The URL can be used to link to this page

Home My WebLink About228548 1/28/2014 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: $359.00 CHICAGO IL 60673-1243 CHECK NUMBER: 228548 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 31425 W520010897 359 . 00 WINDSHIELD REPAIR GUARDIAN AUTO GLASS / SAFELITE AUTOGLASS Copy 1 94WN SHADELAND AVE INDIANAPOLIS, IN 46219-4810 PH:(800) 882-2244 FAX:(317) 353-6230 Federal Tax ID: 36-4523816 P/O#: Cust State Tax ID: 356000972 Workorder: W520010897 Taken By: BridgetSchrier Cust Fed Tax ID: 356000972 Date: 1/13/2014 Installer: Ship Via: Time: 09:57 AM SalesRep:HOUSE ACCOUNT Adv. Code: 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: Caprice 4 Door Sedan Year: 2012 Odometer: VIN: License: Fleet Number: Unit Number: 158 Color: Qty Part Number Description Disc% Sell Total 1 DWO1943GBYNCOM Windshield-(Acoustic Interlayer,Solar 61.23 $334.00 $334.00 Controlled) 1 HAH000004 Adhesive-(2.0,Urethane,Dam,Primer) 0.00 $25.00 $25.00 AuthBy: ED No Warranty on Glass Removed and Reinstalled. No warranty on customer supplied parts vin— — — — — — — — — — — — — — — — — Mobile Install Instructions: GARAGE- 3400 W 131ST ST CARMEL/ 317-571-2546 Collect From Customer $359.00 Sub Total: $359.00 Tax: $0.00 Customer's Signature: Net30 Total: $359.00 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. INDIANA RETAIL TAX EXEMPT PAGE City ® y; arm e CERTIFICATE NO.003120155 002 0 l< 1s. PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31425 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION `11112094 Guardian Auto Class LLC Carmol Polico Departmon4 VENDOR SHIPS CIVIC; SgUaM TO 240 N. Shatdol2ndi Avo Carmol, IN 46=- Indianapolis, _Indianapolis, IN 62%-48% (317)ffi-MM CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 9 Each repair windshield $359.00 $350.00 Au, 5 41 �A J { tW x8� ® xr l$,: n $ x$ &Mdm"', I Jr, nice To Carmel Polh� DopartmIa t Attn: Pat Young 3 CIVIC Squame Carmel, IN 4 - PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT �a dp,gyp PAYMENT ��aa g�� Camel PollCo Dept. 43.690.03 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNL�ESS4THE,PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHF7RE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATIO UFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Dol I an AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 314.95 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ . a 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 thatthe materials or services itemized thereon for which charge is made were ordered and received 20 ............._..........._............................................................._... --.........-------......................_...._..................... Signature ...._..................._.........__...._..........._..__...................._........._............................................._.._.......__..._..___....._.._........._._ ... Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Guardian Auto Glass LLC IN SUM OF $ 24394 Network Place Chicago, IL 60673-1243 $359.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31425 I W520010897 I 43-510.00 I $359.00 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, January 23, 2014 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)) 01/13/14 W520010897 winshield repair $359.00 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