HomeMy WebLinkAbout255835 03/01/16 CITY OF CARMEL, INDIANA VENDOR: 365040
ONE CIVIC SQUARE I C S SOFTWARE LTD CHECK AMOUNT: S*******300.00*(9,
CARMEL, INDIANA 46032 3720 OCEANSIDE ROAD WEST CHECK NUMBER: 255835
OCEANSIDE NY 11572 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 82237 300.00 OTHER CONT SERVICES
ICS-Software, Ltd. 'nvoice
_ 3720 Oceanside Road W
Oceanside, NY 11572 DATE: :211/2016
.div.of ICS Sofnvare..Ltd.
INVOICE: -82237
BILL TO PROVIDER
Carmel Fire Department
2 Civic Square.
Carmel, In.46032
Terms: Net 30
DESCRIPTION QTY RATE/EA AMOUNT
Yearly MedXpress Fee-Submitter#Z6CX 1 300.00 300.00
Please make your check out to ICS Software, Ltd.
ff you cannot pay this.invoice as initiallyagree,4 please call its to discuss a plan and specific
dates when payment will be made. We reserve the right to discontinue services to you for Total: $300.00
non-payment as promised.No refunds will be given.
If paying by credit.card:
Billing First Nance: Last
Billing-Address. Please rnake check;payable
and remit tp:
City: state: Zip: Software,
3720 OceansidesRoad'1Nest
_MC _visa Card# Oceanside,NY 11672
Expiration: _/ Signature:
Phone: (516)442-1465
The.charge on your credit card will be from ICS SOFTWARE,LTD. Fax: (516) 705-0320
ascribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
82237 $300.00
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
, 20
Clerk-Treasurer