HomeMy WebLinkAbout229047 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 365040 Page 1 of 1
ONE CIVIC SQUARE I C S SOFTWARE LTD
CARMEL, INDIANA 46032 3720 OCEANSIDE ROAD WEST CHECK AMOUNT: $240.00
o� OCEANSIDE NY 11572 CHECK NUMBER: 229047
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 64677 240 . 00 SUBSCRIPTIONS
ICS Software, Ltd.
Invoice
" 3720 Oceanside Road W
Oceanside, NY 11572
DATE: 2/1/2014
div.of ICS Sofhvare,Ltd.
INVOICE: 64677
BILL TO PROVIDER
Carmel Fire Department
2 Civic Square
Carmel, In 46032
Terms: Net 30
DESCRIPTION QTY RATE/EA AMOUNT
Yearly MedXpress Fee - Submitter#Z6CX 1 240.00 240.00
Please make your check out to ICS Software, Ltd.
If you cannot pay this invoice as initially agreed,please call us to discuss a plan and specific
dates when payment will be made. We reserve the right to discontinue services to you for Total: $240.00
non-payment as promised. No refunds will be given.
If paying by credit card, please include your information below:
_Mastercard Visa _Amex _Discover Please make check payable and remit to:
Card#: Exp: _/_ ICS Software, Ltd.
3720 Oceanside Road West
Signature: Oceanside, NY 11572
Phone: (516) 442-1465 Fax: (516) 705-0320
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))
64677 $240.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
ICS Software LTD.
IN SUM OF$
3720 Oceanside Road West
Oceanside, NY 11572
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 64677 I 43-552.00 I $240.00 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
FFS 10t!
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund