HomeMy WebLinkAbout258747 05/18/16 CITY OF CARMEL, INDIANA VENDOR: 367042
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ONE CIVIC SQUARE PAPERLESS BUSINESS SYSTEMS CHECK AMOUNT: $****11,258.40*
CARMEL, INDIANA 46032 1417 FOURTH AVE,4TH FLOOR CHECK NUMBER: 258747 9 SEATTLE WA 98101 CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355200 H-0001044 5,629.20 SUBSCRIPTIONS
1091 4355200 H-0001044 5,629.20 SUBSCRIPTIONS
Voucher No. Warrant No.
367042 Paperless Business Systems /Uiovwad 20____
1417Fourth Avenue, 4th Floor
Seattle, WA 98101
40
ONACCOUNT OFAPPROPRIATION FOR
108 ESE/109h0ononCenter
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 H0001044 4355200 $ 5,629.20 | hereby certify that the attached invoice(s), or
1081-99 H0001044 4355200 $ 5,629.20 bi||(o) is (am)true and correct and that the
materials orservices itemized thereon for
which charge iamade were ordered and
received except
May 17 2018
Signature
Accounts Paob|eCoordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
367042 Paperless Business Systems Terms
1417 Fourth Avenue, 4th Floor
Seattle, WA 98101
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/24/16 H0001044 eRequester Subscription 5/28/16- 5/27/14 39934 $ 5,629.20
4/24/16 H0001044 eRequester Subscription 5/28/16- 5/27/14 39934 $ 5,629.20
Total $ 11,258.40
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
Clerk-Treasurer
Invoice
.Y 1417 Fourth Ave;4th Floor Invoice Nu ber H 0001,0U2-5 -11
Vll�shington 98
"' . 206.256.0771
S3Rtf`I�SS. Pa et 30
busin�syetems._ 206.282.3312 O Number
=BY:
SOLD TO: SHIP TO:
Carmel Clay Parks& Recreation Carmel Clay Parks& Recreation
1411 E 116th Street 1411 E 116th Street
Carmel, IN 46032 Carmel, IN 46032
United States United States
Description Amount
eReq Hosting (SAAS)
"Renewal Period: 05/28/16-05/27/17
eReq Hosting with 55 Named Users $9,282.60
eRequester Hosted Receiving Module $1,975.80
All payments and dollar amounts are in U.S. Dollars. Subtotal $11,258.40
Remit to:Paperl_ ess Business Systems,Inc.,1417 Fourth Avenue,4th Floor,Seattle,WA 98101 Tax $0.00
p.206.256.0771 f.206.282..3312"www:paperiessbusinesstcom=ardepartment@paperleusbusiness.00m Total r `$11,258 4'0
Bank of America,WA3-177-01-01 Wire Information: ACH Information:
408 Pike St. ABA#026009593 Routing#:125000024
Seattle,WA 98101 Swift#:BOFAUS3N Acct#:000019775709(Checking)