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229813 03/12/14
�C�q '�' "�';F CITY OF CARMEL, INDIANA VENDOR: 360390 �;� . .j; e :!• ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: S`*"'1,294.90* �•, ,r CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE CHECK NUMBER: 229813 'M,i_oN��o. � 1212 S NAPER BLVD SUITE 119-201 CHECK DATE: 03/12/14 NAPERVILLE IL 60540 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4341903 10055-27 1,294.90 W-2 HOSTING - - = - - - - - - - - - - - - - - — - - - — - - - - �- - - —� = — —� �- -- - --� �-- - - _I �...___ —__._I � _ — _I __ _ — �� -- -- -- -I �-- - _I S20328 �merican Technology Solutions 212 S. Naper Blvd. >uite 119-201 Japerville, IL 60540 Client �n�/�0(;e Invoice # 10055-27 Ci.fy of Carmel Invoice Date: 2/24/2014 Attn: Accounts Payable One Civic Square PO#: Carmel, IN 46032 Phone: 630-548-1970 Fax: 630-839-7252 Qty Description Unit Price Cost 1 2013 W-2 Database Load with Production and Test File 50.00 50.00 1 2013 W-2 Datamap 250.00 250.00 1 ATS MyW-2 Annual Online Hosting and Storage 100.00 100.00 195 ATS MyW-2 Print and Mail Services (includes postage) 0.86 167.70 443 ATS MyW-2 Online Hosting-Employee Consent 0.40 177:20 1 SSA W-2 Electronic Filing Fee for a single EIN 250.00 250.00 1 ATS Provides Client Custom EFW2 Format(Client does Indiana State Filing) 300.00 300.00 Balance Due: $1,294.90 Payment Due Upon Receipt Please make check payable to: American Technology Solutions, Corp. 1212 S. Naper Blvd. Suite 119-201 Naperville, IL 60540 Thank You! - We truly appreciate your business. �` - T-i y- --_.--� �� T- -� ��- - - -� ��- - - -� �� _ - ` `- -' _ _- ` � L -- -__ i • • . . . . . .-� . . . .i �r rn � ..i. ii f...r .��i i.��i ..i..� ;.i � ..i. i� ..i � ��i � � i ��r � i. � 1�.�:�i � i � ! i.;.i / f � � / . / . / / / . / . / /R / / , / �/ l / �/ /s � l \ \ \ \� \ \ \ \ � \ ♦� \ ' \ \� \ \ � \ • ' \ � ♦ • � �.� � �1 �� ����-�� ��� �� . .-�� � � �. �� � � . � �� : �� ��: �\. �����.� ���� \ .♦�. 4 q� \. ��. �� �� � �� . � '_ � �i l�r � - �i i /i �. . /i . . �i � �i�� ��i �!i. � �r �i �G w �/1 i i .�1/2 i /i � �!s t i -/i= i�i ,� :i �N�,i .a. i ♦ �i i a i i a�r � a .�� t�Z� � . �. ���i ��i i./ �s �� �y<t � A ��, / ��� "�� �.a:�w��. �tix+#:'�! it�.. �.e �� .'�`�� ��� � � ��a . � �..��. ��t.. �� �� y�..\ ���.�.�ti ��w .� ���..��� ��� .� ��t .�� p� �.� ���:.�:•:��::v::.•i. ii= /i �. �i i� .%r�..i� ,./�., . �fi � !i ��i � � �i.�� ��•. � �i..�r �i. �i.��i� 3✓s� --�i � 1�� . / . �'i: �� �, �t ♦ ' �� ♦ � � \�, �� �. � � �. � �� ♦ / �r �..� \ � �� \ � ��� � � � . �: � . � � y'� . ��� . . ��� � .�/ .� � �'. � �� .�� .w� w��. �� .�� �. �� �� � �. �� ��� � ti� ♦ ��� � �*�^ `: . `. r� �� � � /.�.��r ii1'.j �"i�.� /r rij�j.�6�'�..�� � /r r,r�..�� �.i� /�� � �li� i . ✓?� I�i= i . �i� ���S..J'i� y ji? ���.���ry'i .� �7��d.�r'S i.,�y� . � � �� �Y i ; .(.y ,r ,. . .i i -i i r i i . i . i i �.� r i / i �� � i��. � . s ♦ . �,...t` ♦ ; r � � � � : ♦ � . ♦ � � - ♦ � ♦ a � .. �\� .�,� \�\ .�. . \�\ � \� \� \\. � � �\� . � � �\ .\ `� . \� �\. \��� �\.� �" \�\. - � �\.. \ �Y* \. \�.. ` �l� ` � �l� '\ � i ../i. i /� � �i.� fi �r �. �i. � <i. � � �i � � � �i - �i� f /i �i r=1.r� /i i� �/+ - /� �i: i � i � r � i i i �.� i � . i �� r s i r, j� i J� r i �.ii / s i. ��. �ss.�� �a � �a �ya 1 �a ♦ . ,� . �� � . �� ♦ ' �1 � ,...�� ♦ .��� � . t� ♦ .s�t ���.��� ♦ t�� „� '�'.� ♦� � r v �� � ��w�sv a�c .� ���t.�4 ���..� �,� ♦ ��. ♦ ��� ��. �� �: �� .+� �� �. a..*\ ��� ♦_ s� . . h� , q� . , .�� : .L�. �i. �y 3i.��i� �i.� i� J fi� � jr .� .t�i�.�/ �i�.�i ��i ,�� ���i. � -��i � �i. � D�i!� y �7 ji d .A�i .`/ �r t D ii / !i r�... i i i i� ��- .� . �w �J . ���� -�� �w w. ��.. � .e�.-�� �. �� �� ��. �`� �`. \�� � �`� . ♦ �v��:. �' �,� ���� � �, �`� �.\ q� . �..� p� .���. : � �i.� i 1"'+�,"j i. .��. /i s�r =�i.�.,+i� �/i� �j . .yi �� �.� ii. ii �f � / ii. r/ .i�r.� % ii� rr�� (/..'�� s3i��. ;.�.��fs. r�i. fi..�ar�,!i ���r i, /i;.r,,�, � �� a t��� ♦ ♦ � �\� � ♦ � .��. � �� � \� � \ . \� a � r �a � � t � � . � t� a � �a � � .. �. ♦ ���.�../ti�..P �7 d ' ��� �� ��. �_ . - �� ��. �- ��. � �_ � -� � �*S � � .� ��� ♦ ♦�� � �: �i � �.f � �i r �i. i J � /�� �// �� /i� r .� r Ji ��i.��r s /i � i 1 � � / � � . � � �e :� /�� �t t� � �� ♦� �� � � � �� � ���� � a� � f � �� � . / �I�.��1 . i.. / y�s �� ..%.���ij% �.� \� ♦\.*'�.k�t �� ,. 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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Fortn No.201(Rev.1995) 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 y"I���,�� �P� �� :� ��(�,S Purchase Order No. Terms Date Due Invoice Invoice . Description Amount Date Number (or note attached invoice(s) or bill(sj) � � j . � Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer , VOUCHER NO. WARRANT NO. ALLOWED 20 � � � � IN SUM OF $ ��i�� �I� 5 ��,�� �IU� �� �-�I � � ���c� $ I��i �.�i t� ON ACCOUNT OF APPROPRIATION FOR ��� ���� sI� � Board Nlembers Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), � � , ��' L� � .9D 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 c `� 2� Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund