HomeMy WebLinkAbout205179 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
ONE CIVIC SQUARE G H S CHECK AMOUNT: $346.49
CARMEL, INDIANA 46032 8349 N WASHINGTON STREET
SHERIDAN IN 46069 CHECK NUMBER: 205179
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 2011 -1222 346.49 BUILDING REPAIRS MA
GIIS, Inc.
Women -Owned Business Enterprise G
8349 North Washington Street
Sheridan, IN 46069 ice
INC-
Bill To I nvoice
City of Carmel
Jeff Barnes Date Invoice
One Civic Square
Carmel, IN 46032 12/15/2011 2011 -1222
P.O. No. Due Date Terms
Jeff 1/14/2012 Net 30
Q uantity Description Price Each Amount
5 12/1 and 12/5 Disconnected 2 movie screens. Rewired 2 new 65.00 325.00
movie screens after installed by movie screen techs.
1 20' flex 16.47 16.47
1 4 connectors 5.02 5.02
D Q
JAN 4 2012
By
Total $346.49
Payments /Credits $0.00
Thank you for your business.
Balance Due $346.49
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.
Term s
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/15/11 2011 -1222 $346.49
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
$346.49
ON ACCOUNT OF APPROPRIATION FOR
Administration Departmen
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1205 2011 -1222 43- 501.00 $346.49
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
Wednesday, January 04, 2012
Director, Ad
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund