HomeMy WebLinkAbout217210 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
` ONE CIVIC SQUARE INTELLICORP
CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK AMOUNT: $39.80
'+ !r PO BOX 27903
CHECK NUMBER: 217210
NEW YORK NY 10087-7903
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 527678 39. 80 TESTING FEES
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Please Remit To:
o tr IntelliCorp
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PO Box 27903
New York NY 10087-7903
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United States
Account ID: CIT00071 INVOICE Fed ID #11-3661488
Customer: Invoice No: 527678
CITY OF CARMEL Invoice Date: January 31,2013
JIM SPELBRING
ACCOUNTS PAYABLE Page: 1 of 1
ONE CIVIC SQUARE
CARMEL IN 46032
United States
Item Description Quantity Rate Net Amount
SUPER CRMNL SUPER SRCH 2.00 2.48 4.96
SUPER CRMNL SUPER SRCH 2.00 3.31 6.62
INSCC IN SNGL CNTY CRMNL SRCH 2.00 2.49 4.98
SSNVER SSN VERIFICATION 2.00 2.49 4.98
SSNVER SSN VERIFICATION 2.00 3.32 6.64
OFAC TERRORIST SRCH 2.00 2.49 4.98
OFAC TERRORIST SRCH 2.00 3.32 6.64
1P D Q FEB 1 1 2013
Invoice Net 39.80
Sales Tax 0.00
By Invoice Total 39.80
Account Statement Payment Terms : Due Upon Receipt
Days 0-30 31 -60 61 -90 Over 90 Account Balance
Amount 39.80 0.00 0.00 0.00 39.80
Make Checks Payable To:IntelliCorp Records, Inc. Please include invoice#on remittance.
If you would like to print a copy of your invoice or pay your balance online,go to www.intellicorp.net>Your Account>Manage Account
For billing questions,please contact Client Service at 1-888-946-8355 or email customerservice @intellicorp.net
--Prescribed b —
--
yState Board of Accounts - —
ACCOUNTS PAYABLE F
2°� BLE VOUCHER ty orm No.201(Rev. 1995)
WED CITY OF CARMEL
IN SUM OF$ An invoice or bill to be properly itemized must show:kind
whom, rates per day, number of hours, rate per hour Of service, where
Performed, dates service rendered, by
number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date I
and Members Invoice Invoice e Du
Date Number Description
or 01/31/13 527678 (or note attached invoice s
( )or bill(s)) Amount
"r-qt the
1 hereby cet�jfy that thereon for
$39.80
bill(s� �s lapel ttueiered and
rClateCiaiS o�
which cr
reC'
February 11, 2013
ector, HR
Title
I hereby certify that the attached invoice(s), or bill(s) is ar
with IC 5-11-10-1.6 (are)true and correct and I have audited same in accordance
nce
Clerk-Treasurer
4
VOUCHER NO. WARRANTT N A�
IntelliCorp
PO Box 27903
New York, NY 10087-7903
$39.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
AMv
PO#/Dept. INVOICE NO. ACCT#/TITLE
1201 527678 43-588.00
Cost distribution ledger classifies=--=�`
claim paid motor vehicle highw `�
� I
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
6 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.
R Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/31/13 527678 $39.80
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
t
VOUCHER NO. WARRANT NO.
ALLOWED 20
IntelliCorp
IN SUM OF $
PO Box 27903
New York, NY 10087-7903
$39.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 527678 43-588.00 $39.80 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
Monday, February 111, 2013
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund