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Home My WebLink About229614 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1 ONE CIVIC SQUARE PAPER-LITE CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE CHECK AMOUNT: $31,893.30 CARMEL IN 46032 CHECK NUMBER: 229614 roH co CHECK DATE: 2/25/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 R4341955 31648 4960 37 . 50 LSERFICHE WORKFLOW 1202 4351502 31678 4966 31, 855 . 80 SUPPORT RENEWAL I I ... .,. a,,, ,;, „&�, -�•- v _.-r„�1 ,A'icr-a a the real world Invoice 1711 Wood Valley Drive Carmel, IN 46032 DATE INVOICE# 2/11/2014 4960 BILL TO City of Carmel Three Civic Square Carmel,IN 46032 P.O. NO. TERMS DUE DATE Net 30 3/13/2014 DESCRIPTION QTY RATE AMOUNT Paper-Lite Professional Services 1/27 Rebecca Chike-Corrected 0.25 150.00 37.50 the business process for LF Form to be correctly pushed into the system Subtotal $37.50 Sales Tax (0.00) $0.00 Total $37.50 Phone# Fax# E-mail 812-350-5044 317-581-9409 nancy a gopaperlite.com 1 A s-_.b-, f�fM1 -i w.1d Invoice 1711 Wood Valley Drive Carmel, IN 46032 DATE INVOICE# 2/11/2014 4966 BILL TO City of Carmel Three Civic Square Carmel,IN 46032 P.O. NO. TERMS DUE DATE 31678 Net 45 3/17/2014 DESCRIPTION CITY RATE AMOUNT LSAP-Laserfiche Software Assurance Plan for Rio System: 0.00 Current Support expires 4/29/14 Support Renewal Laserfiche-LSAP-Rio Named Users 126 138.00 17,388.00 Support Renewal Laserfiche-LSAP-Rio Named Users Forms 126 13.80 1,738.80 support Support Renewal Laserfiche-LSAP-Rio Scan Connect 1 29.00 29.00 Support Renewal Laserfiche-LSAP-Import Agent 1 300.00 300.00 Support Renewal Laserfiche-LSAP-Laserfiche Public Portal 1 9,000.00 9,000.00 License for Dual CPU-Unlimited Users Support Renewal Laserfiche-LSAP-Quick Fields Core 1 900.00 900.00 Support Renewal Laserfiche-LSAP-Quick Fields Classify 1 900.00 900.00 Support Renewal Laserfiche-LSAP-Forms Portal-Unlimited 1 1,600.00 1,600.00 submitters/forms Subtotal $31,855.80 Sales Tax (0.00) $0.00 Total $31,855.80 Phone# Fax# E-mail 812-350-5044 317-581-9409 nancy@gopaperlite.com INDIANA RETAIL TAX EXEMPT PAGE City •®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER / FEDERAL EXCISE TAX EXEMPT V/ 35-60000972 31648 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1211612013 Laserfiiche Support Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications VENDOR SHIP Terry Crockett 1711 Wood Valley Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-415.55 1 Each Professional Services regarding support of LaserficheMUorkflow $5,000.00 $5,000.00 Sub Total: $5,000.00 ............° Send Invoice To: City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT 1202 Carmel IS Dept. PAYMENT $5.000.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY AT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. J i r • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL //! v SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ,Dire for AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 6 4 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR — e 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--_ —---- 1 20 Signature----- ------- -- Title Cost distribution ledger classification if claim paid motor vehicle highway fund City O .®� Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 39676 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 216120944 Annual Laserfiche Support Raper-Lite Didiaon of Mathes Assoc., Inc. Carmel Communications SHIP Terry Crockett VENDOR 9719 Wood Valley Drive TO 3 Civic Square Carmel, IN 446032 Carmel, IN 46032 (39 t)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.515°02 1 Each Support renewal- LSAP-Forms Portal-Unlimited submitterstforms $1,600.00 $1,600.00 1 Each Support Renewal Laserfiche-LSAP-Quick Fields Classify $900.00 $900.00 1 Each Support Renewal Laserfiche- LSAP-Quick Fields Core $900.00 $900.00 1 Each LSAP-Laserfiche Public Portal License forduai'di nhmited users $9,000.00 $9,000.00 1 Each Support Renewal Laserfiche-LSAP-tmport?agent- ✓ $300.00 $300.00 1 Each Support Renewal Laserfiche-LSArP 4Rio sca�;c`anneci $29.00 $29.00 'f f �� '°°°°° °°•`�' � $138.00 $17,388.00 126 Each Support Renewal Las®rfiche SAP-ASAP ° 126 Each Support Renewal Lasertiche-LSAP-Rio°Named users for s suppor#�i $13.80 $1,738.80 Sub Total: $31,855.80 ° � 7 i(�( f� Send Invoice To: City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 9202 Carmel IS Dept. PAYMENT 339,655. 0 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED! SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUF CIEN.T TO PAY FOR THE ABOVE40RDER. •SHIP REPAID. / � � ,,�•.�r� l�r�J • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �.(i//r`-.-/•, f. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL A SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE DireC$Or AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 3 1 6 !ERA.P.V.8 CLERK-TREASURER COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 , 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)) 02/11/14 4966 $31,855.80 02/11/14 4960 $37.50 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 i VOUCHER NO. WARRANT NO. ALLOWED 20 Paper-Lite Divison of Mathes Assoc., Inc. IN SUM OF $ 1711 Wood Valley Drive Carmel, IN 46032 $31,893.30 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31678 4966 43-515.02 $31,855.80 I hereby certify that the attached invoice(s), or Encumbered bill(s) is (are) true and correct and that the 31648 4960 43-419.55 $37.50 materials or services itemized thereon for which charge is made were ordered and received except Friday, Februar 2014 Director , IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund