HomeMy WebLinkAbout300138 07/12/16 ® ,
CITY OF CARMEL, INDIANA VENDOR: 36 655
�• ONE CIVIC SQUARE IN ELLICORP CHECK AMOUNT: $*******164.23*
9 =q, CARMEL, INDIANA 46032 GEP ERAL POST OFFICE CHECK NUMBER: 300138
PO 30X 27903 CHECK DATE: 07/12/16
NEW YORK NY 10067-7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 804768 164.23 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
INTELLICORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GENERAL POST OFFICE IN SUM OF$ 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.
$164.23 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
804768 43-588.00 $164.23 1 hereby certify that the attached invoice(s),or 6/30/16 804768 $164.23
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 or ere an
received except
Wednesday,July 06,2016
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
Please Remit.To:
• " * l General Post Office- .
PO Box 27903.
New York NY 10087-7903
1 .1 1 Cor ��i United States
5-r^ S,�;i�,g;,g„Cr kitiy Fc�cc c`!1,nd•. ,
Account 1D: CIT00079 I Fed ID #11-3661488 .
INVOICE : . .
CUSTOMER • . .
CITY OF CARMEL In4oice No: 804768
JIM SPELBRING Invoice Date:. June 30,2016
ACCOUNTS PAYABLE:, Pagel. 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 . 2.49 . 2.49
INSCC 1N SNCL CNTY CRMNL SRCH .2:00 2.97 6.94
INSCC IN SNGL CNTY CRMNL SRCH 2.00 2.99 ' ' 5.98
INSCC;. IN SNGL CNTY CRMNL SRCH 3.00 2.13 6:39.
INSCC. IN SNGL CNTY CRMNL SRCH 7.00 :. 3.73 26:11
MOSCC MO SNGC.CNTY CRMNL SRCH'.. 1.00, . '.: 2.15
OFAG GOVERNMENT SANCTIONS 1..00 2:13 21'3- '
OFAC. GOVERNMENT SANCTIONS' 1:00 2.49 2.49
OFAC. . GOVERNMENT SANCTIONS 2:00. 2.99 5.98
OFAC GOVERNMENT SANCTIONS 7.00 . 3.73 26.11 .
SCSCC: SC SNGL CNTY CRMNL SRCH ' . 1.00 2.49 2:49
SSNVER SSN VERIFICATION 1.00 : 2.13, 2.13'
SSNVER, SSN VERIFICATION. 1.00 2.49 2.49:
SSNVER- SSN VERIFICATION ' . 2.00 : 2.99 : . '.. 5.98 .
SSNVER SSN VERIFICATION 7.00 3.73 26.11
SUPERVAL VAL CRMNL'SUPER SRCH. 1:00, 2.13 2.93
SUPERVAL VAL CRMNL SUPER SRCH: : .1.00 2.49 2:4,9.
SUPERVAL VAL CRMNL SUPER SRCH' 2:00 . . 2.99 . 6.'98. .
SUPERVAL
VAL.CRMNL,SUPER SRCH 7.00 3.74 26.18
WVSCC WV SNGL CNTY CRMNL SRCH 1.00 2.48. :• . . : 2.48.
Invoice Net . 164.23
Sales Tax 0.00
Invoice.Total 64.23
Account Statement• Payment Terms:Due Upon Receipt
Days. 0-30 31-60 .61-90. Over 90 Account Balance,
Amount 164.23 0.00 0.00 0.00 . 164.23
Make Checks Payable,To:IntelliCorp Records,Inc.Please,include inYl nice#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 1-888-946-83551 or email customerservice@intellicorp.net .