158975 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
ONE CIVIC SQUARE BARBARA LAMB
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $3,675.00
CARMEL IN 46032
CHECK NUMBER: 158975
CHECK DATE: 4!3012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4463202 3,675.00 SOFTWARE
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04125108 04/25 BENEFIT SOFTWARE INC 8O5�8OV24OCA
$38750O
1\,anvoc\ion
$3.675.OU
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Benefit Software Inc.
Ra l e n of it 212 Cottage Grove Ave.
Santa Barbara, CA 93101
Phone: (800) 533 -1388
Thh t mLitr in CUM ion Fax: (805) 568 -0239
http://www.bsiweb.com
EIN:77- 0268133
Barbara Lamb
Recuj'
City of Carmel
One Civic Square Invoice 080425003
1 Floor Invoice Date: 4/25/08
Carmel, IN 46032 Registration 24351
Phone: 317 571 -2471 Fax /Email:
Description Level Price Total
Fringe Facts Communicator (Single User Software License) 4 $3,295 $3,295.00
Extended Service Plan (ESP) for 12 Months 4 $695 $695.00
Shipping Handling UPS Ground $15 $15.00
Payment Method (please one): Subtotal: $4,005.00
Check Enclosed Tax or C.O.D. (Add $6 to S/H Charge) Adjustments: -$329.50
VISA /MasterCard American Express Amount Paid: $3,675.50
Credit Card Number: Expiration Date: Paid Date: 4/25/08
Month Year
Authorized Signature (Required for Credit Card Orders): Amount Due: 0.00
Name (Print name exactly as it appears on credit card):
Address, if other than as shown above:
BSI Use Only:
Credit Card
Order Date Order Auth. /Check Sales Rep. Res /Ref T pe Source SIC Code
4/25/08 080425003 133468 WLG
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
Barb Lamb Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
,if Fri T ?fCE' $3,675.50
Total 3 675. 0
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.
04/28/08
ALLOWED 20
Barb- Lamb
IN SUM OF
$3,67500
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1201 r materials or services itemized thereon for
which charge is made were ordered and
received except
20
I
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund