249321 09/09/15 �ur Cgq*f
CITY OF CARMEL, INDIANA VENDOR: 362655
d it ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $**.....167.40*
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 249321
PO BOX 27903 CHECK DATE: 09/09/15
NEW YORK NY 10087-7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 737488 167.40 TESTING FEES
Please Remit To:
• ' ° 0 0 0 General Post Office
Q® PO Box 27903
Intelh e.. New York NY 10087-7903
United States
Smart SumfhS.Better I-Enn&Phare of Mind.
Account ID: CIT00071 INVOICE Fed ID #11-3661488
CUSTOMER
CITY OF CARMEL Invoice No: 737488
JIM SPELBRING Invoice Date: August 31,2015
ACCOUNTS PAYABLE Page: 1 of 1
ONE CIVIC SQUARE
CARMEL IN 46032
United States
Item Description .Quantity Rate Net Amount
CASCC CA SNGL CNTY CRMNL SRCH 1.00 2.32 2.32
GASCC GA SNGL CNTY CRMNL SRCH 1.00 2.32 2.32
ILSCC IL SNGL CNTY CRMNL SRCH 1.00 2.32 2.32
INSCC IN SNGL CNTY CRMNL SRCH 4.00 3.49 13.96
INSCC IN SNGL CNTY CRMNL SRCH 8.00 2.79 22.32
INSCC IN SNGL CNTY CRMNL SRCH 9.00 2.32 20.88
OFAC GOVERNMENT SANCTIONS 4.00 2.32 9.28
OFAC GOVERNMENT SANCTIONS 4.00 2.79 11.16
OFAC GOVERNMENT SANCTIONS 4.00 3.49 13.96
SSNVER SSN VERIFICATION 4.00 2.32 9.28
SSNVER SSN VERIFICATION 4.00 2.79 11.16
SSNVER SSN VERIFICATION 4.00 3.49 13.96
SUPERVAL VAL CRMNL SUPER SRCH 4.00 2.35 9.40
SUPERVAL VAL CRMNL SUPER SRCH 4.00 2.79 11.16
SUPERVAL VAL CRMNL SUPER SRCH 4.00 3.48 13.92
Invoice Net 167.40
Sales Tax 0.00
Submitted To Invoice Total 167.40
SEP 0 4 2015
Clerk Treasurer
Account Statement Payment Terms:Due Upon Receipt
Days 0-30 31-60 61-90 Over 90 Account Balance
Amount 167.40 0.00 0.00 0.00 167.40
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
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
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/31/15 737488 $167.40
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IntelliCorp
IN SUM OF $
PO Box 27903
New York, NY 10087-7903
$167.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 737488 I 43-588.00 I $167.40 1 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
Wednesday, September 02, 2015
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund