202994 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
t ONE CIVIC SQUARE G H S
CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK AMOUNT: $1,464.00
SHERIDAN IN 46069 CHECK NUMBER: 202994
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 2011 -1185 1,464.00 BUILDING REPAIRS MA
GI3S, Inc. 1 9 Women -Owned Business Enterprise o f Guaranteed
8349 North Washington Street �S honest
Sheridan, IN 46069 C
Vervice
INC
Bill To I
City of Carmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel, IN 46032
10/7/2011 2011 -1185
P.O. No. Due Date Terms
Jell'13arnes 11/6/2011 Net 30
Q uantity Descrii3tion Price Each Amount
1 Surveyed; removed 2 old controllers for lights in Carmel Council 1,464.00 1,464.00
Chambers and installed 2 new controllers
2 lighting controllers 1 1 19.00
Labor 345.00
D %TM O 2011
By
Total $1,464.00
Payments /Credits $0.00
We appreciate your business
Balance Due $1,464.00
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))
10/07/11 2011 -1185 $1,464.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GHS, Inc.
IN SUM OF
8349 North Washington Street
Sheridan, IN 46069
$1,464.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1205 2011 -1185 43- 501.00 $1,464.00 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
Monday, October 24, 2011
Director, A ministratio
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund