HomeMy WebLinkAbout216467 01/15/2013 ,. CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER-LITE
CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE CHECK AMOUNT: $18,090.00
CARMEL IN 46032
CHECK NUMBER: 216467
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 R4351502 26642 4626 3 , 690 . 00 LASERFICHE SUPPORT
1202 R4463202 26642 4626 13 , 200 . 00 LASERFICHE SUPPORT
1202 R4351501 26643 4627 1, 200 . 00 SCANNER SUPPORT
7.0-: Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
12/26/2012 4626
BILL TO
City of Carmel
Three Civic Square
Carmel, IN 46032
Attn:T.Crockett
P.O. NO. TERMS DUE DATE
26642 Net 30 1/25/2013
DESCRIPTION QTY RATE AMOUNT
Laserfiche Product Rio Named User License-each 20 660.00 13,200.00
LSAP-Laserfiche Software Assurance Plan for Rio Named User 20 184.50 3,690.00
License-prorated until 4/29/2014-
Subtotal $16,890.00
Sales Tax (0.00) $0.00
Total $16,890.00
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancyngopaperlite.com
�r..n�'jal'tif:l�lulr,s,�f«IhB:eel w«IC Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
12/26/2012 4627
BILL TO
City of Carmel
Three Civic Square
Carmel, IN 46032
Attn:T.Crockett
P.O. NO. TERMS DUE DATE
26643 Net 30 1/25/2013
DESCRIPTION QTY RATE AMOUNT
Support Renewal-Scanner 8 150.00 1,200.00
Subtotal $1,200.00
Sales Tax (0.00) $0.00
Total $1,200.00
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancyagopaperlite.com
LFCO _ ®� Carmel INDIANA RETAIL TAX EXEMPT PAGE
11 CERTIFICATE NO.00
3120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
CIVIC SQUARE 35-60000972 26642
INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.
VENDOR NO.
1211912012 DESCRIPTION
l.aserf the Reamed Licenses
Paper-Lice Divison Of RflaMes Assoc., Inc.
Carmel Communications
VENDOR 9799 !flood Valley Drive SHIP Ted!Crockett
Carmel, IN 46032 TO 3 Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT 7 j s7l-25567
PAYMENT TERMS (31
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
Account 43.615.02 UNIT PRICE EXTENSION
20 Each Laserfiche software support
$184.50 $3,690.00
Account 44-632.02 Sub Total: $3,690.00
20 Each Laserfiche Named Licenses
$660.00 $13,200.00
Sub Tai: $13,200.00
Send Invoice To:
City of Carmel
i
Terry Crockett
3 Civic Square
Carmel, IN 4 6032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT PROJECT
Carmel IS Dept, PROJECT ACCOUNT
AMOUNT
PAYS g9 6,890.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
•SHIP REPAID. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS APPR T N SUFFICIENT TO PAY FOR
•PURCHASE ORDER NUMBER MUST APPEAR
SHIPPING LABELS ON ALL / Et EORDER.
ORDERED BY
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITL Directdr 1 !
OCUMENT CONTROL NO. 2 6 6 4 2 CLERK-TREASURER v
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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$
ON ACCOUNT OF APPROPRIATION FOR
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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
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20
.Signature
Title
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Cost distribution ledger classification if
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claim paid motor vehicle highway fund
I �-
I Carmel INDIANA RETAIL TAX EX UAY ®f CERTIFICATE NO.00 312 EMPT PAGE
I 0155 002 0
IFEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
CIVIC ONE
CARMEL, INDIA A046032-2584 35-60000972 26643
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THIS NUMBER MUST APPEAR ON INVOICES,A/p
PURCHASE ORDER DATE CITY OF CARMEL- 1 997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
DATE REQUIRED SHIPPING LABELS AND ANY CORRESPONDENCE.
12/19/2092 REQUISITION NO.
VENDOR NO.
DESCRIPTION
Paper-Lite Divison of Mlathes Assoc., Inc. Laserfiche Scanner Suppo�
VENDOR Carmel Communications
9 T11 Wood Valley Drive SHIP Terry Crockett
Carmel, IN 46032
TO 3 Civic Square i
CONFIRMATION BLANKET Carmel, IN 46032
( )5Y9-2567
CONTRACT I
PAYMENT TERMS 397
FREIGHT
QUANTITY UNIT OF MEASURE
Account 43.615.01 DESCRIPTION
,7 UNIT PRICE
8 Each Lasertche EXTENSION +
scanner support �
$150.00 $1,200.00
Sub Total:
$1
:(o) a A
nd Invoice TO: ° ° °°°°° ° •o
City of Carmel I
Terry Crockett
3 Civic Square
Carmel, IN 46032.
DEPARTMENT PLEASE INVOICE IN DUPLICATE
I'mel IS Dept. ACCOUNT
PROJECT PROJECTACCOUNT
PAYMENT
AMOUNT
� I
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
SHIPPING INSTRUCTIONS NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
'REPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
D.SHIPMENTS CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABV
OE ORDER.
CHASE ORDER NUMBER MUST APPEAR ON ALL
PING LABELS. ORDERED BY
ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
aCTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE I r
UMENT CONTROL N0. A.P.V COPY CLERK-TREASURER
SIGN AND RETURN TO CLERPC'S OFF
��W
ICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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^ 3
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
f
20
1
Signature
I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
12/26/12 4627 $1,200.00
12/26/12 4626 $3,690.00
12/26/12 4626 $13,200.00
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
Paper-Lite Divison of Mathes Assoc., Inc.
IN SUM OF $
1711 Wood Valley Drive
Carmel, IN 46032
$18,090.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26643 4627 43-515.01 $1,200.00
Prior Year Encumbered bill(s) is (are) true and correct and that the
26642 4626 43-515.02 $3,690.00
materials or services itemized thereon for
Prior Year Encumbered
26642 4626 44-632.02 $13,200.00 which charge is made were ordered and
received except
Friday, January 11, 2013
Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund