HomeMy WebLinkAbout228534 1/28/2014 "yE CITY OF CARMEL, INDIANA VENDOR: 366241 Page 1 of 1
ONE CIVIC SQUARE GIBSON TELDATA INC CHECK AMOUNT: $4,356.14
s' CARMEL, INDIANA 46032 Po Box 3000
.s,TON io TERRE HAUTE IN 47803 CHECK NUMBER: 228534
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 R4340400 26635 123113 4, 356 . 14 TERMINATION FEES
(i
December 31, 2013
City of Carmel
Attn: Janet Arnone
31 1" Avenue NW
Carmel, IN 46032
Pro-forma Invoice
Reference: PO# 26635
Per the purchase order referenced above, please provide payment for the following:
Revised support on former Water Plant controller moved to CCC $ 4,356.14
Executive Assurance Support per Exhibit A 3,958.50
Software Assurance addt'1 coverage to expire 6/23/18 397.64
Please remit to:
Gibson Teldata, Inc.
P.O. Box 3000
Terre Haute, IN 47803
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gibson Teledata Inc.
IN SUM OF $
P.O. Box 3000
Terre Haute, IN 47803
$4,356.14
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26635 I I 43-404.00 $4,356.14
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
Wednesday, January 22, 2014
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))
12/31/13 $4,356.14
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