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HomeMy WebLinkAbout190265 09/29/2040 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1 ONE CIVIC SQUARE G H S d CHECK AMOUNT: $1,515.01 CARMEL, INDIANA 46032 8349 N WASHINGTON STREET 'Mi�6h �b. SHERIDAN IN 46069 CHECK NUMBER: 190265 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 27006 2010 -867 1,515.01 LIGHTS CHS, Inc, Women -Owned Business Enterprise G�r�,z 8349 North Washington Street Hn.est Sheridan, IN 46069 V1Ce INC- Bill To Invo City of Carmel Police Department 4v Attn: Teresa Anderson Date Invoice 3 Civic Square Carmel, IN 46032 9/13/2010 2010 -867 P.O. No. Due Date Terms 27006 10/13/2010 Net 30 Q uantity Description Price Each Amount I Replaced 7 outside ground lights with new fixtures at the Police 1,515.01 1,515.01 Department. Carmel to supply LLD lamps for new fixtures. Total $1,515.01 Payments /Credits $0.00 Thank you for your business. Balance Due $1,515.01 Ol INDIANA RETAIL TAX EXEMPT PAGE C O o I' c arm( CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER x Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3 =CIVIC SQUARE �VSHIPPING HIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2554 LABELS AND ANY CORS OUCHER, DELIVERY MEMO, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION August 19" 9010 lights VENDOR GUS, Inc. SHIP City of Carmel Police Department 8349 North Washington Street TO 3 Civic Square Sheridan, IN 46069 Carmel IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Estimetd##1153 Replace 7 outside ground lights with new fixtures 1,515°01 m, g m z Send Invoice To: City 66 Carmel PoI -`,Dep rtm�nt ATTN: Teresa Ander on°.r 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT 1110 501 buiHift repairs and PAYMENT mainten ce P� 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 SHIP RERAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. d DERED BY J'.q PURCHASE ORDER NUMBER MUST APPEAR ON ALL W SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 27®06 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 Board Members or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. l hereby certify that the attached InVQICe(S or Pill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 2© Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed It ACCOUNTS PAYABLE VOUCHER by Slate Board of Accounts City Form No. 201 (Rev. 1995) 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 GHS, Inc. Purchase Order No. 27006F 8349 North Washington Street Terms Sheridan, IN 46069 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/ 13110 2010 -867 payment for ground]—light replacements 1,515.01 Total I 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 QH Tnc. IN SUM OF 8349 North Washington Street Sheridan, IN 46069 1,515.01 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 27006F 2010 -867 501 1,515.01 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 September 21 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund