HomeMy WebLinkAbout255857 03/01/16 CITY OF CARMEL, INDIANA VENDOR: 362655
t, ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $*******147.42*
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 255857
M,iroN-�o. PO BOX 27903 CHECK DATE: 03/01/16
NEW YORK NY 10087-7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 764592 87.70 TESTING FEES
1201 4358800 770708 59.72 TESTING FEES
S$�S
Please Remit To:
"•a a1® 2 ` General Post Office
.+• PO Box 27903
lhCorP6 New York 10087-7903
��� United States
Smart Screenng.Witter Kling.Peace of:land.
Account ID: CIT00071 INVOICE Fed ID #11-3661488
CUSTOMER
CITY OF CARMEL Invoice No: 764592
JIM SPELBRING Invoice Date: December 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 1.74 1.74
CTFADJ MANDATORY COURT FEES 1.00 4.00 4.00
INSCC IN SNGL CNTY CRMNL SRCH 2.00 2.79 5.58
INSCC IN SNGL CNTY CRMNL SRCH 3.00 2.32 6.96
INSCC IN SNGL CNTY CRMNL SRCH 3.00 3.49 10.47
INSCC IN SNGL CNTY CRMNL SRCH 4:00 1.74 6.96
OFAC GOVERNMENT SANCTIONS 1.00 1.74 1.74
OFAC GOVERNMENT SANCTIONS 1.00 2.32 2.32
OFAC GOVERNMENT SANCTIONS 1.00 2.79 2.79
OFAC GOVERNMENT SANCTIONS 3.00 3.49 10.47
SSNVER SSN VERIFICATION 1.00 1.74 1.74
SSNVER SSN VERIFICATION 1.00 2.32 2.32
SSNVER SSN VERIFICATION 1.00 2.79 2.79
SSNVER SSN VERIFICATION 3.00 3.49 10.47
SUPERVAL VAL CRMNL SUPER SRCH 1.00 1.77 1.77
SUPERVAL VAL CRMNL.SUPER'SRCH 1:00 2.35 2.35
SUPERVAL VAL CRMNL SUPER SRCH 1.00 2.79 2.79
SUPERVAL VAL CRMNL SUPER SRCH 3.00 3.48 10.44
Invoice Net 87.70
Submitted FT® Sales Tax' 0.00
Invoice Total 87.70
FEB 0 8 2016
Clerk Treasurer
Account Statement Payment Terms:Due Upon Receipt
Days 0-30 31-60 61-90 Over 90 Account Balance
Amount 87.70 0.00 0.00 0.00 87.70
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
Please Remit To:
' ' • ® 1� General Post Office
`®: PO Box 27903
IntelhCor
• New York NY 10087-7903
• • United States
mart Screening.B_Cter Ening.Puce of Imd.
Account ID: CIT00071 Fed ID #11-3661488
INVOICE
CUSTOMER
CITY OF CARMELInvoice No: 770708
JIM SPELBRING Invoice Date: . January 31,2016
ACCOUNTS PAYABLE Page: 1 of"1
ONE CIVIC SQUARE
CARMEL IN 46032
United States
Item Description Quantity = Rate Net Amount
CO SCC CO SNCL CNTY CRMNL SRCH 1.00 2.99_ 2.99
INSCC IN SNGL CNTY CRMNL SRCH 1.00 2.99 2.99
INSCC IN SNGL CNTY CRMNL SRCH 2.00 3:73 7.46
INSCC IN SNGL CNTY CRMNL SRCH 3.00 2.49 7.47
OFAC GOVERNMENT SANCTIONS 1.00 2.49. 2.49'
OFAC GOVERNMENT SANCTIONS 1.00 2.99 _ 2.99
OFAC GOVERNMENT SANCTIONS 2.00 3.73 7.46
SSNVER SSN VERIFICATION 1.60 2.49 2.49
SSNVER SSN VERIFICATION 1.00 2.99 2.99
SSNVER SSN VERIFICATION 2.00 3.73 7.46
SUPERVAL VAL CRMNL SUPER SRCH .1.00 2.48 2.48
SUPERVAL VAL CRMNL SUPER SRCH 1.00 2.97 2.97
SUPERVAL VAL CRMNL SUPER SRCH 2.00 3.74. 7.48
-invoice Net 59.72
Sales Tax 0:00
Invoice Total 59.72
Submitted To
FEB 0 8 2016
Clerk Treasurer
Account Statement Payment Terms:Due Upon Receipt
Days 0-30 31-60 61-90 Over 90_ Account Balance
Amount 59.72 87.70 0.00 0.00 147.42
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 invoke#. Description Amount
Dept. Fund# (or note attachediinvoice(s)or bill(s))
12/31/15 764592 '- $87.70
1201 101 —7r
01/31/16 7.70708 $59.72
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