AB FS1-EP Fingerprinting - Sept. invoice_.pdf
PDF 215 KB Posted
- Contract number
- 24-416CMS-BOSS4-P-75523
- Issued by
- Illinois
About this file
This document is a Request for Purchase form from the Illinois Department of Human Services' State Operated Developmental Centers, specifically for the Ann Kiley Center located in Waukegan, IL. The purchase request involves Accurate Biometrics, a vendor based in Itasca, IL, and is processed through the facility's business office with authorization from Business Administrator Angelica Calas.
The purchase involves HR fingerprinting services for new applicants, comprising three specific fees: an Illinois State Police Fee ($15.00 per unit), an FBI Fee ($12.00 per unit), and an Accurate Biometric Service Fee ($20.00 per unit). The total quantity requested is 6 units for each fee type, resulting in a total purchase amount of $282.00. The purchase will be funded through the General Revenue fund (SubUnit 9003) and was requested by Trevor Singh on 10/3/2025. The document indicates this is for a September invoice and has been approved by the business office.
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Text version
CENTER: Ann Kiley Center DATE: 10/1/2025
Object Code Vendor
Local Purchase Y/N
For Local Purchase, if $500 or greater, 3 vendors were contacted Y/N
BidBuy Purchase Y/N
YTD $ for vendor not on master contract
(including current request) Description Qty Unit Unit Cost Total Cost Justification
1289 Accurate Biometrics N N Y illinois State Police Fee 6 EA $15.00 90.00$ HR Fingerprinting New Applicants - SEPT. invoice 1289 Accurate Biometrics N N Y FBI Fee 6 EA $12.00 72.00$ HR Fingerprinting New Applicants - SEPT. invoice 1289 Accurate Biometrics N N Y Accurate Biometric Service Fee 6 EA $20.00 120.00$ HR Fingerprinting New Applicants - SEPT. invoice
282.00$
Business Administrator/Designee Name: Angelica Calas Title: Business Administrator
PURCHASE REQUESTS FOR SODC OPERATIONS REVIEW
Note: All local purchases must be reviewed by the Business Office to ensure the total expenditures with the vendor does not exceed $10,000 without a contract prior to the request to purchase. The Business Administrator should review this document before submitting to SODC Operations. Complete Highlighted areas.
PO number:
OFD number:
Control number:
If Release Order, Contract#:
Quantity used past 90 days
Quantity used past 30 days
Quantity on order
Quantity on hand
Quantity re-quest
Unit of Measure Unit Cost Total Cost
6 EA 15.00$ 90.00$
6 EA 12.00$ 72.00$
6 EA 20.00$ 120.00$
0 0 -$ -$
0 0 -$ -$
0 0 -$ -$
0 0 -$ -$
0 0 -$ -$
Total Estimated Cost 282.00$
Justification: Grand Total
SubUnit#: Fund:
Requested by: Date:
Unit Supervisor: Date:
Deliver to: Date:
Funds Available:
DATE:
Approved:
Object Code 1289 Spec Rec# Auth# Ro#
PSD# Req#
Object Code Spec Rec# Auth# Ro#
PSD# Req# Form 720 SODC (03/14)
IL Department of Human Services/State Operated Developmental Centers Facility Name: KILEY CENTER
Request For Purchase Address: 1401 W. DUGDALE RD. WAUKEGAN, IL 60085
Call for Tax Exempt Letter to: 815-288-8338
Description of Item illinois State Police Fee
FBI Fee
Accurate Biometric Service Fee
HR Fingerprinting New Applicants - SEPT. invoice
Vendor Information
Accurate Biometric
500 Park Blvd. Suite 1260
Itasca, IL 60143
9003 General Revenue
Trevor Singh 10/3/2025
Angelica Calas
N/A
FOR BUSINESS OFFICE USE ONLY
Yes:___x____ No:_______ Request is approved: Yes:____x___ No:_______
Facility Director or designee Date Facility Director or designee Date
Remarks:
Business Administrator or designee: __________________________________________________________ 10/3/2025
Disapproved:
| Approval Form |
| FSI |
| 2025-10-03T15:44:41-0500 | |
| Angelica Calás |
File details come from the government source that posted it. Updated .