191366 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT_ CHECK AMOUNT: $440.00
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
SUITE 100 CHECK NUMBER: 191366
MARIETTA GA 30066
CHECK DATE: 10127/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 42226 340.00 CRIMIINAL BACKGROUND
1091 4341990 42226 100.00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. Invoice
1853 Piedmont Road
Suite 100 DATE INVOICE
Marietta, GA 30066 9/30/2010 42226
BILL 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 10/20/2010 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
22 S.S. Trace Social Security Trace Report 0.00 0.00
22 AIM Address Information Management Report 0.00 0.00
22 Crim Check Smart Check Criminal History Search 20.00 440.00
22 LCFA Let's Check for America (50 State search for 0.00 0.00
criminal convictions)
22 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
plus the District of Columbia).
09/07/10 3 forms received
Purchwa 09 /08/10 1 form received
Description C'R� 09/09/10 6 forms received
R0. PorF 09/15/10 1 form received
O.L 09/16/10 3 forms received o
Budg et 09/17/10 1 form received
Line Desk 09/2 1/ 10 1 form received OC T 0 7
09/22/10 I form received
Pureh O 09/24/10 2 forms received
Appro Date a 09/27/10 l form received BY.
09/29/10= I form received
09/30/10 1 form received
1091- V3YI9 0 x/00.
ot
99- �3 yIIVO -,�3y
Thank you for your business. prompt payment is appreciated! Late fees (1.5%) may apply
after due date Total $440.00
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
9/30110 42226 Employee Background Checks 340.00
9130110 42226 Employee Background Checks 100.00
Total $440.00
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
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
440.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1081 -99 42226 4341990 340.00 1 hereby certify that the attached invoice(s), or
1091 42226 4341990 100.00 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
21 -Oct 2010
Signature
440.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund