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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