188523 08/03/2010 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: $560.00
SUITE 100
CHECK NUMBER: 188523
MARIETTA GA 30066
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 39954 160.00 CRIMIINAL BACKGROUND
1082 4341990 39954 100.00 CRIMIINAL BACKGROUND
1091 4341990 39954 220.00 CRIMIINAL BACKGROUND
1125 4341990 39954 80.00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. Invoice
1853 Piedmont Road
Suite 100 DATE INVOICE
Marietta, GA 30066 6/30/2010 39954
BILL TO SHIP TO
Carmel Clay Parks Carmel Clay Parks
Lynn Russell Lvnn Russell
1411 E. 116th Street 1411 E. 116th Street
Carmel, IN 46032 Carmel, IN 46032
GUST TERMS DUE DATE REP TAX ID
3799 Net 15 7/21/2010 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
28 S.S. "trace Social Security Trace Report 0.00 0.00
28 AIM Address Information Management Report 0.00 0.00
28 Critn Check Smart Check Criminal History Search 20.00 560.00
28 LCFA Let's Check for America (50 State search for 0.00 0.00
criminal convictions)
28 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
plus the District of Columbia).
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S 06/0 1/ 10 l farm received
PAS
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06/07/10 Iform received
A 06/08/10 5 forms received If, PP M
Lind Q Ujd, 06/09/10 4 forms received a 4t
06/10/10 I form received "i, J y t ?010 D 1 form received
06/15/10 4 forms received VI i
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06/23/10 7 forms received
06/24/10 2 forms received B Y
`f `�Ivoboo y 3 y� 9 aao UQ 06/29/10 1 form received
W ?9- y &ylY96 —000, 06
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Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date Total $560.00
Phone Fax E -mail Web Site
866 996 -7412 866 -996 -1292 Sales @ssci2000.com www.ssci2000.cont
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
6/30110 39954 Employee Background Checks 220.00
6130110 39954 Employee Background Checks 100.00
6/30110 39954 Employee Background Checks 160.00
6130110 39954 Employee Background Checks 80.00
Total $560.00
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.
358080 Southeastern Security Consultants,. Inc. Allowed 20
1853 Piedmont Road, Suite 100
Marietta, GA 30066
In Sum of
560.00
ON ACCOUNT OF APPROPRIATION FOR
101 General 1108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 39954 4341990 220.00 1 hereby certify that the attached invoice(s), or
1082 -99 39954 4341990 100.00 bill(s) is (are) true and correct and that the
1081 -99 39954 4341990 160.00 materials or services itemized thereon for
1125 39954 4341990 80.00 which charge is made were ordered and
received except
29 -Jul 2010
Signature
560.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund