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Home My WebLink About217632 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1 ONE CIVIC SQUARE G H S o CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK AMOUNT: $6,913.62 SHERIDAN IN 46069 CHECK NUMBER: 217632 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4462000 2012-1480 3 , 568 . 58 OTHER STRUCTURE IMPRO 1110 4350100 2013-1483 196 . 25 BUILDING REPAIRS & MA 1110 4350100 25625 2013-1485 1, 962 . 00 LAMPS 1110 4350100 25620 2013-1489 1, 186 . 79 SWITCHES/KITS/LAMPS --------------------------- GHS, Inc. Women-Owned Business Enterprise GuarantrM 8349 North Washington Street Sheridan, IN 46069 �at SCIt'I(:C INC. Bill To City of Carmel Police Department Invoice Attn: Teresa Anderson 3 Civic Square Date Invoice# Carmel,IN 46032 2/12/2013 2013-1483 P.O. No. Due Date Terms Robert R. 3/14/2013 Net 30 uni D ri in 3 TS receptacles feeding ri E h Am n g computers,printers,etc.at front receptionist 65.00 desk-found problem,removed switch and covered with blank 195.00 I Blank cover 1.25 1.25 Thank you for your business. Iota $196.25 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $196.25 GHS, Inc. �% Women-Owned Business Enterprise Guaranteed 8349 North Washington Street H.. Sheridan, IN 46069 Srrvicc INC- Bill To Invoice City of Carmel Police Department Attn: Teresa Anderson Date Invoice# 3 Civic Square Carmel,IN 46032 2/19/2013 2013-1489 P.O. No. Due Date Terms 25620 3/21/2013 Net 30 Quantity De ri i n Price Each Amount Install 7 2x2 reflector kits and 14 2'LED lamps,rewired for LED 1,097.25 1,097.25 Install 1 single pole switches 89.54 89.54 Thank you for the opportunity to bid on this project Total $1,186.79 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $1,186.79 GHS, Inc. Women-Owned Business Enterprise Guaranteed 8349 North Washington Street Sheridan, IN 46069 iluncat Service ING• Bill To City of Carmel Police Department Invoice Attn: Teresa Anderson 3 Civic Square Date Carmel,IN 46032 Invoice# 2/13/2013 2013-1485 P.O. No. Due Date Terms 25620 3/15/2013 Net 30 n D ri i 1 Convert 12 2x4 fixtures to LED;rewire,remove ballasts and install E h Am n 2 4'LED lamps per fixture 1,962.00 1,962.00 Thank you for the opportunity to bid on this project Tota�17 $1,962.00 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due I Co IJ' \�,// Jl(' armel NDIANA CATRETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER ONE CIVIC SQUARE FEDERAL EXCISE TAX EXEMPT 35-60000972 19 CARMEL INDIANA 46032-2584 - - FOR M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 THIS NUMBER MUST APPEAR ON INVOICES,ap VOUCHER, DELIVERY MEMO, PACKING SLIPS, PURCHASE ORDER DATE SHIPPING LABELS AND ANY CORRESPONDENCE. DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION OHS, Inc. VENDOR SHIP CLNffnOl Police Depattment 83401 Notth Washington StFoot TO 3 CIVIC squam hOrldo". IN Camel, IN 4 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS (.117157 FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION 4g Account .6od°00 UNIT PRICE EXTENSION L �?.7 1 9 Each convert 2$4 light fixtures to LED camps $1,662.dd $1,962.00 Sub Total: $9;g6 - � r ;end Invoice TO: /' �n ` 0 ° I UU i Calfnal Police Department Attn: Teresa Anderson 3 CIVIC squam Cann®i, IN 4a PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT 7r @l Police Dept.. PROJECT PROJECT ACCOUNT AMOUNT PAYMENT JJ@@ ��,�� /�ry • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT$1,262.0 p0 II NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. 'HIP REPAID. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN .O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS APPROPRI/ATION'�/SU/dFF✓ICIE�NT TO PAY FOR THE ABOVE ORDER. U ORDER NUMBER MUST APPEAR ON ALL ORDERED HIPPING IPPING LABELS. BY iIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 VD ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE �U++ CUMENT CONTROL NO. 25 A . COPY.SIGN AND CLERK-TREASURER RETURN TO CLERK'S OFFICE I VOUCHER NO.______—WARRANT NO.__.._--- 20 ALLOWED IN THE SUM OF$ I �I ON ACCOUNT OF APPROPRIATION FOR I I ` IBoard Members PO#or NVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or DEPT.# l bills) is (are) true and correct and that the Imaterials or services itemized thereon for which charge is made were ordered and received except I I • i �I 20 Signature Title Cost distribution ledger classification if id motor vehicle highway fund ---- - claim pa ----------- CotY� ®� CaTmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 � FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER ONE CIVIC SQUARE 35-60000972 256-10 CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE THIS NUMBER MUST APPEAR ON INVOICES, BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIP SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. 90013 DESCRIPTION I �I OILS, Inc. VENDOR SHIP at Del P0110e Depajamont I � 6349 North Waahington Streat TO Diblc Square I Sherift, IN 46069 Carmel, IN 46 II CONFIRMATION BLANKET CONTRACT (317)571-25% PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION Account 43M UNIT PRICE EXTENSION 2 Each single pole switches 7 Each 2 x 2 reflector kits $44.77 $80.54 14 Each LED T lamp $40.75 $327.25 $55.00 $770.00 • .. /`� Sub Total: �1 g -4 moo• .... . �� . >end Invoice To: % R� o C2m0I Police Depar njent Aftn: Tgmsa Anderson 3 CIVIC Squam Calmal, IN 4o PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT mel Police Dept. PROJECT ACCOUNT. PAYMENT @ AMOUNT ' l� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTA iHIP REPAID. I HEREBY CERTIF CHED. Y THAT THERE IS AN UNOBLIGATED BALANCE IN ,.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS APPRO(tPRIAT[ON SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'URCHASE ORDER NUMBER MUST APPEAR ON ALL J HIPPING LABELS. ORDERED BY J HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ,ND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE 6 r1 SI ICUMENT CONTROL NO ER COPY- SIGN AND RETURN . �• __,___ TO CLERK'S OFFICE VOUCHER NO.______--WARRANT NO._____- ALLOWED 20 IN THE SUM OF $ r i I f , 'I ON ACCOUNT OF APPROPRIATION FOR 1 a f I IBoard Members ` Po#or I hereby certify that the attached invoice(s), or DEPT.# INVOICE NO. ACCT#ITITLE AMOUNT bill(s) �Ig (are) true and correct and that the materials or services itemized thereon for I which charge is made were ordered and received except - I I 20 Signature Title I . it 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)) 02/12/13 2013-1483 repairs to receptacles $196.25 02/13/13 2013-1485 convert lamps to LED lamps $1,962.00 02/19/13 2013-1489 install LED's, reflector kits, pole switches $1,186.79 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 $3,345.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 2013-1483 43-501.00 $196.25 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 25625 2013-1485 43-501.00 $1,962.00 materials or services itemized thereon for 25620 2013-1489 43-501.00 $1,186.79 which charge is made were ordered and received except Thursday, February 21, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund TyYe1 �,2�j Q ra3 GHS, Inc. Guaranteed Women-Owned Business Enterprise 8349 North Washington Street Honest Sheridan, IN 46069 Se ;ee ING- Bill To Invoice City of Carmel Jeff Barnes Date Invoice# One Civic Square Carmel,IN 46032 2/12/2013 2012-1480 P.O. No. Due Date Terms JeIJ'Barnes 3/14/2013 Net 30 Quantity Descri ion Price Each Amount 48 2w LED step lights 73.12 3,509.76 1 freight 58.82 58.82 D FEB 2 5 2013 u By Thank you for your business. Total $3.568.58 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $3,568.58 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)) 02/12/13 2012-1480 $3,568.58 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance Nith IC 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. GHS, Inc. ALLOWED 20 IN SUM OF $ 8349 North Washington Street Sheridan, IN 46069 $3,568.58 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members I 1205 2012-1480 44-620.00 I $3,568-58 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 Monday, February 25, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund