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Home My WebLink About305696 11/28/16 CITY OF CARMEL, INDIANA VENDOR: 371184 ONE CIVIC SQUARE VARIDESK LLC CHECK AMOUNT: $*****6,815.00* f. ?� CARMEL, INDIANA 46032 P.O.BOX 842583 CHECK NUMBER: 305696 DALLAS TX 75284 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4463000 34345 I-N53209 790.00 SIT STAND DESKS 1192 4463201 34348 I-N57750 1,975.00 SIT/STAND DESKS 1192 4463201 IN-57750 1,975.00 HARDWARE 1192 4463201 34351 IVC-2-67621 2,075.00 SIT/STAND DESK VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER VARIDESK LLC _ P.O. BOX 842583 /f - IN SUM OF$ CITY OF CARMEL An invoice or bill to be property itemized must show:kind of service,where performed,dates service DALLAS, TX 75284 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,975.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 34348 1 N-57750 44-632.01 $1,975.00 1 hereby certify that the attached invoice(s),or 11/14/16 1 N-57750 Sit Stand desks $1,975.00 1192 101 1192 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 Tuesday, November 15,2016 Mike Hollibaugh Director 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer #I-N-57750 Date:10/28/2016 VAR1 .011SO Customer Account#: BIIITO ShipTo City of Carmel Lisa Stewart 1 Civic Square City of Carmel-Dept of Community Services Carmel IN 46032 1 Civic Square United States Carmel IN 46032 United States Terms e Date Email PO# Sales Rep Shipping Method Demo 11/27/2016 34348 Nick Morici Net 30 Quantity Description1 99999.2 Used for cutover of accounts receivable 0.00 $1,975.00 open invoice balance 2 Subtotal $1,975.00 Shipping/Handling $0.00 Total00 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) VARIDESK LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER P.O. BOX 842583 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service DALLAS, TX 75284 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $790.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 34345 I-N53209 44-630.00 $790.00 1 hereby certify that the attached invoice(s),or 11/21/16 I-N53209 Sit/Stand desks $790.00 1192 101 1192 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 Monday, November 21,2016 Mike Hollibaugh Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 0 #I-N-53209 Date:09/28/2016 VARI -DIS Customer Account#: Bill To Ship To City of Carmel Lisa Stewart 1 Civic Square City of Carmel-Dept of Community Services Carmel IN 46032 1 Civic Square United States Carmel IN 46032 United States Terms Due Date Email PO# Sales Rep Shipping .. Demo 10/28/2016 34345 Nick Morici Net 30 DescriptionQuantity Item 1 99999.2 Used for cutover of accounts receivable 0.00 $790.00 open invoice balance 2 Subtotal $790.00 Shipping/Handling $0.00 Total000 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VARIDESK LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER P.O. BOX 842583 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show.kind of service,where performed,dates service DALLAS, TX 75284 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,975.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members . DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 6343 I N-57750 44-632.01 $1,975.00 1 hereby certify that the attached invoice(s),or 11/14/16 1 N-57750 Sit Stand desks $1,975.00 1192 101 1192 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 Monday, November 21,2016 Mike Hollibaugh Director 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer #I-N-57750 Date:10/28/2016 VARIDEIS Customer Account#: Bill To ShipTo City of Carmel Lisa Stewart 1 Civic Square City of Carmel-Dept of Community Services Carmel IN 46032 1 Civic Square United States Carmel IN 46032 United States Terms Due Date Email PO# Sales Rep Shipping Method Demo 11/27/2016 34348 Nick Morici Net 30 Quantity Description 1 99999.2 Used for cutover of accounts receivable 0.00 $1,975.00 open invoice balance 2 Subtotal $1,975.00 Shipping/Handling $0.00 Total 00 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VARIDESK LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER P.O. BOX 842583 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service DALLAS, TX 75284 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,075.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 34351 Invoice IVC-2- 44-632.01 $2,075.00 1 hereby certify that the attached invoice(s),or 11/21/16 Invoice IVC-2- Sit/Stand Desks $2,075.00 67621 67621 1192 101 bill(s)is(are)true and correct and that the 1192 101 materials or services itemized thereon for which charge is made were ordered and received except Monday, November 21,2016 Mike Hollibaugh Director 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 0 Invoice VAR1011S Invoice# IVC-2-67621 11/15/2016 VARIDESK LLC Account Name: City of Carmel:Lisa Stewart PO Box 3588 Account Number:704643 Coppell,TX 75019 United States PO# 34351 (800)207-2587 Billing Address Shipping Address City of Carmel Lisa Stewart 1 Civic Square City of Carmel-Dept of Community Services Carmel, IN 46032 1 Civic Square United States Carmel, IN 46032 United States Terms Due Date Email Customer PO# Sales Rep Shipping Method Due Upon Receipt 12/15/2016 Istewart@carmel.in.gov 34351 Nick Morici Ground DescriptionQuantity Item 4 49900 ProPlus 36Tm(Black) $395.00 $1,580.00 1 49921 CubePlus 48Tm(Black) $495.00 $495.00 Subtotal $2,075.00 Shipping/Handling $0.00 Tax $0.00 Order Total $2,075.00 Amount Paid $0.00 Amount Remaining $2,075.00 Please reference the number below on all ACH/EFT Payments. Invoice#IVC-2-67621 ACH/EFT Payments: CHECK Payments: DUNS: Varidesk Tax ID: Bank Name:Texas Capital Bank Varidesk LLC PO Box 660050 07-9464963 47-1148201 Benficiary Name:Varidesk,LLC Dallas,TX 75266 Routing/ABA No:111017979 Bank Account No:1511011429 PLEASE CLICK HERETO PAY WITH CREDIT CARD. Page:1 of 1