HomeMy WebLinkAbout304047 10/10/16 aY 4 CITY OF CARMEL, INDIANA VENDOR: 362655
(� ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $+***;# 14.93t
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 304047
=9,`yiFroN _ PO BOX 27903 CHECK DATE: 10/10/16
NEW YORK NY 10087-7903
DEPARTMENT ACCOUNT PO NUMBER - INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 825724 14.93 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
INTELLICORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GENERAL POST OFFICE IN SUM OF$ 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.
$14.93 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
825724 43-588.00 $14.93 1 hereby certify that the attached invoice(s),or 9/30/16 825724 $14.93
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
Tuesday,October 04,2016
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
1 Please Remit To:
General Post.Office
PO Box 27903
I I We New.York NY 10087-7903 .
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Account 1D: CIT00071 INVOICE Fed ID #,11-3661488
CUSTOMER.
CITY OF CARMEL' . . " . .. In4oice"No: 825724
JIM SPELBRING' Invoice Date:. September 30,2016 .
ACCOUNTS PAYABLE. Page: 1 of 1
. ',ONE CIVIC SQUARE
•
CARMEL'IN 46032
United States
ItemDescription . Quantity Rate. Net Amount:
INSCC IN SNGL CNTY CRMNL SRCH 1:00 3.73 3.73
OFACGOVERNMENT SANCTIONS .1.00 3.73 3.73
SSNVER SSN VERIFICATION" 1.00 3.73 3.73
SUPERVAL VAL CRMNL.SUPER SRCH1.00. :3.74 3:74.
Invoice Net 14.93: .
Sales Tax 0.00 .
Invoice:Total 14.93 . .
. Il itt d To
Account Statement, Payment Terms:Due Upon Receipt
Days0-30 31-60. 61-96, Over 9.0 Account Balance; .
Amount 14:93 0.00 0.000.00 14.93
_
Make Checks Payable To:IntelliCorp Records,Inc.,Please include invoice#on,remittance:
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