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COPY <br /> CITY OF DECATUR C HE C K RE UE S T <br /> #1 Gary K. Anderson Plaza � <br /> Decatur, IL 62523 <br /> Phone: 217-424-2707 <br /> DATE: 4/9/2010 REQUESTED BY: MARIA HAMMON <br /> DATE CHECK IS TO BE WRITTEN: <br /> VENDOR NAME &ADDRESS: ❑ For A/P Use Only <br /> SUNGARD PUBLIC SECTOR INC. <br /> BANK OF AMERICA <br /> 12709-COLLECTION CENTER DRIVE VEN DOR NO: 2219 REMIT NO: <br /> CHICAGO, IL 60693 INVOICE NO: 18035/18125 <br /> INVOICE DATE: 03/31/2010 <br /> ORGANIZATION OBJECT <br /> CODE CODE DESCRIPTION AMOUNT <br /> SUNGARD PUBLIC SECTOR SOFTWARE ANNUAL <br /> 10460602 421700 MAINTENANCE FOR PERIOD MAY 1,2010 THROUGH $8,077.00 <br /> APRIL 30,2011 <br /> PROJECT CODE <br /> SUNGARD PUBLIC SECTOR SOFTWARE ANNUAL <br /> 10460602 424700 MAINTENANCE FOR PERIOD MAY 1,2010 THROUGH $23,075.00 <br /> APRIL 30,2011 <br /> PROJECT CODE <br /> SUNGARD PUBLIC SECTOR SOFTWARE ANNiJAL <br /> 10460652 424700 MAINTENANCE FOR PERIOD MAY 1,2010 THROUGH $31,203.62 <br /> APRIL 30,2011 <br /> PROJECT CODE <br /> TOTAL <br /> $62,355.62 <br /> ❑ Subject to Prevailing Wage Act <br /> Certified Payroll Attached <br /> AUTHORI2ED BY FINANCE <br /> DEPARTMENT DIRECTOR DATE DEPARTMENT DATE <br /> AUTHORIZATION <br /> Forward the signed original of this form to the Finance Department; print a second copy for your file. <br /> All Check Requests MUST be accompanied by the ORIGINAL INVOICE OR ORDER FORM and a COPY of the <br /> original invoice or order form. The original invoice or order form is attached to the City's copy of the check and kept in the <br /> Finance Department and the copy is sent to the vendor with the check. For Check Requests subject to the Prevailing Wage Act, <br /> the ce�tified payroll submitted to the procuring Department Director by the contractor MUST also be attached. <br /> For proper internal control, all checks requested on this form will be mailed by the Finance Department. <br /> Form 5-2-26e <br />