HomeMy WebLinkAbout234849 07/16/14 4�q
CITY OF CARMEL, INDIANA VENDOR: 362355
® 31 ONE CIVIC SQUARE G H S CHECK AMOUNT: $*******940.50*
?� CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK NUMBER: 234849
SHERIDAN IN 46069 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 31980 2014-1551 940.50 LED CONVERSION
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 7/8/2014 2014-1551
Project
LED lamps
P.O. No. Due Date Terms
31960(31980) 8/7/2014 Net 30
Quantity Item Code D s ri tion Price E... Amount
6 Materials 6 Conversion of fixtures 2x2 U-tubes to U-tubes LED 156.75 940.50
Not sure about po number-hard to make out
We appreciate your business Total $940.50
Phone:317-758-1507
Payments/Credits $0.00
Balance Due $940.50
INDIANA RETAIL TAX EXEMPT PAGE
City o 3 Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31980
35-60000972
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
GHS, Ine. Carmel Polices Department
VENDOR SHIP 3 CIVIC squarb
0 North Washington Street TO Carmel, IN 48432
Sheridan, IN 481 (317)
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-601.00
0 Each conversion of fixtures to LED U ubes $156.75 $940.50
Sub Total: $940.55
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Send Invoice To: /r�sf
Carmel Police Department
Attn., Pat Young
3 CIVIC SgUare
CarTfiel, IN 46m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel police Dept. $940.50
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION S'FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. / �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �` c_f �
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. / Y
of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 319%80 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
$
ON ACCOUNT OF APPROPRIATION FOR
wa
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bili(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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
GHS, Inc.
IN SUM OF$
8349 North Washington Street
Sheridan, IN 46069
$940.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#ITITLE AMOUNT Board Members
31980 2014-1551 I 43-501.00 I $940.50 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, July 11, 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))
07/08/14 2014-1551 lightfixture conversion to LED $940.50
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