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HomeMy WebLinkAbout216414 01/15/2013 a CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1 `•; ONE CIVIC SQUARE GUARDIAN AUTO GLASS,LLC CHECK AMOUNT: $223.40 CARMEL, INDIANA 46032 24394 NETWORK PLACE *<�or7io. CHICAGO IL 60673-1243 CHECK NUMBER: 216414 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25583 I520005763 223 .40 WINDSHIELD REPAIRS )tt'11 Y AN: ----.- - - _- '";UARDIAN AUTO GLASS LLC t Copy 1 40 N SHADELAND AVE DIANAPOLIS, IN 46219-4810 ' WO# W520005763 P:H:(800) 882-2244 FAX:(317) 353-6230 emit To: 24394 Network Place, CHICAGO, IL 60673-1243 Federal Tax ID: 27-3440978 00#.. swmm� Cust State Tax ID: 356000972 Taken By: JimmyWilliams Cust Fed Tax ID: 356000972 Invoice: 1520005763 Installer: MathewHarper Ship Via: Date: 12/31/2012 w., es Rep: Adv. Code: Time: 01:19 PM Bill To: CARMEL P0121805-2520 Sold To: CARMEL P0121805-2520 CARMEL POLICE DEPT 3 CIVIC SQ CARMEL POLICE DEPT CARMEL, IN 46032 3 CIVIC SQ 1 : CARMEL, IN 46032 YO r- E f :' (317) 571-2548 Fax: (317) 571-2507 Vehicle Information P"' Make: Chevrolet Model Style: Silverado C1500 2 Door Extended it Odometer: Year: 2001 VIN: 1GCGK29U912295283 License: Qty Part Number Description 1 DW01341 GBYNCOM Windshield-(Solar Controlled List Sell Total r.• ) Sa $191.75 $153.40 $153.40 PO# 5204033 C0001824;. l.t; 1 HAH000004 Adhesiv.e-(2.0,Urethane,Dam,Primer) $25.00 1 LABOR LABOR $25.00 $25.00 $45.00 $45.00 $45.00 §No Warranty on Glass Removed and Reinstalled. .No warranty on customer supplied parts iK Uvin — — — — — — — — — — — — — — — — — N= T ?: Sub Total: $223.40 R u, ,. f Tax: $0.00 y�r�RY l'tfr �, stomer's Signature: U4 Net30 On Account: IMITED WARRANTY $223.40 i\0y 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 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 Yebst of a new windshield purchased from and installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional information. cusou must present the Limited Warranty document to ensure warranty eligibility. The Limited Warranty applies to all Insurance and Cash tomers. Direct any inquiries about Commercial warranties to the Manager. Guardian Auto Glass LLC 940 N•Shadeland Ave INDIANAPOLIS, IN 46219-4810 PH:(800)882-2244 FAX:(317)353-6230 — ®f C 4 Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 � PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ONE CIVIC SQUARE 35-60000972 2 CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 GUaitan Auto Glagg LLC VENDOR D I t Pellco Dopal#mont S$0 N IP 3 Civic sgUam �hal�ld Ave AVM TO Indianapollg, IN 4-62194010 C&F mol, IN 462 7nz=fff!=TION T 1]]elf 1'O S��9A i :gJ73 MS FREIGHT 6 RIPTION Ac count 43-610.M UNIT PRICE EXTENSION 4 Each repair windshield $223.40 Sub Total: $223.40 I I �e•� d�Q i -4e � I 2h, • Send Invoice To: I�ft •• a CW»ei Polio Dcpartmont U�! I Attn: TOM@ Anderson 3 CIVIC SgUaF@ Carmel, IN 4M2. DEPARTMENT PLEASE INVOICE IN DUPLICATE � ACCOUNT I Tnel Police Dept, PROJECT PROJECT ACCOUNT ---- AMOUNT PAYS M3.40 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIP REPAID. I HEREBY CERTIFY TTO�AT THERE IS AN UNOBLIGATED BALANCE IN Q.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS APPROPRIATIII N/SUFFICIENT TO PAY FOR THE ABOVE ORDER. I 'URCHASE ORDER NUMBER MUST APPEAR ON ALL J/ ;HIPPING LABELS. ORDERED BY 'HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 d AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE i®r or V �oII�Cc� CLERK-TREASURER )CUMENT CONTROL NO. A COPY-SIGN AND RETURN TO CLERK'S OFFICE 1 I I -_ I VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF $ i i i I ON ACCOUNT OF APPROPRIATION FOR j . . I f . . 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 J _ received except i 20 i -----........---............... .. - Signature i 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)) 12/31/12 1520005763 windshield repair $223.40 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 $ 940 N. Shadeland Ave Indianapolis, IN 46219-4810 $223.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 25583 I 1520005763 I 43-510.00 I $223.40 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 Thursday, January 10, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund