HomeMy WebLinkAbout182249 02/17/2010 "cF CITY OF CARMEL, INDIANA VENDOR: 360390 Page 1 of 1
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $1,685.50
CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE
1212 S NAPER BLVD SUITE 119 -201 CHECK NUMBER: 182249
NAPERVILLE IL 60540
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1701 4351502 10055 -17 1,685.50 SOFTWARE MAINT CONTRA
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tiMERli -�N TI;CHN(JLOGY 4,)LOT'IONS
1212 S. Naper Blvd
Suite 119 -201
Naperville, IL 60540 Invoi
Client City of Carmel Invoice 10055 -17
Diana Cordray
One Civic Square Invoice Date: 2/1/2010
Carmel, IN 46032 PO 20629
Phone: 630 548 -1970
Fax: 630 839 -7252
Qty Description Unit Price Cost
2 2009 W -2 Database Load with Production and Test File 50.00 100.00
1 2009 W -2 Datamap 250.00 250.00
1 ATS MyW -2 Annual Online Hosting and Storage 100.00 100.00
750 ATS MyW -2 Online Hosting Employee Consent 0.40 300.00
630 ATS MyW -2 Print and Mail Services (includes postage) 0.85 535.50
1 SSA W -2 Electronic Filing Fee for a single EIN 250.00 250.00
1 SSA W -2 Electronic Filing for State of Indiana 150.00 150.00
Balance Due: $1,685.50
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.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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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} r
"d A Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
�l�l4, IN SUM OF
I
ON ACCOUNT OF APPROPRIATION FOR
Board Members
P 0# INVOICE NO. ACCT #TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
p 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
20
J Y Vo r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund