HomeMy WebLinkAbout236816 09/10/14 �� CITY OF CARMEL, INDIANA VENDOR: 355625
j, ® it ONE CIVIC SQUARE E S R I INC CHECK AMOUNT: $****19,000.00*
�.- �4 CARMEL, INDIANA 46032 FILE 54630 CHECK NUMBER: 236816
'y,�off�.` LOS ANGELES CA 90074-4630 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 32407 928606703 19,000.00 LICENSE AGREEMENT
® Invoice 928606703 Document date 08/28/2014
Order 2834441 Delivery
es- ri® Customer 293058
Customer PO 32407
P.O. Date 08/15/2014
End User 293058 City of Carmel
Project
Phone: (909)793-2853
Invoice
Page : 1
Bill to: Ship to:
Terry Crockett
City of Carmel City of Carmel
Terry Crockett-IS Dept GIS Dept
3 Civic Square 3 Civic Sq
Carmel IN 46032 Carmel IN 46032
For questions regarding this document, please contact Customer Service at 888-371-4575.
Terms of payment: Net Due 30 days, no discount
The line items included in this transaction are governed exclusively by the terms of the above-referenced contract,if any,or,where applicable,Esri's standard
terms and conditions at www.esri.com/legal.
Item Qty Material Number Price
1
Annual Enterprise License Agreement $ 19,000.00
Start Date: 08/28/2014
End Date: 08/27/2015
Total: USD $19,000.00
® Invoice 928606703 Document date 08/28/2014
v� ® Order 2834441 Delivery
esri
Customer 293058
Customer PO 32407
P.O. Date 08/15/2014
End User 293058 City of Carmel
Phone: (909)793-2853 Project
Invoice
Page : 2
FEIN:95-2775732
DUNS/CEC:06-313-4175 CAGE:OAMS3
Please detach lower portion and return with remittance
(Desn
Remit Payment to:
® Environmental Systems Research Institute,Inc.
By Check: Electronic Instructions:
File 54630 Bank:Bank of America
Los Angeles,CA 90074-4630 Wire ABA:026009593 Acct#1496150335
ACH ABA: 121000358 Acct#1496150335
Invoice: 928606703 Document Date: 08/28/2014
City of Carmel Order: 2834441
Terry Crockett-IS Dept
3 Civic Sq Payer: 293058 Total: USD $19,000.00
Carmel IN 46032
INDIANA RETAIL TAX EXEMPT PAGE
City oCarmel CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 37.407
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
t___
811512014 SSRI Support
SSRI Carmel Communications
SHIP Terry CroclkettN.
VENDOR File 546M TO 3 Civic Square `
Los Angeles,CA 50074-4630 Carmel, IN 4W32
(317)571-2567
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I
Account 43-515.02
1 Each License Agreement- 1 year 110037 $19,000.00 $19,000.00
Sub Total: $19,000.00
u'i
47
l
Send Invoice To: Quote No.204'53765/
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
2b2 Carmel IS Dept. PAYMENT $19,000.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
1
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS A`UNOBLIGATED BALANCE IN
SHIP REPAID. /
THIS APPROPRIgTION SUFFICIENT TO PAY FOR THE ABOVEORDEFI--'
C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •�.lL/�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,
SHIPPING LABELS. /i/rector x�
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
QCUMENT CONTROL NO- 32407 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO._ WARRANT NO.---_____
ALLOWED 20
IN THE SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
s
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
20
Signature
—---
------------
--------........-.........
Title
r
a
'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))
08/28/14 928606703 $19,000.00
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
ESRI
IN SUM OF $
File 54630
Los Angeles, CA 90074-4630
$19,000.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32407 I 928606703 I 43-515.02 I $19,000.00 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
Monday, Sept em er 08, 2014
-:�--7j(
/11
Vb
Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund