HomeMy WebLinkAbout324783 04/30/18 Q
CITY OF CARMEL, INDIANA VENDOR: 367042
ONE CIVIC SQUARE PAPERLESS BUSINESS SYSTEMS CHECKAMOUNT: $****11,258.40*
CARMEL, INDIANA 46032 PO BOX 845915 CHECK NUMBER: 324783
LOS ANGELES CA 90084-5915 CHECK DATE: 04/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355200 H0001255 5,629.20 SUBSCRIPTIONS
1091 4355200 H000125:5 5,629.20 SUBSCRIPTIONS
:R r
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
1 Paperless Business Systems Payee
PO Box 845915
Los Angeles,Ca 90084-5915 In Sum of$ Purchase Order#
Paperless Business Systems Terms
$ 11,258.40 PO Box 845915 Date Due
Los Angeles, Ca 90084-5915
ON ACCOUNT OF APPROPRIATION FOR
108-ESE 1109 Monon Center
PO#ornvolce Description
Dept# INVOICE NO. ACCT#f TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 H0001255 4355200 $ 5,629.20 Board Members 4/20/18 H0001255 eRequester Subscription 5/28/18-5/27/19 51230 $ 5,629.20
1091 H0001255 4355200 $ 5,629.20 4/20/18 H0001255 eRequester Subscription 5/28/18-5/27/19 51230 $ 5,629.20
I hereby certify that the attached invoice(s),or
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
$ 11,258.40 Total $ 11,258.40
April 24,2018
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
Cost distribution ledger classification if "PkiomJKLA)
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Invoice
D e Number: H-0001255
eRegUt'St@r® InvoicInvoice Date4/20/2018
3131.Elliott Ave.,Suite 450
Seattle,Washington 98121 Payment Terms Net 30.
p:206:256.0771 PO Number
f.206.282.3312
- SOLD TO: SHIP TO:
Carmel.Clay Parks&Recreation Carmel Clay Parks& Recreation
1411 E.1 16th Street 1411E 116th Street
Carmel, IN 46032 Carmel, IN 4.6032
United States, United:States
Description -Amount
eReq:Hosting (SAAB)
'Renewal Period: May 28,2018 May27,2019
eRequester Hosting with 55 Named Users $9,282.60
Hosted Receiving Module. $11975.80
-Please update our payment information listed belowin your system.
All payments and dollar amounts are in U.S. Dollars. Subtotal $11,258:40 .
71 f. 06.282.3392*ww. reueste .com"aster.com Tax $206.256 :00
Remit to: Pa erless Business S. terns PO Box 845915 Los A_n-
-Wire
etes CA 90084-5915
Tota) $11,258.40 .
Avid Bank - Wire Information: ACH Information:
437 Lytton Aye Ste,100 ABA#121143626 Routing#:121143626-
Palo Alto,CA 94301. Swift#:AVIDUS66 Acct#:140026741(Checking)