223493 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1
ONE CIVIC SQUARE GUARDIAN AUTO GLASS, LLC CHECK AMOUNT: $325.75
ss�tFO CARMEL, INDIANA 46032 24394 NETWORK PLACE
CHICAGO IL 60673-1243 CHECK NUMBER: 223493
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4351000 I520009253 325 . 75 AUTO REPAIR & MAINTEN
GUARDIAN AUTO GLASS LLC Copy 1
940 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4810 WO# W520009253
PH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 27-3440978
Remit To: 24394 Network Place, CHICAGO, IL 60673-1243
P/O#:1218052520 Cust State Tax ID: 356000972 Invoice: 1520009253
Taken By: BridgetSchrier Cust Fed Tax ID: 356000972
Installer: DanielSkelton Ship Via: Date: 8/19/2013
Time: 10:27 AM
SalesRep: Adv. Code:CURRENT ACCT
Bill To: CARMEL P0121805-2520 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 317) 571-2507 _
Vehicle Information
Make: Toyota Model Style: Venza 4 Door Utility Year: 2013
Odometer: VIN: 4T3BA3BB1 DU045133 License:
Qty Part Number Description List Disc% Sell Total
1 FW03004GTYNCOM Windshield-(Heated,Heated Wiper Park $294.40 20 $235.52 $235.52
Area,W/Third
1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) $25.00 0 $25.00 $25.00
1 MWF3003 Moulding-(Underside) $65.23 0 $65.23 $65.23
AuthBy: RYAN
No Warranty on Glass Removed and Reinstalled.
No warranty on customer supplied parts
vin
— — — — — — — — — — — — — — — — —
Sub Total: $325.75
Tax: $0.00
Customer's Signature: Net30 On Account: $325.75
LIMITED 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
for 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
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
cost of a new windshield purchased from and installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional information.
You must present the Limited Warranty document to ensure warranty eligibility. The Limited Warranty applies to all Insurance and Cash
customers. 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
Prescribed by State Board of Accounts City Forn
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rE
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
Date Number (or note attached invoice(s) or bill(s)) 75
08/19/13 I 1520009253
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same
with IC 5-11-10-1.6
20
Clerk-Treasurei
VOUCHER NO. WARRANT NO.
ALLOWED 20
Guardian Auto Glass LLC
IN SUM OF $
940 N Shadeland Ave
Indianapolis, IN 46219-4810
$325.75
ON ACCOUNT OF APPROPRIATION FOR
Project 2013-911 Task 2013-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 I 1520009253 I 43-510.00 I $325.75 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
Thursday, August 22, 201
a- -�
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund