204860 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358707 Page 1 of 1
ONE CIVIC SQUARE INNOVATIVE DATA SOLUTIONS INC
CHECK AMOUNT: $2,400.00
CARMEL, INDIANA 46032 P.O. sox zasa
ORLANDO, FL FL 32802 -2468 CHECK NUMBER: 204860
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 25914 4296 2,400.00 STANDARDS
Innovative Data Solutions Invoice
s i M L; PO Box 2468
Orlando, FL 32802 -2468 Date Invoice
Office (800)749 -5104
Fax(407)992 -6001 12/14/2011 4296
www.imaginelDS.com
Bill To
City of Carmel Police Department
Accounts Payable
3 Civic apo"AST DUE
Carmel, IN Square 46032
P.O. Number Terms
52914 Net 30
Quantity Item Code Description Price Each Amount
3 HSTD PowerDMS.com STANDARDS Assessment License 800.00 2,400.00
20 HSTD -LIC PowerDMS.com Annual STANDARDS Client Access 0.00 0.00
License
Term 12/14/2011 12/13/2014
Payments/Credits $0.00
Balance Due $2,400.00
Thank you for your business!
Total $z,aoo.00
Pay online at: https: /ipn.intuit.com /egmw3v3f
INDIANA RETAIL TAX EXEMPT PAGE
City 0 f C rl CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Cis me U�
FEDERAL EXCISE TAX EXEMPT 2914
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
Poor DMS Suit C@mol Police Department
VENDOR SHIP 3 CIVIC squaw
I.O. R®x 2M TO Cuo I 412
Orlmda, FL 32M2 (w) 574—
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
n
Account 43. 615.01
3 Each STANDARDS H $800.00 2,4 00.00
Sub Total: $2,400.00
4
Al
t
t fn
I
fr �4"
Po
Quota IM 0380 R r
Send Invoice To:
Camel Police Dopailmont
Attn: Teresa Anderson
3 Civic Squ@ro
Comol, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT $.711.00
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 H THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAIp,
THIS APPROPRIAT N �1FFICIENT TO PAY FOR THE ABOVE ORDER-
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY !1✓
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Ia? a4 Pallca
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE D
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. If
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 5 9 1 4 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
S
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Innovative Data Solutions ALLOWED 20
IN SUM OF
P.O. Box 2468
Orlando, FL 32802 -2468
$2,400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
25914 4296 43- 515.01 $2,400.00
I 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
Thursday, December 15, 2011
r
Chief of Pofice
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))
12/14/11 4296 Power DIMS $2,400.00
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