HomeMy WebLinkAbout256223 03/15/16 a of-C�g3f
CITY OF CARMEL, INDIANA VENDOR: 360390
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $•'*""1,033.82'
CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE CHECK NUMBER: 256223
1212 S NAPER BLVD SUITE 119-201 CHECK DATE: 03/15/16
NAPERVILLE IL 60540
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 10055-29 1,033.82 OTHER PROFESSIONAL FE
VOUCHER NO. WARRANT NO.
ALLOWED 20
A IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
e7 C)`TH+C-R oa6p:-
-r-c-s Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
11
d lbUSS— 633 or bill(s) is (are) true and correct and that
I n g V 3 0, the materials or services itemized thereon
for which charge is made were ordered and
received except
3 r 20
1014
. Si na u�
7
Cost distribution ledger classification if
Tit e
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
American Technology Solutions
1212 S.Naper Blvd.
Suite 119-201
Naperville,IL 60540 `n
ll
Client Invoice
City of Carmel Invoice # 10055-29
Attn:Accounts Payable Invoice Date: 2/16/2016
One Civic Square
Carmel, IN 46032 PO#:
Phone: 630-548-1970
Fax: 630-839-7252
Qty Description Unit Price Cost
2 2015 W-2 Database Load with Production and Test File 50.00 100.00
1 2015 W-2 Datamap 250.00 250.00
1 ATS MyW-2 Annual Online Hosting and Storage 100.00 100.00
38 ATS MyW-2 Print and Mail Services (includes postage) 0.89 33.82
1 SSA W-2 Electronic Filing Fee for a single EIN 250.00 250.00
1 ATS Provides Client Custom EFW2(Client does Indiana State Filing) 300.00 300.00
Balance Due: $1,033.82
Payment Due Upon Receipt
Please make check payable to: American Technology Solutions, Corp.
1212 S. Naper Blvd.
Suite 119-201
Naperville, IL 60540
Thank You! - We truly appreciate your business.