OfFENSE REPORT V.I. POLICE DEPARTMENT - United States Virgin Islands Peseta 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 GONZALES, Juan I NOME ADDRESS II trAl' PIO* 9. SEX MMaga I1. PACE HISPA It P06 DOMINICAN REPUBLIC, r, 5511 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 !MD 2:15 PM 03 19 Y 15 DAY OF WEEK ThusdEN 6 Tit1 10 D Y DAY OF WEEK 19 PUT PEPT`RTI I I 2:45 PM IA 03 Ur 19 15 DAYOf WM( Thursday mArtmONZALES 21 Aif Ii 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 DESCRIBE YES 010 Dvli IF YES. PAU WHERE IOCATED ANNA II 49/144. aka 35 DESCR0nOtt Of *mail I 34 0 ANON. BITE. CNC 0030AAWN140 37 I Fri 'eV M iti Pon 40 PI-Sil NU ADDRESS 4I nrsto,cr TtkIht 42 Mr 0ITSS PHONE 0 y waif* CF *DORY AND IOCATION nA IrCY 43181 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.) N/a SIKEYSI4G14TION 0 Yrs Ono SI DESCRIBEEVVENCECf STRFfnia TAWER*6 DNMGE TOAUTO N/a 515.COUZR Blue gi. YRIVSEACCIEUTICE 2007/ieeoln. triot -.J. I MSC PLATENO/STCPER 93 VALUE N/a WTONEODYNYHERE N/a 61. TneateRetworeraraten N/a 42 II COMPANY Ma fre Praico W TYPEOFFROPERNOVAAGE Front Windshield 61 VALUE OPPRCIIEFRVOPANGFAOSS Unk I65.Nactaika Twe I66 Om* 167 ni TWAIN . 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 nos c-4•4 0 e,r.,Azm.ia..1 - 1 .).1,1 0 it At* oak 4 Wn4levlerve NICK CADDY FIIILIAY DRIVE 0 sueol-n, 0,J fi‘v.3.trt Cr' istheer” : 0 Knicc" , vv--•-• 0 ner-i 0 Halor,1 - M IC4 7.".4,. 0 i ..., , . 1 Q.4 Sick R um 69 POINT Of ENTRY 72 Pf011 Is INt:RIP 71 0 er.E.J.,• 0 it. rr ..• t 0''• IrAjPand 0 Aillacrit Pirsc, 0 bog OA, 0 COl,9. Sialt..i OIL v•illar.f. 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 41 f 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 1.1 0.-- .it 0 Hallvay 0 T Y Contra 8 (Ns:, "A 0" Pue 0 Palo 0 wee 0 12 brail C , ?;.4 0 Unintin ril °ism WA 0 13 I ne Cable. e ()het WA ria Ore' 70 LOCATION OF ENTRY 71 WEAPON NIA 73 PROPERT, TYPE NSEWUrl 0 Port E.i., 0 cumin., /5 EVIDENCE 0 T...9i3IVA. WA 0 Jrs Ity Melt WA 0 lap* BrandN.11-e numb(' 0 cAts-; 0 %w.f., 0 114004.- 0 MAI opribM a Aland*, 0 57.9sur I4 P:c.itITNI II. LOC.ATIONCF EXIT 0 reitv....NI. Rachos.C.intri , L'. 0 f 0, eoprn, 0 Ra• tla • PI 5 E NUM, 0 elerS 0 fooltirtni 0 AO•A 0 Iick.,..../0 livei A 0 LAANArti 0 eger NA a Cunt Nib Ci nt. 4 NA 13 °sells so et . 0 at la. 0 Slot, Inn • A Q:117'4 .... lig IIIIIIMMIII-- St rifted) CflICFR NAM 11111 '4 % . 63 rift-mm1,ft 141111 • '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 01 Loss Arrival Date Deductible Policy No Owner Address Telephone Description: Body Style. VIN. Mileage: OEM/ALT: Color Options: Collision 5/19/2015 UNKNOWN JUAN GONZALES Work Phone: Mitchell Service: 910782 2007 Jeep Patriol Sport 4D Ut Drive Train: 2.4L Inj 4 Cyl 2WD 1J8FT28W87D326520 License: TES-187 68.867 0 Search Code: None BLUE 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 Item Entry Labor Number Type Operation Line Item Description Part Type/ Part Number Dollar Amount Labor 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 Software Version. 7 1.177 Copyright (C) 1994 - 2015 Mitchell inlernakonal All Rights Reserved Page 1 of 2 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 Software Version: Copyright (C) 1994 - 2015 Mitchell International Page 2 of 2 7.1.177 All Rights Reserved EFTA_R1_00019361 EFTA01735492 frIfopiA) A-00 67,4s3- j/v5.00,(721 EFTA-R1-0001 9362 EFTA01735493