205993 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT_ CHECK AMOUNT: $388.50
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
SUITE 100 CHECK NUMBER: 205993
MARIETTA GA 30066
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 53131 148.00 CRIMIINAL BACKGROUND
1091 4341990 53131 55.50 CRIMIINAL BACKGROUND
1125 4341990 53252 185.00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. If1VOlce
SSCI 1853 Piedmont Road
Suite 100 DATE INVOICE
Marietta, GA 30066 12/31/2011 53131
BILL TO SHIP TO
Carmel Clay Parks Carmel Clay Parks
Lynn Russell Lynn Russell
1411 E. 116th Street 1411 E. 1 16th Street
Carmel, IN 46032 Carmel, IN 46032
CUST TERMS DUE DATE REP TAX ID
3799 Net 15 1/20/2012 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
I 1 S.S. Trace Social Security Trace Report 0.00 0.00
I AIM Address Information Management Report 0.00 0.00
1 1 Crim Check Smart Check Criminal History Search 18.50 203.50
11 US Crim US Crim (50 State search for criminal 0.00 0.00
convictions)
11 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
plus the District of Columbia).
12/01/11 2 forms received
Purchase 12/06/11 1 form received
Description �Q w1iNA '—'fK YU N C���S 12/07/11= 1 torn received
P or F 12/08/11 2 forms received
P. 0. 12/19/11 2 forms received
G.L. n 12/21/11 1 form received
Budget IN C USN `s' 12/22/11 2 forms received
Line Descr
Purchaser e J! �o�
Approval Date
C) o 91- V3VJ 990= sss,,�
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date To tal $203.50
Phone Fax E -mail Web Site
866 996 -7412 866- 996 -1292 cbreeden n ssci2000.com %v%v%v.ssci2000.com
Southeastern Secu► Consultants, Inc. Invoice
1853 Piedmont Road
Suite 100 DATE INVOICE#
Marietta, GA 30066 12/31/2011 53252
BILL TO SHIP TO
Carmel Clay- Volunteers Carmel Clay Volunteers
Paula Schlemmer Dana Davis
A4011011 Community Center Monon Community Center
1235 Central Park Drive East 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
CUST TERMS DUE DATE REP TAX ID
7148 Net 15 1/20/2012 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
10 Criminal Checks Social Security Verification, Address Trace, 18.50 185.00
Smart Check, US Crim, Sex Offender Registry
Search
12/05/11 4 forms received
JAN 0 9 2012 12/12/11 4 forms received 1/
12/19/11 2 forms received
BY:
Pwrchase �G11
D,•scription 1 CVi 2�r u �LV d v` D
P.D. PorF
GL.# ��a�—r�—J 195o
B !dget n1� YC '1 C�fj
Li ie Descr I VYII YICI�
v
P irchaser Date
A )proval Date
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date Total 5185.00
Phone Fax E -mail Web Site
866 996 7412 866- 996 -1292 ebreeden a ssci2000.com wvvw.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
12131/11 53131 Criminal background checks 148.00
12/31/11 53131 Criminal background checks 55.50
12/31/11 53252 Volunteer background checks Dec'11 185.00
Total $388.50
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
388.50
ON ACCOUNT OF APPROPRIATION FOR
101 General 108 -ESE 109 Monon Cntr
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 53131 4341990 148.00 1 hereby certify that the attached invoice(s), or
1091 53131 4341990 55.50 bill(s) is (are) true and correct and that the
1125 53252 4341990 185.00 materials or services itemized thereon for
which charge is made were ordered and
received except
26 -Jan 2012
Signature
388.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund