210844 07/17/2012 a CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
t' ONE CIVIC SQUARE G H S
t Q� 8349 N WASHINGTON STREET CHECK AMOUNT: $1,169.50
CARMEL, INDIANA 46032
o� SHERIDAN IN 46069 CHECK NUMBER: 210844
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350400 2012-1320 1, 169 . 50 GROUNDS MAINTENANCE
GHS, Inc.
Women-Owned Business Enterprise Gmrmteed
8349 North Washington Street Knat
Sheridan, IN 46069 c
Vervice
ING-
Bill To Invoice
City of Carmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel,IN 46032 6/29/2012 2012-1320
P.O. No. Due Date Terms
Jeff 7/29/2012 Net 30
Quantity Description Price Each Amount
11 Buried 100' 12/2 OF cable between south pole and middle pole in 65.00 715.00
front of gazebo in Courtyard;pulled wire and connected from
middle pole to south pole to 2 outlets
1 100' 12-2 GW OF REEL 94.28 94.28
1 Rental Plow trencher-delivery/pick up 349.80 349.80
1 Cover 10.42 10.42
JUL 1 6 1G1Z
By
We appreciate your business Total $1,169.50
Payments/Credits $0.00
A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $1,169.50
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))
06/29/12 2012-1320 $1,169.50
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
$1,169.50
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 2012-1320 43-504.00 $1,169.50 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
Mon y, July 16, 2012
Director, A ministration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund