210805 07/17/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 00352762 Page 1 of 1
ONE CIVIC SQUARE DLT SOLUTIONS INC
CARMEL, INDIANA 46032 Po Box 102546 CHECK AMOUNT: $5,812.40
ATLANTA GA 30368 CHECK NUMBER: 210805
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
659 5023990 SI189229 5, 812 . 40 OTHER EXPENSES
5e(,o er Co rli"
Invoice Questions: 888-358-9346 Invoice No.: SI189229
D[T 111 General Information: 703-709-7172 Order: 4180730
Fax: 866-352-5855 Customer: CAR21
Suite 400
13861 Sunrise Valley Dr. Tax ID No: 54-1599882 GST No: 82690 0003 RT0001
Herndon,VA 20171 CA Reseller: 101643630 MB PST No: 826900003MT0001
DB No: 78-6468199 SK PST No: 2476547
CST No: 1217287088
Bill To: Carmel Water Utilities Ship To: Carmel Water Treatment Plan WTP
3450 W. 131st St. Attn:KenR/Acad /
Carmel,IN 46074 5484 E. 126th St.
LAmu � ��� Carmel,IN 46033
Date Period of Performance ACT#/PDN# Terms
05/25/12 07/17/12-07/16/13 Net 30 Days
Purchase Order Number Order Date Salesperson Our Order Number
W09691 05/18/12 Michael Palatiello 4180730
Quantity ICLIN No. Item Number Tax Unit Price lAmount
Req. Shipi B.O.I Description
1 1 9701-0569S N 5,812.40 5,812.40
AutoCAD Electrical 2013 Standalone License
Contract: 110000206557 Exp:07/16/2012
PoP:07/17/2012 to 07/16/2013
REMIT TO: ACH: DLT Solutions,LLC -OR- Mail: DLT Solutions
dba DLT Solutions PO Box 102549 Non Taxable Subtotal 5,812.40
SunTrust Bank Atlanta,GA 30368 Taxable Subtotal 0.00
ABA#061000104 Tax 0.00
Acct#1000032705898 Total 5,812.40
Invoices not paid within terms are subject to a 1.5%per month interest charge.
Customer Original Page: 1
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352762
DLT SOLUTIONS Purchase Order No.
PO Box 102549 Terms
Atlanta, GA 30368 Due Date 7/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2012 S1189229 $5,812.40
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
711,//2 c° n� fyta' - -
Date Officer
VOUCHER # 125304 WARRANT # ALLOWED
00352762 IN SUM OF $
DLT SOLUTIONS
PO Box 102549
Atlanta, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
S1189229 07-1050-63 $5,812.40
Coo oect , O,)
+ Voucher Total $5,812.40
I Cost distribution ledger classification if
claim paid under vehicle highway fund