320730 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 362655
ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $********77.15*
f r° CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 320730
PO BOX 27903 CHECK DATE: 01/11/18
NEW YORK NY 10087-7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 927526 77.15 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 362655 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INTELLICORP IN SUM OF$ CITY OF CARMEL
GENERAL POST OFFICE An invoice or bill to be properly itemized must show!kind of service,where performed,dates service
PO BOX 27903 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
NEW YORK, NY 10087-7903
Payee
$77.15
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
927526 43-588.00 $77.15 1 hereby certify that the attached invoice(s),or 12/31/17 927526 $77.15
1201 101 Prig-Year 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,January 09,2018
Lamb, Barbara
Director
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:
4 a General Post Office
Q PO Box 27903
New York NY 10087-7903
Intellrorp ®e. United States
Srmrt SCrL-,*Z.Be.ter lining_Peace of h'Md,
Account ID: CIT00071 INVOICE Fed ID #11-3661488
CUSTOMER
CITY OF CARMEL Invoice No: 927526
JIM SPELBRING Invoice Date: December 31,2017
ACCOUNTS PAYABLE Page: 1 Of 1
ONE CIVIC SQUARE
CARMEL IN 46032
United States
Item Description Quantity Rate Net Amount
AZSCC AZ SNGL CNTY CRMNL SRCH 1.00 2.48 2.48
CTFADJ MANDATORY COURT FEES 1.00 2.50 2.50
(LSCC IL SNGL CNTY CRMNL SRCH 1.00 2.97 2.97
INSCC IN SNGL CNTY CRMNL SRCH 1.00 2.48 2.48
INSCC IN SNGL CNTY CRMNL SRCH 1.00 2.97 2.97
INSCC IN SNGL CNTY CRMNL SRCH 1.00 3.73 3.73
INSCC IN SNGL CNTY CRMNL SRCH 2.00 2.99 5.98
INSCC IN SNGL CNTY CRMNL SRCH 4.00 2.49 9.96
OFAC GOVERNMENT SANCTIONS 1.00 3.73 3.73
OFAC GOVERNMENT SANCTIONS 2.00 2.49 4.98
OFAC GOVERNMENT SANCTIONS 2.00 2.99 5.98
SSNVER SSN VERIFICATION 1.00 3.73 3.73
SSNVER SSN VERIFICATION 2.00 2.49 4.98
SSNVER SSN VERIFICATION 2.00 2.99 5.98
SUPERVAL VAL CRMNL SUPER SRCH 1.00 3.74 3.74
SUPERVAL VAL CRMNL SUPER - 2.49 4.98
SUPERVAL VAL CRMNL SUPER RCH , 2.0 2.99 5.98
fted To
JAN 11 2018 Invoice Net 77.15
Sales Tax 0.00
�p i �+ Invoice Total 77.15
G s� f'C A l TaN e L tl e f3
Payment Terms:Due Upon Receipt
Account Statement
Days 0-30 31-60 61-90 Over 90 Account Balance
Amount 77.15 0.00 0.00 0.00 77.15
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()intellicoQ2.net