155484 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352664 Page 1 of 1
t, ONE CIVIC SQUARE RELYCO SALES INC
CHECK AMOUNT: $895.00
CARMEL, INDIANA 46032 100 MAIN ST, SUITE 222
DOVER NH 03820 -3840 CHECK NUMBER: 155484
CHECK DATE: 111012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
i�'Oi R4351502 15928 586581 895.00 SUPPORT FEES
Relyco Sales Inc.
100 Main St. Ste 222
Dover, NH 03820 -3840 INVOICE Invoice Number: 586581
603 742 -0999 Invoice Date: 10/24/2007
Fax: 603 742 -9993 DUPLICATE Purchase Order#: MAINTENANCE
ww.,elyco.com Terms: 1% 10 Net 30 Days
R•E•L•Y•C•0 vv
Bill To: 005081 Ship To: 005081
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
One Civic Square One Civic Square
Carmel IN 46032 -2584 Carmel IN 46032 -2584
Attention: CINDY SHEEKS
Item Number Description
Qty Ordered Qty Shipped Qty To Whse Shipping Status Unit Price Extended
77- 20059 -002 TCWS ANNUAL SUPPORT
1.00 EA 1.00 EA 0.00 EA 1 -N /A 0/0/0 $735.00 $735.00
77- 20353 -002 TCWS MANUAL CHECKS ANN SPPORT
1.00 EA 1.00 EA 0.00 EA 1 -N /A 0/0/0 $160.00 $160.00
Your Relyco Sales Representative is: Jennifer Corrado, jcorrado @relyco.com (603) 516 -3641
Maintenance coverage dates: 12/15/07 12/14/08
Sub Total $895.00
Sales Tax $0.00
You may deduct $8.95 from this invoice Shipping Handling $0.00
if paid by check, not credit card on or before 11/03/2007
Invoice Total $895.00
V ISA ERI Invoice Balance $895.00
Lm E]CPiFI @55
Payable in US Funds
Gladly Accepted Page 1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
s 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
Morn, 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 SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5—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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund