173387 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
ONE CIVIC SQUARE INTELLICORP
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK AMOUNT: $19.90
PO BOX 27903 CHECK NUMBER: 173387
NEW YORK NY 10087 -7903
CHECK DATE: 6/10/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DE SCRIPTION
1201 4350900 315491 19.90 OTHER CONT.SERVICES
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r
Please Remit To:
IntelliCorp
General Post Office
0\ Box 27903
New York NY 10087 -7903
United States
lN7ELLIGfJ FtC
Fed ID 11- 3661488 INVOICE
Customer: Amount Due: 19.90 USD
CITY OF CARMEL
JIM SPELBRING
ACCOUNTS PAYABLE
HUMAN RESOURCES DEPARTMENT
ONE CIVC SQUARE
CARMEL IN 46032
United States
Invoice No: 316491
Account ID: CIT00036 Invoice Date: May 31, 2009
Page: 1 of 1
Item Description Quantity Rate Net Amount
SUPER CRMNL SUPER SRCH 2.00 2.49 4.98
SEXOFNDR NATIONWIDE SXOFNDR REGISTRY 2.00 2.49 4.98
SSNVER SSN VERIFICATION 2.00 2.49 4.98
OFAC TERRORIST SRCH 2.00 2.48 4.96
For Billing Questions Phone: 1-888- 946 -8355 Invoice net: 19.90
Fax: 216 -450 -5301
TERMS DUE UPON RECIEPT -LATE PAYMENTS ARE SUBJECT TO SERVICE INTERRUPTION.
Invoice Total: 19.90 USD
PrElicribed by §late 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.
L Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S d 315
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 m4ARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Ij i .9 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
Cigna uy�
y
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund