162022 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361539 Page 1 of 1
`ll ONE CIVIC SQUARE ROSETTASTONE CHECK AMOUNT: $1,015.00
l CARMEL, INDIANA 46032 135 W MARKET STREET
HARRISONBURG VA 22801 CHECK NUMBER: 162022
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1115 4357004 18395 1177737 1,015.00 SPANISH LEVEL 1 -3
R-O'gi taStone® Ship To: Invoice
Rosetta Stone Ltd.
135 west Market Street Janet Arnone
Harrisonburg, Virginia 22801 USA Carmel Clay Communications Number: Date: Page:
31 First Avenue NW
540- 432 -6166 800- 788 -0822 Cannel IN 46032 1177737 14- JUL -08 1 of 1
Federal ID: 54- 1629211 United States Purchase Order: Previous Trx Numb:
18395
Bill Attn: Accounts Payable Sales Order: Waybill Number:
To: Carmel Clay Communications 2926898 0
31 First Avenue NW Customer Number: Site ID:
Cannel IN 46032
United States 2889706 5122001
Remit Check To: Electronic Payment To:
Rosetta Stone Ltd. Rosetta Stone Ltd.
Dept CH 17714 HSBC Bank
Palatine IL 60055 -7714 ABA: 021001088
United States Account: 389050571
f3O erms: Due Date: Sales Person:- Ship Date: Ship Via: FOB Terms:
Net 13- AUG -08 Chris Perkins 14- JUL -O8 UPS SERVICE
r ill To Attn: Transaction Description:
Invoice
L!!: Line Description: Ordered Shipped: Unit Price: Extended Amo unt:
0001 Spanish LA 3 License 1 1 995.00 995.00
0002 Spanish LA 2 License 1 1 0.00 0.00
0003 Spanish LA 1 License 1 1 0.00 0.00
0004 Lang CD Asm. Spanish LA 3 v3 1 1 0.00 0.00
0005 Lang CD -Asm. Spanish LA 2 v3 1 1 0:00 0.00
0006 Lang CD Asm. Spanish LA 1 v3 1 1 0.00 0.00
0007 Spanish LA Enterprise Installation Materials 1 1 0.00 0.00
Special Instructions: Subtotal: Tax: Shipping: Total:
995.00 0.00 20.00 1,015.00
Tax Registration Number: Currency:
USD
Please reference your invoice or statement with your remittance.
The Rosetta Stone Product(s) described herein are provided pursuant to the terms and conditions of the Enterprise License
Agreement set forth at http: /www.rosettastone.com /us_ assets /eulas /ela- global- eng.pdf Payment of this invoice indicates that
Customer has read and agreed to the terns and conditions of the Enterprise License Agreement.
0 INDIANA RETAIL TAX EXEMPT PAGE
of u tSJS rme i CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 18395
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/10/2008
RosetWStone Carmel Clay Communications
VENDOR
SHIP 31 First Avenue NW
135 W. Market Street To Carmel, IN 46032
Harrisonburg, VA 22801 (317) 571 -2586
CONFIRMATION BLANKET rONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 -570.04
1 Each Spanish(LatinAm) Level 1, 2 &3 w /audio $1,015.00 $1,015.00
Sub Total: $1,015.00
..CA
-4o
Send Invoice To:
Carmel Clay Communications
31 First Avenue NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Communications PAYMENT $1,015.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 9^+'
SHIPPING
THIS ORDER R ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
"A4 CLERK- TREASURER
COPY SIGN AND RETURN TO CLERK'S OFFICE
DOCUMENT CONTROL NO:
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE 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
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
Signature
Title
I
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
RosettaStone
IN SUM OF
135 W. Market Street
Harrisonburg, VA 22801
$1,015.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
18395 1177737 43- 570.04 1 $1,015.00 1 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
Friday, July 18, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/14/08 I 1177737 I I $1,015.00
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