HomeMy WebLinkAbout242676 03/03/15 CITY OF CARMEL, INDIANA VENDOR: 360390
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $... 1,308.01
r, ?� CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE CHECK NUMBER: 242676
'Mirod cod 1212 S NAPER BLVD SUITE 119-201 CHECK DATE: 03/03/15
NAPERVILLE IL 60540
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 10055-28 7.26 OTHER PROFESSIONAL FE
1701 R4341999 26775 10055-28 1,300.75 2014 W-2 HOSTING
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1212 S.Naper Blvd.
Suite 119-201 VF
Naperville,IL 60540
Client Invoice
Invoice# 10055-28
City of Carmel
Attn:Accounts Payable Invoice Date: 2/17/2015
One Civic Square
Carmel, IN 46032 PO#: 26775
Phone: 630-548-1970
Fax: 630-839-7252
Qty Description' Unit Price Cost
1 2014 W-2 Database Load with Production and Test File 50.00 50.00
1 2014 W-2 Datamap 250.00 250.00
1 ATS MyW-2 Annual Online Hosting and Storage 100.00 100.00
209 ATS MyW-2 Print and Mail Services (includes postage) 0.89 186.01
430 ATS MyW-2 Online Hosting-Employee Consent 0.40 172.00
1 SSA W-2 Electronic Filing Fee for a single EIN 250.00 250.00
1 ATS Provides Client Custom EFW2(Client does Indiana State Filing) 300.00 300.00
Balance Due: $1,308.01
Payment Due Upon Receipt
Please make check payable to: American Technology Solutions, Corp.
1212 S. Naper Blvd.
Suite 119-201
Naperville, IL 60540
Thank You! - We truly appreciate your business.
L9BLH 5145
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
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Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
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Clerk-Treasurer
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DEPT# I hereby certify that the attached invoice(s),
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for which charge is made were ordered and
received except
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