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Home My WebLink About203443 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1 ONE CIVIC SQUARE G H S CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK AMOUNT: $3,152.00 SHERIDAN IN 46069 CHECK NUMBER: 203443 CHECK DATE: 11/912011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 2011 -1188 3,152.00 BUILDING REPAIRS MA GHS, Inc. Women -Owned Business Enterprise 8349 North Washington Street H one Sheridan, IN 46069 cC VCrvi Ce INC- Bill To Invoice City of Carmel Police Department Attn: Teresa Anderson Date Invoice 3 Civic Square Carmel IN 46032 10/18/2011 201 1 -1 188 P.O. No. Due Date 25770 11/17/2011 1 1/17/201 1 Net 30 Q uantity Description Price Each Amount Converting 12 2x2 fixtures, removing 2 U -tubes per fixture and 1,152.00 1 installing 2 24" LIED lamps Converting 10 48" 4 lamp fixtures, removing 4 fluorescent lamps 1,120.00 1,120.00 and installing 2 48" LED lamps 1 Converting 22 fixtures to LED 880.00 880.00 Total l 3,152.00 Payments /Credits $0.00 We appreciate your business Balance Due $3,152.00 J� INDIANA RETAIL TAX EXEMPT PAGE Cit ®,Jir -Carmel l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25770 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION OMi2011 CHO, Inc. Caimal Police Department VENDOR SHIP 3 Civic Sguaro Og Nort Vft hington StFGGt TO Camel, IN Meridian, IN 4M 671 .2 M t CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 431.00 10 Each convert 48° lamp Wares/install 48 LED $112.00 $1,120.00 limps 12 Each convert 2x2 fixturearinstall 24° LED lamps $90.00 $1,152.00 22 Eack convert fixtures to LED $4 0.00 $880.00 Scab Toftl: $3,152.00 C a °Al J Estimate ;1244� Send Invoice To: _J Carmel Police DeWmGnt Attn: Teresa Anderson 3 Civic Squm Camel, IN 2° PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT' AMOUNT w me Police Dept. ozxu PAYMENT 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 T' SHIP REPAID. AT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIA LION SUFFICIENT TO PAY FOR THE ABOVE ORDER. J C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL E SHIPPING LABELS. to of police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r CLERK TREASURER IOCUMENT CONTROL NO 2 5 7 7 0 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 b I I 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 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)) 10/18/11 2011 -1188 converting existing lights to LED $3,152.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 GHS, Inc. IN SUM OF 8349 North Washington Street Sheridan, IN 46069 $3,152.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25770 I 2011 -1188 I 43- 501.00 I $3,152.00 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, November 03, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund