240958 01/13/15 +ur Cqq*F
CITY OF CARMEL, INDIANA VENDOR: 368879
® " ONE CIVIC SQUARE CLEANTELLIGENT SOFTWARE CHECK AMOUNT: $ .....195.00"
�, CARMEL, INDIANA 46032 460 N UNIVERSITY AVE,STE 203 CHECK NUMBER: 240958
,Me riN�� PROVO UT 84601 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341955 32009 97.50 INFO SYS MAINT CONTRA
1125 4341955 32009 97.50 INFO SYS MAINT/CONTRA
CleanTelligent Software _ Invoice
460 N University Ave Ste 203
Provo, UT 84601 �� Date Invoice No.
- +
12/01/2014 32009
roTelligent (801)375 0375x117 /4�JAN 15
C�
accountsreceivablecleantelligent.co ®5 2p Term Due Date
Software https://www.cteantelligent.com/ . Net 30 Days 12/31/2014
Bill To —�-- — — I
Carmel/Clay Board of Parks and Recreation ` Ak n t ,� ,�
1411E 116th St �V� G(/( Cyc+/ 6tb
Carmel, IN 46032
3 ?503 v/
��25-/-0 //3f1g55 = 97,sa
X09/- y3�l453" _ q?.✓D
P.O. Number_ Customer ID=
37503 1206
Activit Quantity Rate Amount
Activity - --— I
• CleanTelligent Access Fee for the Previous Month of XX: 13 45.00' 585.00
j 1- Kurtis Baumgartner 2- Francisco Hernandez 3- Michael Kilpatrick
4- Michael Klitzing 5- Shauna LewaRen 6- Ana Martinez 7- Eric Mehl
8- Rafael Ramirez 9- Vitalina Ramirez 10- Jim Ransford
11- Yoldanda Rivera 12- Pedro Rodriguez 13- Mark Westermeier
• Credit for November Access Fee; included in Setup Fee through 13 6.001 78.00
11/4/14. Access Fees begin 11/5/14.
I
• Adjustment for amount previously received on invoice 31193 1 -312.00i -312.00
_ I
I
• Access Fee Rates
Base Access Fee (up to 3 users) _ $285 per month
4-5 active Service Provider Users = $85 per month per User
6-10 active Service Provider Users = $60 per month per User
11-15 active Service Provider Users = $45 per month per User
16-25 active Service Provider Users = $40 per month per User
26-50 active Service Provider Users = $35 per month per User
51-75 active Service Provider Users = $32 per month per User
�i 76-125 active Service Provider Users = $28 per month per User
j
126-200 active Service Provider Users = $25 pei month per User l
201-300 active Service Provider Users = $20 per month per User
301-500 active Service Provider Users = $15 per month per User
501-1000 active Service Provider Users = $12 per month per User
1001-2000 active Service Provider Users = $8 per month per User
2001+ active Service Provider Users = $6 per month per User
"Per your License Agreement, Access Fees include up to a full month's j
fee for any user whose status is Active at any time during the month
i
I II ---
Thank you for your business. Please pay from this invoice. Remit to: Totali $195.00!
CleanTelligent Software ------
460
- ---460 N University Ave Ste 203 /our
Provo UT 84601 U/`
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.
368879 CleanTelligent Software Terms
460 N University Ave Ste 203
Provo, UT 84601
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/1/14 32009 Software user fee 37503 $ 97.50
12/1/14 32009 Software user fee 37503 $ 97.50
Total $ 195.00
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
Voucher No. Warrant No.
368879 CleanTelligent Software Allowed 20
460 N University Ave Ste 203
Provo, UT 84601
4 In Sum of$
$ 195.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund/109 Monon Center
Po#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1125 32009 4341955 $ 97.50 1 hereby certify that the attached invoice(s), or
1091 32009 4341955 $ 97.50 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
January 8, 2015
Signature
$ 195.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund