HomeMy WebLinkAbout259597 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 362655
ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $*******418.04*
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 259597
9�'�ruN PO BOX 27903 CHECK DATE: 06/14/16
NEW YORK NY 10087.7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 797772 418.04 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
INTELLICORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GENERAL POST OFFICE IN SUM OF$ CITY OF CARMEL
PO BOX 27903 An invoice or bill to be properly itemized must show!kind of service,where performed,dates service
NEW YORK, NY 10087-7903 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$418.04 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Human Resources Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
797772 43-588.00 $418.04 1 hereby certify that the attached invoice(s),or 5/31/16 797772 $418.04
1201 101 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
Wednesday,June 08,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
S�
.17
Please Remit to:
General'FostOffice.
PO Box 27903
S®� New York NY 10087-7003
I �1 •�® United States
r• g.€t z10 E sir.FL c?dr!..nd.
Account'ID: CIT.06071 Fed ID #,11-3661488
INVOICE
CUSTOMER. • . . . .
CITY OF,CARMEL: . - Invoice'No: 797772
-JIM SPELBRING' ' "Invoice Date:. May 31,2016
ACCOUNTS PAYABLE :. . . Page: . 1 of 1
ONE CIVIC SQUARE
CARMEL IN 46Q32
United States
Item. : Description Quantity Rate. : .' NetAmount:
INSCC IN SNGL CNTY CRMNL SRCH 1:00 2.48 2.48
INSCC' IN SNGL CNTY CRMNL SRCH 2.00 2.49 4.98
INSCC IN SNGL CNTY CRMNL SRCH 2.00 " ' - 3:74 7.48
INSCC IN SNGL CNTY CRMNL SRCH 4,60, - 2.97 11:88.
. INSCC.
IN SNGL CNTY CRMNL SRCH 4.00 2.99 11:96
INSCC IN SNGL CNTY CRMNL SRCH. '.. 21•.00. '. 3.73 . . 78.33 . '..
OFAC GOVERNMENT SANCTIONS -1.00 ' 2:49 2:49
OFAC. GOVERNMENT SANCTIONS 4:00 2.99 11.96
OFAC: . GOVERNMENT SANCTIONS 23:00 : 3.73'. 85.79
SSNVER SSN VERIFICATION 1.00' : : • $149" 2.49' . .
SSNVER SSN.VERIFICATION 4.00 2:99 11:96
SSNVER SSN VERIFICATION. . 23.00: 3.73. 1 85:79'
SUPERVAL VAL CRMNL'SUPER SRCH' 1.00: 2.49 2.49:
SUPERVAL VAL CRMNL SUPER SRCH' 2.00 3.73 7.46'
SUPERVAL VAL CRMNL SUPER SRCH4.00 2.99 11.96
SUPERVAL VAL CRMNL'SUPER SRCH. 21.00 3.74 78.54.
Invoice Net . . 418.04.
_77-
Sales Tax 0.00Submitted To,
.
Invoice.Total 418.04
JUN 0 6.:2016
Clerk Treasurer
Account Statement, Payment Terms:Due Upon Receipt
Days 0-30 31-60 61-90. Over 90. Account Balance:
Amount 418.04 0.00 0.00 0.00 418.04'
Make Checks Payable To:IntelliCorp Records,Inc.Please include invoice#on remittance.
If you would like,to pririt•acopy 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