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Home My WebLink About180976 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363748 Page 1 of 1 I c, s ONE CIVIC SQUARE SUNGARD PUBLIC SECTOR USERS GR HECK AMOUNT: $195.00 4,' CARMEL, INDIANA 46032 ATTN SVGA MEMBERSHIP .t PO BOX550445 CHECK NUMBER: 180976 TAMPA FL 33655 -0445 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4355300 195.00 ORGANIZATION MEMBER i *SunGust Mat Soda Weir Atenclattra he P. O. Box 550445 Tampa, Florida 33655 -0445 FED ID: 74- 2596857 2009 2010 MEMBERSHIP RENEWAL INVOICE SUGA Board of Directors President: Jim Dahl City of Aurora Invoice 11 SUGAPLUS995 Date: 12/01/2009 Due Date: 12/31/2009 44 E. Downer Place Aurora, II (Illinois) 60507 Phone: (630) 844 -3736 Fax:(630)892 -6237 City of Carmel E -Mail: jdahl(c� aurora- il.orq ATTN: Cindy Sheeks, Deputy Clerk Treasurer One Civic Square Past President: Steve Jones Carmel, IN 46032 Town of Blacksburg 300 South Main Street PO Box 90003 Phone: (540) 558 -0726 REMITTANCE COPY Fax: (540) 961 -1822 E -mail: siones at7.biacksburq.gov SunGard Public Sector Users', Group Association. (SUGA) Annual Member Fees for January 1, 2010 to December 31, 2010 $195.00 President— Elect: Anthony Sorce (USD} Wilkinsburg -Penn Joint Water Authority 2200 Robinson Blvd Pittsburgh, PA (Pennsylvania) 15221 -1193 *Membership Benefits on Back Side Phone: (412)243 -6237 Fax: (412) 243 -6210 E-mail: asorce SUGA MEMBER INFORMATION (make any changes if needed) Treasurer: Valerie Broxson Member: CRM City of Carmel Okaloosa Gas District Contact: Cindy Sheeks Title: Deputy Clerk- Treasurer 364 Highway 190 Phone: 317 -571 -2428 Fax: 317 -571 -2410 Valparaiso, FL (Florida) 32580 E -mail: cshecks @carmcl.in.gov Website: Phone: (850) 729 -4806 Fax: (850) 729 -3774 E -Mail: PRODUCT LINE OWNED (check one or both) valeriebroxson akaloosagas.com NAVILINE OSSI IFAS PLUS Secretary: Cedar ret Pam Brown Hill Police Department 285 Uptown Blvd. Building 200 APPLICATIONS OWNED (Check all that apply) Cedar Hill, TX (Texas) 75104 Phone: (972) 291 -5181, ext. 2030 Community Services Financials Utilities Justice Fax: (972) 291 -5169 e mail: pam.brown a(�cedarhitltx.com Fires :L EMS Law Enforcement Work Management E- Government Member at Large: Brenda Wener Central Contra Costa Sanitary District MAIL CHECK WITH REMITTANCE COPY TO: 5019 Imhoff Place Martinez, CA 94553 Phone: (925) 229 -7115 SunGard Public Sector Users' Group Association, Inc. Fax: (925) 228 Attn: SUGA Membership E mail: BWenercentralsan.orq P. O. Box 550445 Tampa, FL 33655 -044.5 Member at Large: Dan Owens Clark County 500 Grand Central Parkway, 1 Floor hone: (702) Pavements by Credit Card can be made thtu our website at: Las Vegas, NV 455 5 -56886 6 530 Ph http: /www. bus' tnc.org!membership_renewal.html Fax: (702) 380 9700 E mail: dso @co.clark.nv.us Remit with Payment Copy ii 4 U P. O. Box 550458 Tampa, FL 33655 -0445 FED ID 74- 2596857 2009-2010 December 01, 2009 SUGA Board of Directors President: Jim Dahl Dear SunGard Pentamation Customer, City of Aurora 44 E. Downer Place I would like to take this opportunity to welcome you to the SunGard Public Sector Aurora, IL (Illinois) 60507 Users' Group Association (SUGA), and invite you to officially join us. The SUGA Phone: (630) 844 -3736 9 closely Fax: (630) 892 -6237 b looks forward to workin close) with SunGard Pentamation customers to E -Mail: jdahl -iLorq ensure we meet the same high standards you are used to receiving from the Pentamation Users' Groups. Past of Blacksburg Steve Jones S has been serving its members for the past 22 years. With the support Town of Blacksburg 9 P Y ppOrt Of 300 South Main Street SunGard, SUGA has been providing quality educational sessions, and PO Box 90003 opportunities for members to network with people who are responsible for similar Phone: (540) 558 -0726 tasks and responsibilities in their effort to serve customers. Fax: (540) 961 -1822 E -mail: siones(a,blacksburg.gov In an industry that is constantly changing, there are not many organizations that can boast 22 years of longevity. Our membership as of today is over 650 President Elect: Anthony Sorce member organizations strong. A major function of SUGA is the support of an 2200 Robinson -oenn Joint Water Authority I Educational Conference, with an attendance over the past decade of 2200 Roi Blvd P Pittsburgh, PA(Pennsylvania) 15221 -1193 between 1000 and 1600 attendees annually. We are also affiliated with seven Phone: (412) 243 -6237 Regional User Groups (RUGs) that offer annual educational conferences within Fax: (412) 243 -6210 the United States and Canada throughout the year. Our mission is to: E -mail: asorce Promote free and open communication and provide quality networking Treasurer: Valerie Broxson opportunities for all SunGard Public Sector software users. Okaloosa Gas District 364 Highway 190 Act as a forum for suggestions relating to revisions and enhancements of Valparaiso, FL (Florida) 32580 SunGard Public Sector products, as well as the development of new F ax: 8 374806 products. This goal includes support of SunGard's PLUS product line. Fax: (850) 729 -3774 P 9 PP P E -Mail: valeriebroxson (a7 okaloosagas.com Promote coordination and cost sharing among all SUGA members Secretary: Pam Brown Be a source of quality and cost effective training opportunities for SUGA Cedar Hill Police Department 285 Uptown Blvd. Building 200 members on all applications, including training on SunGard's PLUS Cedar Hill, TX (Texas) 75104 product line. Phone: (972) 291 -5181, ext. 2030 Fax: (972) 291 -5169 Our next International Educational Conference will be held in Orlando, Florida, e -mail: pam.brown n(n� cedarhilltx.com May 23 27, 2010. SunGard has already committed to offer PLUS Series training as part of this educational conference. Member at Large: Brenda Wener Central Contra Costa Sanitary District The conference will mark the 22nd year of SUGA members coming together to 5019 Imhoff Place improve the products we all use day -to -day. As the 2009/10 SUGA President and Martinez, CA 94553 as a 20 year SunGard client, I invite you to join SUGA, and attend the 2010 Phone: (925) 229 -7115 Fax: (925) 228 -4624 Educational Conference. E -mail: BWener centralsan.orq For additional SUGA information take a look at our website at www.huginc.orq, Member at Large: Dan Owens also feel free to contact me or any other board member for more information. Clark County 500 Grand Central Parkway, 1' Floor Best regards, Las Vegas. NV 89155 -3530 Phone: (702) 455 -5686 Jim Dahl, Fax: (702) 380 -9700 E -mail: dso @co.ciark.nv_us 2009/20010 SUGA President Form w9 Request for Taxpayer Give form to the (Rev:Qctober2007) Identification Number and Certification requester. _Do not Department of the Treasury: send to the 1RS. .Internal Revenue Service Narhe (as shown on your incorne tax return) v SUNGARD PUBLIC SECTOR USERS' GROUP ASSOCIATION, INC. ra Business name, if different from above a o SUGA MEMEBERSHIP, SUGA CONFERENCE, SVGA, SUNGARD PUBLIC SECTOR USERS' GROUP R c Check appropriate box:. Individual/Sole proprietor Corporation Partnership Exempt o P a Limited habriity.company. Enter the tax classification (D=disregarded entity, C =corporation, P =partnership) payee p Other (see instructions) I s Address (number, street, and apt. or suite no.) Requesters name and address (optional) c a o P. O. BOX 550445 City. state, and ZIP code TAMPA, FLORIDA 33655 -0455 c List account number(s) here (optional) 0) Part; l Taxpayer Identification Number (TIN) Enter your TIN'in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social se numbe backup withholding. For individuate. this is your social security number (SSN). However, for a resident ll alien. sole proprietor, ordisregarded entity, see the Part I instructions on page 3. For other entities, it Is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number number to enter. 74 2596857 Mail Certification Under penalties of perjury, I certify that: 1, The number shown on this form is my correct taxpayer identification number (or t am waiting for a number to be issued to [rte), and 2. tam not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the tnterhal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification. but you must provide your correct TIN. See the on page 4. Sign signature of Here p r i U.s. ersorr� �-f Date >r General Instructions Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: Section references are to the Internal Revenue Code unless An individual who is a U.S. citizen or U.S. resident alien, otherwise-noted. A partnership, corporation, company, or association created or Purpose of Form organized in the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number (TIN) An estate (other than -a foreign estate), or to report, for example, income paid to you, real estate A domestic trust (as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or Special rules for partnerships. Partnerships that conduct a contributions you made to an IRA. trade or business in the United States are generally required to Use Form W -9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further. in certain cases where a Form W -9 requesting it (the requester) and, when applicable, to: has not been received, a partnership is required to presume that 1. Certify that the TIN you are diving is correct (or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Form W -9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable, you are also certifying that as a income. U.S. person, your allocable share of any partnership income from The person who gives Form W -9 to the partnership for a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income, on its allocable share of net income frorn the partnership Note. If a requester gives you a form other than Form W -9 to conducting a trade or business in the United States is in the request your TIN, you must use the requester's form if it is following cases: substantially similar to this Form W -9. The U.S. owner of a disregarded entity and not the entity, Gal. No. 10231x Form W -9 (Rev.-IC-2007) Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Pee ,t,� it-�U.,�',07){ Purchase Order No. VU /I 6erms Date Due Invoice invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) MX1 61ErS(A/y Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 btt ,,c;b1-)7 6aitp SUM OF So ie41r 0 X W c (Imp a rL 355- o k nc ON ACCOUNT OF APPROPRIATION FOR l dui p 5 Board Members o pT n INVOICE NO. ACCT /TITLE AMOUNT 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 sdr CAr i, �,p 3�' fy s M r Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund