179624 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 064915 Page 1 of 1
ONE CIVIC SQUARE CONVEY COMPLIANCE SYSTEMS, INC CHECK AMOUNT: $370.00
CARMEL, INDIANA 46032 3650 ANNAPOLIS LANE SUITE 190
PLYMOUTH MN 55447 CHECK NUMBER: 179624
CHECK DATE: 11/24/2009
DEPARTMENT AC PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1701 4463202 8976 370.00 SOFTWARE
Early Bird RENEWAL Inv ®ice
eC n v e 2009 Tax Season
rm
Invoice Number:
Compliance Systems, Inc. 8976
3650 Annapolis Lane Invoice Date:
Suite 190
Plymouth, MN 55447 Apr 30, 2009
Phone: 1 -800- 334 -1099
Fax: 1- 888 -329 -1099
sales @convey.com
www.convey.com
Sold To: Ship 'T'o:
Cindy Sheeks
f City Of Carmel
One Civic Square
Clerk Treasurer Office
Carmel, IN 46032
Customer ID: I Customer PO: Payment Terms:
T
i 1867 I Due Upon Keceipt
Tax Y ear: —_T Shipping Method: Type:
2009 Customer RcncwaJ With Discount
-a
g- Unit Price Extension
Quantity Descriptio
1 1099Conve 2069 Essential Sin le User, 3K 350 -001 350 -00
Transaction Limit
1 Shipping and Handling Fees 20.001 20.00
i
I
i
The early bird renewal prig expires
September r 3 2009.
on 0,
please see details below
Sales Tax
Total Invoice Amount 370.00
Check/Credit Memo No: Payment /Credit Applied
TOTAL 370.00
Because we appreciate your continued business we would like to extend the early bird payment special on
the renewal of your 1099Convey software for the 2009 tax season. Pay before October 1st and recieve the
above price, which reflects the discount. Renewals received after October Ist will be at list price.
This renewal offer is based on your 2008 tax software needs. We will be happy to assist you if your needs
have changed for 2009. Please call us at 800 -334 -1099 to make changes to your order.
For your convenience, we accept VISA. Mastercard, Discover and American Express.
Simply call us at 800 -334 -1099 and we will be happy to process your renewal. Ifyou
prefer to mail your payment to Convey, you may do so by using the enclosed
self-addressed envelope.
Please reference Customer ID: 1867 on your remittance. Thank You!
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))
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
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
I L2 L i 3a p 310 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
A 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund