180143 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $9.95
CARMEL, INDIANA 46032 GENERAL POST OFFICE
PO BOX 27903 CHECK NUMBER: 180143
NEW YORK NY 10087 -7903
CHECK DATE: 12/8/2009
DEPARTMENT ACC PO N INVO NU MBER AMOUNT DESCRIPTION
1201 4358800 338641 9.95 TESTING FEES
rs j
—5Z
Please Remit To:
17�\ IntelliCorp
General Post Office
PO Box 27903
New York NY 10087 -7903
United States
anerec.ucoRP
;ed 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: 338641
AccountlD: CIT00036 Invoice Date: November 30, 2009
Page: 1 of 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
P D
DEC 0 7 2000
By
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
4
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
Intellicorp
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/30/09 338641 Background Check $9.95
Total $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
1 VOUCHER NOp NO.
ALLOWED 20
Intellicorp
IN SUM OF
PO Box 27903
New York, NY 10087 -7903
$9.95
ON ACCOUNT OF APPROPRIATION FOR
General Fund
1201 Human Resources
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1201 338641 588 $9.95 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Gam.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund