244705 04/29/15 �; CITY OF CARMEL, INDIANA VENDOR: 369066
ONE CIVIC SQUARE FOUNDATION BUSINESS SYSTEMS LLCCHECK AMOUNT: $"""•"•534.00'
?� CARMEL, INDIANA 46032 431 FIRST AVE NORTH SUITE 410 CHECK NUMBER: 244705
M„ro�,-�` MINNEAPOLIS IA 55401 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 4350900 150119 255.00 OTHER CONT SERVICES
211 R4462838 25279 150119 279.00 STORMWATER INSP SOFTW
Remit To:
Foundation Business Systems, LLC Invoice
431 First Avenue North
Suite 410
Minneapolis, MN 55401
Invoice#: 150119
Invoice Date: -4/1/2015
2,-9q t P.o.252:19 Due Date: 4/1/2015
Bill To: zti- RL44-(*28319 Project: PermiTrackESC
P.O. Number:
Katie Neville
City of Carmel -ass= 202-4S5 09 00
Engineering Department
One Civic Sq
Carmel IN 46032
_ Date-- - — --- -- Description_ _ __.._Rate_ _ _ Quantity_._. _ __Amount
4/2/2015 PermiTrack ESC Quarterly usage fee- 89.00 6 534.00
Commercial Project Creation
Thank you for your business, Total $534.00
Payments/Credits $0.00
Customer Service Contact:
missy.kloster@mypermitrack.com Balance Due $534.00
(612)284-9404
Foundation Business Systems is an equal opportunity employer www.mypermitrack.com
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City of Carmel, IN ESC
Invoice Summary Report
January 1, 2015 To March 31, 2015
Create Date Status Project Name Project Type Cost
I
Projects Initiated Between 110112015 to 313112015
2/19/2015 Active The Woods at Shelborne Section 1&2 Clearing and Residential $89.00
2/19/2015 Active Olivia on Main-Clearing and Demo Only Commercial $89.00
3/4/2015 Active Dairy Queen &Convenience Store Commercial Commercial $89.00
3/20/2015 Active Grand &Main Clearing Residential $89.00
3/20/2015 Active Bonbar at Monon Lake Clearing Only Residential $89.00
3/26/2015 Active Blackwell Park Phase II Residential $89.00
New Projects: 6 j
Total Projects: 6
Total Cost I $534.00
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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, by whom,
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Foundation Business Systems, LLC Purchase Order No.
431 First Avenue North, Suite 410 Terms
Minneapolis, MN 55401 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
4/1/2015 150119 PermiTrack ESC Quarterly Usage Fee $ 279.00
4/1/2015 150119 PermiTrack ESC Quarterly_Usage Fee $ 255.00
Total $ 534.00
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.
Foundation Business Systems, LLC ALLOWED 20
431 First Avenue North, Suite 410 IN SUM OF$
Minneapolis, MN 55401
$ 534.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
25279 150119 211-R4462838 $ 279.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
0 150119 202-4350900 $ 255.00 which charge is made were ordered and
received except
4/27/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund