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Home My WebLink About248315 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 369308 (9, ONE CIVIC SQUARE EVERBRIDGE CHECKAMOUNT: $*****2,333.00' CARMEL, INDIANA 46032 50ENDABRAND BLVD,SUITE 1000 CHECK NUMBER: 248315 CHECK DATE: 08/12/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351502 32863 MNX01526 2,333.00 NIXLE CONNECT SOFTWAR • nixie MI EVER1acquired Nbde in 2014ON Invoice Fverbridge acquired Nncfe in 2014 For more information on the acquisition visit:http://Www.nixie.conVeverbridge/ 500 North Brand Blvd. Aod.No. Date ° Suite 1000 11154 7/29/2015 MNX01626 Glendale CA 91203 United States 818-230-9786 7Carmel °PatYoung Attn: PatYoung Police Department Carmel Police Department c Square 3 Civic Square Carmel IN 46032 Carmel IN 46032 United States United States ®s be -. 32863 2015-2423/00017398 Herbst,Tommy Payment Term s ®u :Date gyrrenoy 8111ina !. o e -ate Net 30 8/28/2015 USD F4/12/2015 12/31/2015 Itprn Description, w QaPrice Discount ount - 101-99-22-0101-000 Nixie Setup Fee 1 186.64 100.0% 0.00 101-99-11-0213-000 Nixle Connect 1 3,500.00 0.0% 3,500.00 101-99-11-0213-000 Annual Subscription Prorate Deduction 1 -1,,167.00 0.0% -1,167.00 Total $2,333.00 City of �� INDIANA RETAIL TAX EXEMPT PAGE C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT :3'2%3 35-60000972 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. VENDOR NO. DESCRIPTION 412812015 Everbfldga Cw-mel notice Department VENDOR SHIP 3 CIVIC squara 500 N. Brand Blvd, Sults 1000 TO Carmel, IN M32 Ole ndMe, CA 912x3 (31 7)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-615.42 1 Each Nixie Connect annual software contract $2,333.00 $2,333.00 Sub Total: $2,333.00 c Zf fl fn _n ��n f �_ � ��` ;,amu•. `F,t '`� w`}I�l�� Send Invoice To: 4 Carmel Police Department Attn: Rat Young 3 Civic Sgnafe Carmel, IN 4PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Cannel police Dept. :�, a PAYMENT i • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. .� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TFVAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TODAY FOR THE ABOVE ORDER. • � •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL !!! //�////// g SHIPPING LABELS. /�hle6 of Polk@ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 32863 A.F.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 I materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Everbridge IN SUM OF$ 500 N. Brand Blvd, Suite 1000 ' Glendale, CA 91203 $2,333.00 1 I ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r 32863 I MNX01526 I 43-515.02 I $2,333.00 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 Thursday, August 06, 2015 f i S Chief of Police Title I' Cost distribution ledger classification if J 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)) 07/29/15 MNX01526 annual software contract $2,333.00 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 , 20 Clerk-Treasurer