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