220665 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 362655 Page 1 of 1
ONE CIVIC SQUARE INTELLICORP
y CARMEL, INDIANA 46032 GENERAL POST OFFICE CHECK AMOUNT: $278.60
PO BOX 27903 CHECK NUMBER: 220665
NEW YORK NY 10087-7903
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 552564 278 . 60 TESTING FEES
• ° ° °op Please Remit To:
®� a IntelliCorp Records,Inc. Intellicorp
Intelli' "orp so® 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: 278.60 USD
CITY OF CARMEL
JIM SPELBRING
ACCOUNTS PAYABLE
ONE CIVIC SQUARE
CARMEL IN 46032
Invoice No: 552564
Account ID: CIT00071
Invoice Date: May 31,2013
Item Description Quantity Rate Net Amount
INSCC Indiana Single County Criminal Search 28 2.49 69.72
OFAC Terrorist Search(OFAC,BIS,DDTC) 28 2.49 69.72
SSNVER SSN Verification 28 2.49 69.72
SUPER Criminal SuperSearch 28 2.48 69.44
For Billing Questions Phone: 216-450-5300 Invoice net: 278.60
Fax: 216-450-5301 Sales Tax: 0.00
TERMS DUE UPON RECIEPT-LATE PAYMENTS ARE SUBJECT TO SERVICE INTERRUPTION.
Invoice Total: 278.60 USD
E oQ
JUN 0 3 2013
�r
By f
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
IntelliCorp
IN SUM OF $
PO Box 27903
New York, NY 10087-7903
$278.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 552564 I 43-588.00 I $278.60 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, June 03, 2013
f� C�
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/31/13 552564 $278.60
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