187833 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364475 Page 1 of 1
s. ONE CIVIC SQUARE GSSI GROUP, INC.
CARMEL, INDIANA 46032 7510 WILLIAMSBURG DRIVE CHECK AMOUNT: $2,472.00
o CUMMING GA 30041 CHECK NUMBER: 187833
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 100611 2,472.00 BUILDING REPAIRS MA
GSSI Group, Inc. RNWORCE
7510 Williamsburg Drive
Cumming, GA 30041
INVOICE #1006 -11
Phone [770.889.2661] Fax [770.844.8080}
DATE: JUNE 28, 2010
TO: SHIP TO:
City of Carmel Mayor's Office Same
1 Civic Square
Carmel, In 46032
Attn: Jeff Barnes
COMMENTS OR SPECIAL INSTRUCTIONS:
SALESPERSON P.O. NUMBER REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS
CShort 5 -6 -10 -Jeff Barnes Net
Days
QUANTITY DESCRIPTION UNIT PRICE TOTAL
T8- 4 -M120, T -8 type, 4 foot LED Tube light, 288 LED's,
48 ea $48.50 $2,328.00
18 Watts, 120 volts, 1,200 Lumens
48 ea TM -Kit, Retrofit Wiring Kit for T8 -2 -M T8 -4 -M $3.00 $144.00
SUBTOTAL $2,472.00
D SALES TAX
JUL 19 2010 SHIPPING HANDLING
13y TOTAL DUE F $2,472-00
Make all checks payable to GSSI Group, Inc.
If you have any questions concerning this invoice, contact Charlie Short, 317 -938 -3446
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
GSSI Group, Inc.
IN SUM OF
7510 Williamsburg Drive
Cumming, GA 30041
$2,472.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO#! Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members
1205 1 1006 -11 I 43- 501.00 I $2,472.00 I hereby certify that the attached invoice(s), or
I 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 16, 2010
Direct r, Administra on
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1990
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))
06/28/10 1006 -11 $2,472.00
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