178223 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
o. `f ONE CIVIC SQUARE INTELLICORP
CHECK AMOUNT: $9.95
CARMEL, INDIANA 46032 GENERAL POST OFFICE
PO BOX 27903
CHECK NUMBER: 178223
NEW YORK NY 10087 -7903
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 330833 9.95 TESTING FEES
Please Remit To:
IntelliCorp
General Post Office
PO Box 27903
New York NY 10087 -7903
United States
1NTELLiCORP
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: 330833
Account ID: CIT00035 Invoice Date: September 30, 2009
Page: 1 of 1
Item Description Quantity Rate Net Amount
SUPER CRMNL SUPER SRCH 1.00 2.49 2.49
SEXOFNDR NATIONWIDE SXOFNDR REGISTRY 1.00 2.49 2.49
SSNVER SSN VERIFICATION 1.00 2.49 2.49
OFAC TERRORIST SRCH 1.00 2.48 2.48
For Billing Questions Phone: 1- 888 946 -8355 Invoice net: 9.95
Fax: 216 -450 -5301
TERMS DUE UPON RECIEPT -LATE PAYMENTS ARE SUBJECT TO SERVICE INTERRUPTION.
Invoice Total: 9.95 USD
Prescribed by State 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o `�33 5
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 1\10_ 1 4)� nWARRANT NO.
ALLOWED 20
COs IN SUM OF
(?,D G_ 2 103
ON ACCOUNT OF APPROPRIATION FOR
1 Zo
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2 3 1 336533 7 '75 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
20
nature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund