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Home My WebLink About218582 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1 ONE CIVIC SQUARE PAPER-LITE CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE CHECK AMOUNT: $23,273.00 CARMEL IN 46032 <,o � CHECK NUMBER: 218582 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4351502 26779 4687 23 , 273 . 00 SUPPORT FOR LASERFICH Invoice 1711 Wood Valley Drive Carmel, IN 46032 DATE INVOICE# 2/20/2013 4687 BILL TO City of Carmel Three Civic Square Carmel,IN 46032 Attn:T.Crockett P.O. NO. TERMS DUE DATE 26779 Net 45 2/20/2013 DESCRIPTION QTY RATE AMOUNT LSAP-Laserfiche Software Assurance Plan for Rio System: 0.00 Current Support expires 4/29/13 Support Renewal Laserfiche-LSAP-Rio Named Users 100 110.40 11,040.00 Support Renewal Laserfiche-LSAP-Rio Named Users Forms 100 11.04 1,104.00 support Support Renewal Laserfiche-LSAP-Rio Scan Connect 1 29.00 29.00 Support Renewal Laserfiche-LSAP-Import Agent 1 300.00 300.00 Support Renewal Laserfiche-LSAP-Laserfiche Public Portal 1 9,000.00 9,000.00 License for Dual CPU-Unlimited Users Support Renewal Laserfiche-LSAP-Quick Fields Core 1 900.00 900.00 Support Renewal Laserfiche-LSAP-Quick Fields Classify 1 900.00 900.00 Subtotal $23,273.00 Sales Tax (0.00) $0.00 Total $23,273.00 Phone# Fax# E-mail 812-350-5044 317-581-9409 nancy@gopaperlite.com 'I City ®,Jjr� Carme, I INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26779 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, i FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 211912013 Laserfiche Support Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications Term Crockett VENDOR SHIP 1711 Wood Valley Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 (317)571-2367 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-515.02 1 Each Support Renewal Laserfiche-LSAP-Quick Fields Core $900.00 $900.00 1 Each Support Renewal Laserfiche- LSAP-Quick Fields Classify $900.00 $900.00 1 Each LSAP-Laserfiche Public Portal License for dual CPU-unlimited users $9,000.00 $9,000.00 1 Each Support Renewal Laserfiche- LSAP-Import,ag6nff : - °° $300.00 $300.00 1 Each Support Renewal Laserfiche- LSAP-Rio scan-connect• ;: ,. $29.00 $29.00 100- Each" Support Renewal Laserfiche- LSAP-Rio1N`arnCd user's,16mis support. $11.04 $1,104.00 100 Each ' Support Renewal Laserfiche:=f >SAP-R10 named users $110.40 $11,040.00 ! 1 a.r ."a Sub Total: $23,273.00 wi Send Invoice To: Support Renewal t�s�arfIoe,®,y 5/1%13�-4129P1v1� rf / .:, r , City/of Carmel Terry/Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel IS Dept. PAYMENT $23,273.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN Tv PPROPRIATION SU F.ICIENT TO PAY FOR THE-ABOVErORDER, f •SHIP REPAID. •C O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED)BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL _SHIPPING LABELS. Director Il • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ,�[/�'d�'�► CCJJ AND,ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. � �� CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ 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 4 received except..___.__.-____ 20 ..............._......_........__...-._-........................_.................... Signature _................................................................................................................. Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Paper-Lite Divison of Mathes Assoc., Inc. IN SUM OF $ 1711 Wood Valley Drive Carmel, IN 46032 $23,273.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26779 I 4687 I 43-515.02 I $23,273.00 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 Tuesday, March.19, 2013 Director , IS 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)) 02/20/13 4687 $23,273.00 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