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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