HomeMy WebLinkAbout192067 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
y•� ONE CIVIC SQUARE G H S CHECK AMOUNT: $4,784.38
ro CARMEL, INDIANA 46032 8349 N WASHINGTON STREET
c«o� co SHERIDAN IN 46069 CHECK NUMBER: 192067
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 2010 -885 4,158.88 BUILDING REPAIRS MA
1110 4350100 27066 2010 -910 625.50 LED LIGHT CONVERSION
GHS, Inc.
Women -Owned Business Enterprise GuaranteM
8349 North Washington Street H4„_1
Sheridan, IN 46069 Service
INC-
Bill To Invoice
City of Carmel Police Department v
3 Civic Square Date Invoice
Carmel, IN 46032
11/15/2010 2010 -910
P.O. No. Due Date Terms
27066 12/15/2010 Net 30
Q uantity Description Price Each Amount
9 Remove old bulb/ballasts in 9 fixtures, rewire to accommodate new 69.50 625.50
LED lamps, install new LED lamps provided by City of Carmel
outside canopy south side of Police Department
Total $625.50
Payments /Credits $0.00
Thank you for your business.
Balance Due $625.50
INDIANA RETAIL TAX EXEMPT PAGE 1 of 1
Ci I' C arme� CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27
,IZCIVIC SQUARE EHISN BER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Novembar 7,
VENDOR GHS, Inc SHIP City of Carmel Police Department
8349 North Washington Street TO 3 Civic Square
Sheridan, IN 46069 Carmel, IN 46032
CONFMMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Estimate #1183
Remove old bulb /ballasts in 9 fixtures, rewfte 625.50
to accommodate new LED lights, install new
LED lamps provided by
r 5
gg
"r°A�• A�
Send Invoice To: City of Carmel Poll D®pret,. f
ATTN: Teresa Anderso
3 eivic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJ ECT ACCOUNT AMOUNT
1120 101 building mepairs an a te ,&,?&fENT
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 UNOBUGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE. ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ch ief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
DOCUMENT CONTROL NO. 270 66 A.P.V. COPY -SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PD# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER 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. 27066F
8349 North Washington Street Terms
Sheridan, IN 46069 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 15 1 2010-910 n 'S
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
G HS, Inc. IN SUM OF
8349 North Washington Street
Sheridan, IN 46069
625.50
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT4 TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
27066F 2010 910 501. 625.50 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
November-18 20 10
&q
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
GI3S, Inc.
Women -Owned Business Enterprise G.a`.teed
8349 North Washington Street Honest
Sheridan, IN 46069 cc
Vervice
11JG•
Bill To Invoice
City of Carmel Invoice
Jeff Barnes Date Invoice
One Civic Square
Carmel, IN 46032
11/2/2010 2010 -885
P.O. No. Due Date Terms
26975 12/2/2010 Net 30
Q uantity Descri tion Price Each Amount
26 10/6/ and 10/7/2010 Troubleshoot ground lights at Mayor's 65.00 1,690.00
office; replaced GFIs and street lights; converted 6 street lights to
prepare for LLD
3 GPI receptacles 20 amp 25.85 77.55
1 Misc. wire nuts 3.00 3.00
1 Bell Box 5.43 5.43
8 WP covers 6.27 50.16
7 10 /29/10 Finished rewiring and installed LEDs in 6 street lights 65.00 455.00
(LEDs supplied by City of Carmel)
19.5 1 1/01/10 Troubleshoot and replace underground wiring to 6 65.00 1
street lights on east side of Courtyard
1 60 ft 3/4 seal tite 115.80 115.80
1 PVC coupling 7.48 7.48
1 310 ft 10 TH N 93.00 93.00
1 5 R PVC 1 1/4" pipe 10.75 10.75
1 GFI 30.52 30.52
2 3/4 45 degree connectors 1.16 2.32
1 314 PVC female adapter 0.93- 0:93
3 1 1/4" x 36 galv pipe //A-\ 38.98 116.94
1 3/4 LB 5.35 5.35
3 galv couplings D 5.36 16.08
2 straight tight fittings 2 2 2010 4.63 9.26
1 6" galv nipple r 13.38 13.38
2 couplings 0.93 1.86
1 1 1/4" gals cap 5.35 5.35
I strap y 1.22 1.22
6 Lift Rental 30.00 180.00
Total $4,158.88
Payments /Credits $0.00
Thank you for your business.
Balance Due $4,158.88
r
VOUCHER NO. WARRANT NO,
ALLOWED 20
GHS, Inc.
IN SUM OF
8349 North Washington Street
Sheridan, IN 46069
$4,158.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26975 I 2010 -885 I 43-501.00 $4,158.88 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, November 22, 2010
ti
Director, Ad inistration
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))
11/02/10 I 2010 -885 I $4,158.88
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