187894 07/21/2010 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: 187894
NEW YORK NY 10087 -7903
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 366645 9.95 TESTING FEES
Please Remit To:
0 0 IntelliCorp
i O General Post Office
PO Box 27903
New York NY 10087 -7903
United States
Sean Screenar. Better F mt, Peace of Mnd.
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: 366645
Account ID: CIT00035 Invoice Date: June 30, 2010
Page: 1 of 1
Item Description Quantity Rate Net Amount
SUPER CRMNLSUPERSRCH 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
D
JUL 19 2010
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IntelliCorp
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. ACCT #!TITLE AMOUNT
Board Members
1201 366645 I 43-588-00 $9.95 1 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
Friday, July 16, 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
D ate Numb (or note attached invoice(s) or bill(s))
06/30/10 366645 $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