192251 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
0 ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT. CHECK AMOUNT: $340.00
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
SUITE 100 CHECK NUMBER: 192251
MARIETTA GA 30066
CHECK DATE: 1112312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 42930 120.00 CRIMIINAL BACKGROUND
1091 4341990 42930 220.00 4341990
Southeastern Security Consultants, Inc. I nvoi ce
1853 Piedmont Road
Suite 100 DATE INVOICE
Marietta, GA 30066 10/3 1/20 10 42930
BILL TO SHIP TO
Carmel Clay Parks Carmel Clay Parks
Lynn Russell Lynn Russell
1411 E. 116th Street 1411 E. 116th Street
Carmel, IN 46032 Carmel, IN 46032
CUS T TERMS DUE DATE REP TAX ID
3799 Net 15 11/18/2010 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
17 S.S. Trace Social Security Trace Report 0.00 0.00
17 AIM Address Information Management Report 0.00 0.00
17 Crim Check Smart Check Criminal History Search 20.00 340.00
17 LCFA Let's Check for America (50 State search for 0.00 0.00
criminal convictions)
17 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
Plus the District of COIrm7bla).
10/04/10= I form received
Pureh88A n 10/06/10 1 form received
Description 1 i1/ al 10 /07 /10 8 forms received
P.O. PorF S 10 /1 1 /10 3 forms received
L 0 10/18/10 1 form received
Sud et 10/19/10 1 form received
LJne 10/21/10= I form received
Purchaser 10/27/10 I form received
I 1
appll Date
11 1_ y 3y1 ?90 v o
ld 1- 99- g3y1990 414)0 -00
Thank you for your business, prompt payment is appreciated! Late fees (1.5' may apply
after due date To tal $340.00
Phone Fax E -mail Web Site
866 996 -7412 866 -996 -1292 Sales 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
10/31/10 42930 Employee Background Checks 220.00
10131/10 42930 Employee Background Checks 120.00
Total $340.00
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
340.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 1 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 42930 4341990 220.00 1 hereby certify that the attached invoice(s), or
1081 -99 42930 4341990 120.00 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
18 -Nov 2010
Signature
340.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund