157565 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 360656 Page 1 of 1
ONE CIVIC SQUARE M D S TECHNOLOGIES
CARMEL, INDIANA 46032 95 FAIRVIEW AVE sUTIE 201 CHECK AMOUNT: $3,750.00
PARK RIDGE IL 60068 CHECK NUMBER: 157565
CHECK DATE: 3/19/2008
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTI
2201 R4350900 17551 116 3,750.00 DATA COLLECTION
MDS Technologies, Inc. Invoice
809 Courtland Ave
Park Ridge, IL 60068 Date Invoice
2/29/2008 116
Tel: 847.696.9525
Web: www.mdstechnologies.com
FEIN No. 71- 0906508
Bill To
City of Carmel
Street Department
3400 W. 131 st Street
Westfield, IN 46074
Terms
Net 30
Description Qty Rate Amount
Street Sign Data Collection Project
Task I: Project Initiation
$1,750.00 100% complete $0.00 previously invoiced 1 1,750.00 1,750.00
Task 2: Prepare for Field Work
$2,000.00 100% complete $0.00 previously invoiced 1 2,000.00 2.000.00
Task 3: Field Work
$34,600.00 100% complete $0.00 previously invoiced 0 34,600.00 0.00
Task 4: Create Sign Inventory
$34 100% complete $0.00 previously invoiced 0 34,600.00 0.00
Please remit to above address. Total
$3.750.00
Payments /Credits $0.00
Balance Due $1750.00
Prescribed by State 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
10 D Oq I S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
lily 6c, 60
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
C ,l 0( C,0� I' L S
IN SUM OF
Y
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
MAR ?00� 20
Sig re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund