Loading...
HomeMy WebLinkAbout246003 06/03/15 %'��"''S� CITY OF CARMEL, INDIANA VENDOR: 368575 J•• �,• ONE CIVIC SQUARE TK SOFTWARE CHECK AMOUNT: $*******150.00* 2113 BREWSTER ROAD CHECK NUMBER: 246003 9�` =a; CARMEL, INDIANA 46032 INDIANAPOLIS IN 46260 CHECK DATE: 06/03/15 ITON LO DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4463202 COC1506 150.00 SOFTWARE i 2113 Brewster Road (317)228-0857 Indianapolis,IN 46260 www.&softwareinc.com SOFTWARE City of Carmel Two Civic Square Carmel, IN 46032 Attn.:Michelle T. Harrington, CPC May 15,2015 Invoice number.COC1506 TKSoftware Tax ID Number.35-1985893 Due Date:6115115 HIPAA Transaction Services Detail: Claims Fee Amount June,2015 services,minimum up to 450 $150.00 Claims in excess of 450,April 0 0.35 0.00 Amount Due: $150.00 Payment must be received by due date to avoid interest. VOUCHER NO. WARRANT NO. ALLOWED 20 TK Software IN SUM OF$ 2113 Brewster Road Indianapolis, IN 46260 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#6 Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 COC1503 102-632.02 $150.00 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 JUN 1 2015 NOV Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund I ' 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) COC1503 $150.00 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