214285 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 365075 Page 1 of 1
t ONE CIVIC SQUARE EXPERIAN
r CARMEL, INDIANA 46032 DEPT 1971 CHECK AMOUNT: $22.22
LOS ANGELES CA 90088-1971 CHECK NUMBER: 214285
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 CD1307005723 22 .22 OTHER PROFESSIONAL FE
8:46 Page 1 of 3
.: V Experian- Customer Invoice
Invoice number: CD1307005723
Invoice date: October 26, 2012
475 Anton Blvd. Account number: TBD2-1925789
Costa Mesa, CA 92626 a.
0117735 02MB0.401 -AUTO 10901046032-258403 -C01-P17752-11
Current charges due $22.22
Due date: NOVEMBER 25, 2012
CARMEL POLICE DEPARTMENT
TERESA ANDERSON
3 CIVIC SQ
CARMEL, IN 46032-2584
Please refer to page 2 for summary information.
Important information
Resources
YOURINVOICE INCLUDES A MONTHLY
SUBSCRIBER SERVICE�'CHARGE OF
Customer Service $2700 FOR EACH'SUBSCRIBER`CODE
(including address changes and cancellation) MAINTAINED IN.OUR SYSTEM
701 EXPERIAN PKWY
ALLEN, TX 75013
(800)831-5614
Billing Inquiries
800-831-5614 option 5
billing.questions @experian.com
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0: V Expe r i a n- Invoice number: CD1307005723
';s;*. Invoice date: October 26, 2012
Account number: TBD2-1925789
CARMEL POLICE DEPARTMENT
Customer invoice TERESA ANDERSON
For customer service, please contact(800)831-5614. 3 CIVIC SQ
CARMEL, IN 460322584
SUMMARY OF CHARGES
SUBSCRIBER SUMMARY
FILE TOTAL
UNITS REPORT TYPES ACCESSED CHARGE
3 EMPLOYMENT INSIGHT EXP $19.50
3 TOTAL CREDIT PROFILES $19.50
OTHER CHARGES/CREDITS
1 SERVICE CHARGE $2.00
1 FACTA COST RECOVERY CHARGE $0.72
CHARGE CALCULATED @ 0.24 ON 3 UNITS
TOTAL OTHER CHARGESICREDITS $2.72
TOTAL CHARGES F $22.22
DETAIL OF CHARGES
Date Time ' OP Last Name First Name Address City Inquiry Area Inq Base
ID Type Unit Price
10/12 13:08:53 GB BAY CHRISTOP 1410 75TH ST INDIANAPOLIS IN 46240 T 29 $6.5
10/12 13:23:30 GB GOSSETT LUCAS 759 CLEAR LAKE WAY ORO VALLEY AZ 85737 T 29 $6.5
10/12 13:27:17 GB RICE JONATHAN 1201 PARK AVE WARSAW IN 46580 T 29 $6.5
0
Inquiry Area T=Experian B=Bureau +=Additional optional services access are not reflected in the Base Unit Price o
`T INDICATES THAT TEXAS TAX WAS APPLIED °
Q
0
INQUIRY TYPE LEGEND: 29-EMPLOYMENT INSIGHT w
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0:46 Page 3 of 3
•: V ExperiansM Customer Statement
�;�;*. Statement date: October 27, 2012
Branch: TBD2
475 Anton Blvd. Account number: 1925789
Costa Mesa, CA 92626
Current charges due: $22.22
CARMEL POLICE DEPARTMENT Net past due: $0.00
TERESA ANDERSON Total amount due: $22.22
3 CIVIC SQ
CARMEL IN 460322584 Last 2 payments received
Date Amount
11/28/11 $48.70
09/23/11 $8.74
a
Customer Service
Consumer Credit 800-831-5614
Business Credit 800-520-1221 I.
SUMMARY OF OPEN ITEMS -
Transactions may include more than one of the following codes: INV=Invoice D/M=Debit Memo C/M=Credit Memo O/A=On Account Payments
Transaction Transaction Transaction
Branch Description Number Transaction Date Due Date Amount
TBD2 INV CD1307005723 10/26/12 11/25/12 $22.22
SUMMARY OF PAST DUE ITEMS
1 to 30 Days 31 to 60 Days 61 to 90 Days Over 90 Days O/A Payments Credits
$0.00 $0.00 $0.00 $0.00 0.00 $0.00
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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))
10/26/12 CD1307005723 applicant background check $22.22
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
Experian
IN SUM OF $
Department 1971
Los Angeles, CA 90088-1971
$22.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I CD1307005723 I 43-419.99 I $22.22 1 hereby certify that the attached invoice(s), or
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
Thursday, November 01, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund