334087 01/04/19 y u�c�AM
CITY OF� CARMEL, INDIANA VENDOR: 362655. '
.� ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $k M i i f*N 8 47.044
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK NUMBER: 334087
PO BOX 27903 CHECK DATE: 01/04/19
NEW YORK NY 10087-7903
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 1007243 47.04 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 362655 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INTELLICORP IN SUM OF$ 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
$47.04
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
1007243 43-588.00 $47.04 1 hereby certify that the attached invoice(s),or 12/31/18 1007243 Background checks $47.04
1201 101 Prior 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
Thursday,January 3,2019
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
e
IntelliCorp Please Remit To:
General Post Office
PO Box 27903
New York NY 10087.7903
United States
Account ID: CIT00071 INVOICE Fed ID #11-3661488
CUSTOMER
CITY OF CARMEL Invoice No: 1007243
JIM SPELBRING Invoice Date: December 31,2018
ACCOUNTS PAYABLE Page: 1 of 1
ONE CIVIC SQUARE
CARMEL IN 46032
United States
Item Description Quantity Rate Net Amount
VDSBND2 STANDARD PACKAGE 3.00 15.68 47.04
Invoice Net 47.04
Sales Tax 0.00
Invoice Total 47.04
Submitted To
JAN 0 3 2019
Clerk Treasurer
Payment Terms:Due Upon Receipt
Account Statement
Days 0.30 31-60 61.90 Over 90 Account Balance
Amount 47.04 31.36 0.00 0.00 78.40
Make Checks Payable To:Intelli ecords,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(a)intellicorp.net