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189999 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1 ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT ANT CARMEL, INDIANA 46032 1853 PIEDMONT ROAD CHCK AMOUNT: $580.D0 SUITE 100 CHECK NUMBER: 189999 MARIETTA GA 30066 CHECK DATE: 911 412 01 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341990 41189 220.00 CRIMIINAL BACKGROUND 1091 4341990 41189 360.00 CRIMIINAL BACKGROUND Southeastern Security Consultants, Inc. Invoice 1853 Piedmont Road Suite 100 DATE INVOICE Marietta, CA 30066 8/31/2010 41189 SILL TO SHIP TO Carmel Clay Parks Carmel Clay Parks Lynn Russell Lynn Russell 1411 E. 1 16th Street 1411 E. 116th Street Carmel, IN 46032 Carmel, IN 46032 CUST TERMS DUE DATE REP TAX ID 3799 Net 15 9/18/2010 CMG 58- 2558254 QTY ITEM DESCRIPTION PRICE AMOUNT 29 S.S. Trace Social Security Trace Report 0.00 0.00 29 AIM Address Information Management Report 0.00 0.00 29 Crim Check Smart Check Criminal History Search 20.00 580.00 29 LCFA Let's Check for America (50 State search for 0.00 0.00 criminal convictions) 29 Sex Offender Sex Offender Registry Search {50 State search 0.00 0.00 plus the District of Columbia). Purchase Q 08/02110 4 fortes received P.O PwF 08/03/10= 1 form received 15. 08/04/10= 1 form received Bud Q 08/05/10 I form received �y] 4ine l p 08/09/10 1 form received �J "dwW6 VMS 7 08/12/10 2 forms received SE1 0 ,y 08/16/10 3 forms received 08/17/10 3 forms received 08/18/10= 1 form received 0 `08/19110 1 form received BY: 08/20/10=2 forms received Y 3 tJ 1 9 9 �\,1��� o0 08/24/10 2 forms received T f I V 08/25/ l0 5 forms received 08/26/10 1 form received 08/31/10 I form received Thank you for your business, prompt payment is appreciated! Late fees (1,5 may apply alter due date Total 5580.00 Phone Fax E -mail Web Site 866- 996 -7412 866 996 -1292 Sales a ssci2000.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 8131/10 41189 Employee Background Checks 220.00 8131110 41189 Employee Background Checks 360.00 Total $580.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 358080 Southeastern Security Consultants, Inc. Allowed 20 1853 Piedmont Road, Suite 100 Marietta, GA 30066 In Sum of$ 580.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 1 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 41189 4341990 220.00 1 hereby certify that the attached invoice(s), or 1091 41189 4341990 360.00 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 9 -Sep 2010 P Signature 580.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I I