HomeMy WebLinkAbout233453 06/11/14 e•,cqM
CITY OF CARMEL, INDIANA VENDOR: 064915
ONE CIVIC SQUARE CONVEY COMPLIANCE SYSTEMS, INC CHECK AMOUNT: $"'"*1,468.00'
ra CARMEL, INDIANA 46032 9800 BREN ROAD SUITE 300 CHECK NUMBER: 233453
MINNETONKA MN 55343 CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4463202 13163 1,468.00 SOFTWARE
Convey Compliance Systems,Inc Phone: 800-334-1099
9800 Bren Rd E Ste 300 Fax: 800-329-1099
Minnetonka MN 55343-4712 Email: financedept@convey.com
USA Convey Website: www.convey.com
Invoice: 13163 § INVOICE Page: 1 of 1
Date: 2/1/2014
Sold To: Ship To:
Cindy Sheeks City Of Carmel
City Of Carmel One Civic Square
One Civic Square Clerk Treasurer Office
Clerk Treasurer Office Carmel IN 46032
Carmel IN 46032 USA
USA
Fax: 317-571-2410 EMail: csheeks@carmel.in.gov
Customer ID: 1867 PO Number: Terms: Net 30
Line Part Number/Description Quantity, Unit Price .. Ext Price
1 AP500-000 Taxport A/P-Up to 500 Forms
LFortax year beginning April 1, 2014 through March 31,2015.
Subtotal: 1,468.00
PaymenYSchedule ?, '
Due Date Amount -
1 3/3/2014 1,468.00 Total: $1,468.00 USD
a
Total 1,468.00 1
ARFo".001 00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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 $
ig6b 3&T
klju&M, "ri
$ 146,)9
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
.4A Af 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund