244093 04/09/15 (9' .
CITY OF CARMEL, INDIANA VENDOR: 064915
ONE CIVIC SQUARE CONVEY COMPLIANCE SYSTEMS, INC CHECK AMOUNT: S*****1,727.84*
CARMEL, INDIANA 46032 PO BOX 347977 CHECK NUMBER: 244093
PITTSBURGH PA 15251 CHECK DATE: 04/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4463202 S1-6035 1,727.84 SOFTWARE
. Convey. . INVOICE
9800 Bren Rd E Ste 300
Minnetonka, MN 55343-4712 USA
accounting_finance@taxware.com
www.convey.com
SOLD TO: SHIP TO:
CINDY SHEEKS CINDY SHEEKS
CITY OF CARMEL CITY OF CARMEL
1 CIVIC SQUARECLERK TREASURER OFFICE 1 CIVIC SQUARECLERK TREASURER OFFICE
CARMEL,IN 46032 CARMEL, IN 46032
UNITED STATES UNITED STATES
INVOICE DATE INVOICE NUMBER PAYMENT TERMS _=• DATE DUE P'O NUMBER`'
03/26/2015 SI-6035 NET 30 04/26/2015
DESCRIPTION,:; QUANTITY
Taxport A/P-Up to 500 Forms 04/01/2015 03/31/2016 1
SUBTOTAL=' $1,614.80
SALES TAX- $113.04
TOTAL $1,727.84
PAYMENTS&CREDITS $0.00
BALANCE DUE $1,727.84
Tax Year 2015 Renewal
ent�Ietlzocl Cliantieci!"
Please reference invoice number on the electronic confirmation or check.
ACH/WIRE INSTRUCTION:
Silicon Valley Bank,'.
3003Ta3man Drive REMIT'CHECKSTO °Due Date:'04/26/2015.
Santa Calara,CA95054- CONVEY COMPLIANCESYSTEMS LLC pay"
this amount: $1,727:84
Phone:(408)654=7400 PO Box.347977 Invoice if:SI-6035`
Account#3301076579 r' Pittsburgh,PA 15251 4977 Customer#:1867
Router/Transit#121140399.
;,:Swift Code SVBKUS6S,
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHERCity 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.
'/n Payee
V Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
- W
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.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
60,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
I
i 20
t
do
I
Signat r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund