HomeMy WebLinkAbout194948 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 360390 Page 1 of 1
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $1,721.15
L CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE
1212 S NAPER BLVD SUITE 119 -201 CHECK NUMBER: 194948
NAPERVILLE IL 60540
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 10055 -24 913.09 OTHER PROFESSIONAL FE
1701 R1341999 21714 10055 -24 808.06 W -2 HOSTING
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1212 S. Naper Blvd
Suite 119 -201
Naperville, IL 60540 I n voice
Client City of Carmel Invoice 10055 -24
Diana Cordray
One Civic Square Invoice Date: 2/9/2011
Carmel, IN 46032
PO
Phone: 630 548 -1970
Fax: 630 -839 -7252
Qty Description Unit Price Cost
1 2010 W -2 Database Load with Production and Test File 50.00 50.00
1 2010 W -2 Datamap 250.00 250.00
1 ATS MyW -2 Annual Online Hosting and Storage 100.00 100.00
740 ATS MyW -2 Online Hosting Employee Consent 0.40 296.00
559 ATS MyW -2 Print and Mail Services (includes postage) 0.85 475.15
1 SSA W -2 Electronic Filing Fee for a single EIN 250.00 250.00
1 W -2 Provide Custom EFW2 Format (Client does Indiana State Filing) 300.00 300.00
Balance Due: $1
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 Slate 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.
ALLOWED 20
IN SUMO
ON ACCOUNT OF APPROPRIATION FOR
Mu
R e 4� Board Members
Po# or INVOICE NO. ACCT #ITITLE AMOUNT I here c e rtif y
DEPT. hereby ertif 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
//2
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund