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Home My WebLink About211288 07/31/2012 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: $2,600.00 SHERIDAN IN 46069 CHECK NUMBER: 211288 (pH L CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 2012-1329 579 . 00 BUILDING REPAIRS & MA 1110 R4350100 25942 2012-1329 2, 021 . 00 CONVERT TO LED LAMPS GIBS, Inc. Women-Owned Business Enterprise Guaranteed 8349 North Washington Street hones[ Sheridan, IN 46069 C Vervice INC- Bill To Invoice City of Carmel Police Department �r Attn: Teresa Anderson Date Invoice# 3 Civic Square Carmel,IN 46032 7/20/2012 2012-1329 P.O. No. Due Date Terms 8/19/2012 Net 30 Quantity Description Price Each Amount 12 Installed 12 2x2 reflector kits and 24 2x2 LED lamps,rewired for 156.75 1,881.00 LED 4 Installed 4 2x4 LED lamps,rewired for LED 163.50 654.00 1 Installed ballast in Women's bathroom-supplied by City of Carmel 65.00 65.00 1 LED lamp needs to be replaced-will put 2'LED in place when we receive it --— We appreciate your business Total $2,600.00 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $2,600.00 INDIANA RETAIL TAX EXEMPT PAGE City ®f t^ill ,armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2i2 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 92£ 9 9 GHS, Inc. Carmel Police Department VENDOR SHIP 3 Civic Squm M49 North Vfthing4®n StroGt TO Carmel, IN Sheridan, IN 46M 671 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE 7. DESCRIPTION UNIT PRICE EXTENSION Account 43-09.00 16 Each convert 2x4 fight Wures 8® LED lamps $166.31 $2,661.00 Sub Total: $2,661.00 QDW tr1 V� ^c� DO oh Send Invoice To: Camel Police Department Attn:Teresa Anderson 3 Civic squam Cermol, IN 462= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT ACCOUNT AMOUNT PROJECT Carmel Police Dept. PAYMENT $2'631.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS A •SUFfICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY @ SHIPPING LABELS. yd'y(o oY/} police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE FbY] AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 5 9 4 2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO: ALLOWED 20 IN THE SUM OF$ M' ON ACCOUNT OF APPROPRIATION FOR P, 8 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 rnotor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 GHS, Inc. IN SUM OF $ 8349 North Washington Street Sheridan, IN 46069 $2,600.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 2012-1329 43-501.00 $579.00 I hereby certify that the attached invoice(s), or Encumbered bill(s) is (are) true and correct and that the 25942 2012-1329 43-501.00 $2,021.00 materials or services itemized thereon for which charge is made were ordered and received except Thursday, July 26, 2012 Chief of Police 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)) 07/20/12 2012-1329 install LED lights $579.00 07/20/12 2012-1329 installed LED lights $2,021.00 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