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314741 8/15/2017 CITY OF CARMEL, INDIANA VENDOR: 360390 ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $..... 800.00 CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE CHECK NUMBER: 314741 1212 S NAPER BLVD SUITE 119-201 CHECK DATE: 08/15/17 NAPERVILLE IL 60540 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4340303 100311 10055-30 800.00 W-2 DATABASE LOAD FOR / 2 > > < « C) g \ \ q f k c # m « o R n / < 2 Z n 2 0 > m q m /® q Co CL » c m m q 2 ƒ ) § n \ 9 / ? CO ■ La m u O q < 2 ƒ r 0 > 0 k co / g @ o ® m « � �_ ® 3 k \ -1 \ x r / ] � ^ © 7 \ \ ° q z z $ E 2 2 CD $ \ CD C) C | 8 ƒ - CD F). 2 f i C/) \ / I CL { / / ƒ 2 m ] \ k 7 ? ; k § ± ±0 m _ f a _ Q 2 \ - CDR f CD ^ 3m/ p q f 2 m , - « m + . & - n � / « E nCD CDg \ \ U) /E \ / / E G ƒ � � k § k } & 0 / » / z § w E $ = ƒ2 « 3 3 | / 7 \ q , \ CL17 cn -4j m \ } } ; /$ 0 E \ ) / 0 ■ \� 0 6 'a 0 CD / � � � � � k ƒ C \ ( / b - - # \ Z > Nk = ( §/ n i{ e� 5 k � \ { §�o 0 D §� k / q > _ \ / \\ � § 0 \ --1g R k k 2 \ / 0 § CD 6 O + 7 2 f Q ® D G # E $ / } w CD / co - 7 , M / a \ - � ] § k ^ D \ CL ( 9 \ \ _ & G ƒ § § CD 6 ¥ \ FW CcAo3 3'� vd 31 I 1 ►� I 4MERICAN TECHNCItC)(Y£t?GizT10N5 �V 1212 S.Naper Blvd. Suite 119-201 Naperville, IL 60540 Client Invoice Invoice # 10055-30 City of Carmel Attn: Accounts Payable Invoice Date: 6/28/2017 One Civic Square Carmel, IN 46032 PO#: Phone: 630-548-1970 Fax: 630-839-7252 Qty Description Unit Price Cost 1 2016 W-2 Database Load with Production and Test File 50.00 50.00 1 2016 W-2 Datamap 250.00 250.00 1 ATS Provides Client Custom EFW2(Client does Indiana State Filing) 500.00 500.00 Balance Due: $800.00 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. Qo T' * _ 1 AMERICAN TECNAu�I4NWiliTIONS1212 S.Naper Blvd Suite 119-201 4EV Naperville,IL 60540 Ph:630.548.1970,Fx:630.839.7252 Request for Quote Client: City of Carmel Quote# RFQ10055032717 One Civic Square Date: March 27, 2017 Carmel, IN 46032 ATS Contact: Mark Richier Phone: 630-548-1970 Fax: 630-839-7252 ATS PrintFreedomTM MyW-2 State electronic filing services — 2016 Qty Description Unit Cost 1.0 2016 W-2 Database Load with Production and Test File $50.00 $50.00 1.0 2016 W-2 Datamap $250.00 $250.00 1.0 Provide Custom EFW2 Format(Client does Indiana State Filing) $500.00 $500.00 Total Estimated Cost: $800.00 h03\� Client PO#: Client Signature Date Please fax signed Request to: Attn: Mark Richier Fax: 630.839.7252 Thank You! — We truly appreciate the opportunity to work with you. T � AMERICAN TICNNOLOCY."UTIONS _ 1212 S.Naper Blvd Suite 119-201 Naperville, IL 60540 Ph:630.548.1970,Fx:630.839.7252 Request for Quote Client: Citv of Carmel Quote# RFQ10055032717 One Civic Square Date: March 27, 2017 Carmel, IN 46032 ATS Contact: Mark Richier Phone: 630-548-1970 Fax: 630-839-7252 ATS PrintFreedomTM MyW-2 State electronic filing services— 2016 Qty Description Unit Cost 1.0 2016 W-2 Database Load with Production and Test File $50.00 $50.00 1.0 2016 W-2 Datamap $250.00 $250.00 1.0 Provide Custom EFW2 Format(Client does Indiana State Filing) $500.00 $500.00 Total Estimated Cost: $800.00 Client PO#: Client Signature Date Please fax signed Request to: Attn: Mark Richier Fax: 630.839.7252 r_f Thank You! — We truly appreciate the opportunity to work with you.