HomeMy WebLinkAbout235098 7 /22/2014 J�/ CITY OF CARMEL, INDIANA VENDOR: 368442
ONE CIVIC SQUARE G S I SERVICES CHECK AMOUNT: $*****4,750.00*
=a, ��; CARMEL, INDIANA 46032 108 E CARMEL DR CHECK NUMBER: 235098
MUTON�O, CARMEL IN 46032 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 20015 4,750.00 ROOF REPAIRS
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INVOICE
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GSI SERVICES LLC
108 E Carmel Drive INVOICE NO.
Carmel IN 46032 DATE
KBG@GSIINDY.COM
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Brookshire Golf Course
12120 Brookshire Parkway
Carmel,IN 46033
PAYMENT TERMS
DESCRIPTION QUANTITY AMOUNT TOTAL
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Due $4750.00
THANK YOU FOR YOUR BUSINESS!Please make checks payable to GSI Services!
0 INDIANA RETAIL TAX EXEMPT PAGE
[city ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT J
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE �DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
s( ) SHIP
VENDOR
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CONFIRM
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CONFIRMATION BILAANNK/ET CONTRACT PAYMENTTERMS FREIGHT
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QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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-Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT TPROJECTACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT/TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
.� CLERK-TREASURER
A.E
DOCUMENT CONTROL NO. .5
COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
`` IN THE SUM OF$
C?ne-ov—1 Dig,
ON ACCOUNT OF APPROPRIATION FOR
' Board Members
PO#or
DEPT.# INVOICE NO, ACCT#rfITLE AMOUNT I hereby certify that the attached invoice(s), or
dbl�
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
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Title
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Cost distribution ledger classification if
claim paid motor vehicle highway fund
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