HomeMy WebLinkAbout232511 05/13/14 aa.�,Coq*f!
�;; CITY OF CARMEL, INDIANA VENDOR: 362355
® ONE CIVIC SQUARE G H S CHECK AMOUNT: $****10,140.57*
�. „aQ CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK NUMBER: 232511
'yiiuH�o. SHERIDAN IN 46069 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 31951 2014-1515 10,140.57 LED 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
5/9/2014 2014-1515
Project
LED lamps
P.O. No. Due Date Terms
31951 6/8/2014 Net 30
Quantity m Code Descriotion Price E Amount
33 Materials Ist floor conversion of fixtures to LED 156.75 5.172.75
11 Materials Installation of LED step lights south lot 138.12 1,519.32
22 Materials 2nd floor conversion of fixtures to LED 156.75 3,448.50
Thank you for your business. Total $10,140.57
Phone:317-758-1507
Payments/Credits $0.00
Balance Due $10,140.57
' INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmed CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 311
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
46294
G146, Inc. Carmol Pollco Dopar;tmono
VENDOR SHIP 3 Civic Squm
M40 North Washington Stfoo4 TO ftmol, IN 462
Shoddan, IN 4 (W)579
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I`
Account 43al.0
33 Eaai 9st Floor conversion of Mures to LED $955.75 $5,972.75
99 Each Insfaiafion of LED step lights south tot $938.92 $9,599.32
22 Each 2nd Floor conversion of fdntur es to LED $958.75 $3,448.50
�-- Sub Tofd: $99,944.57
00of® 9578, 9548, 9549 ~�� � n II
end Invoice To: %��J
Camel Pollee Departmon4
Atte: PO Young �
3 Civic Squ=
Cumol, IN 4M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $10,140.57
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
I VOUCHER HAS THPROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER I I THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPRO ON SUFFIC NT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. f hlaq®q Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 11
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 9 5 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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_-_ ._._-_- _-_.__-
— - 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))
03/26/14 2014-1515 conversion to LED lighting $10,140.57
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GHS, Inc.
IN SUM OF $
8349 North Washington Street
Sheridan, IN 46069
$10,140.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31951 I 2014-1515 I 43-501.00 I $10,140.57 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, M y 09, 2014
Z�Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund