225032 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER-LITE
CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE CHECK AMOUNT: $2,868.75
«o� CARMEL IN 46032 CHECK NUMBER: 225032
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 R4340400 26634 4839 2, 868 . 75 UPGRADE LASERFICHE
C 1 101 1�1-L=)TE"
�°' fix,,r .., _ . Mvo l ce
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
9/30/2013 4839
BILL TO
City of Carmel
Three Civic Square
Carmel,IN 46032
Attn: T.Crockett
P.O. NO. TERMS DUE DATE
26634 Net 45 9/30/2013
DESCRIPTION QTY RATE AMOUNT
Paper-Lite Professional Services 8/6 R Chike and L Mulligan- 5.25 135.00 708.75
Creation of the CPD Training Request Form. Today included the
trouble shooting of the forms data collection,completing steps 1-3
and changes to the template.
Paper-Lite Professional Services 8/7 R Chike and L Mulligan- 5.25 135.00 708.75
Creation of the CPD Training Request Form. Today included
completing the creation of the Steps 1 -8,and adding Business
Process. There were also changes to the form and the template that
were made.
Paper-Lite Professional Services 8/8-Forms project continued 4 135.00 540.00
Paper-Lite Professional Services 8/9-Forms project continued 1.5 135.00 202.50
Paper-Lite Professional Services 8/29-Review Training Project to 1 135.00 135.00
make changes after Laura's testing.
Paper-Lite Professional Services 9/4-Changes to the CPD Training 2.5 135.00 337.50
Request Business Process
Paper-Lite Professional Services 9/9-Workflow Changes to 1.75 135.00 236.25
Training BP
Subtotal $2,868.75
Sales Tax (0.00) $0.00
Total $2,868.75
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancy a gopaperlite.com
City ®/�° Carme INDIANA RETAIL TAX EXEMPT PAGE
,J1r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26634
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11211191202 Laserfiche Upgrade
Paper-Lice Divison of Mathes Assoc., Inc. Carmel Communications
VENDOR SHIP Terry Crockett
9799 Wood Valley Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
(39 7)579-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT '
hOUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-404.00
1 Each Professional Svs/Laserfiche upgrade $5,000.00 $5,000.00
Sub Total: $5,000.00
�• V L °, ✓ U
� .
Send Invoice To: � '
J�J
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept PAYMENT $5,000.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRQPRf"-ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. / !
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Director
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 6 3 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
received except.,_.______..-
20
-------------------...--------------------- ----------------_.---_................._.-...------- ------
Signature
_...............__...._.--...-..-....- ...................... -.-.--.-.-.-.....---...---....--..................,............................................. —
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))
10/07/13 4839 $2,868.75
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
$2,868.75
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
26634 4839 I 43-404.00 I $2,868.75
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
T sday, Oct er 01, 2013
Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund