HomeMy WebLinkAbout232589 5 /13/2014i
CITY OF CARMEL, INDIANA VENDOR: 367042
® ONE CIVIC SQUARE PAPERLESS BUSINESS SYSTEMS CHECK AMOUNT: S****10,432.91
r° CARMEL, INDIANA 46032 1417 FOURTH AVE,4TH FLOOR CHECK NUMBER: 232589
SEATTLE WA 96101 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355200 S005501 5,216.45 SUBSCRIPTIONS
1091 4355200 S005501 5,216.46 SUBSCRIPTIONS
erless
paInvoice :MAY 0 2 2014
pbusiness systems
1417 Fourth Avenue,4th Floor Invoice Number SO-0
Seattle,WA 98101 invoice Date April 18, 2014
p 206.256.0771 Purchase Order
f 206.282.3312 Customer Number CACI-001
SOLD TO: SHIP TO:
Carmel Clay Parks&Recreation Carmel Clay Parks& Recreation
Attention: Accounts Payable Attention: Accounts Payable
1411 E 116th Street 1411 E 116th Street
Carmel, IN 46032 Carmel, IN 46032
SALES ORDER TERMS PBS CONTACT
SO-05501 30 days of receipt Accounts Receivable
Description Amount
eRequester Hosted Subscription (SAAS)
Hosting Period: 05/28/14-05/27/15
(Hosting from 03/28/14-5/27/14 are complementary)
eRequester Hosting for 50 Named Users 8,47692
Hosted Receiving Module 1,955.99
SA715
A 11/2%monthly charge is payable on all overdue balances.
The grant of any license or right is conditioned on receipt of full payment
All payments and dollar amounts are in U.S Dollars.
Remit to. Paperless Business Systems, Inc., 1417 Fourth Avenue, 4th Floor, Seattle,WA 98101
p 206 256.0769 f 206.282 3312 www.paperlessbusiness com ardepartment@papedessbusiness.com TOTAL AMOUNT USD $10,432.91
Wire Information: Swift#BOFAUS3N Bank of America,WA3.177-01-01
Bank Name:Bank of America Routing#:125000024 408 Pike St.Seattle,WA 98101
ABA#026009593 Account#:138019775709(savings)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
367042 Paperless Business Systems Terms
1417 Fourth Avenue, 4th Floor
Seattle, WA 98101
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/18/14 S005501 eRequester subscription 5/28/14 - 5/27/15 36967 $ 5,216.45
4/18/14 S005501 eRequester subscription 5/28/14 - 5/27/15 36967 $ 5,216.46
Total $ 10,432.91
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
367042 Paperless Business Systems Allowed 20
1417 Fourth Avenue, 4th Floor
Seattle, WA 98101
In Sum of$
$ 10,432.91
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE/ 109 MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 S005501 4355200 $ 5,216.45 1 hereby certify that the attached invoice(s), or
1091 S005501 4355200 $ 5,216.46 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
8-May 2014
Signature
$ 10,432.91 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund