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Home My WebLink About192067 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