334125 01/04/19 y u•,F�g3�
J`! CITY OF CARMEL, INDIANA VENDOR: 362456
ONE CIVIC SQUARE NEOGOV CHECK AMOUNT: $*****1,500.00*
s• CARMEL, INDIANA 46032 300 CONTINENTAL BLVD CHECK NUMBER: 334125
SUITE 565 CHECK DATE: 01/04/19
ELSEGUNDO CA 90245
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351502 INV26401 1,500.00 SOFTWARE MAINT CONTRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
vendor# 362456
IN SUM OF$ CITY OF CARMEL
NEOGOV
300 CONTINENTAL BLVD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SUITE 565 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
EL SEGUNDO, CA 90245
Payee
$1,500.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
INV26401 43-515.02 $1,500.00 1 hereby certify that the attached invoice(s),or 12/12/18 INV26401 Background Integration Module $1,500.00
1120 101 Prior Year 1120 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
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bi_II(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
.NEOGOV
Invoice
Governmentjobs.com, Inc. Date 12/12/2018
300 Continental Blvd Number INV26401
Suite 565
EI Segundo CA 90245
Due Date 1/11/2019
Bill To Terms Net 30
Barbara Lamb P.O.No.
City of Carmel-Human Resources
One Civic Square
Carmel IN 46032
United States
Item— Description Period Covered Amount
Background NEOGOV Background Check Integration Annual 1/1/2019-12/31/2019 1,500.00
Check Partner Maintenance
Integration Fee-
New `
Thank you for your business!
Total , 1,500.00
Please note remittance information below. Amount Due $1,500.00
To view and download a copy of our W9 please visit www.neogov.com/w-9