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176145 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 355137 Page 1 of 1 ONE CIVIC SQUARE BLOODHOUND POLYGRAPH, INC CARMEL, INDIANA 46032 7741 D HARBORSIDE DR CHECK AMOUNT: $150.00 �!o? CAMBYIN 46113 CHECK NUMBER: 176145 CHECK DATE: 8/19/2009 DEPARTMENT A CCOU NT PO NUM BER IN N UMBER AMOU DESCRIPT 1110 4341999 150.00 OTHER PROFESSIONAL FE ^R 08/R4/2009 13:55 N0.226 1?01 BLOODHOUND POLYGRAPH INC. 7741 D HA..RBORSIDE DR. CAMBY, IN 46113 (317) 946 -9851 Officer Gary Bowman June 28, 2009 Carmel Police Department 3 Civic Square Carmel, IN 46032 Dear Sir: Per your request the following subjects were administered pre- employment polygraph exams regarding the Sworn Police Officer Positions. ADAM G. THEIS 150.00 TOTALOWED------------------------------------------ 150.00 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. Prescribiil by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Bloodhound Polygraph, Inc. Purchase Order No. 7741 D. Harborside Drive Terms Camby, IN 46113 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/28/09 payment for polygraphs for applicants 150.00 Total 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Bloodhound Polygraph, Inc. IN SUM OF 7741 D. Harborside Drive Camby, IN 46113 150.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 419 -99 150..00 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 August 13 20 09 Signature Chief of POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund