223948 09/10/2013 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: $276.00
CHICAGO IL 60673-1243 CHECK NUMBER: 223948
CHECK DATE: 9110/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 1520009341 226 . 00 AUTO REPAIR & MAINTEN
1110 4351000 W5200009521 50 . 00 AUTO REPAIR & MAINTEN
GUARDIAN AUTO GLASS LLC Copy 1
940 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4810
PH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 27-3440978
P/O#: Cust State Tax ID: 356000972 Workorder: W520009341
Taken By: BridgetSchrier Cust Fed Tax ID: 356000972
Installer: Ship Via: Date: 8/21/2013
Time: 10:59 AM
SalesRep:HOUSE ACCOUNT 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 Fax: (317) 571-2507
Vehicle Information
Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2010
Odometer: VI N: License:
Qty Part Number Description Disc% Sell Total
1 DWO164OGBYNCOM Windshield-(W/Third Visor Frit,Solar 20.00 $201.00 $201.00
Controlled)
1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) 0.00 $25.00 $25.00
AuthBy: JASON
No Warranty on Glass Removed and Reinstalled.
No warranty on customer supplied parts
vin_
Install Date: 08/21/13, Mobile Install
Instructions:
GOING TO THE GARAGE - 3400 W MAIN ST CARMEL
Collect From Customer $226.00
Sub Total: $226.00
Tax: $0.00
Customer's Signature: Net30 Total: $226.00
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.
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))
08/22/13 1520009341 $226.00
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
$226.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 1520009341 I 43-510.00 I $226.00 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, September 05, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
GUARDIAN AUTO GLASS LLC Copy 1
940 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4810 WO W520009$21
PH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax 10: 27-3440978
Remit To: 24394 Network Place, CHICAGO, IL 60673-1243
P/O#: Cust State Tax IQ: 356000972 Invoice: 1520009521
Taken By: BridgetSchrier Cust Fed Tax ID: 356000972 612013
Installer, DanielSkelton Ship Via: Date:Time: 9/91:17 PM
SalesRep: Adv. Code:CURRENTACCT Reprint 01
Bill To:CARMEL P0121805-2520 - Sold To: CARMEL P0121805.2620
CARMEL POLICE DEPT CARMEL POLICE DEPT
3 CIVIC SO 3 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
3U 571-2548 Fax;,(317)571-2507
Vehicle Information
Make: Chevrolet Model Style: Impala 4 Door Sedan Year: 2012
Odometer: VIN: 2C 1 WD5E30C1151811 License:
Fleet Number: Unit Number: 107 Color:
Qty
Ni Number Description List Disc% Sell Total
1 RPR Windshield Repair(Star Driver-Bottom) $50.00 0 $50.00 $50.00
AuthBy: JASON
No warranty on Glass Removed and Reinstalled.
No warranty on customer supplied parts
vin
Sub Total: $50.00
Tax: $0.00
Customer's Signature: Net30 On Account: $50.00
LIMITED WARRANTY
Any manufacturer's defect In the glass or any leaking or other defect related to the Installation of stationary glass parts will be covered for as long as you
own the vehicle, Any manufacturer's defect In the glass or a defect of workmanship or leaking related to the installation of moveable glass parts is covered
for 90 days from the date of Installation. Any crack or run from the original point of a chip repair of your windshield as Identified In the primary vision area
will be covered for as long as you own the vehicle, The amount you paid for the original chip repair of your windshield will be applied toward the replacement
cost of a new windshield purchased from and Installed by Guardian Auto Glass. Refer to the Limited Warranty document for additional Information.
You must prosont the Limited Warranty document to ensure warranty eligibility, The Limited Warranty applies to all Insurance and Cash
customers. Direct any inquiries about Commercial warranties to the Manager.
Guardian Auto Glass LLC 940 N$hadeland Ave INDIANAPOLIS, IN 46219-4810 PH:(800)882-2244 FAX:(317)353-6230
LA d « 0£19 £5£ L6£ sse10 04nV uelpJeno 0£:�6 OL-60-£60Z
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))
09/04/13 W520009521 windshied repair $50.00
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
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I W520009521 I 43-510.00 I $50.00 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, eptember 06, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund