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HomeMy WebLinkAbout251603 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 362655 4< i` d i ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $**......13.95* CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 251603 PO BOX 27903 CHECK DATE: 11/18/15 NEW YORK NY 10087-7903 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 751541 13.95 TESTING FEES 5� 1Z�1 Please Remit To: • ° ° o o General Post Office 0 PO Box 27903 IntelliCorp ... 9ONew York NY 10087-7903 United States S-mn it+renzg Bever Rr4 Raze a`vj'd. Account ID: CIT00071 INVOICE Fed ID #11-3661488 CUSTOMER CITY OF CARMEL Invoice No: 751541 JIM SPELBRING Invoice Date: October 31,2015 ACCOUNTS PAYABLE Page: 1 of 1 ONE CIVIC SQUARE CARMEL IN 46032 United States Item Description Quantity Rate Net Amount INSCC IN SNGL CNTY CRMNL SRCH 1.00 3.49 3.49 OFAC GOVERNMENT SANCTIONS 1.00 3.49 3.49 SSNVER SSN VERIFICATION 1.00 3.49 3.49 SUPERVAL VAL CRMNL SUPER SRCH 1.00 3.48 3.48 Invoice Net 13.95 Sales Tax 0.00 Invoice Total 13.95 Submitted T® NOV 16 2015 Clerk Treasurer Account Statement Payment Terms: Due Upon Receipt Days 0-30 31-60 61-90 Over 90 Account Balance Amount 13.95 0.00 0.00 0.00 13.95 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 10/31/15I 751541 I I $13.95 1201 101 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 GENERAL POST OFFICE IN SUM OF $ PO BOX 27903 NEW YORK, NY 10087-7903 $13.95 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 751541 I 43-588.00 I $13.95 1 hereby certify that the attached invoice(s), or 1201 101 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, November 16, 2015 Barbara Lamb, HR Director Cost distribution ledger classification if claim paid motor vehicle highway fund