243518 3 /24/2015 u.Esq
CITY OF CARMEL, INDIANA VENDOR: 360480
ONE CIVIC SQUARE IT SOLUTIONS INC CHECK AMOUNT: $*****1,777.00*
�Q CARMEL, INDIANA 46032 7210 GEORGETOWN RD CHECK NUMBER: 243518
+4jiroN SUITE 700 CHECK DATE: 03/24/15
INDIANAPOLIS IN 46268
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 32671 031315-COC 1,777.00 WEB FILTER
IT Solutions, Inc.
Invoice
7210 Georgetown Road Invoice Number:
I T- Suite 700 031315-COC
SOLUTIONS,INC. Indianapolis, IN 46268
Invoice Date:
Mar 13, 2015
Voice: 317.713.2975
Fax:
317.614.9501 Page:
1
Sold To: Shipp to:
City of Carmel GRity of Carmel
Three Civic Square Attn: Terry Crockett
Carmel, IN 46032 Three Civic Square
Carmel, IN 46032
Customer ID Customer PO Payment Terms
city of carmel 32671 Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
01010 UPS Ground 4/12/15
Quantity Item Description Unit Price Extension
1.00 YF410A-E1 1 Year Energizer Update for 977.00 977.00
Barracuda Web Filter 410
1.00 YF410a-H1 1 Year Instant Replacement for 800.00 800.00
Barracuda Web Filter 410
Late Charge of 1.5% per month will be assessed on any Subtotal 1,777.00
late payments past the invoice due date. Sales Tax
Legal fees incurred by IT Solutions,Inc. as a result of Total Invoice Amount 1,777.00
unpaid balance due will be the responsibility of the payment/Credit Applied
customer.
TOTAL 1,777.00
***Please note our new remit-to address. ***
®J�° ������ INDIANA RETAIL TAX EXEMPTCity
PAGE
,J,J1lrr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 32671
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. I VENDOR NO. DESCRIPTION
3/1012015 _T Barracuda vVeb Supper's
IT Solutions Incorporated Carmel Communications
SHIP Terry Crockett
VENDOR 65111 Zionsville Rd TO 3 Civic Square
Indianapolis, IN 46266 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-1515.02
'i Each Web Filter 410 Instant Replacement- 1yr $800.00 $600.00
1 Each Web Filter 410 Energize Updates- 1yr $977.00 $977.00
( _ Sub Total: $1,777.00
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) •
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Send Invoice To: ;
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46632-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
120+2 Carmel IS Dept. PAYMENT $1,777.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAT ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• f
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL
SHIPPING LABELS. Director -`✓`
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3'
3 2 6 71 A.P.V.LERK-TREASURER
DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
I
IN THE SUM OF$
I
CIO
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
SEPT.# 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
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
IT Solutions Incorporated `
'77-10 (;eA I IN SUM OF$
s -
Indianapolis, IN 46268
$1,777.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32671 I 031315-COC I 43-515.02 I $1,777.00 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, March 23, 2015
Director, IS
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, b
P P Y P Y
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
03/13/15 031315-COC $1,777.00
II
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
120
Clerk-Treasurer