HomeMy WebLinkAbout181501 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 360390 Page 1 of 1
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $336.12
I CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE
N∎o„ `o. 1212 S NAPER BLVD SUITE 119 -201 CHECK NUMBER: 181501
NAPERVILLE IL 60540
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 R4341999 21162 336.12 W2 HOSTING /PAYCHECK H
AMERICAN TC: CHf*1{7!.Q[:Y.` .l31.I?TJf}NS
1212 S. Naper Blvd 4r pc3
Suite 119 -201
Naperville, IL 60540 invoice
Client City of Carmel Invoice 10055 -16
Diana Cordray
One Civic Square Invoice Date: 1/8/2010
Carmel, I N 46032
PO
Phone: 630 548 -1970
Fax: 630 839 -7252
Qty Description Unit Price Cost
945 ATS MyPayStub Online Services (DD) 12 -04 -2009 0.12 113.40
925 ATS MyPayStub Online Services (DD) 12 -18 -2009 0.12 111.00
931 ATS MyPayStub Online Services (DD) 12 -31 -2009 0.12 111.72
Balance Due: $336.12
Payment Due Upon Receipt
Please make check payable to: American Technology Solutions, Corp.
1212 S. Naper Blvd.
Suite 119 -201
Naperville, IL 60540
Thank You! We truly appreciate your business.
Prescnbed by State 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
iat/i5+0 33(0,
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
ANAVIV,CIA IOW
IN SUM OF
�1� S 1Q�( \fo 111 -1OI
14pti I L- ,0,013
ON ACCOUNT OF APPROPRIATION FOR
—14— 00.
S Board Members
T: (1 INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s), DEPT I hereb certif that the attached invoices or
21( (,2 /2L-j(ctg 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
i. f
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund