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
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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
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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=
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?: 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
—
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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
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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
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-_ 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