HomeMy WebLinkAbout29171 / 77-14October 20, 1977
PIJRPOSE : PAYME,.�1T GF CT �TM
IIv1TIATED BY : CITY �'�LCNISTRATIOPI
# 14 RESOLI3TION
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H� ii RESO"LUED by the Comrr�n Council of the City o� Oshkosh that the
pro�r City offi_c?a�s are hereby authorized and directed to pay the followi.ng
claim:
RCxSE M. GiZUNUiALD �5b.5�
902 H�.aron Avenup
Oshkosh, WI 54901
N�nzy �'or this pz�rpose is here'r�y appro�riated from Account No. 08769Q,
C1a:ims for Dam-�aes 1��c�un�.
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I CITY C�f' pSHKqS�#
CITY HAIt 215 CNURCH AVE.
P.O. EOX 1130
PAYEE, QSHKOSH, W{S�ONSIN 5490i
VENDOR, OR
CLAIMANT
NAME • ROSE M. GRUNS^�L�D
ADDRESS • 902 Huron Avenue
CITY AND STATE • ��OSrl� WI
DATE • ��O�r 21 � 1977 DEPA�c7MENT
OESCRIPTION
PURSUANT TO RESOI,UTION ADOP'I�D BY OSHKO�H CbNIMON COUNCIL
ON OC`I'OBER 2 0, 19 7 7, AUTfiORI Z ING PAYP�NT OF C�AIM OF
ROSE M. GRUNWAI�D FOR EXPENSES INC.'URRED WHEN PAINT WAS
SPATI"�tID ON I�R CAR WHZ?� 'I� WORK R�,IEF' CRE'�l WAS PAg]'I'ING
TIi� S'I�EI., BEII�S AT TI-� CITY PARKII�TG F2AMP.
NsULTI-PURPOSE FORM
� �1 \v�I��
0 V�UCF�ER
[� CLAIM
�o•
IUNiT PRICE AMOUNT
ACCOUNT DISTRIBUTION 087690 TOTAL
EXTENSION OK
�
S, FNE SUSSCki6ER, AFFii
IS lUST, CA�tRcCT, <.h:D
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I$56.58
Y Tti�T 4E �;Fi VE CIAtM, AS STATEp, OR AS FER ATTf:CHED INVOICE,
[}�THAT t.l� Ft ,T TfiEREUP h.�5 6EEN AU6ITED, ALLOWED, OR PAfD.
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� (lc Ee �iyne� i�erc By F!:�lnd;vi<iuul) ���� °�._,°
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�i �;b .3 �� . �� � � :;:t7 �.� � a�, a � .. .At +�y� �h`� l_.;""'� Rr� *&"'- .,. ro � ,-x v aw �s. a+ , �,i<3 m x;
' ks-.,� �� ��,d"ta� s a�,..sa.,s v.•'ai "x i i '� � a..'-�
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�., sn....'�wr�5a��;:,3....s.�eE?�.r.a.�af��.� ..�st.A�....�.4.�a,...,.,..,... .., ,_+�+. . ac�t,ti"�f'�.�aw�-? ,..,. _ , . . ,...t . .� .,
_ � CITY OF OSHKOSH
CITY HACL 215 CHURCH AVE.
P.O. BOX 1130
PAYEE,
VENDOR, OR OSMKOSH, W(SCONSIN 54901
CLAIMANT
NAME • � S �e �? . . �
r u- n c,z) c� J<(
ADDRESS • yd� �/��,G n �
�Y � / � ,
CITY AND STATE •
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DATE • �y
�' � d" � � % �EPARTMFNT
DE3CRIPT�ON
U CL�r�- 2�� �2_ 9
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,
J - --�i. � 7
errn� �.�T �
"••• ✓�.��RIDVJIVTj
EX7ENSION OK
n����rc OFPART
�
MU�TI-pURPOSE FORM
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❑ ��UCHER
❑ CL�IM
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UNIT PRICE
AMOUNT
� 70TAL f
1, THE SUBSCRIBER, AFFIRM AND SAY THAT THE ABOVE CIAtM, �
IS JUST, CORRECT, AND TRUc', AND 7NAT NO PAR7 7kE c AS 57A7ED, OR AS PER q7TACHEO iNVOICE,
� R.OP HAS DEEI�I AU�I7ED, ALLOWED, OR PAID.
—^—�—� , ir�✓ i ,1 d
To he si�ned here hy —��_��
, an inciividual
Dat e ����1s�\
�o
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� BADGER C�LDSMOBILE CO., II'1C. DAA�SAGE REPORT �
PRICES SUBJECT TO CHANGE �
Items GIRCLED are not in �he total, in
. ►�. 700 N. MAIN ST., P. 0. BOX 1122 OSHKOSN, WI. 54901 o��opinion�a�e�or,�.tofth�s�ia�m.
PHONE 414--235-2202
� STIMATE GOOD FOR 10 OAYS ONLY
"� ER ADDRES �y f�
,wS �,` � PHON � •o.,� DATE C- �
Y ll.�' L`� /',� � .� 7�v��/ .i.�.-C'7J`" �_ '��� S'� !� � �" � -�
0
� R �., MODE TLI . S MILEA E COLOB� SERIAL NO. CONOITION
� �- --��- � c���...t.�-.
' S RANCE O ADJUSTER PHONE CAR LOCATED AT DEDUCTIBLE
i — — - —
���- sumet serv�ce; sub�et service 5 RIGHT sub�et serv�ce g
Sym, FRONT Or Paint Or Hours Parts Sym. �-�� Or Paint Or Hours Parts Sym. Or Paint Or Hours Parts
�— -- — —
Bumper W/Pads Fender, Frt. Fender, Frt.
I Fender Shield Fender Shield _
I `/ Fender Mldg. Fender Mtdg.
Ir ' `�,/� r ' � ,1i - . �
i V - BumPer Reinf.
Bumper Brkt. Sids Light AsTb!y Side Light Asmbly
eadlamp Headlamp
Valance Headlamp Door • 3 Headlamp Dr.
8umper Gd. Seafed Beam Sealed Beam
Frt. System Park Light i� Park Light _
Frame Gowl ' :��` Cowl
Frame Horn Door, Front Door, Front
Cross Nember poor Hinge � � Door Hinge
Stnbilizer poor Handte � Door Handle
Wheel Door Glass C-T Door Glass C-T
Hub Cap Disc Door A91dgs. Door Mldg
Hub 8 Drum � �'
Spindle '�'�_
Ball Joint
Lr. Cont. Arm Center Post - Center Post
Door Rear poor Rear
Up. Cont. Arm Door Glass C-T Door Glass C-T
Shock Door Mldg. Door Mldg.
Spring
Tie Rod
Steering Gear
Steering Wheet Rocker Panef Rocker Panel
Hom Rfn� Rocker Mldg. Rocker Mldg.
W�ndsh�eld C-T Floor Floor
Dog Leg Dog Leg
Quar. Panel Quar. Panel
Gnv�� Shleid puar. Ext. Quar. Ext.
__.G�'��� �uar. Glass GT Quar. Glass GT
GrNM P�ne: r���., ui,�.. n.��. r.ei.�.�
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,�,,,,, L�tic l�o�t 4�w.b�r S�O� L o�t La.r�1y —
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a.�.....w� � ~•ro�.eww.�^�. .... T�'s l�.e't �....Y . . _`_ T�.' t ._. .
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y . _. � w..:-, �'ww... ,.... ..,.�. ... ..
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�,'� ,��'�"!"R,!'�'�s .�- , �. .�,,.,,.,�....... _.-.r..,.,,....._,i.._..,._ � .`_.....____. ��w.t xr.. f "- —
. ,,^-,,.F,,..-.,�.,-�,- _ � ' _ _ '
t�.r.���'w.....�+...�......� r�wt iw�. M. -'-.r. ..._.._— -
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`s'� �.A'!'I�"S..Vl�%'!: , ii..+s.i.� w+..d,
7�re+
- ,�,�b�C• �'►�ia lr. � Bumpsr 8rkt. NNOI�n.n�
_�� ���• up _ Bumpei Gd. Too V�nli ��
—~� T � Valance � Tire °a Wom
Nood Hin e Lower Panel
Nood Lock PaintinR
- _ Floor Aerial
Ornament Trunk Lid � Tow & Storage
Rad. Sup. j
Battery
Rad. Core
Anti Freeze Back Up Lights
Rad. Hoses Lia Light
Fan Blade
Tail Pipe
Fan Shroud /
Pan ee�t NET PARTS %`? -
Gas Tank _
Water Pump Frame SERVICES HRS. ae HR. '/�
water Pump PuHey whee� PAINT-MATRL-HDW. =,a
Motor Mts. Hub & �rum SUBLET OR PAINTING
Trans Linkage �1e __ � ') i
sPring TAX ON $ '� � , �w'f �
GRANO TOTAL � `
Appraiser _ x This Damage Report is based on our inspection
��-� and does not cover any additional parts or labor
Symbols: ��n �JN-New OP-Open P-Paint � HEREBY AUTHORIZE THE A80VE REPAIRS �'✓hich may be required aRer the werk has been
- raighten R-Replace OH-Overhaul opened up.
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