HomeMy WebLinkAbout176122 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 360390 Page 1 of 1
ONE CIVIC SQUARE AMERICAN TECHNOLOGY SOLUTIONS CHECK AMOUNT: $656.52
CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE
1212 S NAPER BLVD SUITE 119 -201 CHECK NUMBER: 176122
NAPERVILLE IL 60540
CHECK DATE: 8/19/2009
DEPAR ACCOUNT P O NUMBER INVOICE N UMBER AMOUNT DESCRIP
1701 4351502 20629 10055 -13 656.52 PAYROLL STU13S /W -2.'S
a. GRIC-NN TF.GI-itsOLOCY 50t.tff10N'
1212 S. Naper Blvd
Suite 119 -201
Naperville, IL 60540 Invoice
r Client City of Carmel Invoice 10055 -13
Diana Cordray
One Civic Square Invoice Date: 8/7/2009
Carmel, IN 46032 Po
Phone: 630 548 -1970
Fax: 630 839 -7252
Qty Description Unit Price Cost
1,075 ATS MyPayStub Online Services (DD) 06 -05 -2009 0.12 129.00
1,075 ATS MyPayStub Online Services (DD) 06 -19 -2009 0.12 129.00
28 ATS MyPayStub Online Services (DD) 06 -30 -2009 0.12 3.36
1,087 ATS MyPayStub Online Services (DD) 07 -02 -2009 0.12 130.44
1,084 ATS MyPayStub Online Services (DD) 07 -16 -2009 0.12 130.08
1,122 ATS MyPayStub Online Services (DD) 07 -31 -2009 0.12 134.64
Balance Due: $656.52
Payment Due Upon Receipt
Please make check payable to: American Technology Solutions, Corp.
1212 S. Naper Blvd.
Suite 119 -201
Naperville, IL 60540
Thank You! We truly appreciate your business.
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
nn
i" kUlk jQ�� �U'V� Purchase Order No.
l 0 �I V A Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
7
IN 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
Sign re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund