HomeMy WebLinkAbout222889 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 064915 Page 1 of 1
ONE CIVIC SQUARE CONVEY COMPLIANCE SYSTEMS, INC CHECK AMOUNT: $1,425.00
r CARMEL, INDIANA 46032 9800 BREN ROAD SUITE 300
oM c� MINNETONKA MN 55343 CHECK NUMBER: 222889
CHECK DATE: 8/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4463202 8900 1, 425 . 00 SOFTWARE
Convey Compliance Systems,Inc Phone: 800-334-1099
9800 Bren Rd E Ste 300 Fax: 800-329-1099
Minnetonka MN 55343-4712 Email: financedept @convey.com
USA Website: www.convey.com
Invoice: 8900 IN\/OICEiii : vy Page: 1 of 1
Date: 4/1/2013
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 Entail: csheeks @carmel.in.gov
Customer ID: 1867 PO Number: Terms: Net 30
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Unit Price ... .,Ext Price
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1 AP500-000 Taxport A/P-Up to 500 Forms
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Renewal for the tax year beginning April 1, 2013 through March 31, 2014.
Subtotal: 1,425.00
��Payment Schedule
" Due,Date
1 5/1/2013 1,425.00 Total: $1,425.00 USD
Total 1,425.00
ARF.-001:00
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.
P yee
S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
c , � � � l as —
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
IN SUM OF $
C1 U v 6i led aav
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
'0
ignaWre
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund