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322358 02/27/18
''" CITY OF CARMEL, INDIANA VENDOR: 365040 d i{ ONE CIVIC SQUARE I C S SOFTWARE LTD CHECK AMOUNT: $'""*"300.00* 9M.__ ?� CARMEL, INDIANA 46032 3720 OCEANSIDE NSVD;ROAD WEST CHECK NUMBER: 322358 „o CHECK DATE: 02/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 101389 300.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 365040 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER I C S SOFTWARE LTD IN SUM OF$ CITY OF CARMEL 3720 OCEANSIDE ROAD WEST 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. OCEANSIDE, NY 11572 Payee $300.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 101389 43-509.00 $300.00 1 hereby certify that the attached invoice(s),or 2/13/18 101389 $300.00 1120 101 1120 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 Friday, February 16,2018 David Haboush Fire Chief 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 High Speed Claims,Eligibility and MIPS Registry MedXprdss Div.: Invoice ICS Software; Ltd. :3720 Oceanside Road:West :DATE: 2/1/2018 :Oceanside, NY 11:572 INVOICE: 101389 BILL.TO PROVIDER Carmel Fire.Department 2 Civic-Square Carmel,'In' 460.32 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. If you cannot pay this invoice as initially agreed please call us to discuss.a plan.and specific dates When paymentwill be made. We reserve the right to.discontinue services to you-for non-payment asTOtai: $30.0.00 promised No refunds:will be given. - = ---- Please=r.:akee c:ecl:-payable-and.romit�to:_ICS Soft:arci�L-td; 372©=Ocoanside=Rd-Al;;Oceansidei NY11572� - ---- - If paving by ACH DEBIT If paving by CREDIT CARD Please contact me_ Iwant to pay all.invoices via this method going forward_ . Billing First Name Last: Bank Name; Branch(City,:St): Billing Address:. Account#- city- a St te:. . . Zrp: Routing#: MC Visa. Card#: Amount:.$ Date to perform the collection: 6r - piration: / Signature: Name= Signature: - I autt rant ICS sotbvam to Witate a debit eft to my account indicated forthe amount listed ebeve. Phone: (516).442-1465- Fax:. (516) 705-0320