HomeMy WebLinkAbout174793 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363057 Page 1 of 1
f ONE CIVIC SQUARE CITIZEN OBSERVER
CARMEL, INDIANA 46032 325 CEDAR STREET SUITE 325 CHECK AMOUNT: $4,950.00
ST PAUL MN 55101 CHECK NUMBER: 174793
CHECK DATE: 7122/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 21045 4024848021 4,950.00 CITIZEN OBSERVER
's
c m
411
Invoice 4024 848021
Date: July 7, 2009
CitizenObserver (tip411) Carmel Police Dept
325 Cedar St., Ste. 325 3 Civic Scl
St. Paul, MN 55101 Carmel, IN 46032 -2584
Finance Contact: Michael Fogarty
finance @citizenobserver.com mfogarty @carmel.in.gov
651- 225 -9957 x203 (317) 571 -2500
Sales Contact:
Dan Zell PO 21045
dzell @citizenobserver.com Vendor
651- 225 -9957 Fed Tax ID: 20- 5401994
Quote ID: 848021 Payment Terms: Due on Receipt
at
Service Y List Price Net Price Extended Price
CitizenObserver Integrated Alerting 1 $4,950.00 $4,950.00 $4,950.00
and Tips Application
Includes all functionality of Two Year
Citizen Observer: Subscription
web interface to send text, Maintenance
email and web published alert, and Support
Included
alert mapping
Web Tips
tip41 1 inbound anonymous Included
text and web tips.
Access Licenses 3 included
Included Keywords (5 or more digit) I included
Additional 5 or more digit Keywords 1 $200.00
Subject to availabilit
Grand Total $4,950.00
INDIANA RETAIL TAX EXEMPT PAGE
1 Of 1
Cio I' C�� CERTIFICATE NO. 003120155 002 0 LL PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21045
J -M� CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
July 6, 2009 CitizenObserver
VENDOR CitizenObserver SHIP City of Carmel Police Department
325 Cedar Street, Suite 325 TO 3 Civic Squarew
St. Paul, MN 55101 Carl, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
access to CitizenObserver 4,950.00
V
I Itf
i $i4 as
All 3a
s
S
City of Carmel. Po p fae,
Send Invoice To: 21TTN; Teresa Anders
3 Civic Square
Carmel, IN 48032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECTACCOUNT AMOUNT
1110 419 --99 other professional fees PAYMENT
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 THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
q
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. Av
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f L•� �2 -L{.l 1 G�f�' li
SHIPPING LABELS. Chief ofPPol.ice I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
A.P.5. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO...-- WARRANT NO,.--_------._...---
ALLOWED 20
IN THE 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
Signature
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
CitizenObserver Purchase Order No. 21045F
325 Cedar Street, Suite 325 Terms
St. Paul, MN 55101 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/7/09 4024848021 Pavment for access 4,950.00
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
Cie izenObserver
IN SUM OF
325 Cedar Street, Suite 325
St. Paul, MN 55101
4,950.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4024848021 419 -99 4,950.00 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
July 15 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund