215376 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 362456 Page 1 of 1
ONE CIVIC SQUARE NEOGOV
s 0 CHECK AMOUNT: $5,555.00
CARMEL, INDIANA 46032 222 N SEPULVEDA BLVD#2000
ED SEGUNDO CA 90254 CHECK NUMBER: 215376
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463202 07-8725 5, 555 . 00 SOFTWARE
NEOGOV Invoice
222 North Sepulveda Blvd.
Suite 2000 DATE INVOICE#
El Segundo, CA 90245
12/5/2012 07-8725
BILL TO
City of Carmel
City of Carmel - Human Resources
One Civic Square
Carmel, IN 46032
Attn: Barbara Lamb
TERMS
Net 30
ITEM DESCRIPTION AMOUNT
License-PE-Renewal Twelve (12) Month Performance Evaluation Module(From 1/1/2013 to 5,555.00
12/31/2013).
Pay your bills online at:
https://www.intuitbilipay.com/neogov
Please make check(s) payable to GovernmentJobs.com, Inc.
(EIN/Tax Payer ID: 33-0888748) Total Due: $5,555.00
For billing questions,or to pay with Visa/MasterCard, please call
(310)426-6304 x134 or x110.
Payments/Credits $0.00
Thank you for doing business with GovernmentJobs.com, Inc.!
Balance Due $5.555.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
NeoGov
IN SUM OF $
222 N Sepulveda Blvd
El Segundo, CA 90245
$5,555.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
�Q I 07-8725 1 102-632.02 I $5,555.00 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
d/ Fire Chief
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))
07-8725 $5,555.00
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