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Home My WebLink About202571 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1 t ONE CIVIC SQUARE GUARDIAN AUTO GLASS, LLC CHECK AMOUNT: $461.60 s CARMEL, INDIANA 46032 24394 NETWORK PLACE CHICAGO IL 60673 -1243 CHECK NUMBER: 202571 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 27934 I520000137 230.80 WINDSHIELD REPAIRS 1110 4351000 27935 I520000160 230.80 WINDSHIELD REPAIR Y- UARDIAN AUTO GLASS LLC Copy 1 040 N SHADELAND AVE INDIANAPOLIS, IN 46219 -4810 WO# W520000137 r 1 H:(800) 882 -2244 FAX:(317) 353 -6230 Federal Tax ID: 27- 3440978 Cust State Tax ID: 356000972 Invoice: 1520000137 aken By: BridgetSchrier Cust Fed Tax ID: 356000972 0/2011 Installer: DanielSkelton Ship Via: Date: Time: 9/ 9/33 AM �alesRep: JAMES C LIPTON Adv. Code:EXISTI 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 Vehicle Information Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2008 Odometer: VIN: 2G1 WS583081358790 License: Fleet Number: Unit Number: 63 Color: Qty Part Number Description List Sell Total 1 DWO164OGBYNCOM Windshield- (W/Third Visor Frit,Solar $257.25 $205.80 $205.80 Controlled) 1 HAH000004 Adhesive- (2.0,Urethane, Dam, Primer) $25.00 $25.00 $25.00 No Warranty on Glass Removed and Reinstalled. No warranty on customer supplied parts +L'k M vin :a Sub Total: $230.80 Tax: $0.00 Customer's Signature: Net30 On Account: $230.80 .i GUARDIAN AUTO GLASS LLC Copy 1 940 N SHADELAND AVE PNDIANAPOLIS, IN 46219 -4810 Wo# W520000160 PH:(800) 882 -2244 FAX:(317) 353 -6230 Federal Tax ID: 27- 3440978 is /O Cust State Tax ID: 356000972 Invoice: 1520000160 1:10 AM aken By: BridgetSchrier Cust Fed Tax ID: 356000972 installer: DanielSkelton Ship Via: Date: Time: 1 11:10 AM S alesRep: JAMES C LIPTON Adv. Code:EXISTING 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 Vehicle Information i L+ Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2010 Odometer: VIN: 2G1WD5EMXAl224043 License: Qty Part Number Description List Sell Total 1 DWO164OGBYNCOM Windshield- (W/Third Visor Frit,Solar $257.25 $205.80 $205.80 Controlled) 1 HAH000004 Adhesive -(2.0, Urethane, Dam, Primer) $25.00 $25.00 $25.00 s; No Warranty on Glass Removed and Reinstalled. No warranty on customer supplied parts r vin t� c� Sub Total: $230.80 Tax: $0.00 <ustomer's Signature: Net30 On Account: $230.80 INDIANA RETAIL TAX EXEMPT PAGE C ity C arme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION g>I�i�9 9 Gummllan Gimss Company Cool Police DGpmrtmcnt VENDOR SHIP 3 CIVIC squm 24394 NG4woah PlGco TO Ca91Gl, IN 4MM Cblc2go, IL MM4243 (317) 699 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT Accou UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 1 Each repair windshield $230.80 $230.80 Sub T otal: $230.80 A car 48 t Wridewbock Send Invoice To: Cumol P®IIcG DGp@rtmGnt Attn: Torosa Andomon 3 CIVIC spina Carmol, IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT M.60 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 THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIgGION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Chief ®T Pollea THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1tl! t' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE i 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Jt° Carmel INDIANA RETAIL TAX EXEMPT PAGE City �J1J11"- CERTIFICATE NO. 003120155 002 0 r PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27MA 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION g�9 9 Guo -di2n Glass C®mp&W Camel Pollc® Department VENDOR SHIP 3 Civic Squmra 2M NGtvortt Mace TO Cmmel, IN 48M Chlcag®, IL SM4243 (397) 5792 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 -MOM 9 Each repair windshield $230.80 $230:80 Sub Total: $230.80 i Send 83 oiKiinwn f C&9GI Police DGPEAMGnt Attn: Term Anderuen 3 Civic Squaw CamGI, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT umcl Felice Dept. Q3 PAYMENT M30'80 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 TH TFJERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIAT O l'1 ICIENT TO PAY FQR•THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1" ti AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER 10CUMENT CONTROL NO. 27 934 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE 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 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)) 09/30/11 1520000160 windshield replacement $230.80 09/30/11 1520000137 windshield replacement $230.80 1 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 940 N. Shadeland Ave Indianapolis, IN 46219 -4810 $461.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 27935 1520000160 43- 510.00 $230.80 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 27934 1520000137 43- 510.00 $230.80 materials or services itemized thereon for which charge is made were ordered and received except Thursday, October 06, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund