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Home My WebLink About213024 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1 ONE CIVIC SQUARE GUARDIAN AUTO GLASS,LLC CARMEL, INDIANA 46032 24394 NETWORK PLACE CHECK AMOUNT: $224.76 CHICAGO IL 60673-1243 CHECK NUMBER: 213024 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25473 I520004512 224 . 76 REPAIR WINDSHIELD tl !y UARDIAN AUTO GLASS LLC Copy 1 640 N SHADELAND AVE INDIANAPOLIS, IN 46219-4810 c;. WO# W520004512 i'"K(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 27-3440978 Remit To: 24394 Network Place, CHICAGO, IL 60673-1243 P%O#:25473 Cust State Tax ID: 356000972 Invoice: 1520004512 Taken By: BridgetSchrier Cust Fed Tax ID: 356000972 Installer: DanielSkelton Ship Via: Date: 9/18/2012 Time: 12:49 PM �3aIesRep: Adv. Code: Bill To: CARMEL P01218054520 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 _ }, t Make: Chevrolet Model Style: Impala 4 Door Sedan Year: Odometer: VIN: 2G1WD5E33C1150054 License: , i Color: Fleet Number: Unit Number: 154 Qty Part Number Description List Sell Total 4 7 1 DW01640GBYNCOM Windshield-(W/Third Visor Frit,Solar $249.70 $199.76 $199.76 FY Controlled) PO# 5201641 C0111071 ' 1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) $25.00 $25.00 $25.00 $'Auth6 y: ED Y'`jVo Warranty on Glass Removed and Reinstalled. 'tjNo warranty on customer supplied parts fps vin— — — — — — — — — — — — — — — — — ,f Sub Total: $224.76 Tax: $0.00 ii�r Customer's Signature: Net30 On Account: $224.76 'L'IMITED WARRANTY flny 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 ctivn 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 e;r 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 t s 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 ,c,o,,: st of a new windshield purchased from and installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional information. j qu must present the Limited Warranty document to ensure warranty eligibility. The Limited Warranty applies to all Insurance and Cash I Direct any inquiries about Commercial warranties to the Manager. if. Guardian Auto Glass LLC 940 N Shadeland Ave INDIANAPOLIS, IN 46219-4810 PH:(800)882-2244 FAX:(317)353-6230 INDIANA RETAIL TAX EXEMPT PAGE City o C°,�rme I' CERTIFICATE NO.003120155 002 0 Jl \��///lL� Jll► PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25473 35-60000972 ONE CIVIC SQUARE. THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584, VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9117/2012 Guardian Auto Glass LLC Carmel Police Department VENDOR SHIP 3 Civic Square TO 940 N. Shadaland Ave Carmel, INd Indianapolis, IN 46211.4810 (317)671-22%9 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43•SiO.00 1 Each repair€ indshield $224.26 $224.26 Saab Total: $224.26 ZZ, Aq- m a pi m � m �. car 9661 S.Hates r. Send Invoice To: y Carmel Pollco Mpartment Attn: Teresa Anderson 3 Civic Square Camel, IN 460 - PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Caffnel Police Dept. PAYMENT $224.26 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. f NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND !' VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TbHERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION$UFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. � police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C C t,of _ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 4�� CLERK-TREASURER DOCUMENT CONTROL NO. A.P. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO..................._................WARRANT NO................................... ALLOWED 20 IN THE SUM OF $ ON ACCOUNT OF APPROPRIATION FOR e 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 receivedexcept................................................................................................................................ 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)) 09/18/12 1520004512 windshield replacement $224.76 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 $224.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 25473 I 1520004512 I 43-510.00 I $224.76 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 Friday, September 21, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund