211445 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 361539 Page 1 of 1
ONE CIVIC SQUARE ROSETTASTONE
CARMEL, INDIANA 46032 135 W MARKET STREET CHECK AMOUNT: $1,770.00
?� HARRISONBURG VA 22801
CHECK NUMBER: 211445
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239002 26203 2177987 1, 770 . 00 SPANISH CD'S
Rosetta Stonee A, In7 o1ce
. . . ,
Ship To:
Rosetta Stone Ltd.
135 West Market Street Foster John Carmel Police Department Number: Date: Page:V
Harrisonburg, Virginia 22801 USA
540-432-6166 800-788-0822 3 Civic Square 3177987 13-JUL-12 1 of 1
Carmel US IN 46032
Federal ID: 54-1629211 United States Purchase Order: Previous Trx Numb:
26203
Sales Order: Waybill Number:
Bill Attn: Accounts Payable 6493687 0
To: Carmel Police Department
3 Civic Square Customer Number: Site ID:
Attn: Teresa Anderson 9106061 14967651
Carmel IN 46032
United States Remit Check To: Electronic Payments To:
Rosetta Stone Ltd. Rosetta Stone Ltd.
Dept CH 17714 HSBC Bank USA, NA
Palatine IL 60055-7714 ABA (for Wires): 021001088
United States ABA (for ACH): 054001709
Account: 389147737
Terms: Due Date: Sales Person: Ship Date: Ship Via: FOB Terms:
30 Net 12-AUG-12 Chris Perkins 13-JUL-12 UPS SERVICE Origin
Bill To Attn: Transaction Description:
Invoice
Line Line Description ISBN Qty Unit Price Extended Amount
0014 Network Language Kit with Audio 1 0.00
Companion
0017 Spanish LA 1 License 1 393.33 393.33
0005 Spanish LA 2 License 1 393.33 393.33
0007 Spanish LA 3 License 1 393.34 393.34
0009 Spanish LA 4 License 1 285.00 285.00
0011 Spanish LA 5 License 1 285.00 285.00
Special Instructions: Subtotal: Tax: Shipping: Total:
1,750.00 0.00 20.00 1,770.00
Tax Registration Number: Currency:
USD
Please reference your invoice or statement with your remittance. Unless buyer is exempt under applicable law,
past due items are subject to a finance charge of 1.50% per month, which is an annual rate of 18.00%.
The Rosetta Stone Product(s) described herein are provided pursuant to the terms and conditions of the Enterprise License
Agreement set forth at http://www.rosettastone.com/us-assets/eulas/ela-global-eng.pdf Payment of this invoice indicates that
Customer has read and agreed to the terms and conditions of the Enterprise License Agreement.
E
+ INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel .,, CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Rosa Stoma Lid. Cumol Police Dopartr ant
VENDOR SHIP 3 Civic Squmro
135 Wbst Mmikot Straog TO Cumol, IN
bardsonburg, VA Mi d 97)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .02 tS�
9 Each Rosetta Stone Enterprise Version 3 CD WWI I -5 $1,750.00 $1,750.00
1 Each shipping charges $20.00 $20.00
' nr" Sub Total. $1,770.00
Send Invoice To: r.
Carol Pollco Dop@ftmont
Attn:Toream Anderuon
3 Civic squam
Carmel, IN 2= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,770.00
• 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 CERTIIJYy?HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR08R Ali
SHIP REPAID. N SUFFICIENT PAY FOR THE ABOVE ORDER.
• �/!7//
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. C6`ilel:�8 i PBII��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
®� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER N{) WARRANT NO._____
ALLOWED 20___
|N THE SUM OFS
'
ON ACCOUNT{}F APPROPRIATION FOR
�
^
Board Members
PO#Or INVOICE NO. ACCT#/tITLE AMOUNT
| hereby certify that the attached immioe(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge io made were ordered and
received except
�
2O—
_____
' `
Signature
' Title
-
'
Cost distribution ledger classification if`
claim paid motor vehicle highway fund
. ,
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rosetta Stone Ltd.
IN SUM OF $
135 West Market Street
Harrisonburg, VA 22801
$1,770.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
26203 I 3177987 I 42-390.02 I $1,770.00 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, July 26, 2012
Chief of Police
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))
07/13/12 3177987 Spanish CD $1,770.00
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