185962 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT p��g
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD CHECK AMOUNT: $1,980.00
SUITE 100 CHECK NUMBER: 185962
MARIETTA GA 30066
CHECK DATE: 5/2612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 38520 60.00 CRIMIINAL BACKGROUND
1082 4341990 38520 200.00 CRIMIINAL BACKGROUND
1091 4341990 38520 1,720.00 CRIMIINAL BACKGROUND
Southeastern Security Consultants Inc
n IIT Invoice
1.853 Piedmont Road �l
ar
Suite 100 RAY I DATE INVOICE
Marietta, GA 30066
4/30/2010 38520
BY d
BILL TO P.O.# PwF SHIP TO
Carmel Clay Parks Q.L Carmel Clay Parks
Lynn Russell Budge Lynn Russell
1411 E. 116th Street Une DASD s 1411 E. 116th Street
Carmel, IN 46032 Pl1t�F1 t�l 0 Carmel, IN 46032
f0
`7- loo -Ion _99 0U
/0 9 Y3 0 60: 00
10fd- g9— V,3V19Vo- (i o0
CUST TERMS DUE DATE REP TAX ID
3799 Net 15 5/19/2010 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
99 S.S. Trace Social Security Trace Report 0.00 0.00
99 AIM Address Information Management Report 0.00 0.00
99 Chin Check Smart Check Criminal History Search 20.00 1.980.00
99 LCFA Let's Check for America (50 State search for 0.00 0.00
criminal convictions)
99 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
plus the District of Columbia).
04 /01 /10 21 forms received
04105110 I form received
04/07/10 I form received
04/08/10 10 forms received
04/09/10 I form received
04/12/10 5 forms received
�Q
04/13/10 2 forms recei ved
04/14/10 4 forms received
lad 04/15/10 I form received
04 /E9 /f0'= I forn;
04/20/10 12 forms received
04/21/10 14 forms received
04/21 /10 7 forms received
04/23/10 4 form received
04/26/10 7 forms received
04/27/10 8 forms received
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date Total $1,98{).00
Phone Fax E -mail Web Site
866 996 7412 866 996 1292 Sales@ ssci2000.com ssei2000.com www.ssci2000.com
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358080 Southeastern Security Consultants, Inc. Terms
1853 Piedmont Road, Suite 100 Date Due
Marietta, GA 30066
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4130110 38520 Employee Background Checks 1,720.00
4130/10 38520 Employee Background Checks 60.00
4130110 38520 Employee Background Checks 200.00
Total $1,980.00
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
1 20
Clerk Treasurer
Voucher No. Warrant No.
358080 Southeastern Security Consultants, Inc. Allowed 20
1853 Piedmont Road, Suite 100
Marietta, GA 30066
In Sum of
1,980.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Dept
1091 38520 4341990 1,720.00 1 hereby certify that the attached invoice(s), or
1081 -99 38520 4341990 60.00 bill(s) is (are) true and correct and that the
1082 -99 38520 4341990 200.00 materials or services itemized thereon for
which charge is made were ordered and
received except
20 -May 2010
Signature
1,980.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund