244935 05/05/2015 CITY OF CARMEL, INDIANA VENDOR: 362655 *******
{ ® ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $ 139.50*
s. =Q CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 244935
+M PO BOX 27903 CHECK DATE: 05/05/15
orb* NEW YORK NY 10087-7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 709232 139.50 TESTING FEES
Please Remit To:
General Post Office
PO Box 27903
New York NY 10087-7903
United States
Account ID: CIT00071 INVOICE Fed ID #11-3661488
CUSTOMER
CITY OF CARMEL Invoice No: 709232
JIM SPELBRING Invoice Date: April 30,2015
ACCOUNTS PAYABLE Page: 1 of 1
ONE CIVIC SQUARE
CARMEL IN 46032
United States
Item Description Quantity Rate Net Amount
ALSCC AL SNGL CNTY CRMNL SRCH 1.00 1.99 1.99
GASCC GA SNGL CNTY CRMNL SRCH 1.00 1.99 1.99
INSCC IN SNGL CNTY CRMNL SRCH 3.00 2.32 6.96
INSCC IN SNGL CNTY CRMNL SRCH 4.00 2.79 11.16
INSCC IN SNGL CNTY CRMNL SRCH 6.00 3.49 17.45
INSCC IN SNGL CNTY CRMNL SRCH 6.00 1.99 11.94
OFAC GOVERNMENT SANCTIONS 1.00 2.32 2.32
OFAC GOVERNMENT SANCTIONS 2.00 1.99 3.98
OFAC GOVERNMENT SANCTIONS 2.00 2.79 5.58
OFAC GOVERNMENT SANCTIONS 5.00 3.49 17.45
SSNVER SSN VERIFICATION 1.00 2.32 2.32
SSNVER SSN VERIFICATION 2.00 1.99 3.98
SSNVER SSN VERIFICATION 2.00 2.79 5.58
SSNVER SSN VERIFICATION 5.00 3.49 17.45
SUPERVAL VAL CRMNL SUPER SRCH 1.00 2.35 2.35
SUPERVAL VAL CRMNL SUPER SRCH 2.00 2.01 4.02
SUPERVAL VAL CRMNL SUPER SRCH 2.00 2.79 5.58
SUPERVAL VAL CRMNL SUPER SRCH 5.00 3.48 17.40
Submitted
�+ Invoice Net 139.50
5l® Sales Tax 0.00
Invoice-Total- �..139.50
MAY 0 4 2015
Clerk Treasurer
Account Statement Payment Terms:Due Upon Receipt
Days 0-30 31-60 61-90 Over 90 Account Balance
Amount 139.50 0.00 0.00 0.00 139.50
Make Checks Payable To:IntelliCorp Records,Inc.Please include invoice#on remittance.
If you would like to print a copy of your invoice or pay your balance online,go to www.intellicorp.net>Your Account>Manage Account
For billing questions,please contact Client Service at 1-888-946-8355 or email customerservice@intellicorp.net
VOUCHER NO. WARRANT NO.
ALLOWED 20
IntelliCorp
IN SUM OF$
PO Box 27903
New York, NY 10087-7903
$139.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 709232 I 43-588.00 I $139.50 I hereby certify that the attached invoice(s), or
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
Monday, May 04, 2015
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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
I
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
04/30/15 709232 $139.50
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