HomeMy WebLinkAbout229472 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
ONE CIVIC SQUARE G H S
0 CHECK AMOUNT: $12,919.61
CARMEL, INDIANA 46032 8349 N WASHINGTON STREET
SHERIDAN IN 46069 CHECK NUMBER: 229472
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4462000 2013-1670 3 , 396 . 66 OTHER STRUCTURE IMPRO
1205 4350100 2013-1674 1, 184 .45 BUILDING REPAIRS & MA
1110 R4350100 31406 2013-1680 8, 338 . 50 LIGHT FIXTURES
GHS, Inc.
Women-Owned Business Enterprise
8349 North Washington Street
Sheridan, IN 46069
Bill To Invoice
City of Carmel Police Department
Attn: Teresa Anderson Date Invoice#
3 Civic Square
Carmel,IN 46032 2/7/2014 2013-1680
Project
LED lamps
P.O. No. Due Date Terms
31406 3/9/2014 Net 30
Quantity m Code Description Pric E Amount
22 Materials SECOND FLOOR EAST SIDE 163.50 3,597.00
Convert 22 2x4 fixtures to LED:rewire,remove ballasts and install 2 4'LED lamps per
fixture
29 Materials CID AND REST OF SECOND FLOOR 163.50 4,741.50
Convert 29 2x4 fixtures to LED;rewire,remove ballasts and install 2 4'LED lamps per
fixture
Thank you for your business. Total $8,338.50
Phone:317-758-1507
Payments/Credits $0.00
Balance Due $8,338.50
(�° Ca'rmel
INDIANA RETAIL TAX EXEMPT PAGE
Cit ®,Jlr, CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31406
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
OHS, Inc. Carmol Police Dopartrn®nt
VENDOR SHIPCIVIC SqUam
6340 North Washington Stmet TO Car el, IN 46032
Sheridan, IN 4 (317)6712574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account
43-M
UNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-M.0
51 Each corwert 2114 light Sutures t®LED lamps $963. 0 $8,338.50
Saab Total: $8,338.50
Send Invoice To: ` {t. ` ':•`
Carmel Poilco Departmont . `.
Attn: Pat Young
3 CIVIC Squ: m
0181, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $0+341.50•� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAT O' FFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Of laM Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
�I
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 4®6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.._.____. WARRANT NO
ALLOWED 20
IN THE SUM OF$
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.._______._. -----------
............ —-------------------------------------------------
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))
02/24/14 2013-1680 LED light conversion $8,338.50
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
GHS, Inc.
IN SUM OF $
8349 North Washington Street
Sheridan, IN 46069
$8,338.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumber<`l I hereby certify that the attached invoice(s), or
31406 I 2013-1680 I 43-501.00 I $8,338.50
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, February 14, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
GHS, Inc.
Women-Owned Business Enterprise
8349 North Washington Street
Sheridan, IN 46069
Bill To Invoice
City of Carmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel, IN 46032 1/17/2014 2013-1670
Project
P.O. No. Due Date Terms
Jeff 2/16/2014 Net 30
Quantity Item Code Description Price E... Amount
8.5 Labor Troubleshoot parking lot lights, lost power from building,was dead short. Tying 65.00 552.50
parking lot lights on with 120v feeding cameras. Two lights working. Ordered and
delivered new transformer. 3 lights still need to be tied in. Transformer needs to be
hooked up.
2 Materials photocells-south side parking lot lights 16.46 32.92
2 Materials covers 3.72 7.44
2 Materials boxes 7.40 14.80
1 Materials Flammond 480-120/208 75k VA transformer 2,789.00 2,789.00
Building Maintenance
S
Account # tily� 20� a.H e
ubmittcd To Department # / zap
FEB 2 4 2014
11e.rk Treasurer
We appreciate your business Total $3,396.66
Phone:317-758-1507
Payments/Credits $0.00
Balance Due $3,396.66
GHS, Inc. D[EMEMED
Women-Owned Business Enterprise
8349 North Washington Street
Sheridan, IN 46069
Bill To invoice
City of Carmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel, IN 46032 1/31/2014 2013-1674
Project
P.O. No. Due Date Terms
Jett' 3/2/2014 Net 30
Quantity Item Code Descri tion Price E... Amount
16 Labor 2 techs-changed high ceiling lamps in lobby at City Hall (Lamps provided by City of 65.00 1,040.00
Carmel)
Equipment... Litt Rental 144.45 144.45
Building Maintenance
Account # q3501,00 N B
Department # /.2 o r
Submitted To
FEB 2 4 2014
Clerk Treasurer
Thank you for your business.
Tota' $1,184.45
Phone:3 17-758-1507
Payments/Credits $0.00
Balance Due $1,,161.4s
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))
01/17/14 2013-1670 $3,396.66
01/31/14 2013-1674 $1,184.45
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
GHS, Inc.
IN SUM OF $
8349 North Washington.Street
Sheridan, IN 46069
$4,581.11
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 2013-1670 44-620.00 $3,396.66 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1205 2013-1674 43-501.00 $1,184.45
materials or services itemized thereon for
which charge is made were ordered and
received except
/Monday, February 24, 2014
Director, Administr tion
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund