191982 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 360390 Page 1 of 1
0 ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $465.60
CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE
1212 S NAPER BLVD SUITE 119 -201 CHECK NUMBER: 191982
"OM NAPERVILLE IL 60540
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 21714 10055 -22 465.60 W -2 HOSTING
MFRIC4 tL:TFt;.Il 4 7 e)c. '.t-i- IA, 'f IQNS
1212 S. Naper Blvd
Suite 119 -201
Naperville, IL 60540 Invoice
voice
Client City of Carmel Invoice 10055 -22
Diana Cordray
One Civic Square Invoice Date: 11/9/2010
Carmel, IN 46032 Po
Phone: 630 -548 -1970
Fax: 630 -839 -7252
Qty Description Unit Price Cost
969 ATS MyPayStub Online Services (DD) 09 -10 -2010 0.12 116.28
957 ATS MyPayStub Online Services (DD) 09 -24 -2010 0.12 114.84
29 ATS MyPayStub Online Services (DD) 10 -01 -2010 0.12 3.48
948 ATS MyPayStub Online Services (DD) 10 -08 -2010 0.12 113.76
948 ATS MyPayStub Online Services (DD) 10 -22 -2010 0.12 113.76
29 ATS MyPayStub Online Services (DD) 10 -29 -2010 0.12 148
Balance Due: $465.60
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. 1995)
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))
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.
f ALLOWED 20
IN SUM OF
I 1 VJ 1
ON ACCOUNT OF APPROPRIATION FOR
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
20
r
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund