226237 11/19/2013 „F CITY OF CARMEL, INDIANA VENDOR: 00350381 Page 1 of 1
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ONE CIVIC SQUARE BENTLEY SYSTEMS, INC
CARMEL, INDIANA 46032 PO BOX 828836 CHECK AMOUNT: $15,273.00
PHILADELPHIA PA 19182-8836 CHECK NUMBER: 226237
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 31301 47540636 15, 273 . 00 POWERMAP
Invoice
'Sustaining Infrastructure Page 1 of
Bill to party = ------- - - Summary
Invoice Number J 47540636
City of Carmel Invoice Date 08/23/2013
Terry Crockett PO Number
1 Civic Sq Customer Number 4010851
CARMEL IN 46032-2584, USA Currency USD
Remittance Information Y - �4—� SELECT Billing Period 09/21/2013-09/20/2014
Payment Terms: Net 30 Days
Remit Payment To: Bentley Systems, Inc. Please reference your customer and invoice number with your
PO Box 828836, Philadelphia, PA 19182-8836 payment.
SWIFT/BIC: PNCCUS33
Account No.: 8013590333
TRANS#031207607
Fulfillment Electronically Delivered
Federal Tax Id. _ _ _
95-3936623
Item Description Qty Total
10 MicroStation SELECT Subscription 7 5,859.00
20 Bentley WasteWater SELECT Subscription 1 762.00
30 Bentley Water SELECT Subscription 2 1,524.00
40 Bentley Map SELECT Subscription 7 3,486.00
50 Bentley Map PowerView SELECT Sub 12 * 3,300.00
60 Bentley PowerMap SELECT Subscription 1 342.00
Total Amount 15,273.00
Tax Amount 0.00
Total Invoice Amount 15,273.00
Bentley Systems, Incorporated 685 Stockton Drive, Exton, PA 19341
Phone: 1 800 513 5103 Fax: +1 (610)458 2779
Website:www.bentley.com E-mail: bac @bentley.com "
sc (sn �e Details
Page 2 of 2
'Sustaining Infrastructure
Invoice Number 47540636
Ship to:
City of Carmel
Terry Crockett
1 Civic Sq
CARMEL IN 46032-2584, USA
Description Qty Unit Price Gross Price Discount/Surcharge Total
MicroStation SELECT Subscription
09/21/2013-09/20/2014 7 837.00 5,859.00 0.00 5,859.00
Bentley WasteWater SELECT Subscription
09/21/2013-09120/2014 1 762.00 762.00 0.00 762.00
Bentley Water SELECT Subscription
09/21/2013-09/20/2014 2 762.00 1,524.00 0.00 1,524.00
Bentley Map SELECT Subscription
09/21/2013-09/20/2014 7 498.00 3,486.00 0.00 3,486.00
Bentley Map PowerView SELECT Sub
09/21/2013-09/20/2014 12 275.00 3,300.00 0.00 3,300.00
Bentley PowerMap SELECT Subscription
09/21/2013-09120/2014 1 342.00 342.00 0.00 342.00
Site Subtotal 15,273.00
Tax 0.00 % 0.00
Site Total 15,273.00
Bentley Systems, Incorporated 685 Stockton Drive, Exton, PA 19341
Phone: 1 800 513 5103 Fax: +1 (610)458 2779
Website:www.bentley.com E-mail: bac @bentley.com
C0 INDIANA RETAIL TAX EXEMPT PAGE
ty� ®� armei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31309
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/9912013 Bentley Support
Bentley Systems Inc Carmel Communications
' SHIP Terry Crockett
VENDOR 665 Stockton Drive TO 3 Civic Square
Exton, PA 19349 Carmel, IN 46032
(317)571-2567�
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS j FREIGHT
�i
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.02
` 1 Each PowrerMap SELECT subscription 9/21/13-920/14 2196 $342.00 $342.00
12 Each Map°Pow►erView►SELECT subscription 9/21/13-920/14 8193 $275.00 $3,300.00
7 Each Map SELECT Subscription 981/13-920114 8203 $498.00 $3,486.00
2 Each plater SELECT Subscription 921/13-9/20/141268", $762.00 $1,524.00
1 Each Wasfewrater SELECT subscription.9/21i13i9/24/'I4=1253v ,'- $762,00 $762.00
7 Each Microatation SELECT subscription 9%21113��9120/44,lQb33 $837.00 $5,859.00
3. ® lu
Sub Total: $15,273.00
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Send Invoice To:
`lrf l,11I I .
City!of Carmel
Terry Crockett
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT•U PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $15,273.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATE(BALANCE IN
THIS APQROPIRIATION SUFFIC EN�T HE O•PAY-FOR T ABOVEf6RDER.
•SHIP REPAID. !/ ss
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /•����
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / � - •-
SHIPPING LABELS. / g
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITI DIPeLtBP =S"--•—^'�.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 313 01 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER WARRANT ND....... ___
ALLOWED 20___
|N THE SUM OF$
'
ON ACCOUNT{}F APPROPRIATION FOR
Board Members
P-' or | hereby certify that the attached invoice(s), or INVOICE NO, ACCT#/TITLE AMOUNT
DEPT# bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge /a made were ordered and
received nxcapt -______-_-
.
-
`
'
.
-� 20___^
__-___'_____-___-_-__-
' Signature �
� Title
`
�
Cost distribution ledger classification if '
claim paid mom,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))
08/23/13 47540636 $15,273.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bentley Systems Inc
IN SUM OF $
685 Stockton Drive
Exton, PA 19341
$15,273.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31301 I 47540636 I 43-515.02 I $15,273.00 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
Thursday, November 14, 2013
Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund