248889 08/26/15 .t�9 .
�.,°.." CITY OF CARMEL, INDIANA VENDOR: 359003
® i ONE CIVIC SQUARE ITDVDS.COM LLC CHECK AMOUNT: $ .....625.00*
CARMEL, INDIANA 46032 1900 W CHANDLER BLVD STE 15-342 CHECK NUMBER: 248889
"�;,. -...':r CHANDLER AZ 85224 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4357004 33102 801190 625.00 PREMIUM ANNUAL ACCT
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VJMTJ INVOICE
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Date: 8/17/2015
Invoice Number: 801190
Mail Check To:
ITDVDS.com LLC Invoice Password: 880028097
1900 W Chandler Blvd Suite 15-342 Due Date: 9/18/2015
Chandler, AZ 85224 (MM/DD/YYYY)
USA PO Reference Number: 33102
ITDVDS.com Contact Info
Account Manager: Bob Johnson
Phone: 858-386-6016
Fax: 1-800-749-7358
Email: bob.johnson@itdvds.com
TO:
Attn: Terry Crockett
City of Carmel
One Civic Square
Carmel, Indiana 46032
US
371-571-2567
Item Unit Price Qty. Total
Premium Annual Account 125.00 5 625.00
Grand Total (USD): $625.00
** Payment Due On 9/18/2015. Please Mail Check To Address Above **
Date Format: (MM/DD/YYYY)
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City
®� Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUM ER
FEDERAL EXCISE TAX EXEMPT 33102 v1
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/18/2015 359003 On Line Training
ITDVDS.COM LLC Information Systems
VENDOR 1900 W CHANDLER BLVD STE 15-342 SHIP 3 Civic Square
TO Carmel, IN 46032-
CHANDLER AZ 85224- (317) 571-2576
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Account., 43-570.04 Fund: 101 General Fund
5 Each Premium Annual Account $125.00 $625.00
Sub Total $625.00
Send Invoice To:
Information Systems Quote No. 801190
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
PAYMENT $625.00
SHIPPING INSTRUCTIONS A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
*SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
Y 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED B� 7 �
TITLE Direct
DOCUMENT CONTROL NO. 33102 CLERK-TREASURER
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
08/17/15 I 801190I I $625.00
1202 101
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
ITDVDS.COM LLC
1900 W CHANDLER BLVD STE 15-342
IN SUM OF $
CHANDLER AZ 85224
$625.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33102 I 801190 I 43-570.04 I $625.00 1 hereby certify that the attached invoice(s), or
1202 101
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
Friday, August 21, 2015
i
-:� err Croce , Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund