215876 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 365698 Page 1 of 1
`4 ONE CIVIC SQUARE ESO SOLUTIONS CHECK AMOUNT: $1,998.00
CARMEL, INDIANA 46032 4009 BANISTER LANE
oN�; AUSTIN TX 78704 CHECK NUMBER: 215876
CHECK DATE: 12/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463202 ESO-12687 1, 998 . 00 SOFTWARE
a a IS CT"' Invoice.
® ® saL-u-rions
Date Invoice#
12/10/2012 ESO-12687
Bill To Remit To
Cannel Fire Department ESO Solutions,Inc.
2 Civic Square 75 Remittance Drive Box 6529
Carmel,Indiana 46032 Chicago,IL 60675-6529
All Checks Payable to ESO Solutions
P.O. No. Terms Due Date
Net 30 1/9/2013
Quantity Description Rate Amount
Billing Interface 2,995.00 2,995.00
Billing Interface Discount -997.00 -997.00
Total $1,998.00
If you have any question about this invoice,please contact Elaine Gordon at 866.766.9471
4216 Payments/Credits $0.00
Balance Due $1998.00
I/
VOUCHER NO. WARRANT NO.
ALLOWED 20
ESO Solutions
IN SUM OF $
4009 Banister Lane
Austin, TX 78704
$1,998.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 I ESO-12687 1 102-632.02 I $1,998.00 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
DEC 17 2032
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
A
'rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
ESO-12687 $1,998.00
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