205405 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 355137 Page 1 of 1
1 ONE CIVIC SQUARE BLOODHOUND POLYGRAPH, INC CHECK AMOUNT: $1,950.00
CARMEL, INDIANA 46032 920 NORTH INDIANA ST
MOORESVILLE IN 46158 CHECK NUMBER: 205405
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 1,950.00 OTHER CONT SERVICES
J
BLOODHOUND POLYGRAPH INC.
920 North Indiana Street
Mooresville, IN 46158
(317) 946 -9851
Carmel Fire Department December 27 2011
David Haboush
Assistant Chief of Administration
2 Civic Square
Carmel, IN 46032
Dear Sir:
Per your request the following subject were administered pre-
employment polygraph exam regarding the full time position of
fireman.
JEREMIAH ODEN $150.00
JORDAN $150.00
EDWARDLUX $150.00
EVANMAHER $150.00
SCOTT MARTIN $150.00
a �a.
JACOB WIAMOWSKI $150.00
CHRISTOPHER MCCLIMON $150.00
KYLE GALLAGHER $150.00
JUSTIN MALICOAT $150.00
AARON GIBBONS $150.00
MATT JONES $150.00
GABRIEL SILVA $150.00
BRANDON GREINER $150.00
TOTAL OWED $1950.00
Thank you for your business and if I can be of any further
assistance please feel to call upon me. Please note the new mailing
address above.
Larry R. Smith
President
Bloodhound Polygraph Inc.
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))
$1,950.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bloodhound Polygraph, Inc.
IN SUM OF
920 North Indiana Street
Mooresville, IN 46158
$1,950.00
4 r
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT
Board Members
1120 I I 43- 509.00 I $1,950.00 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
JAN 13 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund