..��'�"��i.�::;«,i
Paim Desert, CA 92260 r� �;r =' � � F'�"�+�;ti' s` '" I
;�., � �� �,�'-�
�,�, �.x _ ; ,�?,i� :;;.� ;:<• �.•.;
Telephone: (760) 836-3644 .. ; j,-: , `� ` ' : ' : �
Fax:(760)836-t9i4 • -- 1 • . �� i
' ;�:� ^�,.�. < �u .��'�;��
�`; < � � : .�'r'(1 T - -. :Z�: �h .
. ':;�'^..,XT.6�}�� � °'� �� ""�'+.�i �'� . _. a .. ` . SiG.}'�9i`.
AGEI3CY� � y:�k�ji`�'IS4lJII+iG�CARD; _ i�'
��{�s . r.•,�;�. . , . '
� ,� " ��` ' " . • . " � '.
P.;O: ��:: , � �� . ,, :. �... �`�.
WILMII�C�dl1',.��s �s850-5510
� YFItS.PQl.lf7( ME�f'$y}� � � ^ CQV�RA.GES REQUIREIZ.�'F1'.LAW -.;
- . H4��ON y8068r . �
SEE tA1PORTAFIT NOTICE ON FiEVERSE SIOE
. 'r-_
ID - CA (7/00)
� _ ,."�,. Page � oi 5
. ""�,.'��...
- .,. � � 1,/t C �C.. `'f �
EstimabQ #'4872717 Print Toq91e Pidu'es {"'"��.,�
- �. ,. .......
SGA Appraisal Company West Coast 3W-1� M-F 8-5 PST
ESTIMaTE OF REC4RD
Inst�t'�dlOwnsr Mfo�rnatl� `��Rnis fo�m•tion inepection i.oqitlon Infamslbn
i�ur� RflBERTA � AdJusla Osa�r Gslslbn Location
PWNCIPE Addroas
�e, R08ERTA Email osrar.pas�ellort�piq.com CAy CATHEpRAL CfiY
PRINCtPE
AdQ�ess
CRy
sca� z�
Nome
Work
Cl�tm IMorm�tlo� 11pOnis�r kMOm�tlon /
Ci�i�t No 800iQ2406 IrVrttten B� � FiGUEROA, JAVIER
Ctainanc Na t Esc. Code «GVERoa
Lass Oate 71ir2006 �ce SCA Approispl Cc,mporty West
Poli.ry h!o 5�63T57 Coas! 3V1!-Y M-F 8-5 PS7
Loss Typs CoAision �"� 3817 W. Mapndia Blvd
City Bwbank
5tato 2ip CA 91305
Wor1c (80�} 572-8C10 E�ct: 352 �
IUobib
FAx
Pa �r
Em1ii!
ilrursnp ComP��► �Mom��io�+
��M� AIG P!C - Et
• Ssyundo, GA
�d� 201 N. CorMinental
81vd Ste120
City EI Sequndo
State Zip CA 9024b
Phons (310) 343-632U
Fex (310} 343-6368
D�duatil�le
M�ount
Estimste
Notee
S1QO.OQ
qualltycorx�sa.
apprais�I.Com
F�tim�le fnforn►aUon
Supylement O
Esti�!tete M 8249H 1
State Z�p CA
phane
ftepsk F�pity Infotmpti0n
Repeir Faality MR ROOERS AUTO
BODY
ada►eaa sa7a R�Rez Ra
City GA7HEORAL C1TY
Stebe Zp CA 92254
Cant. Hame y
PAone (78Q) 32�1-1d30 �C �
Fyc .(760)324-331x
6»Ail
Fed Tax 10
St�b LIC.IBAR TFJ� ID �30283tK4
No.
Cdendar et E�
�oss 7;4rt0as
Assigpme�d 711Q/'j0ps
lnepedion 7/11/2006
��� T113tZ006
Upbqd
POSSiBLE T�T/11. LOSS 1NDlCATED
Vehid� lnform�tion
Year ty94 Maks Monda
:ilyb 2V Cpe ��� MOOeI CiviC
� � OdonNi�r 75317 T Cxr
VIN �^� Cond�hoo GU'�'
Pnt�. Dobe 11/83 Panl d Itnp�d it Totetf Loos �'t� t,.�
Polrt d Imp7ot iT
}attp:i/processclaims. com/weblcl ients/gex�ericiEsti�ateF'arrn.aspx?docidm22906675&esud=... 7119/2006
' Estimat�
Equipment Options
r a�c t, vi .�
..._........_...._..__......._ ...................._.._......--- - ----......._..__.._........_............�•---........................_._.._._............----�---....._....._...._............
No oo.� � u�,� zyp• P•+�,c u�w i�c Miso Puls Cod M Qy _ iyp! E�ch _ row
. •
.__..----..._.......r.._..._. M.._ .................--�--•....._..... _. .._ _. ............. . ......
� o�s�n�� �TYB(lMPEa COVER 2.o s«rr .
2 R3R FR7 BUf�ER CDVER Yas 7 R 3109.00 5148.00
3 RaFnish FRT Bt1lAPER COVER Refironh �.9
d R8R FliT BUMPER S�OILER 1 OEM 594.50 �.50
5 Refth�sn FRT SPOILER Refni�h 0.8
6 RSR WHEE'_ Yce 1 R sA8.fi0 566.&0
7 R6R WH�EL Yos 1 R$86.80 �86.60
8 R&ft WFiEEL CO�ER 0.3 Body 1 OEM 123.05 f23 05
P R$R WNEEL COVER 0.3 Body i OEM �29A5 t23.06
14 �dR R FRT SUSP STEEFING �,g Machan�cal 1 OEM 5259 �5 5259.45
KNUCKLE -M
11 R&R R FRT SUSP fiHOCK � 4���� 1 OEM 3115.47 ;115.47
ABSORBER -lul
� Z �� R UPR FRT SUSP p.4 Mechanical 1 OEM �118.07 S179.07
CONTROL ARIJI ASSY -M
13 RER � �� FRT SUSP p a �,{s��nicel 1 OEM ;260 85 5264.65
CdVTROL ARM ASS1' -IiA -
14 � ft �T � REP/UR 5_p �y
ReDA PANEL
15 Rollnlsh R FRT DOOR OUTSIDE Refim�h 2.2
16 RemOvehnstall R FRY DOOR MtRROR
i7 R�move/ln�blil R FRT BEL71110!lLDING 0.5 Dody
1S R&R R FRT DOOR. I�OFiESIVE p� �y 1 OEM 382.87 362.67
IAOULOING
19 RomoveAnatAH P�DOOR TRIM
Zp FtertqveJlnitpll R FRT D00li HANDLE 0 6 Body
21 ir P�� �R Ol1TER � BodY
22 Reffnish R Q��R PANEI. Retx�ish 1.9
OIiTSIDE
23 R8R RQUARTERMOUIOfNG 0.3 Body 1 OEM 512.73 $12•73
�a Ramove,'lnstaU R QUARTER GU1SS 1.8 Olaas
25 RB,R R.RE/1R SUSPENSION 3.0 MechaniCal
4NE SiDE -M
26 �S NOT INCLiIDE
ALIONIrENT .
27 R3R R REAR SUSP S'�UT •1�A 1 OEM =117.83 :117 85
2� � R UPR REAR SUSP t OEM �.'f4.46 i94.4S
CONTROL ARM -AA
29 Rd�R R LWR REAR SUSP 1 OEM s8T.00 S87.D0
CONTROL ARAA -IA
34 I Labor FOUR WHEEL i59.00
�--- /1LIGNMENT
s, Mouiur� 9^u+r�ce st2.so
� ��
sz �dd� .�t � �r+rr a, enuWCE s�z.so
TIRE
33 �$g TIRE � AJM �Q$,,QQ 568.00
34 TIRE °,65.00 i3.6d
35 R� TIRE � � �4 �•�
�36J� TIRE 9'06.00 53.86 �-.
37 R�R R ftEAR SUSP TRAILING 1 OE�A t292.44 �5247 A4
ARM -M
hrrr •��„r�r.�c.� la;ma.c�miw�+b/clie�tsl¢eaeric/EstiqaateFornn.asp�►?dvcid=22906675&estid=... 7/19l2006
Estimate
�8 Re�velln II R COAABINPITION l/1MP
i� A�SEMBLY
38 Remove/lnstafl REAR BUMPER ASSY
40 �ir REAR BUMPER COVER
41 RCfiniSh RE.�RBUMPER.COVER
42 FiJ1ZARD0US WAS7E
DISPQSAI
43 fLEX NDGITNE
s4 I�d4t Ops CIFAR COAT
4S Rddi Ops TIN7 COLOR
A6 Addl Ops FINISH $AND AND BUFF
47 Addl Ops NWSK FOR OVERSPftI+Y
4g PAIN7AAATERIAIS
TY�......... _.-.
PaRs
Soay
AlfeChanical
Gtass
Bodr Materisls
PMinf
Paint Matenals
Fh¢ Wasbe
�Aiye�tlaneous
Q� 8ody
0.8 BOdy
� �dY
ReAnish 2.0
Refinish 2.1
� �
�_� �S�
0`2 �g�c 35.00
L.Abo� R�te (nformation
1.�bOr UnitS L/Dor Rate Paint Unib P�int Rste
._......._-...._......_..--•._........... _..._. - -�--..... ••••-•- ..............».......
22.0 342.00
6.l 565.'JO
9.8 �42.00
0.0 50.00
109
10.9
,�age s ot �
$3.d0 53.OD
53.00 53.00
AdNtion�l......-_...........T.'l..p.e__ .............�. �otsl
Parts $1,904 56
Sody 5824.00
nn�►,��i�� $a�6.�o
G1sss 575.60
60dy Mahriala
33.00
5457.8�
�305.20
53.00
i86.0a
i42.00 Paint
528.00 Pelnt Materiats
S�.Oo Has Waste
588.00 Misoellane0us
E2,209•78' T!x St71.i5
Te�t � 7.�5°10
...._._.�...�._._..._._..._...... _........._..-.•-......._.._.r..r_.••-.�.....___ ........ ....._..... __....._.__..._.... .�................... •- 7ctat�..... 'E4,349.43
Prevbuc Totat yt,349.�3
7T�i5 Supp 50.00
....�.......-.._.............. ........................_.._.._......••-•..........-•----...._- -..._....••--•-. .......__.._......�.._........--•..._......-••-.....•--•.,....--.........._.__............
�e� 5100.00
• Td�l B�dament __.57.31--
..._.......-•---.._.._.____....-._..-•.»--._.._.._.�......_.._._..»-._..__....-.._�..,,.._._._._...... __ ._. ...._.•-•--_........_...r....._._....--._......
Cuatort»r pa7
intur�na Poy s4,242.10
P��j.ype l�qend:
0�1 � or;g�ne� �uipment Manuract�xer
ucQ = liloe Kfnd and Quality
M"1 = AfLermarket
R = Reco�ioned/Rebui�V�.emanuFactuid�Weoaed
Thls esti�natQ has bQen preparcd bas�d on tM use ot aRermarket aash parts wppl'ieQ by a source ot+�e� tt�n the manu+acturer a1
your moLor veMde. Tfie ditermarket tresh pdrts used M the pre9aration ot this estimabe aiv warrdnbM by the tn�snufacturer ar
dls�;bu�r of w�t► parts rath�r than the manufacturer ot your velrcfe.
*:*'T}1I5 EST]MAif IS NOT AN 1►UTF10RI7ATION FOR REP11IR5R'"' p0 nat �¢pair this vefiitJQ und all yuiEeNn�s BSted below arE
acknowtrdqed and acaepbed. Fauue to do sa miy rewR in addlao�al cvst to U�e vehicle awne�. This estlmate report ts based on our
initlal inspedion and dxs not onver any edditiv�al paris or labor wHch m�y be �equkod aRer the vehkk is k+ the rcpair fadfRy and �
ts aom dow+�, rne repatr fadltty must ravt�w and mncur wtth the soope and metl�odaloqy of Ure repair esttmate before beginrting
rcpalrs. OccaSionalty addlttonal Qemag(e IS difCovYred aftef the �lehlde is tOm down. lf this heppen5. K fs the repairo�'s ro�sibillty ,
to no0y AIGs appre�er as soo� as poss�blA artid ta obtain authority do cernplete Me scldfinnal rcpaus needed b resOore the vehlck
Oo It,s pre-bss aondldon. Any supplert�rrtal work must be made avapabk I�or InspeUt4n bY J1IGi appre6er and epproved by AIG.
Verbal author�adons bY the fietd apprafser are not bind�ng. Supp{emenql repalr requests pr�sented after the oompletion of repairs
can be fegal� deNed baseif a► this disdalmer. Faiiure to ohtain pna author'aadon may be +esutt in AIG's being unable ao F�onor
supqletne�►ta1 ct►,irges. Any supp4ert�enta� dsatgas must be supported by doamerltation In d�E lurm d involces and recdpts. The
deductib�e may or rtk�y not be 1"�sted on the eppraisal. All dedudibles a.'�d bettErt�ent nlust be Colkrte� irom the owner b¢iwe '
releas��g tt►e vehlcle. AH rep0irs must be wmpkied in strld accdMance wlth the manu�eturQrs speciA�tian and
reoommendadons. It iS tu�QetStood thet the repa�r Tadil�y lisbed on this estlmata, If one is Nsted, agrees to complete and quarar�
ntt repaks �isted o� tt�e esdmebe tar the amount listed on the esttniate. AIG does not warrant or guarantee the worlc of ar►y repa�r
facility Or technician and assw�es ra cespo�siWlity o► �iab�i.ry tor the quality ot repairs o► woricmanship ot any repalr faciliry or
!�� �----.-..�..:-�-.:..•.�..�.t�P►..r�li�tc/ornc-rica'FstilriateFol't70..aspX?doCid=�22906675&C5tidc... 7/19l2006
Estimate kage � ot �
. ulSpikr.
'►*"TH1S ESfiMATE IS HOT �N AIJi'HORIUTION FCR REPAIRS'�*� �
l
po npt repair Utis vehide u�til all guldeine511sted bebw are atknOwled9ed and aCtepbed. Fallure to do so mey r�suk in ddd�tr.�al �
oo5t to tile vehicte cmner.
I
IThls est,�nate report � baseC on our inittal irupectlon and does noc wve� any eddit+onal par� or labar whlch may be required afler
the vehick is fn the repalr `adtity anQ ts torn cbwn. The repa�r fad�rty must �eview and concur with the scope and Tethodology of
fie repa�r estimatc betorr, beglnn�rg �epaks:
OcCasionalTy BdGRronal ddmage IS diseovereq after ftte vehlCle {s tarn down. If thls nappens, �C i5 If1Q �C�lil'CYS rC3p0I19bIIICy �0 f16tNjl
AjG's app�aisrr as soon as possib�e and to obtaln authonry do complete the additional repars needed to resoore the vehlde bo �ts
pr8-bSF co!idltion, Any supptementat work rmist be ntade availabl¢ ior m�edion by AIG's appraiser and approved by /1IG. VerGal
authoru�ons by the fleld appralse► a�e not bindlrg. Suppierr�ntal repair zquests p�oted after the competia� of rcpalrs can De
legalTy denl�ad ba9eC on this dl9dairtter.
fallure to obtaln priar au�or�mtbn may resuit in AIG's being unable to honor suppiemental charges, Any suRp�rmeenLel charges
must be sup{�orted by documentation M Ux form of involces and reoeipts jT�e deducdbk may or may not be I'�sted on rhe appralsal.
� IUI deductibfa and beKament must bc � irom the awner before ►eleasmy the vehrde.
AU ++epairs must be cornpletrd in sZrid aocordanoe wltn the mxnutacturvrs spedflcanor� and recommendattor►s. tt fs unders�ood t�ai ,
the tepair fapl�ty listed on this estimate, if one !s ;Isbed, agrees bo compiebe and 9uarantee aM repairs f'sted on the est;ma4a f�r the
amount Ifsted vn the estimate.
�
NG does noc wanant or gva►am+ee the work of any repair facllRy or ted�n ciest and as5umes no respons�bfHty or liabdity for t'x 'i
qvality of t+�pairs or workrnanship d eny repeu tacility or InstaNer.
NOiICE
This estimate has been preyareG Gased on the use of crash parts su,�pUed by a sourtz otfier than the manu��urer of yo�r mator
vehiCle. Warrantfes appicable to these repl8oerl�ent parts aro prv�vlded by the manufatturer or d�shibu0or of thest parts tather than
ttle fnanu(dCtURr of y0ui wN�kte.
Such parts can be identlfied by the ktt�er'A" on tfils at�mate. i( the use at an �ftemiarkat part vokls the exis�in9 warranty on ti�e
part being replaoed or on any other part� the aRerrnarket pa�t shal have a vraRarity eawt to a better tt+an the rernalnder of the
e�dsting warranty.
For �r protection CaliFot'nis Iaw rtqui►ef the foNowinq Co sppear oe this to�m:
Asr pen�on who kqvw{nply prestnts a false or hsuduleot dsim for 11+e payn�ent of s bs� Is 9uiltl► d m Ctlme ae4 n+ay
be subja.t Co flMs a�td owiftadne�t in rtste prNon.
AUTQ iORY REPAiR CCNSUMER 8ilt OF R1aNTS-A CONSUMER IS E�fT?TLED 1"Ot
I�.SeMd the suLo body t+�p�ir shop to rep�ir a�lbo bo�r damsqe oower�4 !ry the Ineuranc� oompsnr. Ae in9arsnoe
��Y �Y � n4Wr� the reWirs L� b� don� �t a sp�cifk Ntibo bo�► n�WK sh�►M•
L. M Ib�aad, w�ii�n e�tin�sb f�ar auto bod�r t+spaks anef, upo1� GomWttfol� oi �epalrs, e detaibd Invoic�. The
estimaty and tt� ievetce mwt indud� �n iamised ifd of p�lts snd I�bOt' ibrly wkh tt+e tobl price fo� t!N work
pe►f�xmed. Tf+e esd�net� �nd iavoloe must �lso i0ontiry i�p p�►ts is new, w�d, efbet�nsrlctt, rscoadkloe�q, or *ep�MR.
Z. 8e informeq about cvre�ip� for �owieq senricss. U„less t�e inswrsncs comps�ry h�s provided an i�urod wltfi the
nanoe of e spedfle towing ooeapa+h prior bo the fnsured s use o�f �naher bowin� co�++pany, tt+� Inru.er mwt Wy aH
re�sonabN buwinq chs.g�s ot the towlny compemr usea by th� i�sarea.
3. tte intormed �bout tMt eXteet of Co�erage, if any, for i t^sptacw»�nt ►eittai vehlde whik a dami�ged vehicle ts
bdlag repalttd.
I4. 8r inforMod whereto rep0lt svop�CtW friltld vr Otha� aoAl{f(aints ind can0�rt►s ebOut �Y�O body t'q17�1'i.
L.._..���_..,,.,...,.l.�imo .-�,*,/.uPh��lie�+,t�;veneTic/EstimateForm.aspa?docid=22906675&esud�... 7l19/20{16
, • � � E�tun�ate
Pa�e 5 0�� 5
b. Be i�ormed of whe� to rsport wspeded traud or otNe� cempbints and aoncerns about auto boA�r rep�in�.
pp►dP1,AI{'ITS WITHIN THE 3URI9DICTLON OF THE IlURlAU OF AUTOMOTNE REPIlxR
Complain� conoerning tf�e repair oT a vahk�v by an auto body repair stqp shouid be dlrected to:
Toll f� (a00) 9S2-SZ10
plifornpl Deparb�►�nt of Coa�umK Af%Irs
du�reau d Aut+omdire iiepair
10240 Sjfltlm8 PirkWsy
Socramento, tJ� 95827
The Bureau of Automowe Re�r can atso accepc compla�nts over iCs web s�te at: www.autorepatr.ca.gov
]
�
�
. . ,� . ..._-��:.--� ��-.��..o�./�t;,.,,r�InP.,pri�/RetimatsFortx�..aspx?docid�22906675&estid—... 7�'X912006
Kelley Blue Book Values
Page 1 of 2
AUT� 1TETM ,"°�'R►�,-�a"�,�
� HO�lEEI L.�:►��� ��N9E� GAE
FREE PRICE QUQTE! � �lect Make � � • ��wEws ■ �vtEws ■ YIDEOS • �c1uR�s . �uMs
� KELLEY BLUE B�OK VALUES S�R�"
;
Find Your Used Car Value �
11 Private Partv Value » 1994 » Honda » Accord EX Couae 2D » Eauiqment and Oations
KELLEY BLUE BOOK PRIVATE P/qRTY VALUE
California - 07N6I2006
1994 Honda Accord EX Coupe 2D
Engine: 4-Cyi. 2.2L VTEC
Drive: FWD
Transmission: Automatic
Mileage: 7e.000
Equipment:
Air Conditioning
Power Stesring
Power Windows
Power poor Locks
Tilt Wheel
Cruise Control
AM/FM Stereo
Cassette
Duat Front Air Bags
ABS (4-Wheel)
Moon Roof
Alloy Wheels
Print This PaQe
PRIVATE PARTY VALUE
', 1
I✓AutoChe Ak I
Get a FREE record summary!
�Enier V!N Here
�!■a�r �.►�R a.ti� �''r.��
How do I find mv VIN?
Ail���.t�Offt
c
•
r Free New Car Duote
„ Find a Car Uke This
s Auto Finance (�uote
� Auto Insurance Quote
�► Get a Free VIN Check
» Get Another Blue Book� Value
Condition: Exceilent
"ExcellenY' condition means that the vehicle looks new. is in excellent mechanical condition and needs no
reconditioning. This vehicle has never had any paint or body work and is free of rust. The �ehicle has a clean TiNe
History and will pass a smog and safety inspection. The engine compartrnent is clean, with no fluid leaks and is
free of any wear or visible defects. The vehicle also has complete and ver�able service records. Less than 5% of
all used vehicles fall into this category.
Private Party Value is what a buyer can expect to pay when b�ying a used car from a p►ivate party. The Private
Party Value assumes the vehide is sold "As Is" and carries no warranty (other than the continuing factory
warranty). The final sale price may vary depending on the vehide's actual condition and bcal market conditions.
This value may also be used to derive Fair Market Value for insura�ce and vehicle donation purposes.
w�w5���
KEEP'JP �VlTN �
� Search by MaF
or
� Search by Catego
a
� Search by Price
or
� Search by Payme
or
BUILD AND F
ADVER�
http://www,autosite.com/content/Research/kbb/index.cfin 7/16/2006 5:22 PM
���c
(TIRE)
AMERICA'S LARGEST TIRE STORE
, R�9URTA PRIhICI�'E
_ . .. .. , . . .:,
PALM UESERT
Gt� 9�c5�
Financing Avallable
Ses store for detalls
'�:=Y�: !��-.�q,�...'.r_'l.�0e ��IME;, c:;'fc' F'C�t
1994 N�lVD�
GIVI.0
ALL E k'
MILEAGE: 77. �41
c���az�r �t
7GRG►UF SF'EC ; : �8�►
CODE CC QTY S1ZE DESCRIPTIOf� F E.T. PRICE ��•;�OUFJT �
4.3l►3�: 1VFt{�! 4 F�-18�i6V1R-k4 t3�H B YDK�HAh'!R YK4c� t31�121) .l1Qt ?4.0Q� �9r.�F�1
1JARRAPtTY: MILFAGE- 6d+s �4�� WGRN�MA�lSFiT�/!YlflTEi�'IALo-L7�ETIME RUi;tU �-I�aZA�iD-�=REE REF-'LACEMiEIdT
rOMME�lT : Z�JFI_r��' � aN F: �9 R:�5
84�@I7 t�lR!�1 4 CERTIf= lCAT�� FOFt FFEi� r Et='LA�EMEM1f{' .!�� lc� �� 48. Cn��
F311��D !'S NRI� �+ � i Aj'� F�(GG?U I RED EP3V I R��idi'IE'rJ"i �L. F=�E �'l� 1 e?.`�� '0 1Z��
pQ�c24 P��t�l 4 4dA�7E �" I RE D? 5G05�1L FE:E � C'�� �. �0 8. I�l.�
�102;.9 NRI� 4 iiV5TALLATIn;v R LIFETTi+ii: .ri�.Ily BA► ;?IvCII�I�� ,����+ 1 i. �b`� 44. Qt!h
8�4m� rdR�^ 4��AL. �IES, RilTf?T z Oh�S � '! Ifir F�E���; I�;G Z r:trL�l�i �U o a�+� .�n� .���
� :Flf*ihiEhi t : ;��'�'� i IfdT�'IEht i : 4?i�-�7-�t� •� � : .;� F'M
�t`� tic � o S�-t ��v� I � N� (�. �"� C�'
`��� � a �� a� �� .:. ,
� -- � ,:���
w . . . .. ,y � r n_. . _'��,�. �� � , .
WORK ORDER
❑ Air Check
LF RF ❑ Return Tires
❑ Change Snows
LR RR ❑ Repair
❑ Rotation
a❑ Rebalance
❑ Wheel Lock Key
Installed / Pretorque �
Torqued by: Ft. Lbs.
Bay Coordinator•
Comments•
�LI�TOTAL �
TAX:
T��7Y'u_:
�!;��<< �-1#: �_��'�GY?":`i UF.B.:7:
TtNUER�f� :
�N� �a
�9�7K KRMDAI RLl
GA7H�PRAL GITY G� 9��4J4
G'H�t�IE : 760-770-K�57c
5��h TIM rJEiNAS7
tJURK DF;DER#
X . •. � �;•��;
Custoriiej Signature
Cardholder acknowiedges receipt of gootls and/or services in tne amount of Ihe Tota1 ahown hereon
ana agrees to pe�torm the obligat�ons set lorth in the Cardholtler s egreement with the Issuer.
americastire.com
4�3. a7
�1, �:
L:�c J?
.y_�F.„ `_��.
4�F.. F��.
+r:F.,, �(:
STATE OR LOCAL TAXES AND, WHERE REQUIRED OR CHARGED. ENVIRONMENTAL OR DISPOSAL FEES ARE EXTRA.
DUPLICATE 1 PAGE 1
• s
ROBERTA PRINCIPE
HONDA OF THE DESERT
68-025 KY4E ROAD
CATHEDRAL CI7Y, CA 92234
i760) 328-8981
SERVICE ADVISOR
JOSE MALDQNADO EPA # CA00007334632
; ...:..:. . ... .::. '.;: : ..::::�. :.:.:,::....... .. :. - - - -
a���x��wta .,:.::.; ;':::_: :
n ; � . : .:. :. : . .:..:: _ ;:.:;:::: ..<:. :.::: z ;:: T ; : F;, �ib;'': `.; : ; ' ;"�n:a' :;;'iKtVOtG�'tiR, :: ` .
.. � _ .....:.� K.::,:.;;:� : :.::
Ymttt�rr:..: ; i3ATE.ti�A..UY:.; .. Si4C�.tqO� ..::. ::::..: VEHtCt��F?EN;ffFIGA.T.1EN�i....;.:..:.: G1t5T;:#�4�::: :: ..AG�iq� ,::`. ....A� .. ........ :.... .P�sEo<>;.::z :: . ._. . . ... .
J2JUN06 03JUN06 � 012534 T4075 03JLTN06 154655
, , . .. . .. .: . . . : . .. ... : . . ... ;.: :: :: . .::>: ::::.. . ,: �, ..::: :;::;> :.: . .
; ; ;:;;:.:.::.::_; .:::::....::.::;::,. ;:.. .:,
.. . .:::.. .
; .:.-:: ;:.:,; :. .:: . . ....... :
K ; RR` -.: . :;. :.MAKEbIdlQ�L:::._.;::<::., '.:;. :.;>;:;:::�iE.�H . F;��i.';.;;i:`.::`i::':'::::; .: :.':.?';:??'1:ii;tL1'fEi:::;:::i '.: ;.BY::;i•.; >::.;::.::z8"S<..i: i:.:::
,, . TIM� tH , . .: . : .TlME REAo . . . YE . : � . : : .. . .: .. . . ... .. �. ... _:.. _.
13:11 12:27 94 HONDA CIVIC ) 09JAN01 71 712
;.:.:..::, ,... :.. _. ..:. . ... ..:
.....�. . .... ..
, ,.; ,- .. ::.:.: . . : ::.. :.: . :.: . .: .
: _ ...::..-.;:.:..:;.: ;.;;: > .:
t�r�s Ha::::: :: :..<.......: :. ....; ::,,::.. ::.: ;:.
;.;. .. .. ..
� ;,;:.,..: ;;::.,.:. ...: :
� ;:;.:; :.:.;:.
HffLEAGEAi .: ... .: . . . ... . . .. :. ..... .:;; ., . . .. . :: . ... . <.. :., :::<;; ; -: _ , . . . .. .. ... .. ... ... ...... . ... . . . . . . . . . _. .
77173
. .... . . . .,. . . . . ..., .,, »uc � � �.: � � �ae.: . . : riouny � . . ::�:toixaaT . :�.:.:... � ta:rt»�a .;:�: . ... � :� mrnc �. � . .:.: �
�:. . :,.�..... . ��::. ��-�c� �
,� CUSTOMER STATES BRAKE PEDAL IS GOING TO THE
FLOORS, CUSTOMER STATES STARTER AFTER
SERVICE
34 FOUND MASTER CYLINDER BY PASSING,
REPLACID BRAKE MA.STER CYLINDER
506 C 1.50 135.00 135.00
1 46100—SR3-913
4929352-46100 W—MASTER
CYLINDER 230.00 23a.00 230.00
1 08798-9008
4423802-58740 W—FLUID,
** BRAKE (DOT 3) 4.00 4.00 4.00 ������
3 INTERNAL RENTAL
IRETTT INTERNAL RE'NTAL
999 C 0.04 0.00 0.00
3UBL TOYOTA RF'�NTAL
C
�** PREFERRED CUSTOMER DISCOUN'!'
01 PREFERRED CUSTOMER DISCOI7NT
999 C 0.00
CUSTOMER SATISFACTION IS
QUR #1 PRIORITY
IF FOR ANY REASON YOU ARE N07
COMPLETELY SATISFIED, PLEASE
CONTACT OUR SERVICE MANAGER. OUR
SERVICE DEPARTMENT IS OEDICATEO TO
YOUR COMPLETE SATISFACTION.
WE CARE!
DISCLAIMER OF WARRANTIES �
The seller hereby expressly disclaims alf warranties �
either express or implied, including any implied
warranty of inerchantability or fitness for a particular
purpose and neither assumes nor authorizes any other �
person to assume for it any liability in connection with �
the sale of said products. �
pES�fiM7i<�V:. .': :. . s �::': . _:TOTALS'
LABOR AMOUNT
� PARTS AMOUNT
� GAS,OIL. LUBE
� SUBLET AMOUNT
j MISC. CHARGES
� TOTAL CHARGES
� LESS INS./ ADJ.
� SALES TAX
ORIGINAL ESTIMATE
s
REVISED ESTIMATE
s
I HEREBY ACKNOWLEDGE THAT 1 WAS NOTIFIED AND
GAVE ORAL APPROVAL OF AN INCREASE IN THE
ORIGINAL ESTfMATED PRICE.
x
CUSTOMER SiGNATURE
; PLEASE PAY CUSTOMER SIGNATURE
� THIS AMOUNT x
25.00 25.00 �.�
—18.45 —18.45
�
�
. � Y
�
SEE REVERSE S1DE FOR LIMITED WARRANTY �
ON PARTS AND ACCESSORIES. �
"IRE �NF�ATION FOUNJ AT
?E�OpT Ser aT
3RAY:E FRONT NEL�
REPORT REAr7 NE'.N
VOUR$
YOUFS
P51
PSi
;�I����7��4 '���i,=K��`�
JUN c� .� 20dr
� •/ W
DUPLICATE 1 PAGE 2
�� .
ROBERTA PRINCIPE
BAR # AG 190236
SERVECE ADVISOR JOSE MALDONADO EPA # CA0000734632
, . :: :._.: _:: : : :: ::.::: .. .... _..: ._.,.,., ..
�:.�rr.�aK� Nvars.. �... . .,-..�:..::.:�.:-: ...:;...:
.......:�;.:.- :;::.. . . . .:.:�:..:�.�:.
_ .:.: .: : . ...... .::. . Kv!Vit.s.:... :, :::;:.
;;:i.;WAtT��: .. .:ESdi'E:A@A.11Y:::::::.�s'fQGR.Nb:.:;`::;.;:::;;V.EkI}CL�lI3�17tE9CA7fON:::.._..;: .::: �)t�ST':;.fi10i::';.:.;..TACGNRZ;::.::;:P:�:fifQ:.:::'i: <':::PSIN7EQ.':.;��:::i:::
02JUN06 03JUN06 1012534 T4075 Q3JTJN0
.. .: . .... ... .. . .. :. .. .. . . . .: : :........:. : ::: ....::.: . :. ..:. . � .::.. ;. . ::.,�,.,
..::.. .: .:
1NE READY.: .YEAR:;':. ,; ; '[ :.;.;;'_NWkE&NIQDEC .>:_:;;:..; : ;..' :;`:TE48R11E7ME,p117: ;.:'..:::::::. ` .:.. . : ;<;.;:: :...:s: :ofiTE.`.. : ::` .. :.BY:
`. ; TIARE IN : �7 . : . : ..
13:11 12:27 94 HONDA CIVIC 341-8850 I09JAN01 7
, :: .... . ..... .
. .. ......: ....... .... .... ..
..: :
._ ..
>:. , :t �v :raa::::.: :.:::; .::..:..::::.. ... .:.:. ... ......... . . .. . .. . ... . .. .
;..
M1kEAG� )At.:: lG . 9E. . . . ...
77173
. .... . . .... . � � . .-�. . � V6l'P.. �: �.' '1Ytb'.. . .MolMfa� .�. ..:.,L61MIfF:':"�::' �. �: IQiRlNR'•. �' � ... �'�7DT11L..� . � �
.EST: 282.00 02JUN06 13:33 SA: 712
�
** PRE—INVOICE **
CUSTOMER SAT{SFACTION IS
OUR #1 PRIOR{TY
IF FOR ANY REASON YOU ARE NOT
COMPLETELY SATISFIED, PLEASE
CONTACT OUR SERVICE MANAGER. OUR
SERVICE DEPARTMENT IS DEDICATED TO
YOUR COMPLETE SATISFACTION.
WE CARE!
HONDA OF THE DESERT
68-025 KYLE ROAD
CATHEDRAL CITY, CA 92234
(760) 328-8981
. . .
i1E.S.di�!Ti0A1: :: _ ' . .': TO`TAi:S':`..
LABOR AMOUNT ZZC . SS ORIGINAL ESTIMATE REVfSED ESTfMATE
PARTS AMOUNT 234 . ��
GA5,OIL, LUBE O. OO $ $
SUBLET AMOUNT ZS . OO I HEREBY ACKNOWLEDGE 7HAT I WAS NOTIFIED AND
MISC. CHARGES O. OO �RIGINALESTIMATED PRI EF AN INCREASE IN THE
TOTAL CHARGES 375 . 55
LESS 1NS./ ADJ. O. OO x
SALES TAX 1$ . 1Q CUS70MER SIGNATURE
PLEASE PAY CUSTOMER SIGNA7UFE
TH1S AMOUNT �g� �:�;� X
*THANK YOU FOR YOUR PATRONAGE!*
*********SERVICE HOURS*********
MONDAY THRU SATURDAY 7:00 AM TO 6:00 PM
1d17: ': ; ,'.; i
154655
;'. :: �r.x :.::.::' : ' ;:
712
DISCLAIMER OF WARRANTIES �
The seller hereby expressly disclaims all warranties �
aither express or implied, including any implied I
warranty of inerchantability or fitness for a particular
purpose and neither assumes �or authorizes any other i
person to assume for it any liability in connection with y
ihe sale of said products.
SEE REVERSE SIDE FOR LIMITED WARRANTY I
ON PARTS AND ACCESSORIES. I
TIRE I�JF�pT10N FO�,ND AT
REPORT SET AT
3RAKE 'rRON7 tVEW
REPORT RcAR NEN'
YOJRS
YpURS
PS�
P5�
CLOSED SUNDAY
SAR# AG190236
� I �4'� •:��
- Enterprise �
� '� — � c�,Fi�������� . , , r-.� 7{-;} �t • r�,- , r .
�. 1^ � +_ . ,
OWNER OF VEHICLE: `i��ij'.:� �� `r2�'�'J��. �'f? :. b � l;j ''i,{.;...-7•p:s �c�S � •
BRANCH ADDRESS: �-'�1i ��+ �G CL'.���� Li=+. �'�:.�' ;. t ._;; � � }? .
� u
-. � � a �.� -� . -� f : ;•,p,. Y
I . .t � c. ..
r�
{ START Cr1ARGES IF DIfFERE1dT
�
IORIGINAL VEHICLE
� i-4at°R `?!'�E�'"�i
j4�, � .jlY S ��C i3
RENTAL r ���� �
TYPE
RE��R t�t I F'�'� ;t!i�C �� f i�
CUSTOMER COPY
)1�� ;�:'��:h.- :iz:� ', ;;;+,;: - .,
' ,.. � (,�_.t ,-,�- .
r' �`{ `:i � l)'. jt^� ^ rt ; i�.( l�' :a �: n._tH"" t.
'it'�i_'•�, .�L)tt�;!;ti.i^i- ^]�f;i"!F
`-0�� . �- - . D L1,;;
` � �
L!t'. :� '-' C.`{ J�2f �� I('� f'�t.� .}�:c�'
_ {'d% LNc-;f�'���' �:JS� � �1�_�;�
t �Ll:1r� ` 2� i' � ,, tl�.%,'i�i;l��
IMILE- I IN BILL �COMPANV �- --�- -- - � . .
j AGE I OUT i-� �.�'� � qT�TN �—'— — PHONE--�'---" EXT.-----
EMPLO�EE p �
cor1D�*ON�OqEEO 70 x ' REFERENCE NUMBER J
REMEit
�J �—� ADdTiONALAUTHORIZEDDRNER(S)-IXCEPT/�I�E�Ii�([Y�AWj�(�N��iT�Pllfl��
° � I�J j W����PR�,� ,.� � rit �>>
O I REWEST OWNER'S PERMISSION TO N10W
IO I I �jj a WHO IS UNDER MY COpI.�ROL ANDp�t ECTION TO DRIVE V HiCI FOF ME AND ON MY BEHALF I AM
l 1 LLL RESPONSIBLE FOR TIjEIRACTS WfiIUE THEY ARE DRIVIN kNq� FOR FULFILLING TERMS AND COND'TiONS
I - � I�� �_ OF 7MIS x TAL AG EMENT (AC�RE�MENT� USc OP VE aLd'6Y AN UNAUTHORIZEq DRIVER WILL
OAFF�Ci V � BILI�AN�S RI('.MTFlr mc.. . -- � i ' , 1.
�� �' w \� �
.c��.* -. sc.��c� wEa�eenwr� re� a� -, pERMISSION GHANTED j0 OPERAtE VEHICLE�bN�Y IN THE STATE � RENTAL AND
lu ouT E 1i8 va 3�a � s�e va ne F THE FOLLOWING STATE(S): �.r� ��,�� ; r4'^ . . • _J
�E ' , ' . , lr' , .
� Ik E ti8 i14 3.'6 tY2 518 ]74 ;�8 F OPERAT�Ot�W.W+O7�IERSTR7E0RCOLk7RV-NriLAFFE�.LY,�R�IaBU-Q%A�+OR�GHTSUNDEFiTMISAG�EMENi
� RETITER DECLWES OPTIOIJAL DAMA('aE RENTER ACCEP75 OPTIONAL DAYAGE RENTER. X '
DAMAGE WAIVER NOTICE: w iow�aw�sw�so�ce �MANER(DM�IATFEESHOWNINCOL-
RENTER ACKNOWLEDGES '� O1s��r SEEPAGE2 PARAGiiAPM UUN70R�GHT SEE DWNOTICETO
RECEIPT �F ORAL DIS- � ' �EFT'4JJpPAGE3,PARACRAPHI6DW
IS NOT iNSURANCE
CLOSURE THAT DAMAGE X � .-
I WAIVER MAY BE DUPLICA- RENTERDECLJNESOP'TpNl1LPER50NAl RENTERALCEPTSOPTIONALPERSONAL RENTER X ,
Hi INSUIJ/ANCE (PAl1. ACCIDFJIT INSURANCE (PA1) AT FEE
TIVE OF COVERAGE MA{N- 1 � � ti,, SHOtiVNiNCOLUVNTORIGH75EEPAGE
�TAINED UNDER HIS OR `1 , 3.PARAGRAP}i1H
HER OWN POLICY OF ��X` �'�- - -- �
_.. _.___-.
M OTO R V E H I C LE I N S U R- NES OPf10NAL SUiPLEMEiJ�L RENTe'R ACCEPTS OPTpNAL SUPPLE- ftENTER x ,
PR07ECT10N (SL� SEE PAGE 2 ��'�T%� ��uTY PROTECTKIN I�1
ANCE. THE PURCHASE OF w�,� � ATFEESHOWNMCOLUMNTO.�IGM
/ SEE PAGE 3. PARqGRAP�� 17
� DAMAGE WAIVER IS :x...___._.__ __ __',-�
OPTIONAL AND MAY BE ACKNOWLEDGMENT OF THE ENTIRE AGREEMENT,
DECLINED. WHICH CONSISTS OF PAGES 1 THROUGH 4.
, i HAVE READ ANC AGR'c= TO THE TERMS A�D CONDITIONS ON PAGES 7 7hR0UGh q OF TF:�S AGREElAcA i IV�D BY MY S�GNATURe
BELO'N i AM TnE'RENT=R' UN�ER TH�SAGREEME?:T BY SIGNING BELON.I MIAUTHORIZRIG OWNER TO PROC�SS CHARGES ON
MY CREDR CAFtDiS)AND/OR DE BIT CARD(S� FOR ADVANCE OEPQSiTS, I.�C.RE�IENTlLL AU7tl�RVAT�ONSlDEPoSITS. AtiD �HARGES
MCURRED, AS YIELLAS PAYN,ENiS RE=USED BY A THl 'Y TO WHOV 9iL�I�G V.�AS DiRECTEO 1 CERTIFY THAT T}iE DRNERS
, RE NTE R: X UCEMSE(S) PRESEHROac nioocun v vs� in �uD N0T 5 NDED, EXPfRED, REVOI�D. CANCELLED OR SURRENDERED
, ` ! .
� REPLACEMENT VEHlCLE RENTER• x 1�! >.% -='' '`'i
i
I e . .._-- . . ..
� ° OINNER EMPL ".�-�?'•
' REP X #
I �O_OR I iCE��E �+O 1 WILL RETURN CAR BY' DEPOSIT(S): `'-"
� DATE TIME AMOUNT PAID BY
i r.4�DEl __ I - _ - EC"vRa . " , .. . . .. . . . . . �� . . _,�� ? � . .
��=. i:. � � .i�,' 4��;
� v��=_ � i�a �
` a�`' i o�T '
� aooirior�a� wFo�r,�r.ron
I EMPLOVEEa
ICChDi'10l.�GREE7 TO y
REH1cF
_ O � _
� � O
� � � _
i �� //��� I�I O
I%_-Di��� -._�Pa*Cti BNEpI � 10
�F OUT E �l'o '�d 3�e 1,2 �%E 3•� 7l2 F
U
E
' IN E+.8 %ti 3:8 +�I S/& 3:< 7�8 F
0`1'.VeR IS AN AFFILIqTE QF E�VTERPRISE RENT-A•CAR �011PANY, YJHICH 06"1'VS ALl RIGHTS TO ENTERPRIS� NA'.1ES A�p �tARKS.
t3l� Y �_ -y _.�. . =.}:� , E. r'`,.
�.�� � ,
:, , � w � i:i-� r
�"ri �,, �:%'?. ��f�;
il .�'� . . � . . :.� . .
r��lr::. .i3 - . �� . ... t..if� �
'i::, ;
TOTAL CHARGES
DEPOSITS
�
REFUNDS
� � �
CLOSED BY
PAiD?Y , CASH CHECK CF
RECE4PTOF DATE AMOUNT � RECEI`
r - t,> ��t+�UN'J
O Enterprise Rent-A-Car Company of Los Angefe:
• X
5,y� �� 1V101
/ �i +
� �i
seB�ey�
6u�ddiys •s.iiede� ;o �unowe ey3 em�es o; pe6pa�nnou��e si uai� s,�iueyoew sseadxe
uy •uoi��adsui puz Bui3se3 ;o sasodmd ao; 3uewdin e a�eaedo ol uoissiw�ad �uea6
SlaVd 1`d101 Pue �eue�Ew l,.iossaoeu eyl y�inn euop aq ol �{�o�n nede� anoqe e43 aziaoyln� �Sqe�ay �
� �G. ki08tll 1V101 'lo�3uoo �no puoAaq esns� �ay;o
�Cue ao uay� ao en; �Cq sso� ao� a�qisuodsa� ;oN
'31�IH3A af10�1 NJlltl 3M Fi31�t1 S3lIW Q00`ti 4NM 000'£ N33M138 ��3H�3a 1N3WNJIld 33li� �
��. � . _ . .. ---. . _
� �
�
sl�npad p�es �o e�es ayl 4l!m
uoi�euuo� w/���qeq �ue �� �o{ ewnsse ol uos�ed �eylo �(ue sezuoylne �ou sawnsse
�eyliau pu2 'esodmd �e�na�ued e ao{ sseuilJ �o ���qeluey��ew �o tiueuem
�,�dw, �(ue 6uipnpui 'peqdwi io sse�dxe ,ay�ia •se��ueLem pe swie��sp �(�ssa�dxa
/�qeaay (diys�a�eep paweu anoqe) ie��es ayl 'me� q pep�nad asinvey�o sse�u�
Slatld 1d101
. I_
a L�
�� �� �� � - - -- .
� �� �JL
lrvnowv
I _ ._
� Fi3�JVd I � �, ' � 3NONd T3�J ...._
G3 N Hd Ntl0 �
��� � �� 1.�� 7 �
.
rvou�ntusNi ��
- � u �v,�—f f �r�'�—
�iv.ieN3�f'f"ON lvid3S 1300 H 3NVW
^ _� � r . i
._ . ��' '. _ . ....L�
�•• �71vr+d Vji 3 O .� /�� `,� � " L1` . � 1 ` , j!lOOd
\/ O/O 3� V� V F+�� �' • 1 '� V/�. �`v � V�,J 3W1RV
� h�L� �
6006£ � aV #'�d ZZ 19-b7£ (09L) auo4d
6 � O b£ZZ6 d� '�3!� IeJPay���
peo� uowea � 1-89
NdW 1N3WNJI�d 3Hl
I
� lnl 1(1WV 3�Itfd N011dItl�530 OND' ON laVd ��N�l1DJ
�-1 �P{�re� �
r�;s L k�'L'__ '":'r
,�, .
:'t�
J- -- — - r>- ... .'�
�'...� ��_� s; ��,i'� _....
r:. :� r, - - . • -.—
`14'� _���"' . ! : . 'r:._'�
"%ai�._J �y...:�r,�:�i
iFi�fir'��1 ���: J�if,t.���a{�iN:��r'J1•5t.r
.z
i:��_a �%I'�; r� ��"•�r'�i i'�
�E���C} �i�@`��€�- +�� ;
`M�.,L�.ii!1'�T> ;'�i �h
- r
.:f�!�1� �'r��• ��_
vr�,Fti -y F e r:,; �
' hf�.. �`_ � �_!iL;_
.�_':?�� ,�il�.F'; _..�t1_�=
�rC;!,�; _ : ,' �rs „ �� �=�
.
�
_ .wy-�7 - -.._.. ..�._ _ 4.
,... _,._.J,.t_C�� CF'L �r 'I' _ t_�....�,_...
. ..ur.�. , . � .. _...._ _'r:'_ �*'1,,�1��
� r � r, —
rf�.,��iiy�V(� ?�� v�L;' .i ..� ' �:17}{f�'• _ .
_ �.
`i�il�-i����r'� __ .
�/ �