227458 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER-LITE CHECK AMOUNT: $16,325.00
e CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE
CARMEL IN 46032 CHECK NUMBER: 227458
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 31636 4910 14 , 300 . 00 20 USERS
1110 4351501 4912 300 . 00 EQUIPMENT MAINT CONTR
1202 4351501 31644 4913 1, 725 . 00 SCANNER SUPPORT
iT "
Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
12/13/2013 4912
BILL TO
City of Carmel
Three Civic Square
Carmel,IN 46032
Police Department
P.O. NO. TERMS DUE DATE
Net 30 1/12/2014
DESCRIPTION QTY RATE AMOUNT
Support Renewal-Scanners: Fujitsu 6140 Serial#021114& 2 150.00 300.00
019699-Current support expires 2/12/14
n-11 I q -- t C) V�_
bI - �kLh�
Subtotal $300.00
Sales Tax (0.00) $0.00
Total $300.00
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancy a gopaperlite.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paper-Lite
IN SUM OF $
1711 Wood Valley Drive
Carmel, IN 46032
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 4912 43-515.01 $300.00
I hereby certify that the attached invoice(s), or
I I I
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
Friday, D 9 cember 13, 2013
Chief of Police
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))
12/13/13 4912 annual payment $300.00
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
A, A"- I 1�1
Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
12/10/2013 4910
BILL TO
City of Carmel
Three Civic Square
Carmel,IN 46032
P.O. NO. TERMS DUE DATE
31636 Net 45 12/10/2013
DESCRIPTION QTY RATE AMOUNT
Laserfiche Product Rio Licenses xv/LF Forms and support pro-rated 20 715.00 14,300.00
until 4/30/14
Subtotal $14,300.00
Sales Tax (0.00) $0.00
Total $14,300.00
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancy n gopaperlite.com
INDIANA RETAIL TAX EXEMPT PAGE
C� " ®� Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 9
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.
3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
42 ig Lasencche Suc rt
' Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications
VENDOR SHIP Terry Crockett
1 711 !Mood Valley Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.02
1 Each Support for 20 Laserfiche Named User Seats $14,300.00 $14,300.00
Sub Total: $14,300.00
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fir° I
--j 1 $
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Send Invoice To: ✓
Al
I
City of Carmel
Term Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
1202 Carmel IS Dept. PAYMENT $14.300.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRI ION/S SUFFICIENT TO.PAY�FfOORR THE ABOVE ORDER. t
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / i� ; f"
•
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �,
SHIPPING LABELS. /!
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE t]Irec4�r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
.. j
CLERK—TREASURER
DOCUMENT CONTROL NO. 316 3 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
cc
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paper-Lite Divison of Mathes Assoc., Inc.
IN SUM OF $
1711 Wood Valley Drive
Carmel, IN 46032
$14,300.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31636 I 4910 I 43-515.02 I $14,300.00 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
Friday, ecember 13, 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))
12/10/13 4910 $14,300.00
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
1
Invoice
1711 Wood Valley Drive
Carmel, M 46032 DATE INVOICE#
12/13/2013 4913
BILL TO
City of Carmel
Three Civic Square
Carmel,IN 46032
P.O. NO. . TERMS DUE DATE
31644 Net 30 1/12/2014
DESCRIPTION QTY RATE AMOUNT
Support Renewal-Large Format Scanner purchased in December 1 1,725.00 1,725.00
2010 warranty expires 12/21/13-To Extend the warranty until
12/21/2014
One Year Onsite Service;offer covers travel,labor and parts
Consumables items are excluded(scan glass and paper hold downs
are consumable)
See section 9 of Omner/operator manual
Subtotal $1,725.00
Sales Tax (0.00) $0.00
Total $1.725.00
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancy @gopaperlite.com
City ®� Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31644
35-60000972
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12111/2013 Scanner Support
Paper-Late Divison of Mathes Assoc., Inc. Carmel Communications
Terry Crockett
SHIP
VENDOR
1711 Wood Valley Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.01
1 Each Scanner Support Renewal until 12/21/14 $1,725.00 $1,725.00
Sub Total: $1,725.00
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Send Invoice To: J
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1202 Carmel IS Dept. PAYMENT $1,725.00
• 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 UNOBL•IGATED BALANCE IN
SHIP REPAID.
THIS APPROPJRIA ON4 SUFFIC1ENtTO PAY FOR THE ABOVE ORDER.
• r �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ;
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
.' '
SHIPPING LABELS. iiector
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 71
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
i
CLERK-TREASURER
DOCUMENT CONTROL NO. 316.4 4 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO VVARRANTND�____
ALLOWED 20__-
|N THE SUM OFs
'
`
ON ACCOUNT{}F APPROPRIATION FOR ^
,
Board Members
DEPT. | 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 ie made were ordered and
receivedexoept
`
. - .
20____
.
------------- _`___
Signature
�
/ma
^ '
`
Cost distribution ledger mcan if �
claim paid rnomr 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
$1,725.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31644 I 4913 I 43-515.01 I $1,725.00 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
Monday December 16, 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))
12/13/13 4913 $1,725.00
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