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Home My WebLink About219725 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1 ONE CIVIC SQUARE G H S s o CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK AMOUNT: $8,051.00 ®O`? SHERIDAN IN 46069 CHECK NUMBER: 219725 CHECK DATE: 5/7/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 25703 2013-1529 1, 295 . 00 EMERGENCY EXIT FIXTUR 1205 4350100 2013-1530 6, 756 . 00 BUILDING REPAIRS & MA GHs, Inc. 12� S Service Women-Owned Business Enterprise Guaranteed 8349 North Washington Street Hnnesl Sheridan, IN 46069 INC Bill To Invoice City of Carmel Jeff Barnes Date Invoice# One Civic Square Carmel,IN 46032 4/26/2013 2013-1530 P.O. No. Due Date Terms Jell'B. 5/26/2013 Net 30 Quantity Descri tion Price Each Amount Materials-Cliange 12 250w MH pole lights to I-ILRE-D65-Y 5,856.00 5,856.00 65w LED lights with surge suppression Labor - Change 12 250w MI-1 pole lights to 65w LED lights 900.00 900.00 USA Lighting Warranty 10 years D MAY 0 6 2013 i By Thank you for your business. Total $6,756.00 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $6,756.00 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)) 04/26/13 2013-1530 $6,756.00 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 $6,756.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 2013-1530 I 43-501.00 I $6,756.00 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, May 06, 2013 A Director, Admi stration Title Cost distribution ledger classification if claim paid motor vehicle highway fund GHS, Inc. Guarante-,A Women-Owned Business Enterprise 8349 North Washington Streetn at Sheridan, IN 46069 Scrv;cc ING• Bill To Invoice City of Carmel Police Department Attn: Teresa Anderson Date Invoice# 3 Civic Square Carmel,IN 46032 4/26/2013 2013-1529 P.O. No. Due Date Terms 5/26/2013 Net 30 Quantity Des ri ion Price Each Amount 20 LED Emergency Exit fixtures-white case with red-5 year 1,500.00 1,500.00 warranty- double-sided or single sided- installed. I LED emergency exit fixture-not installed-on site with City of 35.00 35.00 Carmel Police Dept REBATE From Duke Energy 20 x$12.00 $240.00 Total cost of project after rebate $ 1,295.00 Rebate is to replace 20 incandescent exit signs with LED PLEASE WRITE CHECK TO GHS,INC. IN THE AMOUNT OF $ 1,295.00 Rebate from Duke Energy to GHS,Inc. 240.00 -240.00 -240.00 TOTAL $ 1,535.00 We appreciate your business Total $1,295.00 Payments/Credits $0.00 A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due $1,295.00 Cit� - of- Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 25703 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A1P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/1012093 CHS, Inc. Carmel Police Department VENDOR SHIP 3 Civic Square TO IW North Washington Street Carmel, IN 46032 hoddan, IN 4 (3171571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT ` QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-601.00 1 Each LED Emergency Exit fixtures $1,425.00 $1,425.00 Sub Total; $1,425.00 g .} dal • tu ..... Ae VI Send Invoice To: Carrnal Police Department Attn:Teresa Anderson 3 Civic Square Camel, IN 45032@ PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �s' PAYMENT $1,425.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY •..-� / �� SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE e-hia t eitf Pi►liio a AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 2 15' 10 ATI COPY-SIGN AND RETURN TO CLERK'S OFFICE I VOUCHER NO. WARRANT - ALLOWED 20 IN THE SUM OF$ S ON ACCOUNT OF APPROPRIATION FOR 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 + I Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 04/26/13 2013-1529 LED emergency exit fixtures $1,295.00 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 $1,295.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2570_3_ 2013-1529 I 43-501.00 I $1,295.00 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 Wednesday, May 01,2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund