V6 FORM FIN1510-01 For Accounts Payable Use Only Vendor Number 52985 GEORGI E 2016 CHECK REQUEST FORM Uset this formt to arrange for payment toi individuals or businesses when a Purchase Order or P-card is not required. This form must be: submitted in typed format only. Vendor Information Date 1/2/2025 Vendor or Employee Name Tyler Technologies, Inc. (FEIN 75-2303920) Mailing Address PO Box 203556 Dallas, TX: 75320-3556 Email Address ar@tylertech.com Clek eCows Ifp payment is to a Vendor, isa W-9on file in the Purchasing Office? IfN No, a completed W-9 MUSTbe attached. Email Meagan Porch in our Purchasing Division. meagan.porh@rocktalecountypagox EXPENSE/ACCOUNT DETAILS Date of Service or Invoice 1/1/2025 Description (for individuals, Services, Expense Reimbursements) CSAM Invoice for 2025 G-2018-96 C2019-149 General Ledger Account Fund Function Account Dept. Amount $62,002.40 100 2180 521300 23 Total Check Amount $62,002.40 DESCRIBE FULLY THE NATURE OF THE PAYMENT Invoice 020-157008 for Annual Maintenance and Support for all divisions using Odyssey 2024 Cost 59,649,40 C2014-14M SIGNATURES/APPROVAS Dept-Pesignes Date -D5-55pirector: of Finance Date Date Purchasing CHECK HANDLINGI 6.Picku Up-Approval by Finance Director 2:00 pme every Friday - 1425 ywrta INSTRUCTIONS 5.Mail envelope) SK 7.Send Inter-Department Mail (Enclose attachmentsi ifrequiredinle letter size Available att the Finance OfficeF Front Deska after Willb be placedi inr mailbox after 2:00p p.me everyF Friday Please send this form attachments DANT with the X093 y to Department of Finance. Each processed the following Friday. check request received Monday-Friday will bel 2035-21 Remittance: Tyler Technologies, Inc (FEIN 75-2303920) Box: 203556 P.O. Questions: Tyler Technologies- Courts &. Justice Phone: 1-800-772-2260 Press 2, then3 Email: ar@lylertech.com Invoice Date 01/01/2025 Invoice No 020-157008 Page 1of1 tyler technologies Dallas, TX 75320-3556 BillTa ROCKDALECOUNTY P.O. BOX289 CONYERS, GA30012 Ship Ta ROCKDALECOUNTY P.O. BOX289 CONYERS, GA30012 Cust No.-BillTo-ShpTo Ord No 45813- - MAIN -MAIN 109667 Contract No.: Rockdale Co. Finance Dir. PONumber Currency USD Terms NET30 Rate 62,002.40 Due Date 01/31/2025 Extended Price 62,002.40 Contract Date 13/Jul/2018 Description Units 1 Odyssey Support Account Manager Annual Maintenance and Support Cycle: Start: 01/Jan/2025, End: 31/Dec/2025 6# Q-8D&-4L0 DATE 1-87-54 SCAPIONE Anoua) Cetomer mabrto Dusey R: FCAB QCNEN A ACH "ATTENTION" Subtotal Sales Tax Invoice Total 62,002.40 $0.00 62,002.40 Order your checks and forms from Tyler Business Forms at 877-749-2090 or yerpusinessformscom to guarantee 100% compliance with your software.