157451 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 361021 Page 1 of 1
ONE CIVIC SQUARE DIAMOND TRIUMPH GLASS
CARMEL, INDIANA 46032 7360 PENDLETON PIKE CHECK AMOUNT: $175.30
INDIANAPOLIS IN 46226 CHECK NUMBER: 157451
trp c
CHECK DATE: 3/19(2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1120 4351000 2085016218 175.30 AUTO REPAIR MAINTEN
I
4OPC>nl ®MID TROU"PO-0 CO_G�1SS
B RANCHMURTOMRR COPY
7 60 PEGSDF ,QOM PONE
IN OD OLO.c.!, EZ 46226
462 -7074 FAX:43�7) 546 9'�6' Workorder
REMIT TO: PO BOX 1047, KING PA 16704
ACCOUNT I AUT-0 AGENT PURCHASE 2129/2008 VW 850162 �1 8
NO.: NO.: ORDER NO.: DATE nr ^Y Y
CUSTOMER STATE TAX OR EXEMPT NO. CUSTOMER FEDERAL TAX I.D. NO. D 1 UODE SALESMAN I.D. SUa RR TAKEN BY I NS S TALLED BY ��ERA6T�� I
13 ILL TO: CARMEL FIRE DEPT. SOLO TO: CARMEL FIRE DEPT.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
(317) 664 -0958
P ROOF INSURANCE
INSURANCE CO. POLICY NO.
INSURANCE CO.
PHONE NO. CLAIM NO.
CAUSE
POLICY NAME LOSS LOCATION
AGENT NAME VERIFIED BY
AGENT PHONE DATE OF LOSS DEDUCTIBLE
'In determining its charges for labor, Diamond Glass uses published industry standard labor time and not actual time spent in performing the specified repairer replacement.
VEHICLE INF ORMATIO N
4UB�tlIttDIGt ulli Dld9liY eCYJL/L '4
MAKE MODEL YEAR DOORS
ODOMETER UIt3 LICENSE IVrI VEHICLE
LD. NO-
map Y aYU ivcrrnuz'r Vtl:74:YY�.YLLtlLYtl1 ILYD6 ..YC�� YvacrY
.1 M%AA14 77(^q'•.(P I(lGA,1 /ASr rdehiolrl- rNAirrnr Ma 44-nn CnI— 1 mfr4l► A'i Rjap A n gag g Rqp an
r. H ours) amcn nn mcn nn a+cn nn
1 F75 Labor 7 5 Flat (Flat Rate) (41 1 Hoursi ,puu.uu pvu.UV pvU.uu
1 HAH000004 Adhesive- (2.0.Urethane.Dar i,Primer $15.00 $15.00 $15.00
V C^!'1 X17 F.
.1 (PI /i MnN An a`AA An a An
v
1 vra 0'13 7 rvIourding '(trteveal� PZ4. ra p 1 f ru y r I to
Install,03 103108 05:00 PM (1 hrs (Not Completed) (Mobile) Instructions:PLZ CALL W/ AN ETA
Vehicle VIN: L fJ� 1:6 L�1:1 `lLaL r, O I
F
;FI ICB CHAR OP 118% PER MONTH WILL APPLY IP BALANCE IB UNPAID AFTER 80 DAYS, Sub Total S 175.30
e above captioned work has boon complatod to my aatlefactlon, I outhorleo my Insurance company to pay the above named
pany directly the full amount payable to me under my polloy, and I authorlto the acolpnmont of those funds, If the cost of all Tax 1
hle job la not covered by my Insurance, I agree to pay the above nomad pleas company the balance upon Installatlon,
VERBE OP INVOICE POR IMPORTANT WARRANTY INFORMATION
rvM�,., nn��,�.r nntrn:msrm,t���mr., TERMS� CHECKS PAYABLE TO: w�
DIAMOND GLASS, INC. `1�' 30
ADHESIVE CURE TIME WARNING I
The windshield and the urethane adhesive used to hold the windshield in place are vital parts of your car's safety system. The adhesive used'[(. -t sta14'- =spur wind-
shield were designed to meet federal safety standards for retention in the event of a co llision or roll -over after the adhesive was used. ACtORDINGI.,Y, Fi iS
CRTTiCAL THAT YOU NOT OPERATE YOUR VEHICLE UNTIL. THE ADHESiVE. CURES. Tt.ie.cure_tinte of a urethane adhesive is dependent upon
several factors including whether your car is equipped with a passenger side airbag. Depending on weather conditions, temperature and humidity and the adhesive
used it can take up to 2 hours for the adhesive to cure to a safe vehicle drive away time. Below we are providing you with charts constructed by the tuamtfne-
turer Of the urethane used in your installation, showing safe drive away times. For your safety and the safety of your passengers, yont must observe the safe drive
away times applicable to your situation. Until the adhesive has cured thoroughly the windshield may not remain in position during a collision or rollover, or if'
the passenger side airbag is deployed. FAII.,URE TO OBSERVE THE SAFE DRIN11' AWAY TiME' MAY RESUCT IN SEi:RIOUS INJURY OR DEATH,
IN TIFI, EVENT OFAN ACCIDENT.
SIKAAfl)HESiVE
SAFE DRIVE VE ANVAl' CHART
(rates nom- conductive)
Relative
Humidity .75(11x. :.351:1; >�i�F ::.71. :.941.
-110
Without Airbai4
i OM", 30 min. 30 rnin. 30 min. 30 min. I 3n min. 30 min.
>75 -b 30 rnin. 30 min. 30 rnin. 10 min. 30 min. 3U min.
30 min. 30 min. 30 min. 30 min. 30 min. 30 mill. I
''_0`%b 30 rnin. i0 min. 30 rnin. 30 noon. 30 min. 30 rnin,
30 min. 30 mitt. 10 min. 30 min, 30 min, 30 mill.
With Pas,cngcrAirh:u;
j 10o`io 45 rnin. 45 min. 1 hr. 1 hr. 1.25 hr. 1.75 hr.
75`14, 4:5 min. 45 min. I hr. t hr. 1.5 hr. 1.7.5 hr.
i
>40 %n 45 rnin. 45 min. 1 hr. 1 hr. 1.75 hr. 3 his.
45 min. 45 min. I hr. I.. ter. 3 hr, 2 hrs.
=D4o 45 min. 45 min. i hr. 1.5 hr. 2 hrs. hrs.
LIMITED WARRANTY
DIAiv1OND I..ASS INC. warrants the automotive glass installed to be free front defects in material and workmanship upon delivery, subiect to this Limited
64'arranty. Any problems caused by installation error, such as wind and water leaks, loose moldings and sonic types of stress cracks will at the option of
DIAMOND (.ti,ASS, INC., be repaired or replaced at no cost to you. This warranty is valid for as long as you own your vehicle. THIS WARRANTY DOES
NOT COVER leakage or stress cracks caused by pre existing rust, structural damage, or other damage caused by vandalism, or impact with foreign objects. In
the event you request repair of rock chip or other damage caused by impact with foreign objects or by vandalism you agree that I:)I A11C)ND GI..ASS. INC. shall
not be responsible for breakage that occurs in attempting such repairs.
REPAIR OR RIKPi:ACEMEN'T OFi'YOURWINDSIIiI LDAS PROVIDED UNDERTHIS 1A!4 I TED i'ARRAiNTY IS YOUR EX:CI,USiVE Rl*IfIEDY.
This exclusive rentedy will not be deemed to have failed of its essential purpose so long as DIAMOND GI.,ASS, I W. i5 willing and able to repair ot• replace the
automotive glass installed. THISWARRANTYIS IN IAEU OFAIA,OTHEII WARRANTIES E XPRESS ORiMPLIE?. D, STA '1'U'I'ORY012C)'TEEIIR�VLSI:,
"rC•r UDiNG. L I T U LIMITA 1ON, N§`ARRANT iI'S OED MERC[I AN'I'ABIIATY AND FITNESS FOR E'Al't'I'IC'U].:AII I1SE.1)IAMONI) (:iI..ASS.
INC. males no other warranties ol'any kind and any repair or attempt to repair the automotive glass installed by anyone other than i>lAiMOND (il -ASS, INC.,
automatically voids this Limited Warranty. Any oral or written statement concerning the autimtotive glass installed inconsistent with this Limited Warranty shall
be of no i'orce or effect.
FOR vuRTHER HEIAI CONTACT:
Your local DIAMOND GLASS, INC. store or
Customer Service 1- 800- 333 -2937
220 Division Street
Kingston, PA 18704
EMERGENCY SERVICE
1 have been advised that my insurance calTier ntay not. include the emergency service fee in the amount paid to your company. In the event that this happens,
1 am aware that. I will not receive a reimbursement of the emergency service fee I paid to your company the (lay ofservice..
Prescribed by State Board of Accounts City Form No. 201 (Rev,r95)
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))
03/04/08 1085016218 Replace VIN 7571, C4581 Windshield $175.30
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
VC -OCHE NO. WARRANT NO.
Piamond Triumph Glass ALLOWED 20
IN SUM OF
7360 Pendleton Pike
Indianapolis, IN 46226
$175.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1085016218 43- 510.00 $175.30 1 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund