206445 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT AMOUNT: $740.00
o CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
SUITE 100 CHECK NUMBER: 206445
MARIETTA GA 30066
CHECK DATE: 2114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341990 53850 333.00 CRIMIINAL BACKGROUND
1081 4341990 53877 259.00 CRIMIINAL BACKGROUND
1091 4341990 53877 148.00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. Invoice
SSCI 1853 Piedmont Road
Suite 100 DATE INVOICE
Marietta, GA 30066 1r1 /2012 53850
BILL TO SHIP TO
Carmel Clav Volunteers Carmel Clay Volunteers,
Paula Schlemmer Dana Davis
iMonon Community Center Ivlonon 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 2/18/2012 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
18 Criminal Checks Social Security Verification, Address Trace, 18.50 333.00
Smart Check, US Crim, Sex OfTender Registry
Search
01/03/12 2 forms received
01/09/12 2 torms received/
01/18/12 6 forms received✓
01/24/12 4 forms received,/
0 1/3 1/12 4 forms received
P urchase C��
ascription
O.# PorF
G. L. 1 3� -199G
udget f1
ine Descr U�.
urchaser Date
pproval Date
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due (late Tota $333.00
Phone Fax E -mail Web Site
866- 996 -7412 866- 996 -1292 cbreeden n ssci2000.com wxvw.ssci2000.com
Southeastern Security Consultants, Inc. Invoice
1853 Piedmont Road
o,a,n'p Uw OiInf —idNon Suite 100 DATE INVOICE
Marietta, GA 30066 1/31/2012 53877
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
CUST TERMS DUE DATE REP TAX ID G
3799 Net 15 2/18/2012 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 18.50 407.00
22 US Crim US Crim (50 State search for criminal 0.00 0.00
convictions)
22 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
plus the District of Columbia).
01/04/12 1 form received
Purchase I) 01/05/12 3 forms received
Description q
W 511/10/12 l form received
P or F 01/11/12 1 form received
P.O. 01/18/12 2 forms received
01/19/12 7 forms received
±dget 01/20/12 1 form received
Line Descr 01/24/12 2 forms received
Purchaser Dat Z 0 1/2 5/12 I form received
01/26/12 2 forms received
Approval ate 0 1/3 1/12 I form received
-0 y3 V19 9 a
y /D�l 9 Y-3 9 o
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date Total $407.00
Phone Fax E mail Web Site
866 996 7412 866 996 1292 cbreeden 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
1/31/12 53850 Volunteer background checks Jan'12 333.00
1/31/12 53877 Crimin al background checks 148.00
1/31/12 53877 Crimingal background checks 259.00
Total $740.00
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
740.00
ON ACCOUNT OF APPROPRIATION FOR
101 General 108 -ESE 109 Monon Cntr
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept ept
1125 53850 4341990 333.00 1 hereby certify that the attached invoice(s), or
1091 53877 4341990 148.00 bill(s) is (are) true and correct and that the
1081 -99 53877 4341990 259.00 materials or services itemized thereon for
which charge is made were ordered and
received except
9 -Feb 2012
Signature
740.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid, motor vehicle highway fund