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Home My WebLink About214242 11/07/2012 �,\*f CITY OF CARMEL, INDIANA VENDOR: 00350381 Page 1 of 1 0 ONE CIVIC SQUARE BENTLEY SYSTEMS,INC CHECK AMOUNT: $15,000.00 CARMEL, INDIANA 46032 PO BOX 828836 PHILADELPHIA PA 19182-8836 CHECK NUMBER: 214242 CHECK DATE: 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4351502 27710 47475161 15, 000 . 00 SELECT SUBSCRIPTIONS mnBenttey'` Invoice 1 Sustaining Infrastructure Page 1 of Bill to party Summary Invoice Number 47475161 City of Carmel Invoice Date 08/23/2012 Terry Crockett PO Number One Civic Square Customer Number 4010851 CARMEL IN 46032-2584, USA Currency USD Remittance Information SELECT Billing Period 09/21/2012-09/20/2013 Payment Terms: Net 30 Days RemifPaymer t To: Bentley Systems, Inc. Please reference your customer and invoice number with your PO Box 828836, Philadelphia, PA 19182-8836 payment. SWIFT/BIC: PNCCUS33 Account No.: 8013590333 TRANS#031207607 ELECTRONIC DELIVERY Federal Tax Id. 95-3936623 Item Description Qty Total 10 MicroStation SELECT Subscription 7 5,740.00 30 Bentley WasteWater SELECT Subscription 1 750.00 40 Bentley Water SELECT Subscription 2 1,500.00 80 Bentley Map SELECT Subscription 7 3,430.00 90 Bentley Map PowerView SELECT Sub 12 3,240.00 110 Bentley PowerMap SELECT Subscription 1 340.00 Total Amount 15,000.00 Tax Amount 0.00 Total Invoice Amount 15,000.00 6e�ti\ey Systems,Incorporated 685 Stockton Drive,Exton,PA 19341 Phone: 1 800 513 5103 Fax:+1 (610)458 2779 Website:www,bentley.com E-mail:bac @bentley.com f { 1 f3entley Details Sustaining Infrastructure Page 2 of 2 Invoice Number 47475161 Ship to: City of Carmel Terry Crockett One Civic Square CARMEL IN 46032-2584, USA Description Qty Unit Price Gross Price Discount/Surcharge Total MicroStation SELECT Subscription 09/21/2012-09/20/2013 7 820.00 5,740.00 0.00 5,740.00 Bentley WasteWater SELECT Subscription 09/21/2012-09/20/2013 1 750.00 750.00 0.00 750.00 Bentley Water SELECT Subscription 09/21/2012-09120/2013 2 750.00 1,500.00 0.00 1,500.00 Bentley Map SELECT Subscription 09/21/2012-09/20/2013 7 490.00 3,430.00 0.00 3,430.00 Bentley Map PowerView SELECT Sub 09/21/2012-09/20/2013 12 270.00 3,240.00 0.00 3,240.00 Bentley PowerMap SELECT Subscription 09/21/2012-09/20/2013 1 340.00 340.00 0.00 340.00 Site Subtotal 15,000.00 Tax 0.00 % 0.00 Site Total 15,000.00 Bentley Systems, Incorporated 685 Stockton Drive, Exton, PA 19341 Phone: 1 800 513 5103 Fax: +1 (610)458 2779 Website:www.bentley.com E-mail:bac @bentley.COM 3: INDIANA RETAIL TAX EXEMPT PAGE Cit y ®f 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, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 912712012 Bentley Support Bentley Systems Inc City of Carmel VENDOR PO O Z-�- O -3)- SHIP Terry Crockett � nee To 3 Civic Square O A ,zxtorr,:PA—�- 1 Carmel, IN 46032 �_ '� (31 7)5711-2567 CONFIRMATION BLANKET rO:F�M=EASURE PAYMENTTERMS FREIGHT QUANTITY UNIT DESCRIPTION UNIT PRICE EXTENSION Account 43-595.02 1 Each Bentley PowerMap SELECT Subscription 110 $340.00 $340.00 12 Each Bentley Map PowerView SELECT sub 90 $270.00 $3,240.00 7 Each Bentley Map SELECT Subscription 807 $490.00 $3,430.00 2 Each Bentley Water SELECT Subscri pn 40 $750.00 $1,500.00 1 Each Bentley Wastewater SELEC �> ( X30• a $750.00 $750.00 Subscription r awl • <> 7 Each MicroStation SELECT SU n p\on, • 10 •• $820.00 $5,740.00 Sub Total: $15,000.00 Ike a� 7 Send Invoice To: City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel IS Dept. PAYMENT $15,000.90 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERJTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPRO.RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • ,.�.� •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. L •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 U l 9 1® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._ -WARRANT NO. — ALLOWED 20 IN THE SUM OF$ 'I 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/23/12 47475161 $15,000.00 1 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 Bentley Systems Inc IN SUM OF $ 685 Stockton Drive Exton, PA 19341 $15,000.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT_ Board Members 27710 I 47475161 I 43-515.02 I $15,000.00_ 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, November 01,_2012 Director , IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund