Nevada, Iowa
Story County, Iowa BILLS MUST BE FULLY ITEMIZED WITH Lucinda Martin, Auditor INVOICES ATTACHED
FOR AUDITOR'S OFFICE USE ONLY
IN ACCOUNT WITH (Vendor) ForensiT Ltd Claim Number Address Accounts Receivable Innovation Centre Medway Maidstone Road Check Number Chatham, Kent ME 9FD, United Kingdom INVOICE DATE INVOICE NO. DESCRIPTION AMOUNT Date Paid 3/29/2019 190319161 Transwiz 5 Pro $374.75 APPROVED BY BOARD OF One Year Support & Maintenance $75.00 SUPERVISORS ON DATE Less 10% Gov. Discount -$44.97
P.O.: 5200046 CODE NUMBER(S) Shipping $0.00 Equipment Rent/Maintenance - GF 1000-9110-444-52 $404.78
AMOUNT CLAIMED $ $404.78
TOTAL CLAIM $404.78
CLAIMANT SIGNATURE (if applicable)
DEPARTMENT APPROVAL
www.ForensiT.com
Innovation Centre Medway Maidstone Road Chatham Kent ME5 9FD United Kingdom
[email protected] TEL: +44 (0) 845 838 7122 FAX: +44 (0) 870 751 7118 INVOICE
Invoice Number: 190319161 Invoice Date: 29th March 2019 VAT Number: GB 135 5888 80
Customer : Invoice Address:
Information Technology Accounts Payable Story County Story County 900 6th St.Nevada 900 6th St.Nevada IA 50201 IA 50201 United States United States
Order Reference: PO 5200049 Order Date: 29th March 2019
Part Item description Price
UTP111 ForensiT Transwiz 5 Professional license. $ 374.75 Serial Number B092FB27.
UTP111S One Years Support and Maintenance. $ 75.00
Total Net: $ 449.75 Less 10% Government Discount: $ 44.97
Total: $ 404.78 This is not a VAT Invoice Payment Terms: strictly 30 days net
Please remit US dollar funds via BACS/Wire transfer to: International Bank Account Number (IBAN) GB33HBUK40127660298797 Branch Identifier Code (BIC) HBUKGB4B Branch Address: HSBC, 231 High Street, Chatham, Kent, ME4 4BQ, UK
Alternatively pay by cheque payable to ForensiT Limited, remittance address ForensiT Ltd, Innovation Centre Medway, Maidstone Road, Chatham, Kent ME5 9FD, United Kingdom or via credit card online
Registered Office: ForensiT Ltd, charlton house, dour street, dover, kent CT16 1BL, UK Company Registered in England, Number 4677128.