252047 12/02/1 5 r Coq .
f CITY OF CARMEL, INDIANA VENDOR: 369620
® ONE CIVIC SQUARE MCCI INNOVATOINS CHECK AMOUNT: $*******773.85*
::, CARMEL, INDIANA 46032 PO BOX 2235 CHECK NUMBER: 252047
'M�_�N.�. TALLAHASSEE FL 32316 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7180 773.85 OTHER EXPENSES
1�c C i e�vvoicE
P.O.Boz 2235 Tallahassee,FL 32316
FEIN:33-1069550
ExperienceExcellence Questions:flnance@mccinnovations.com
Bill To:
CARMEL, INDIANA Invoice Number 00007180
***tcrockett@carmel.in.gov
TERRY CROCKETT, IT DIRECTOR Invoice Date 8/25/2015
!THREE CIVIC SQUARE PO Number S03060
(CARMEL, IN 46032
Customer Id 60-61101
i --- —-- -- Payment Terms Net 30
Shi ed Description Unit Price Extended Price
1 LF SOFTWARE ADDITIONAL $660.000 $660.00
--I----- ---i
1
ILF SUPPORT ADD ON $113.850 $113.851
'ADDITIONAL SOFTWARE AND SUPPORT(1 USER)
PRORATED FOR 9 MONTHS
Subtotal —�— $773.85
i Discount $0.00
Freight $0.00
I
Please remit one copy with payment Tax — $0.00
i f
Page 1 Total I $773.85
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
369620
MCCI INNOVATIONS Purchase Order No.
PO BOX 2235 Terms
TALLAHASSEE, FL 32316 Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201! 7180 $773.85
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 A/
Date O cer
VOUCHER # 156681 WARRANT # ALLOWED
369620 IN SUM OF $
MCCI INNOVATIONS
PO BOX 2235
TALLAHASSEE, FL 32316
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7180 01-7202-05 $773.85
Voucher Total $773.85
Cost distribution ledger classification if
claim paid under vehicle highway fund