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301195 07/25/16 CITY OF CARMEL, INDIANA VENDOR: 340082 ONE CIVIC SQUARE WORD SYSTEMS INC CHECK AMOUNT: $*****2,667.20* =4 CARMEL, INDIANA 46032 9225 HARRISON PARK CT CHECK NUMBER: 301 195 INDIANAPOLIS IN 46216-1089 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351501 34046 IN16460 2,667.20 ANNUAL CONTRACT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) WORD SYSTEMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 9225 HARRISON PARK CT IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where perforated,dates service INDIANAPOLIS, IN 46216-1089 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,667.20 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT [34046-1 IN16460 43-515.01 $2,667.20 1 hereby certify that the attached invoice(s),or 6/30/16 IN16460 annual contract $2,667.20 1110 101 1110 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 Thursday,July 14,2016 Tim Green Chief of Police 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 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Word Systems, Inc* CO� K ���� INVOICE 0225Harrison Park Court,Suite 1OO,Indianapolis,IN46216 Invoice Number: IN16460 P317'�44'O400 F:317-544-2192' ' Invoice Date: 06/30/2016 Bill To: Carmel Police Department Customer: Carmel Police Department JCivic Square 3Civic Square Carmel,IN 46O33 Carmel,IN 46032 USA EX Da 3518-04 $ 21667.20- 09/01/2016 08/31/2017- Remarks SmmmmmarV: Contract base rate charge for the 09/O1/2O100oO8/31/ZO17billing period $2,66720~ *Sum ofequipment base charges $2'067.20 Detail: luded under this contract !Rec/IR22660212202 Number Serial Number mase Charge Location EQ11177 mos'EQ11177 $0.00 Carmel Police Department 3Civic Square Carmel,IN4hO32 WSIIIR-DWS-001 Number Serial Number Base Charge Location Sa11921 A81843327 $2'067.20 Carmel Police Department 3Civic Square Carmel,lN4hO32 So11922 wVA,311220'2 $0.00 Carmel Police Department 3Civic Square Carmel,lN*003Z