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HomeMy WebLinkAbout333893 12/27/18 CITY OF CARMEL, INDIANA VENDOR: 373019 ONE CIVIC SQUARE FEDERAL PROCESSING REGISTRY CHECK AMOUNT: $*****1,199.00* CARMEL, INDIANA 46032 36181 E LAKE RD CHECK NUMBER: 333893 SUITE 210 CHECK DATE: 12/27/18 PALM HARBOR FL 34685 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4357004 15098 1,100.00 EXTERNAL INSTRUCT FEE 2201 4358300 15098 99.00 OTHER FEES & LICENSES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 373019 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FEDERAL PROCESSING REGISTRY IN SUM OF$ CITY OF CARMEL 36181 E LAKE RD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SUITE 210 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. PALM HARBOR, FL 34685 Payee $1,199.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 15098 43-570.04 $1,100.00 1 hereby certify that the attached invoice(s),or 12/27/18 15098 Federal Assistance Awards $1,100.00 2201 2201 2201 2201 15098 43-583.00 $99.00 bill(s)is(are)true and correct and that the 12/27/18 15098 Federal Assistance Awards $99.00 2201 2201 materials or services itemized thereon for 2201 2201 which charge is made were ordered and received except Thursday, December 27,2018 Huffman, Dave 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 Clerk-Treasurer INVOICE ' SAM renewal Federal Processing Registry 36181 East Lake Rd Suite 210 Palm Harbor, Florida 34685 United States Phone: 727-601-0294 Toll free:888-648-9045 www.federalprocessingregistry.com BILL TO CARMEL,CITY OF Invoice Number. 15098 David Huffman ONE CIVIC SQUARE Invoice Date: December 27,2018 CARMEL, Indiana 46032-2584 United States Payment Due: December 27,2018 3177332001 Amount Due(USD): $1,199.00 dhuffman@carmel.in.gov B Pay Securely Online Items Quantity Price Amount SAM 5 year renewal-Federal Assistance Awards 1 $1,199.00 Only $1,199.00 System for Award Management(SAM)Registration, Migration,Administrator Re-assignment,Renewal, Updates within the LAE platform during the renewal periods,and DSBS updates as applicable Total: $1,199.00 Amount Due(USD): $1,199.00 u351DQ� • k�,It�o.c?0 wAz n ) C� Pay SeCUrely Online visAi DOJ w..ti FN9 6. link.waveapps.com/n6zdz2-j5g5kp Invoice will be considered binding upon completion of any or all services noted in description