HomeMy WebLinkAbout228017 1 /14/2014 CITY OF CARMEL, INDIANA VENDOR: 00350559 Page 1 of 1
ONE CIVIC SQUARE GUARDIAN AUTO GLASS, LLC CHECK AMOUNT: $203.68
CARMEL, INDIANA 46032 24394 NETWORK PLACE
9ti o� CHICAGO IL 60673-1243 CHECK NUMBER: 228017
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 31421 1520010724 203 . 68 WINDSHIELD REPLACEMEN
GUARDIAN AUTO GLASS LLC Copy 1
940 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4810 WO# W520010724
PH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 27-3440978
Remit To: 24394 Network Place, CHICAGO, IL 60673-1243
P/O#: Cust State Tax ID: 356000972 Invoice: 1520010724
Taken By: BridgetSchrier Cust Fed Tax ID: 356000972
Installer: MathewHarper Ship Via: Date: 12/26/2013
Time: 02:55 PM
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_ Fax: (317) 571-2507
"- - - - -- Vehicle Information
Make: Chevrolet Model Style: Tahoe 4 Door Utility Year: 2013
Odometer: VIN: 1 GNLC2E02DR309907 License:
Qty Part Number Description List Disc% Sell Total
1 DWO1658GBYNCOM Windshield-(W/Third Visor Frit,Solar $223.35 20 $178.68 $178.68
Controlled)
1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) $25.00 0 $25.00 $25.00
AuthBy: JASON
No Warranty on Glass Removed and Reinstalled.
No warranty on customer supplied parts
vin
- - - - - - - - - - - - - - - - -
Sub Total: $203.68
Tax: $0.00
Customer's Signature: Net30 On Account: $203.68
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
4 J� Carmel
INDIANA RETAIL TAX EXEMPT PAGE
Ci ®,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M2135-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
92d�I;tigO��
GuaMlmn Auto Gim LLC Cumol PolleG 13epartmGnt
VENDOR SHIP 3 CIVIC sgDam
TO
940-Ni Wdelend Avo Carmol, IN 48
indl pdiIs, IN 4ki2 O.4M (39�)579 25 4
I1!CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
I
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610.10
9 Each repair windshield $203.68 $203.68
Sub Total: $203.68
� a4� � � Via•
FA
rc
Send Invoice To:
CumGl Pollco Dopaltmmt
Attn: Pat Young
3 CIVIC squm
C,IrmGi, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
sarnei Police Dept. PAYMENT X203•68
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
II HEREBY CERTIFY THAT TH RE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS
SHIP REPAID. THIS APPROPRIATIONA8 I IENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• 24
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,meq y p�
SHIPPING LABELS. ltlt 8i Ir®II�G
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C� CLERK-TREASURER
DOCUMENT CONTROL NO. Z A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.– WARRANT NO.-.-_
ALLOWED 20
IN THE SUM OF $
c 1,
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
I
20
Signature
------- --------— — - - - 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))
01/01/14 1520010724 windshieldrepair car 13 $203.68
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
$203.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31421 1520010724 43-510.00 $203.68
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 09, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund