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220207 05/21/2013
CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1 ` ONE CIVIC SQUARE INTELLICORP a CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK AMOUNT: $287.45 PO BOX 27903 CHECK NUMBER: 220207 NEW YORK NY 10087-7903 CHECK DATE: 5/2112013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 545946 287 .45 TESTING FEES I ° Q C'Q Please Remit To: �0© IntelliCorp Records,Inc. Intellicorp WdhCAr[p1 ® 3000 Auburn Drive,Suit 410 General Post Office Beachwood,OH 44122 PO Box 27903 New York NY 10087-7903 United States Fed ID #11-3661488 INVOICE Customer: Amount Due: C:287.45 US CITY OF CARMEL JIM SPELBRING ACCOUNTS PAYABLE ONE CIVIC SQUARE CARMEL IN 46032 I Account ID: CIT00071 Invoice No: 545946 Invoice Date: April 30,2013 Item Description Quantity Rate Net Amount INSCC Indiana Single County Criminal Search 2 9.95 19.90 INSCC Indiana Single County Criminal Search 26 2.49 64.74 OFAC Terrorist Search(OFAC,BIS,DDTC) 26 2.49 64.74 SSNVER SSN Verification 26 2.49 64.74 SUPER Criminal SuperSearch 26 2.48 64.48 SUPERFN Criminal Super Search(using Former Last Name) 3 2.95 8.85 For Billing Questions Phone: 216-450-5300 Invoice net: 287.45 Fax: 216-450-5301 Sales Tax: 0.00 TERMS DUE UPON RECIEPT-LATE PAYMENTS ARE SUBJECT TO SERVICE INTERRUPTION. Invoice Total: 287.45 USD Dz MAY 2 0 2013 i By 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)) 04/30/13 545946 $287.45 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 IntelliCorp IN SUM OF $ PO Box 27903 New York, NY 10087-7903 $287.45 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1201 I 545946 I 43-588.00 I $287.45 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, May 20, 2013 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund