209354 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT p��
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD CHCK AMOUNT: $222.00
SUITE 100 CHECK NUMBER: 209354
MARIETTA GA 30066
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341990 56462 222.00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. Invoice
SSCI 1853 Piedmont Road
P .owwon„,.au9„.'1—utim Suite 100 DATE INVOICE
Marietta, GA 30066 4/30/2012 56462
BILL TO SHIP TO
Carmel Clav Volunteers Carmel Clay Volunteers
Paula Schlemmer Dana Davis
Monon Community Center Monon Community Center
1235 Central Park Drive East 1235 Central Park Drive East MAY 0 4 2017
Carmel. IN 46032 Carmel, IN 46032 ff�22};tt L
Ii:V it o erg
CUST TERMS DUE DATE REP TAX ID
7148 Net 15 5/19/2012 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
12 Criminal Checks Social Security Verification, Address Trace 18.50 222.00
Smart Check, US Crim, Sex Offender Registry
Search
04/03/12 2 forms received A000103
04/09/12 4 forms received A600
04/18/12 4 forms received A06011
1 04/23/12= 2 forms received A0000111
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Purchaser Date
Ap proval Date
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date Total 5222.00
Phone Fax E -mail Web Site
866 996 -7412 866- 996 -1292 cbreedeii@ssci2OOO.com wNvw.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
4/30/12 56462 Volunteer background checks 222.00
Total $222.00
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
1 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
222.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 56462 4341990 222.00 1 hereby certify that the attached invoice(s), or
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
17 -May 2012
Signature
222.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund