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173838 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 354934 Page 1 of 1 I ONE CIVIC SQUARE GLASS DOCTOR CHECK AMOUNT: $215.38 CARMEL, INDIANA 46032 7753 E 89TH STREET h INDIANAPOLIS IN 46256 CHECK NUMBER: 173838 CHECK DATE: 6/24/2009 DEPARTMENT AC COUNT PO NUMBER INV NUM AM OUNT D ESCRIPTION 1110 4351000 21026 2052 215.38 WINDSHIELD REPLACEMEN F1 HOME *AUTO e BUSINESS We fix your panes!® GLASS DOCTOR INDULMAPOUS 7753 E 09TH ST. �I NA.PO IS RN 46256 qDL (317)577 -5416 (317)636 -2006 Fax.-(317)577-5099 Ta 26-2969250 Mob le Havoace: 2052 DMe:06/00/2009 Sold To: JASON OGLE d 34680 WEST 131ST STET IN 46074 W (317)73346W Csr1U T E Teck PO 10 a TemsC.O.D PPG- Vehide2005 CHEVROLET D"ALA 4 DOOM. SEDAN Meage- laic. Plate#: r Q Part f Desca Lb n last Price matmi A Labor Rem Total 0 DW01550GBY Windshield Green TinttBlue Shade... 231.50 70.77 115.50 186.27 1.00 HAH000004 Adhesive(Naga)... 12.95 0.00 12.95 1.00 VJFS DI 377 Moulding(Precision) BlarkMeveal) 23.08 16.16 0.00 16.16 t r Notes:P.O.:171 0S/M009 erected- 06/08/2009 S4atea s:Senf J Yob Location Mobile l".L POLI6:'E STATIONr/' a (rf 3 3400 WEST 131ST STREET 3 41 W FIELD I1114W14' .S VIN Material Labor Tax 'Total De&chble Pa yments Balance 99.88 115.50 6.99 222.37 0.(80 0.00 222.37 .WIM- $.0.45 Pam I of 1 AUTHORIZATION TO-PAY Replacement of the glass has been made to my satisfaction and my insurance company is hereby directed to release policy and coverage information and is hereby authorized to make payments directly to Glass Doctor. I additionally assign any and all claims in connection with this installation against my insurance company to Glass Doctor. I agree to pay for any deductible myself. `Customer Signature GD 013 10 -07 Limited Warranty Windshield Replacement. W'c warrant the installation of all windshields arid rear windows for as long as you own the vehicle, This means that your new windshield or rear window will be properly installed and sealed by an experienced technician. I,t,wiII not leak unless it i5 broken, the car rusts around it or another event occurs that is outside our control, in which case the warranty does not apply. Should you ever have a problem with leakage of your windshield or rear window, or are dissatisfied For any reason, contact any local Glass Doctor dealer to schedule an appointment. If the original installation work needs correction or adjustment, it will be done at no cost to you. T his limited warranty covers only the correction or adjustment of the original installation work, which is our sole obligation, and your sole remedy, under this limited warranty if the original installation work was not performed as warranted. Incidental and consequential damages are not recoverable under this limited. warranty. t' There are no warranties that extend beyond the limited. warranty expressed herein: and we disclaim all other warranties, express or implied including, without limitation, any implied warranty of merchantability or fitness for any particular puz This warranty applies to the l owner of the vehicle at the time of replacement and is not transferable. Coverage terminates if you sell or otherwise transfer the vehicle. Limited Warranty Windshield Repair A credit toward windshield replacement is our only obligation and your only remedy for repairs that have unsatisfactory results. If the wind- shield repair is unsatisfactory, the cost of the repair will be credited toward the cost of a windshield replacement if you return to a Glass Doctor dealer for the replacement. For the insured, this means that your deductible is no longer waived, and the credit will be applied to the insurance invoice. If you are dissatisfied with the repair for any reason, call any Glass Doctor dealer. to schedule a replacement. This lim- ited warranty does not apply to any defects or damages caused by events outside our control, such as abuse, misuse or acts of God..lncidental and consequential damages are not recoverable under this limited warranty. There are no warrantics.that extend beyond the limited wafanty expressed herein, and we disclaim all other warranties, express or implied, including, without limitation any implied warranty of mer- chantability or fitness for any particular purpose. This warranty applies to the owner of the vehicle at the time of the repair and is not trans- ferable. Coverage terminates if you sell or otherwise transfer the vehicle. Manufacturer's NVarranty on :insulated Glass ([suits Glass Doctor is not the manufacturer of any windshields, window's or glass units. ;lass Doctor makes no representations or warranties of any kind, nature or description, express or implied, with respect to any .yindshjelds,.iindmv or glass units, including, witliotit.lunitatio.ii, any warranty of marchantabilityor fitness for any. particular purpose. Thd-windshields, windows grid glass units arc covered by a manrlfactur- er's warranty, which may be noted on the front of this invoice. You may contact any Glass Doctor dealer regarding service under a manu- facturer's warranty. NOTICE TO owNTR THE LAW REQUIRES11I.AT THE CONTRACTOR SIMIA, SC 1.Nflfr A SWORN Sp' :VrEMEN't OF PEtLtif11S tgltNlMING MA'iT'.RIXLS AND LABOR BFFORR ANY PAYNTItiT Is REQUIRED TO BE: MAnG to TnE covriZ 1. Do not sig this contract until t read it or if im spaces intended for fh e_agmet t e rms. ex n am bl ank. 2. You am entitled to ;t co f� of this c•untra he. tone y ou sigh it. rnav Sn� hrn_,pAoR' {h_e._fuli unPnitl lttli :u3cedu� €index tol ndigtllling snygtl tnav_t•cr•cil_<� tg}artiai re}�ate of the u rric4 chat�{c +I. Z'011 iltaV fanfel (1114 fttntt'aft !f Ir IS 4}llftled t'�t m, mind 3' ftn i i at it pla other tha b e seller's husince s addiY'SS, by sen „n�' nttieL Of ell ticellatioll l iv c ur litriefl (hall rktlVl uest r i t lti nyl ltsted t tote udler rt hi4ticidress v ;hull rtittQ,y�lia b R2stma_hecf p t later than nti¢tligilt of Um fltird bs., texc3u..tting dun _aLs Ittit s :sl to_t ll I s tt nlrrict..If�e {tt ;_Jniatie to CURCEI tl,l4 ('rntrltfl, von must return or make available t the se ller alt file Dlac of _e_l eY ry a,l m erchandi fn its on conditi received a Vlta lmdel� this contract This contractor is tegi,terui to do business in the state in a hick this work is performed. u See r gi,t ution number oil the fmrir side o t t.'lis cut ^,(cart, i'n`here tcquimd, rhos cc m t •tor has lusted xvith the Srue (d[ necessary bonds or ash deposits for the pnpoae of ,satis,timg clams against the contractor far n :gligent to improper tw ork or breii,�h of contract in the,, conduct of the contrac'o °s busmcss. This bore€ a- cash depo may not be sufficient to.cover a claim which might iris^_' rarn.tho.wttrk d(me wider wax contract If any supplier u(nliiu.rtalsnsutl it w„ r coast u_tion. project or any cmp(c ce of the contractor of subconttact,'tr is not paid by the contractor or sub,'ontrtetor on your job, Your pf -p-rty may be liened to force payment. If you, wish art litional pltltection. you n,ay°.request the conractor to provide you with the original "lien reic.tse' documents from each sueplier or Subcontractor nn your pniiec;. The contractor i mquir� to pro6ie you with further information about lien release documents if you request it. General min}mation i, also available from die licensing boluo in your state. CALIFORNIA RESH)ENTS .ONLY N'OTIC E TO OWNER "Under the California Mechanics' lien Laws. any contractor, subcomractor, laborc supplicc or othei person orbit who helps to improve your pmpeity. but is not paid for Iris or bet :vorl, or supplies, has a right to place a licit on your home, land, or property where the work was performed and to sue. you in court to obtain payment. This means that after a coup (tearing. your home. land. and pml>vrty could be So! d by a court officer and the proceed, of the tale used tr satis(v what ypu owe. This can hnpl en even if you have paid you contractor in fill if the contractor's subccntmctors, laborers, or atpplier4 niacin uupaict. 'tit preszne tbeirlights t('tije a claim or lien against your property. `:nam claimant such at subWritrncto;s or material suppliers sine each requited to pmyide•vop with it document calle4 a "Yrelimininy Notice' contractors :tail laborers %vh,, contact with owners directly do not have to provide such notice since you ale aware of their existence as an owner. A preliminary notice is not a lieh'against your property. Its purpose is to notify y"ou of persons or entities that may have a right to file a lien against your property if they are not paid In order to perfect their lien rights, a contractor, wbcciniractor supplier, or laboter must file a mechanics lien with the county recorder which then becoines a recorded lien against your property. Generally, the noaximmn time cdkiwed for filling it irtchimics' lien against your property is 90 days after substantial completion of your project. TYi INSURE EA rRA PRUFU710N FOR YOURSELF AND YOUR PROPFRTY, YOU MAY wISA'i'O TAKE ONE flR MORL oF FOLLOWING STEPS: (I i Require that your contractor supply you with it payment and performance bond mot a license bond), which provides that the hooding company will either complete the project or pay damages up to the amount of the bond. This payment and perl'otn ante, bond as well as a copy of the Construction cnnrract should be filed with the county recorder for your further prote_ don. the payment and perfottnance bond will unualiy cost from I w 5 percent of the contract amount depending on the contracur's bonding ability. [fit contractor cannot obtain such bonding. it may indicate his or her financial imcapacitv. !2i Psequire that payments he trade directly to subcontractors and material suppliers through a joint control. Funding se'viecs tasty be available, for a i'ee, in your;rca which v ill establish voucher w outer means of payment to your contractor. These sen ices may also provide you with hen waivers and other tomos of protection. Anv joint control agreement should include the addendum approved by the registrar. ;31 Issue joint cbe. ,lit fur payment. intde out u) both year contractor and subcontractors or material suppliers involved in the pnljw. The joint cheeks ,houid be made parable to the persons or entities which en f preliminary notices to you,'rhose persons or entities have indicated that they may have lien rights on your property, therefore you need to protect. y +ouiself. This will help to insure that all persons due pavnoent a.•e actual IV paid. 14) Upon making payment on any completed phase of the project, and befog nuaing any tut'ther payments'. require your contractor to provide you with mteonditional 'waiver and Relciisc' louns sinned by each material supplier, subcontractor. and laborer invoked in that pnruon of the worli for which payment was made. The Statutory lien mleoses are set forth in exact language in section 3262 of the Civil Cale. Most stationery Storrs will sell the 'NFaiver: id Release' tarns if your contractor dues not have then The material suppliers, subconta:rrrs, and laborers that you obtain releases from am those pel :cons nr entities who have tiled preliminary notices with you. If you are not celtein of d,e material supplier,, subconaactors, and laborers wonkim (at your project, yeu,may obtain a list front your contractor. On prgjwt invoking i mprovements to a single ramify reaidcuce or a duple( ownted by the dividuals. di pawn si_aiiog diese releases loses tha ught to the a m:: htmrca lien claim against your propal ry. fn order typos of consinliamn, this PlIft Cticnl achy still be intp<lnanr, but may not be as complete. To protect yourself tinder this option, you must tie certain that all material suppliers, subeoul- actrns, and laborers have Signed the 'w'aiver and Release' front. If a mechurc: lien has been filed against your pmpeay, it car: only be voluntarily released by a recorded 'Release of Mechanics' Lien' signed by the person or entity that tiled the mechanics lien against your property unless the Jawsuit to enforce the lien w•a, not direly tiled. You should not make any final payments until tiny acid all such liens are removed. You should consult an attorney it a hemis filed ag &inst Your property" Thank you for choosing us. We realize you had a choice and are committed to providing you the highest quality service. The ultimate goal at CLASS DOCTOR is that every customer shall find our staff to be professional, courteous and help- ful. If our services did not meet or exceed your expectations, p lease tell us immediately. It was our pleasure to serve you and our goal is no less than 1I0 customer satisfaction. tvllrx larsdactna con j hidependenriy owned and operared franchise INDIANA RETAIL TAX EXEMPT o Jl g e CERTIFICATE NO. 003120155 002 0 1 Of 1 qity PURCHASE ORDER NUMBER Police Depar x1ent FEDERAL EXCISE TAX EXEMPT 35- 60000972 2 026 1,009 CIVIC SQUARE ETHISNUM MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 i PURCHASE ORDER DATE DATE REQUIR D REQUISITION NO VENDOR NO. DESCRIPTION June 8 2009 windshield replacement VENDOR Glass Doctor SHIP City of Carmel Police Department TO 3 Civic Square Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT f QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION replace windshield for car 75 Loveall 222.37 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and mapilgenance P AYMENT t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. y NUMBER IS MADE APART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS J THIS APPROPRIATION SOFFICIENT 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. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ssistant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 6 CLERK TREASURER DOCUMENT CONTROL NO. V/ COPY SIGN AND RETURN TO CLERK'S OFFICE UCHERN0 WARRANT NO ALLOWED 20 |N THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO, ACCT#/TITLE AMOUNT DEPT 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 ia made were ordered and received except 20____ Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Pres6ibed 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 Glass Doctor Purchase Order No. 21026F 7753 E. 89th Street Terms Indianapolis, IN 46256 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/8/09 2052 payment for windshield replacement 222.37 Total 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 Glass Doctor IN SUM OF 7753 E. 89th Street Indianapolis, IN 46256 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21026F 2052 510 �L bill(s) is (are) true and correct and that the 11 materials or services itemized thereon for which charge is made were ordered and received except June 16 20 09 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund