HomeMy WebLinkAbout190171 09/29/2010 "q4 CITY OF CARMEL, INDIANA VENDOR: 360390 Page 1 of 1
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS
CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE CHECK AMOUNT: $654.96
1212 S NAPER BLVD SUITE 119 -201
o CHECK NUMBER: 190171
NAPERVILLE IL 60540
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 R4351502 20629 1005522 654.96 PAYROLL STUBS /W -2'S
1212 S. Naper Blvd
Suite 119 -201
Naperville, IL 60540 I nvoice
Client City of Carmel Invoice 10055 -22
Diana Cordray
One Civic Square Invoice Date: 9/10/2010
Carmel, IN 46032
PO
Phone: 630 -548 -1970
Fax: 630 -839 -7252
Qty Description Unit Price Cost
1,110 ATS MyPayStub Online Services (DD) 07 -01 -2010 0.12 133.20
1,074 ATS MyPayStub Online Services (DD) 07 -16 -2010 0.12 128.88
1,093 ATS MyPayStub Online Services (DD) 07 -30 -2010 0.12 131.16
42 ATS MyPayStub Online Services (DD) .08 -06 -2010 0.12 5.04
1,098 ATS MyPayStub Online Services (DD) 08 -13 -2010 0.12 131.76
1,041 ATS MyPayStub Online Services (DD) 08 -28 -2010 0.12 124.92
Balance Due: $654.96
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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 5995)
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
�1Cl) Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r✓L 1� I
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.
A.Y ALLOWED 20
C
All) IN SUM OF
Ida n�� L
ON ACCOUNT OF APPROPRIATION FOR
�Vo �g �a,
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
'`A �s
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund