172383 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $9.95
f CARMEL, INDIANA 46032 GENERAL POST OFFICE
PO BOX 27903 CHECK NUMBER: 172383
NEW YORK NY 10087 -7903
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM D
1201 4350900 311851 9.95 OTHER CONT SERVICES
Please Remit To:
IntelliCorp
General Post Office
PO Box 27903
New York NY 10087 -7903
United States
�.�rrEta..t5rrr�
Fed ID 11- 3661488 INVOICE
Customer: Amount Due: 9.95 USD
CITY OF CARMEL
DOUGLAS CAMPBELL
ACCOUNTS PAYABLE
HUMAN RESOURCES DEPARTMENT
ONE CIVC SQUARE
CARMEL IN 46032
United States
Invoice No: 311851
Account ID: CIT00035 Invoice Date: April 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 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
I ntelliCorn Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04130/09 311851 Cinin! Super Srch, Nationwide sxofndr RegistFy, SSN VeFif
Total $9.95
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. RRANT NO.
ALLOWED 20
b ox 2 7903 IN SUM OF
New York NY 10087:7983
$9.95
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
q281 311851 bill(s) is (are) true and correct and that the
509 $9 materials or services itemized thereon for
which charge is made were ordered and
received except
20
✓I g n ur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund 7-.�a