246796 06/30/15 y�_s,q+, CITY OF CARMEL, INDIANA VENDOR: 362355
ONE CIVIC SQUARE G H S CHECK AMOUNT: $*******992.04*
�9 ,?�; CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK NUMBER: 246796
''��9ox�°' SHERIDAN IN 46069 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4462000 2015-1780 992.04 OTHER STRUCTURE IMPRO
GHS,Inc. Invoice
Women-Owned Business Enterprise
8349 North Washington Street Date Invoice#
Sheridan,IN 46069 6/15/2015 2015-1780
Bill To
City of Carmel
Jeff Barnes Project
One Civic Square
Carmel,IN 46032 Gazebo
P.O. No. Terms Due Date
J.Bames Net 30 7/15/2015
Item Code Description Qty Rate Amount
Labor Install 2 LED wallpacks on east side of gazebo facing 1 360.00 360.00
inward to shine on bands;mounted on each side of
junction box.
Materials 2 LED wallpacks,wire,connectors,misc 1 632.04 632.04
Submitted 10
Building Maintenance JUN 2CT 2015
F1
Account # b O
Department # X406 rk Treasurer
Thank you for your business.
Subtotal $992.04
Sales Tax (7.0%) $0.00
Total $992.04
Payments/Credits $0.00
Balance Due $992.04
VOUCHER NO. WARRANT NO.
ALLOWED 20
GHS, Inc.
IN SUM OF$
8349 North Washington Street
Sheridan, IN 46069
$992.04
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 2015-1780 I 44-620.00 I $992.04 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
Monday, June 29, 2015
Director, Administration
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))
06/15/15 2015-1780 $992.04
the attached invoices or bills is are true and correct and I have audited same in accordance
I hereby certify that ( ), ( ), (are)
with IC 5-11-10-1.6
20
Clerk-Treasurer