159987 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 359216 Page 1 of 1
ONE CIVIC SQUARE MIDWEST POS SOLUTIONS INC CHECK AMOUNT: $438.23
CARMEL, INDIANA 46032 2709 ENTERPRISE DRIVE
ANDERSON IN 46013 CHECK NUMBER: 159987
CHECK DATE: 5/28/2008
DEPARTMENT ACCOU PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
.905 4350900 003240 438.23 OTHER CONT SERVICES
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Midwest POS Solutions, Inc.
2709 Enterprise Drive a
Anderson, IN 46013 e
Phone: (765) 778 -4080
Fax: (765) 778 -7552 Division of Midwest'POS S61uG0ns
TQTAL INVOICE AMOUNT INVOICE NO
003240 1
BROOKSHIRE GOLF CLUB
Payment Amount Enclosed CITY OF CARMEL INVOICE DATE
8 i 3 2 12120 BROOKSHIRE PKWY 05/09/08
CARMEL IN TERMS: Net due
46033 upon receipt
CUSTOMER NO. MODEL AND SERIAL NO. LEASE ID REPRESENTATIVE PROGRAM TYPE
AN1810 1HELP AN1810 MQ, 1CQ
DATE INVOICE PERIOD 06/20/08 TO 09/20/08
AMOUNT
2 4LZCO3 TERMINAL MAINTENANCE AED 122.22
QUARTERLY
R1510 30248, ID# 25072
R1510 29378, ID# 25073
4 4RZA03 SMALL UPS MAINTENANCE 16.68
QUARTERLY
1400 316903220, ID# 25081
1400 316903222, ID# 25082
1400 316903223, ID# 25083
1400 316903226
2 4QZCO3 PRINTER MAINTENANCE AED 33.34
QUARTERLY
ET88 JFEG017236, ID# 25074
ET88 JFEG017697, ID# 25075
3 40ZA03 DRAWER MAINTENANCE 12.51
QUARTERLY
E125K RSN0544, ID# 25076
E125K RSN0576, ID# 25077
E125K RSN0594, ID# 25078
1 4BZA03 MODEM MAINTENANCE 3.47
QUARTERLY
SWTCH FY16936021EE, ID# 25080
3 4PZA03 SCANNER MAINTENANCE 83.34
QUARTERLY
M3780 6306390370
M3780 6306390394
BLAST 1SJ070227347, ID# 25079
1 4JZA03 RMS SOFTWARE SUPPORT 166.67
QUARTERLY
MRMS 5303534 -1
MRMS 5303534 -2
BROOKSHIRE GOLF CLUB MIDWEST POS SOLUTIONS INC
CITY OF CARMEL 2709 ENTERPRISE DRIVE
12120 BROOKSHIRE PKWY ANDERSON IN 46013
CARMEL IN 46033
PLEASE PAY FROM THIS INVOICE
COMMENTS: OVERDUE ACCOUNTS WILL BE CHARGED A LATE
PAYMENT FEE OF 18% PER MONTH OR TO THE
EXTENT OF THE LAW
Midwest POS Solutions, Inc.
2709 Enterprise Drive
Anderson, IN 46013 o
Phone: (765) 778 -4080
Fax: (765) 778 -7552 Division.of MidwestPOS S61utions
TOTAL INVOICE AMOUNT INVOICE NO
438.23 003240 2
BROOKSHIRE GOLF CLUB
Payment Amount Enclosed CITY OF CARMEL INVOICE DATE
12120 BROOKSHIRE PKWY 05/09/08
CARMEL IN TERMS:' Net due
46033 upon receipt
CUSTOMER NO. MODEL AND SERIAL NO. LEASE ID REPRESENTATIVE PROGRAM TYPE
AN1810 1HELP AN1810 MQ 1CQ
DATE INVOICEPERIOD 06/20/08 TO 09/20/08
QUANTITY CODENO. ON
MRMS 5303534 -3
MRMS 5303534 -4
QUARTERLY MAINTENANCE
LABOR AND PARTS
SUBTOTAL
438.23
TOTAL DUE
438.23
BROOKSHIRE GOLF CLUB MIDWEST POS SOLUTIONS INC
CITY OF CARMEL 2709 ENTERPRISE DRIVE
12120 BROOKSHIRE PKWY ANDERSON IN 46013
CARMEL IN 46033
PLEASE PAY FROM THIS INVOICE
COMMENTS:
OVERDUE ACCOUNTS WILL BE CHARGED A LATE
PAYMENT FEE OF 18% PER MONTH OR TO THE
EXTENT OF THE LAW
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
0' Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
003A V0 32
Total a Z
1 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
a70
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT ere y
DEPT. I her y certif that the attached invoice( s or
OS (20 JoA Y0 9 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
200,3
i
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1 Si ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund