176319 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 362960 Page 1 of 1
ONE CIVIC SQUARE LEADSONLINE.COM
CARMEL, INDIANA 46032 15560 N DALLAS PARKWAY SUITE 800 CHECK AMOUNT: $5,508.00
DALLAS TX 75248
CHECK NUMBER: 176319
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT PO NUM INVOICE NUMB AMOUNT DESCRIPTION
A-1110 4341999 21028 215123 5,508.00 CONTRACT
A
1
4 c son
15660 N. DALLAS PARKWAY, SUITE 800 DALLAS, TEXAS 75248 T 472.361.0900 F 972.361.0901 TF 800.311.2656
adsonli
Enforcement Automated Database Search
Invoice Number: 215123
City of Carmel Invoice Date: 7/1/2009
Attn: Accounts Payable Customer CARINPD
3 Civic Square
Carmel, IN 46032 Terms: Due on receipt
Taxpayer ID 42- 1720332
"N"' 9 KE
Rep Status: P.O. Number
EH FYESO... 21028
Months Description Total
12.00 LeadsOnline SelectSearch Service Package 5,508.00
We've moved! Please change your
records to reflect our new address:
15660 N. Dallas Pkwy:, Ste. 800
Dallas, TX 75248
Contract Dates:
07/1/09 06/30/10
Thank you for your subscription, Please remit payment to:
LeadsOnline, 15660 N. Dallas Pkwy., Ste. 800, Dallas, TX 75248
To pay by credit card, please call 972 -361 -0900.
We accept American Express, Visa, MasterCard, and Discover Card.
We also accept Direct Deposit I Electronic Funds Transfer I ACH Total $5,508.00
Please call 972 -361 -0900 or email accounting @leadsonline.com
should you have any questions about this invoice.
INDIANA RETAIL TAX EXEMPT PAGE
C i t y o II Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21028
3 @f LgCIVIC 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
Jun& 10. 2009 contract
VENDOR leadsonline.com SHIP City of Carmel Police Department
15660 N. Dalls Parkway, Suite 800 TO 3 Civic Square
Dallas, TX 75240 Carmel, IN 46032
ATTN: Major Luckie Carey
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
LeadsOnline SelectSearch service package 5,508.00
a
Send Invoice To: 0
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 419 -99 other professional 6 es PAYMENT
-'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
Z NUMBER IS MADE APART 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
THIS APPROPRIATIO "SUFF
SHIP REPAID. ICIENT TO PAY FOR THE ABOVE.ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE As istant Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r -1'
CLERK TREASURER
DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE
VP;JCHER NO. WARRANT NO.
s
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.
'i
Payee
LeadsOnline Purchase Order No. 21028F
15660 N. Dallas Parkway, Suite 800 Terms
Dallas, TX 75248 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/1/09 215123 annual payment 5,508.00
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
LeadsOnline IN SUM OF
15660 N. Dallas Parkway, Suite 800
Dallas, TX 75248
5,508.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21028F 215123 419 -99 5,508.00 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
August 13 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund