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Home My WebLink About157123 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00351159 Page 1 of 1 ONE CIVIC SQUARE J. J. KELLER ASSOCIATES, INC CHECK AMOUNT: $449.10 CARMEL, INDIANA 46032 Po Box 548 ror NEENAH WI 54957 -0548 CHECK NUMBER: 157123 CHECK DATE: 3/5/2008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4463202 16628 007093749 449.10 FMLA SOFTWARE ;41 T REMIT TO: INVOICE DATE INVOICE NO. Ci Keller PO BOX 548 INVOICE 12/14/07 007093749 is Associates, Inc. NEENAH WI 54957 -0548 D -U -N -S 05 -026 -4316 PURCHASE ORDER NO. Since 1953 (800) 558 -5011 FED I.D. NO. 39- 0957377 16628 BILL TO: 1 o v SHIPPED TO: CITY OF CARMEL U I/ CITY OF CARMEL MICHELE WHITTINGTON l MICHELE WHITTINGTON 1 CIVIC SID 1 CIVIC SQUARE CARMEL IN 46032 -2584 V, CARMEL IN 46032 -2584 VIA: FDX GROUND ON 12/14/07 ACCOUNT NO. KELLER ORDER NO. ORDER DATE SALESPERSON F.O.B. TERMS PAGE 15- 028141 8765572 12/13/07 LINDA X2727 DST NET30 1 QUANTITY UN'T NET EXTENDED PRODUCT CODE DESCRIPTION ORDERED SHIPPED BACKORDERED PRICE PRICE 620 KS R 2 K -S FMLA MGR 1 USER 1 1 449.10000 449.10 620 KS A K -S FMLA MGR ACTIVATION 1 1 .00000 848 SI FREE SAMPLE HR EMPLOYEE HDBK 1 1 .00000 FREE ITEM ***CORRECTED INVOICE ©2007 J. J. KELLER ASSOCIATES, INC. FORM #0033 (5/07) PUBINVOICE PLEASE PAY Overdue Accounts: 1.5% per month (annual percentage rate 18 due after 30 days. THIS AMOUNT $449.10 Returns: Please call (800) 558 -5011, ext. 7210, to obtain a Return Authorization. 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 J. J. Keller Associates, Inc Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12114/0 007093749 FMLA Software $449.10 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. 0.3/03/08 ALLOWED 20 J. J. Keller Associates, Inc IN SUM OF P.O. Box 548 Neenah, WI 54957 -0548 $449.10 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 01 Human Resources Board Members i DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the f materials or services itemized thereon for which charge is made were ordered and received except 20 Sign rem Title Cost distribution ledger classification if claim paid motor vehicle highway fund