241482 01/27/15 CITY OF CARMEL, INDIANA VENDOR: 368879
`; ® t ONE CIVIC SQUARE CLEANTELLIGENT SOFTWARE CHECK AMOUNT: $*t#t i R k 585.00`
?� CARMEL, INDIANA 46032 460 N UNIVERSITY AVE,STE 203 CHECK NUMBER: 241482
�'�iori�°' PROVO UT 84601 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341955 32506 292.50 INFO SYS MAINT CONTRA
1125 4341955 32506 292.50 INFO SYS MAINT/CONTRA
CleanTelligent;SoftwareInvoice
T 460 N University Ave Ste 203
Provo, UT 84601 JAN 1.6 2015 Date Invoice No.
(801)375-0375x117 01/01/2015 32506
CleanTelligent r��;
accountsreceivableC�cleantelligent.c ' ------__ Terms Due Date
software https://www.cLeantelligent.com/
Net 30 Days 01/31/2015
Bill To
Carmel/Clay Board of Parks and Recreation
1411 E 116th St
Carmel, IN 46032
P.O. Number Customer lD
37503 1206
Activity Quantity Rate Amount
• CleanTelligent Access Fee for the Previous Month of December: 13 45.00 585.00
1- Kurtis Baumgartner 2- Francisco Hernandez 3-Michael Kilpatrick
4-Michael Klitzing 5- Shauna Lewallen 6- Ana Martinez 7- Eric Mehl
8- Rafael Ramirez 9- Vitalina Ramirez 10- Jim Ransford
11- Yoldanda Rivera 12- Pedro Rodriguez 13- Mark Westermeier
• 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 !Sc)pnJR12Z LA5 Z r-fUE Mc"'A
76-125 active Service Provider Users= $28 per month per User
126-200 active Service Provider Users= $25 per month per User
201-300 active Service Provider Users = $20 per month per User 112.5 l-OI-- 'k x-19 55 �9 a.S(7
301-500 active Service Provider Users = $15 per month per UserI1��1 I _ X92.50
501-1000 active-Service Provider Users = $12 per month per User
1001-2000 active Service Provider Users= $8 per month per User 5 $ .5 •�
2001+active Service Provider Users = $6 per month per User
*Per your License Agreement, Access Fees include up to a full month's
fee for any user whose status is Active at any time during the month
Thank you for your business. Please pay from this invoice. Remit to: Total $585.00
CleanTelligent Software
460 N University Ave Ste 203
Provo UT 84601
I�
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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
1/1/15 32506 Software user fee Dec'14 37503 $ 292.50
1/1/15 32506 Software user fee Dec'14 37503 $ 292.50
Total $ 585.00
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.
368879 CleanTelligent Software Allowed 20
460 N University Ave Ste 203
Provo, UT 84601
In Sum of$
$ 585.00
ON ACCOUNT OF APPROPRIATION FOR
I
101 -General Fund/109 Monon Center
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 32506 4341955 $ 292.50 1 hereby certify that the attached invoice(s), or
1091 32506 4341955 $ 292.50 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 22, 2015
h
Signature
is 585.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund