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Home My WebLink About217649 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1 Q� ONE CIVIC SQUARE GUARDIAN AUTO GLASS, LLC CHECK AMOUNT: $234.52 -. CARMEL, INDIANA 46032 24394 NETWORK PLACE CHICAGO IL 60673-1243 CHECK NUMBER: 217649 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25644 I520006389 234 . 52 WINDSHIELD REPAIR GUARDIAN AUTO GLASS LLC copy f 9;40 N SHADELAND AVE INDIANAPOLIS, IN 46219-4810 WO# W520006389 PPH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 27-3440978 4�'emit To: 24394 Network Place, CHICAGO, IL 60673-1243 Cust State Tax ID: 356000972 Invoice: 1520006389 ,. ken By: BridgetSchrier Cust Fed Tax ID: 356000972 Installer: TerryCarlisle Ship Via: Date: 2/19/2013 Time: 12:32 PM SalesRep: Adv. Code: Bill To: CARMEL P0121805-2520 Sold To: CARMEL P0121805-2520 e4: CARMEL POLICE DEPT CARMEL POLICE DEPT #3; 3 CIVIC SQ 3 CIVIC SQ CARMEL, IN 46032 CARMEL, IN 46032 I q� (317 571-2548 Fax: (317) 571-2507 Y�x Vehicle information 1:11 Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2008 Odometer: VIN: 2G1WS583881359508 License: Ii Fleet Number: Unit Number: 40 Color: ; Qty Part Number Description List Disc% Sell Total `. 1 DB11064GTYNCOM Back Window-(Heated,Antenna,Solar $261.90 20 $209.52 $209.52 Controlled) r i 1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) $25.00 0 $25.00 $25.00 `tAuthBy: JASON �.'No Warranty on Glass Removed and Reinstalled. No warranty on customer supplied parts K, <yin p Required Date 02/15/13, Mobile Install Installer: TerryCarlisle ,"Instructions: GOING TO GARAGE F Sub Total: $234.52 Tax: $0.00 3.0 a G.ustomer's Signature: Net30 On Account: $234.52 "LWITED WARRANTY Any 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 fer 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 i!1 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 cost of a new windshield purchased from and installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional information. Yqu must present the Limited Warranty document to ensure warranty eligibility. The Limited Warranty applies to all Insurance and Cash r'-u5tomers. 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 v':t "i ia`�t: 4 INDIANA RETAIL TAX EXEMPT PAGE kAo Carmel CERTIFICATE NO.003120155 002 0 \\��//// � 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25844 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 2119!013 Guardian Auto Glass LLC Can-not Police Dopartmont VENDOR SHIP 3 CIVIC squam TO 940 N. Sh delarrd Ave Carmel, IN 46 Indianapolis, IN 462194810 (317)571 !D CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-610.00 9 Each repair windshield $234.00 $234.00 Saab Total: $234.00 car.40 s laool car -Send Invoice To: Carmel Police D{apartment Attu: Temsa Anderson 3 CIVIC Squaw Clel4 III 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �� PAYMENT $234.00 t, A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ,l NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND l VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ✓P _/!` p" •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE thief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r--r- 45644 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO ALLOWED 20 IN THE SUM OF$ 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 i Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Guardian Auto Glass LLC IN SUM OF $ 940 N. Shadeland Ave Indianapolis, IN 46219-4810 $234.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25644 I 1520006389 I 43-510.00 I $234.52 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 Thursday, February 21, 2013 Chief of Police 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)) 02/19/13 1520006389 replace back window $234.52 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