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211958 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350063 Page 1 of 1 ONE CIVIC SQUARE SUNGARD PUBLIC SECTOR PENTAMATIOx CARMEL, INDIANA 46032 BANK OF AMERICA CHECK AMOUNT: $1,321.91 12709 COLLECTION CENTER DRIVE CHECK NUMBER: 211958 CHICAGO IL 60693 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351502 53668 1, 321 . 91 SOFTWARE MAINT CONTRA Std RD' PUBLIC SECTOR Invoice 1000 Business Center Drive Company Document No Date Page Lake Mary, FL 32746 LG 53668 30/Mar/2012 1 of 1 800-727-8088 www.sungardps.com Bill To: City of Carmel Ship To: City of Carmel ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 United States United States Attn:ACCOUNTS PAYABLE (317) 571-2414 Attn:ACCOUNTS PAYABLE (317)571-2414 Customer OrY/Plo. Customer Name Customer PO Number Currency Terms Due Date _._1152__ -City-of Carmel_ ._ _. _ _ ._ - _. USD NET3_0 _- 29/Apr/2012_ !No SKU Code/Description/Comments Units Rate Extended Contract No. ;1 CPLUS Action/Service Request 1.00 475.09 475.0.9 Maintenance Start:01/May/2012, End:30/Jun/2012 2 eGov Permitting 1.00 552.85 552.85 Maintenance Start:01/May/2012, End:30/Jun/2012 3 eGov On Line Y= 1.00 293.97 293.97 ._ , Maintenance Start:01/May/2012, End:30/Jun/2012 "ft ff Page Total 1,321.91 i Remit Payment To:SunGard Public Sector Inc. Bank of America Subtotal 1,321.91 12709 Collection Center Drive Chicago, IL 60693 Sales Tax _ 0.00 Invoice Total 1,321.91', Payment Received 0.00 ,PSA Reference Number:R/B#48590 Balance Due 1,321.91 f VOUCHER NO. WARRANT NO. ALLOWED 20 Sungard Public Sector, Inc. r.Z7 Oq //n 1� �l IN SUM OF $ 221511 l a n-e !�/�l Chicago, IL 60693 $1,321.91 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 I 53668 I 43-515.02 I $1,321.91 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 Friday, August 10, 2012 Direct 26 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)) 08/03/12 53668 Maintenace fee cancellation $1,321.91 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