186380 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
ONE CIVIC SQUARE INTELLICORP
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK AMOUNT: $9.95
PO BOX 27903
CHECK NUMBER: 186380
NEW YORK NY 10087 -7903
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 362096 9.95 TESTING FEES
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Please Remit To:
IntelliCorp
Cw General Post Office
l 0 0 PO Box 27903
New York NY 10087 -7903
United States
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Fed ID 11- 3661488
INVOICE
Customer: Amount Due: 9.95 USD
CITY OF CARMEL
JIM SPELBRING
ACCOUNTS PAYABLE
HUMAN RESOURCES DEPARTMENT
ONE CIVC SQUARE
CARMEL IN 46032
United States
Invoice No: 362096
Account ID: CIT00035 Invoice Date: May 31, 2010
Page: 1 o f 1
Item Description Quantity Rate Net Amount
SUPER CRMNL SUPER SRCH 1.00 2.49 2.49
INSCC IN SNGL CNTY CRMNL SRCH 1.00 2.49 2.49
SSNVER SSN VERIFICATION 1.00 2.49 2.49
OFAC TERRORIST SRCH 1.00 2.48 2.48
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JUN 7 r W
By
For Billing Questions Phone: 1- 888 946 -8355 Invoice net: 9.95
Fax: 216 -450 -5301
TERMS DUE UPON RECEIPT -LATE PAYMENTS ARE SUBJECT TO SERVICE INTERRUPTION.
Invoice Total 9.95 USD
VOI.!CHER NO. WARRANT NO.
ALLOWED 20
InteIHCorp
IN SUM OF
PO Box 27903
New York, NY 10087 -7903
$9.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1201 I 362096 I 43- 588.00 I $9.95 I hereby certify that the attached invoice(s), or
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
Monday, June 07, 2010
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/31/10 362096 $9.95
1 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
Clerk- Treasurer