HomeMy WebLinkAbout221652 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 367042 Page 1 of 1
ONE CIVIC SQUARE PAPERLESS BUSINESS SYSTEMS CHECK AMOUNT: $784.94
CARMEL, INDIANA 46032 1417 FOURTH AVE,4TH FLOOR
SEATTLE WA 98101 CHECK NUMBER: 221652
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355200 PF504681 392 .47 SUBSCRIPTIONS
1091 4355200 PF504681 392 .47 SUBSCRIPTIONS
Invoice (20
paperless elephants $ orris
business systems
1417 Fourth Ave,4th Floor Invoice Number P175-04681
Seattle,WA 98101 Invoice Date 6/16/2013
p 206.256.0771
f 206.282.3312 Purchase Order 29557
Customer Number CACL001
SOLD TO SHIP TO
Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation
Attention: Accounts Payable Attention: Accounts Payable
1411 E 116th Street 1411 E 116th Street
Carmel, IN 46032 Carmel, IN 46032
TERMS PBS CONTACT
Net 30 Accounts Receivable
Description Amount
eRequester Hosted Subscription(SAAS)
Hosting Period: month 5 of 12, 7/28/13-8/27/13
eRequester Hosting for 50 Named Users 713.55
Hosted Receiving Module 164.65
Monthly Discount for 1 st Year Po -9326
JUN 18 2013
JUN 2 5
Puact��rstN� so wnR� LICENSE 7/2-9 ,
agss7�
/of/ 99 - �3 55= = 392.4 ✓
4t 355= = 3_9
Invoice is due within thirty(30)days of receipt
A 1%%monthly charge is payable on all overdue balances
The grant of any license or right is conditioned on receipt of full payment
All payments and dollar amounts are in U.S.Dollars.
Remit to: Paperless Business Systems, Inc.
1417 Fourth Ave,4th Floor, Seattle, WA 98101
p 206 256.0769 f 206.282.3312 www.paperlessbusiness com info @paperlessbusiness com TOTAL AMOUNT USD $784.94
Wire Information: Swift#30FAUS3N Bank of America,WA3-177-01-01
Bank Name:Bank of America Routing# 125000024 408 Pike St.Seattle,WA 98101
ABA#026009593 Account#:138019775709(savings)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rate's per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
367042 Paperless Business Systems
1417 Fourth Avenue, 4th Floor
Seattle, WA 98101
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s) or bill(s))
29557 $ 392.47
6/16/13 PF504681 Purchasing software license 7/28- 8/27/13 29557 $ 392.47
6/16/13 PF504681 Purchasing software license 7/28 - 8/27/13
I
Total $ 784.94
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.
367042 Paperless Business Systems
Allowed 20
1417 Fourth Avenue, 4th Floor
Seattle, WA 98101 In Sum of$
$ 784.94
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE/ 109 MCC
Board Members
PO#or INVOICE NO. CCT#/TITL AMOUNT
Dept#
1081-99 PF504681 4355200 $ 392.47 1 hereby certify that the attached invoice(s), or
1091 PF504681 4355200 $ 392.47 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-Jun 2013
Signature
$ 784.94 Accounts Payable Coordinator
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund