INV-SM-00043525.pdf

PDF 94 KB Posted

Attached to
DCFS PO23-373 Survey Monkey annual subscription TP
Solicitation number
23-418DCFS-PROCU-B-34224
Issued by
St. Clair County, Illinois

About this file

This document is an invoice from Momentive Inc. (formerly SurveyMonkey Inc.) to the Illinois Department of Children & Family Services Office of Procurement for a SurveyMonkey Enterprise seat subscription. The invoice is for 10 seats with a term from January 8, 2023 to January 7, 2024 at a total cost of $17,160.00 USD. The invoice includes payment instructions for wire transfer, credit card, and check payments.

The invoice does not contain information about a state or local contract opportunity. It is simply a billing document for an existing subscription service between Momentive and the Illinois Department of Children & Family Services.

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INVOICE

Make all checks payable to Momentive and include invoice number on your check please. If you have any questions concerning this invoice, contact invoicing@momentive.ai

Invoice Date: January 08, 2023 Invoice #: INV-SM-00043525

Payment Terms: Net 30 Due Date: February 07, 2023

Momentive Inc.

(formerly SurveyMonkey Inc.)

One Curiosity Way San Mateo, CA, 94403, USA

Bill To Purchase Order #:

IL Dept of Children & Family Svcs

Office of Procurement Order ID: Q-53222

Project Name:

406 E Monroe St, Station 470 Springfield Illinois 62701 United States

Invoice Notes:

This invoice is subject to the agreement between the parties with the Order ID listed above.

Please remit payment using the information below.

Payment by Wire: Payment by Credit Card: Payment by Check Bank Name: Bank of America Account Name: Momentive A/C Number: 485005765897 ABA Number: 026009593 SWIFT Code: BOFAUS3N

ACH:

Bank of America 121 Morrison St. Ste. 1700 Portland, OR 97204 Account Number: 485005765897 Routing Number: 323070380

Please use the link in the email message.

Account Name: Momentive Inc.

c/o Bank of America Lockbox Services 32330 Collections Center Drive Chicago, IL 60693-2330

US

Please find link here to our current W9 form for your records.

Item Start Date End Date Quantity Cost SurveyMonkey Enterprise - Seat January 08, 2023 January 07, 2024 10 8,580.00 USD

SurveyMonkey Enterprise - Seat January 08, 2023 January 07, 2024 10 8,580.00 USD

Sub-Total: 17,160.00 USD Tax: 0.00 USD Total: 17,160.00 USD Invoice Balance: 17,160.00 USD https://prod.smassets.net/assets/cms/help/uploads/Form-W-9-2022.pdf https://prod.smassets.net/assets/cms/help/uploads/Form-W-9-2022.pdf

INVOICE

Make all checks payable to Momentive and include invoice number on your check please. If you have any questions concerning this invoice, contact invoicing@momentive.ai

File details come from the government source that posted it. Updated .