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207385 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 355137 Page 1 of 1 ONE CIVIC SQUARE BLOODHOUND POLYGRAPH, INC CARMEL, INDIANA 46032 920 NORTH INDIANA ST CHECK AMOUNT: $600.00 MOORESVILLE IN 46158 CHECK NUMBER: 207385 CHECK DATE: 3126/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4341999 600.00 OTHER PROFESSIONAL FE BLOODHOUND POLYGRAPH INC. 920 NORTH INDIANA STREET MOORESVILLE, IN 46158 (317) 946 -9851 TO: Officer Gary Bowman 3/14/12 Carmel Police Department 3 Civic Square Carmel, IN 46032 Dear Sir: Per your request the following applicant for Police Officers were administered pre employment polygraph exams. ADAM C. JOHNSON 150.00 BRIAN C. RAYL 150.00 JOHN P. HOLDMAN 150.00 JOHN P. FITZGERALD 150.00 -$0 �ao_ 00 TOTAL OWED--------------------------------------- r 00 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/14/12 applicant polygraphs $600.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Bloodhound Polygraph, Inc. IN SUM OF 7741 D. Harborside Drive Camby, IN 46113 $600.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 43- 419.99 $600.00 I hereby certify that the attached invoice(s), or I I I 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 Wednesday, March 21, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund