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HomeMy WebLinkAbout229726 2/26/2014 CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1 ONE CIVIC SQUARE GUARDIAN AUTO GLASS, LLC CHECK AMOUNT: $419.12 �a CARMEL, INDIANA 46032 24394 NETWORK PLACE o� CHICAGO IL 60673-1243 CHECK NUMBER: 229726 CHECK DATE: 2/26/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 31490 W520011259 209 . 56 WINDSHIELD REPAIR 1110 4351000 31495 W520011310 209 . 56 WINDSHIELD GUARDIAN AUTO GLASS / SAFELITE AUTOGLASS Copy 1 940 N SHADELAND AVE INDIANAPOLIS, IN 46219-4810 WO# W520011310 PH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 36-4523816 Remit To: 24394 Network Place, CHICAGO, IL 60673-1243 P/O#: Cust State Tax ID: 356000972 Invoice: 1520011310 Taken By: BridgetSchrier Cust Fed Tax ID: 356000972 Installer: TerryCarlisle Ship Via: Date: 2/14/2014 Time: 12:34 PM SalesRep:HOUSE ACCOUNT Adv. Code:CURRENT ACCT Bill To: CARMEL P0121805-2520 Sold To: CARMEL P0121805-2520 CARMEL POLICE DEPT CARMEL POLICE DEPT 3 CIVIC SQ 3 CIVIC SQ CARMEL, IN 46032 CARMEL, IN 46032 _ 317) 571-2548 Fax: (317) 571-2507 —- - - -- --- — ---- --- - - Verlicie Iflfui'iijatioi-, - - - - -- -- -- - - - Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2012 Odometer: VIN: 2G1 WD5E30C1285508 License: Qty Part Number Description List Disc% Sell Total 1 DWO164OGBYNCOM Windshield-(W/Third Visor Frit,Solar $248.70 26 $184.56 $184.56 Controlled) 1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) $25.00 0 $25.00 $25.00 AuthBy: JASON No Warranty on Glass Removed and--Reinstalled. No warranty on customer supplied parts vin - - - - - - - - - - - - - - - - - I Sub Total: $209.56 Tax: $0.00 Customer's Signature: Net30 On Account: $209.56 LIMITED WARRANTY Any manufacture's defect in the glass or any leaking or other defect related to the installation of stationary glass parts will be covered for as long as you own the vehicle. Any manufacturer's defect in the glass or a defect of workmanship or leaking related to the installation of moveable glass parts is covered for 90 days from the date of installation. Any crack or run from the original point of a chip repair of your windshield as identified in the primary vision area will be covered for as long as you own the vehicle. The amount you paid for the original chip repair of your windshield will be applied toward the replacement cost of anew windshield purchased from and installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional information. You must present the Limited Warranty document to ensure warranty eligibility. The Limited Warranty applies to all Insurance and Cash customers. Direct any inquiries about Commercial warranties to the Manager. Guardian Auto Glass/Safelite AutoGlass 940 N Shadeland Ave INDIANAPOLIS, IN 46219-4810 PH:(800)882-2244 FAX:(317)353-623( GUARDIAN AUTO GLASS / SAFELITE AUTOGLASS Copy 1 940 N•SHADELAND AVE INDIANAPOLIS, IN 46219-4810 PH:(800) 882-2244 FAX:(317) 353-6230 / Federal Tax ID: 36-4523816 P/O#: Cust State Tax ID: 356000972 Workorder: W520011259 Taken By: DaniaHawkins Cust Fed Tax ID: 356000972 Installer: Ship Via: Date: 2/10/2014 Time: 12:08 PM SalesRep: Adv. Code:CURRENT ACCT Bill To: CARMEL P0121805-2520 Sold To: CARMEL P0121805-2520 CARMEL POLICE DEPT CARMEL POLICE DEPT 3400 W MAIN ST 3400 W MAIN ST CARMEL, IN 46032 CARMEL, IN 46032 (317) 571-2546 Fax: (317) 571-2507 Vehicle Information Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2010 Odometer: VIN: License: Qty Part Number Description Disc% Sell Total 1 DWO164OGTYNCOM Windshield-(W/Third Visor Frit,Solar 20.00 $184.56 $184.56 Controlled) 1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) 0.00 $25.00 $25.00 No Warranty on Glass Removed and Reinstalled. No warranty on customer supplied parts vin — — — — — — — — — — — — — — — — — Install Date: 02/11/14, Required Date 02/11/14, Mobile Install Instructions: ASK FOR JASON Collect From Customer $209.56 Sub Total: $209.56 Tax: $0.00 Customer's Signature: Net30 Total: $209.56 LIMITED WARRANTY Any manufacturer's defect in the glass or any leaking or other defect related to the installation of stationary glass parts will be covered for as long as you own the vehicle. Any manufacturer's defect in the glass or a defect of workmanship or leaking related to the installation of moveable glass parts is covered for 90 days from the date of installation. Any crack or run from the original point of a chip repair of your windshield as identified in the primary vision area will be covered for as long as you own the vehicle. The amount you paid for the original chip repair of your windshield will be applied toward the replacement cost of a new windshield purchased from and installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional information. You must present the Limited Warranty document to ensure warranty eligibility. The Limited Warranty applies to all Insurance and Cash customers. Direct any inquiries about Commercial warranties to the Manager. INDIANA RETAIL TAX EXEMPT PAGE CRY ,. f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3`140 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE., PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 2f 2014 Couardlan Auto Glass LLC Camel Police Dopartmont VENDOR SHIP 3 Clulc SQuatu 244 Network P12co TO Camel, IN 4M Chlezgo, IL I CM4243 (397)6671-2674 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT Account QUANTITY UNIITygOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 434590.00 9 Each repair windshield $209.56 $200.56 Sub Total: $200.50 (Z ' V Cor Sen Invoice o: jj�""jj``� Cool Pollce Dopwtmont Attn: Pat Young 3 CIVIC squ@m Corel, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel (Police Dept. t`�� PAYMENT M9.56 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY SHIP REPAID. � THAT TETE IS AN UNOBLIGATED BALANCE IN �, C` © THIS APPROPRI S F I TENT TO AY FOR THE ABOVE ORDER. • l 1 •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. F`� • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,(/ /� SHIPPING LABELS. Chlf$ o Po11co •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the - materials or services itemized thereon for which charge is made were ordered and received except- _ s- 20 Signature --- - -—----------------------------------.................-_-------------...--------------- Title Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ��� 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 2193f2094 Guardian Auto Gloss LLC Carmel Police Department VENDOR TOIP 3 CIVIC Squmm 24M Netintor c Place C@rmol, IN 46M ChICatga, IL 6M734243 (397)671-2574 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT �i QUANTITYUNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.610.00 9 Each repair windshield $209.66 $209.56 Sub Total: $209.56 II( ,• F a,{ ® .t( ♦r e•yPGG.�..i n, P' !.,- jjjjj\\\ J g� °fes`=s•(�� Senamt PATI'd11oice To0er Thomas �`<�;` `--..'..f if j� - ''+. �'bv . % ='� -'""� Carmel Colica Dopa tmont Attn: Pat Young 3 Civic Squama CvmGI, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �. � j PAYMENT =9.56 t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ��..•_,JJJ NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. ' SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT il_ffE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION FICIEN TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 6/�01 p Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Q � CLERK-TREASURER (9 DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._--._ .---,.._WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoices), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except.--.___---.---.--------..--------- ---._-.._-._. 20 .......... .................................. Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/17/14 w520011310 windshield repair $209.56 02/17/14 w520011259 windshield repair $209.56 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Guardian Auto Glass LLC IN SUM OF $ 24394 Network Place Chicago, IL 60673-1243 $419.12 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31495 w520011310 43-510.00 $209.56 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 31490 w520011259 43-510.00 $209.56 materials or services itemized thereon for which charge is made were ordered and received except Thursday, February 20, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund