207750 04/10/2012 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: 207750
CHECK DATE: 4110/2012
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 3/05/12
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.
DARRYL R. SAGE 150.00
FREDDY VELASQUEZ 150.00
GABRIELLE PADILLA 150.00
BENJAMIN KNOCK 150.00
TOTAL, OWED--------------------------------------- 600
Please pay on receipt. Thank you for your business and if I
can be of further assistance please feel free to contact me.
Please notice the address change above.
Larry R. Smith
President
Bloodhound Polygraph Inc.
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
Bloodhound Polygraph, Inc. Purchase Order No.
920 North Indiana Street
Mooresville, IN 46T58 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/6/12 applicant polygraphs 600.00
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.
ALLOWED 20
Bloodhound Polygraph, Inc. IN SUM OF
920 North Indiana St
Mooresville, IN 46151
600.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 419.99 600.00 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
April 6, 2012
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund