249241 09/09/15 \1
' CITY OF CARMEL, INDIANA VENDOR: 368829
® 3{ ONE CIVIC SQUARE EMERGENT CHECK AMOUNT: $ ....'112.00'
,. =4 CARMEL, INDIANA 46032 1439 N GREAT NECK ROAD CHECK NUMBER: 249241
VIRGINIA BEACH VA 23454 CHECK DATE: 09/09/15
TpN
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351502 32988 55658 112.00 ADOBE
emergent-
Invoice
Emergent LLC Date Invoice
1439 N.Great Neck Rd.
Virginia Beach VA 23454 8!2712015 55658
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel IN 46032 Carmel IN 46032
• - Terms Due Date
-- -- --- 24549 — — — --- ----_ — -- — Ne't 30 - — ---- — — 9/26/2015.
Line#/CLIN Description Quantity Unit Price Extended Price
1 Software-Adobe Creative Cloud-UOM EA 2 56.00 112.00
Per Estimate 424549
I
Total 112.00
Balance Due $112.00
ACH and Wire Information for Payment is as follows:
Name of Bank:Wells Fargo.
ABA Routing No: 121000248
Account No:2000032696781
Account Name:Emergent,LLC
Bank Address:440 Monticello Avenue,Suite 1100,Norfolk,VA 23510
DUNS#:781797712 TIN#:22-3930184
Invoicing Questions?Please email EmergentlnvoicingTeam@emergent360.com emergent360.com
City ®�° ����� �, INDIANA RETAIL TAX EXEMPT PAGE
,Jlr C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
Cwmol P®lico Wp id19' nt
VENDOR SHIP 3 CIVIC squm
0299 Lowburg Piko , Gulto 2W TO Crjl mG1, IN 4
!lona, VA 22982 571-25M
�! CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I �
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-695.02
9 Each Software -Mcbo Croa9 ►o Claud + c g S� e,�c
9 Each °SoMars -,Adobq Creative CIpd''€I!Y;'
sub Total:
�°.o..
°ro / ^°
Eal mdo 0 23825&23029
Send Invoice To: ,�--
Carmol P®llcG DGpaitmGnt 1 1
Attn: P@k Young
CBI, IN 412- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cwmel Police Dept. C�� y n`MVA
5{
PAYMENT
R'° 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 AFFIDAVTTATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHAT THERE ISAN.I NOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPR I SUFFICIEN iT0 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. lof a1/�
pollcG
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND,SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3298 8 A.P.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
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
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))
08/27/15 55658 software $112.00
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.
ALLOWED 20
Emergent
IN SUM OF $
8219 Leesburg Pike , Suite 300
Vienna, VA 22182
$112.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32988 l 55658 I 43-515.02 I $112.00 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
e
which charge is made were ordered and
received except
Wednesday, Sep ember 02, 2015
/ Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund