218459 03/25/2013 a CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
`i. ONE CIVIC SQUARE G H S
CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK AMOUNT: $3,120.00
SHERIDAN IN 46069 CHECK NUMBER: 218459
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 2013-1503 3 , 120 . 00 BUILDING REPAIRS & MA
y3 5 0 100 Tc,,3
GHS, Inc. Oi.
Women-Owned Business Enterprise
8349 North Washington Street
Sheridan, IN 46069
Bill To Invoice
City ofCarmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel, IN 46032 3/12/2013 2013-1503
P.O. No. Due Date Terms
JEFF 4/11/2013 Net 30
Quantity Descri tion Price Each Amount
48 Installed 48 step lights around City Hall 65.00 3,120.00
� Q D
MAR 2 5 2013
By
Thank you for your business. Total $3,120.00
Payments/Credits $0.00
A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due
$3,120.00
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))
03/12/13 2013-1503 $3,120.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GHS, Inc.
IN SUM OF $
8349 North Washington Street
Sheridan, IN 46069
$3,120.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 2013-1503 I 43-501.00 I $3,120.00 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
Tuesday, March 19, 2013
Direct Administratio
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund