190009 09/14/2010 a CITY OF CARMEL, INDIANA VENDOR: 00350063 Page 1 of 1
ONE CIVIC SQUARE SUNGARD PUBLIC SECTOR PENTAMAT
CARMEL, INDIANA 46032 BANK OF AMERICA CHECK AMOUNT: $1,341.67
12709 COLLECTION CENTER DRIVE CHECK NUMBER: 190009
o c
CHICAGO IL 60693
CHECK DATE: 9/14/2010
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4351502 25188 974.17 EMP ACCESS CENTER
1701 4351502 25188 367.50 EMP BENEFITS
SUNGARD'PUB SECTOR Inv oice
1000 Business Center Drive
Lake Mary FL 32746 Company Document N Date Page
800 -727 -8088 LG 25188 31 /Aug /2010 1 of 1
www.sungard.com /publicsector
Bill To: City of Carmel Ship To: City of Carmel
ONE CIVIC SQUARE ONE CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
United States United States
Attn: ACCOUNTS PAYABLE (317) 571 -2414 Attn: ACCOUNTS PAYABLE (317) 571 -2414
Customer Grp /No. Customer Name Customer PO Number Currency Terms Due Date
1 1152 City of Carmel US NET30 30 /Sep /2010 J
No SKU Code/Description /Comments Units Rate Extended
Contract No. 091116
1 Plus Series Employee Benefits 1.00 367.50 367.50
j Maintenance Start: 0110ct12010; .End: 30/Apr/2011
;2 Plus Series Employee Access Center (IncL Employee, Timesheets),(2) 1.00 974.17 974,17
Maintenance Start: 01 /Oct/2010, End' 30 /Apr /2011
i Page Total 1,341 -67
e
i
Remit Payment To: SuriGard Public Sector Inc.
Bank of America Subtotal 1,341:67
12709 Collection Center. Drive
i
Chicago; IL 60693 Sales Tax 0:00
Invoice Total 1•;341:67
Payment Received Os00
Balance Due 1,341:`67
,,PSA Reference Number:
Prescribed 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))
E
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
IN SUM OF
LY c C.�
k od P,,� I L
L1 t
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
L{ 518$ C16�Z IM 1,V 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund