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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