HomeMy WebLinkAbout239241 11/19/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 368829
CHECK AMOUNT: $*******221.00*
ONE CIVIC SQUARE EMERGENTCARMEL, INDIANA 46032 1439 N GREAT NECK ROAD CHECK NUMBER: 239241
VIRGINIA BEACH VA 23454 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351502 32467 43700 221.00 SOFTWARE
emergent-- Invoice
Emergent LLC Date
Invoice
1439,N.Great Neck Rd.
Virginia Beach VA 23454 11/4/2014 43700
Carmel Police Department Carmel Police Department
3 Civic Square 3Civic
Square
Carmel IN 46032 Carmel IN 46032
Purchase Order # Terms Due Date
32467 Net 30 12/4/2014
Line#/CLIN Description Quantity Unit Price Extended Price
1 Adobe Photoshop CC License Subscription 1 221.00 221.00
(From CS3 and later)-12 Months, 1 User
Total 221.00
Balance Due $221.00
ACH and Wire Information for Payment is as follows:
Name of Bank:Wells Fargo.
ABA Routing No: 121000248
Account No:2000032696781
Account Name:Emergent,LLC
Bank Address:440 Monticello Avenue,Suite 1100,Norfolk,VA 23510
DUNS#:781797712 TIN#:22-3930184
Invoicing Questions?Please call(757)493-3004 or email EmergentlnvoicingTeam@emergent360.com
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0 INDIANA RETAIL TAX EXEMPT PAGE
city o Carmel
x CERTIFICATE NO.003120155 002 0 yl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M467
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9118/2014
smorgant Cannel Police Department
VENDOR SHIP 3 CIVIC Square
8219 Leesburg Pilre Suite 300 TO Cannel, IN 46032
Vienna, VA 22182 ( 1 a)571-2559
CONFIRMATION � BLAI�KET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT-OF_MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accourif S`S —c`2_
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Sub Total:
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Send Invoice To: Y-✓ ( l.
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Carmel Police Department �
Attn: Pat Young
3 CIVIC Square
Carvel, IN 46M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT _ AMOUNT
Carmel Police Dept. 'J
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER�TIF�THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPR.P IA ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. //
ABELS. J hiol Of Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 6 7 A.P,V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
DEEPT#INVOICE NO. ACCT#IfITLE AMOUNT 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_
20
•-- --..__.___..___.._ Signature-_.—.
-- Title '.
Cost distribution ledger classification if' r'
f claim paid motor vehicle highway fund
I
I
VOUCHER NO. WARRANT NO.
Emergent ALLOWED 20
ty3? IN SUM OF$
Vieyn 224 8
�-tcnl=i�a� [zs-rcy2 ---
$221.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32467 43700 43-515.02 $221.00 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
Thursday, November 13, 2014
Chief of Police
Title
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))
11/04/14 43700 photoshop cloud subscription $221.00
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
20
Clerk-Treasurer