HomeMy WebLinkAbout192822 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 364475 Page 1 of 1
ONE CIVIC SQUARE GSSI GROUP, INC. CHECK AMOUNT: $3,502.00
CARMEL, INOIANA 46032 7510 WLLIAMSBURG DRIVE
CUMMING CA 30041 CHECK NUMBER: 192822
CHECK DATE: 12/1512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 27536 07107 3,502.00 WIRING KITS /TUBE LIGH
GSSI Group, Inc. Invoice
7510 Williamsburg Dr.
Date Invoice
Cumming, GA 30041
11/18/2010 07107
Bill To Ship To
City of Cannel Same
Carmel Clay Communications
31 First Avenue NW
Carmel, IN 46032
Attn: Janet Arnone
P.O. Number Terms Rep Ship Via F.O.B. Project
27536 Net 15 VS /CS 11/9/2010 UPS
Quantity Item Code Description Price Each Amount
68 T84-M120 Tube L... T84 -M120 Tube Light 48.50 3,298.00
68 TM -Kit Retrofit Kit TM -Kit Retrofit Wiring Kit for T8 -2 -M and T8-4 -M 3.00 204.00
Total $3,502.00
INDIANA RETAIL TAX EXEMPT PAGE
kAty
4.J� f C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27536
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1114121110 0
OSSI Group Carmel Clay Communications
VENDOR SHIP 39 First Av enue NW
7590 Williamsburg Dri TO Ca IN 46032
Cumming, GA 30049 (397) 571 -2386
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 509.00
4 Each Wiring kit for LED lights TM -Kit $72.00 $288.00
4 Each LED tube lights T8- 1 -MR120 $1,164.00 $4,656.00
Sub Total: $4,944.00
AQ o I
On
Send invoice To:
Carmel Clay Communications
31 First Avenue MW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Communications PAYMENT $4,%4.00
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 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 7 %'J; 3 6 A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO, WARRANT NO.
ALLOWED 2fl
IN THE SUM OF
4
ON ACCOUNT OF APPROPRIATION FOR
t0
Board Members
PO# 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 i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
GSSI Group
IN SUM OF
7510 Williamsburg Drive
Cumming, GA 30041
$3,502.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
27536 07107 I 43- 501.00 I $3,502.00 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
Thursday, December 09, 2010
Director
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))
11109/10 I 07107 I I $3,502.00
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