HomeMy WebLinkAbout169964 03/18/2009 I
CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
ONE CIVIC SQUARE INTELLICORP CHECK AMOUNT: $29.85
CARMEL, INDIANA 46032 GENERAL POST OFFICE
Lo PO BOX 27903 CHECK NUMBER: 169964
NEW YORK NY 10087 -7903
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1201 4350900 304680 29.85 OTHER CONT SERVICES
I
e
Please Remit To:
IntelliCorp
General Post Office
PO Box 27903
New York NY 10087 -7903
United States
'INTELI.ICOCtp
Fed ID 11- 3661488 INVOICE
Customer: Amount Due: 29.85 USD
CITY OF CARMEL
DOUGLAS CAMPBELL
ACCOUNTS PAYABLE
HUMAN RESOURCES DEPARTMENT
ONE CIVC SQUARE
CARMEL IN 46032
United States
Invoice No: 304680
Account ID: CIT00035 Invoice Date: February 28, 2009
Page: 1 of 1
Item Description Quantity Rate Net Amount
SUPER CRMNL SUPER SRCH 3.00 2.49 7.47
SEXOFNDR NATIONWIDE SXOFNDR REGISTRY 3.00 2.49 7.47
SSNVER SSN VERIFICATION 3.00 2.49 7.47
OFAC TERRORIST SRCH 3.00 2.48 7.44
For Billing Questions Phone: 1- 888 946 -8355 Invoice net: 29.85
Fax: 216 -450 -5301
TERMS DUE UPON RECIEPT -LATE PAYMENTS ARE SUBJECT TO SERVICE INTERRUPTION.
Invoice Total: 29.85 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
IntelliCorp Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Super Search, Nationwide Registry, 5
SS Verif Terror Sparch
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.
���0 9
ALLOWED 20
fntelliCorp
IN SUM OF
beneral Post Office
New ork, NY 10087 -7903
$29.85
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
bill(s) is (are) true and correct and that the
120 304680 509 8 gaterials or services itemized thereon for
which charge is made were ordered and
received except
20
v �Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund