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HomeMy WebLinkAbout216670 01/29/2013 a CITY OF CARMEL, INDIANA VENDOR: 064915 Page 1 of 1 ONE CIVIC SQUARE CONVEY COMPLIANCE SYSTEMS, INC CARMEL, INDIANA 46032 9800 BREN ROAD SUITE 300 CHECK AMOUNT: $200.00 MINNETONKA MN 55343 CHECK NUMBER: 216670 CHECK DATE: 1/2912013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4341999 7535 100 . 00 OTHER PROFESSIONAL FE 1701 4341999 7580 100 . 00 OTHER PROFESSIONAL FE Convey Compliance Systems, Inc Phone: 800-334-1099 9800 Bren Rd E Ste 300 Fax: 800-329-1099 Minnetonka MN 55343-4712 Convey Email: financedept @convey.com USA Website: www.convey.com Invoice:7535 �r- ir �_�—�T;���.N:VO.��a� -=�=��-, Page: 1 of 1 Date: 1/21/2013 Sold To: Ship To: Cindy Sheeks City Of Carmel City Of Carmel One Civic Square One Civic Square Clerk Treasurer Office Clerk Treasurer Office Carmel IN 46032 Carmel IN 46032 USA USA Fax: 317-571-2410 EMail:csheeks @carmel.in.gov Customer ID: 1867 PO Number: Terms:Net 30 Line Park Number/Des��iption� -s_=-u=- Qilanfity _= ;R�jt Pfice ._° pct PrOC� -- -- -- -- --- _-- _ - - 1 TM-RW9000 TIN Match W9 Solicitation 123 W-9 Solicitations Subtotal: 100.00 f 1 2/20/2013 100.001 Total: $100.00 US® Convey Compliance Systems, Inc Phone: 800-334-1099 9800 Bren Rd E Ste 300 Fax: 800-329-1099 Minnetonka MN 55343-4712 Email: .tinancedept @convey.com USA Website: www.convey.com Invoice: 7580 1 Page: t INVOICE s= g o 1 — --- -- — _ — Date: 1/23/2013 Sold To: Cindy Sheeks Ship City Of Carmel City Of Carmel One Civic Square One Civic Square Clerk Treasurer Office Clerk Treasurer Office Carmel IN 46032 Carmel IN 46032 USA USA Fax: 317-571-2410 Wall:csheeks @carmel.in.gov ,'Customer ID: 1867 PO Number: Terms: Net 30 f E =Gtne Part�1um_b_e_rlt5escrl - 1 TM-RW9000 1 EA� 100.00000 100.00 TIN Match W9 Solicitation For 7 W-9 solicitations I Subtotal: 100.00 IZIie_Date__- !C!o4ir �1 212212013 100.001 Tota I: $100.000S D Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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. cx�'iu� Payee L Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 S't,,/ IN SUM OF $ 30D $ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT T 1 1c-5 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 Cost distribution ledger classification if Title claim paid motor vehicle highway fund