209847 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT WICK AMOUNT: $2,164.50
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
SUITE 100 CHECK NUMBER: 209847
MARIETTA GA 30066
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 57219 18.50 CRIMIINAL BACKGROUND
1082 4341990 57219 388.50 CRIMIINAL BACKGROUND
1091 4341990 57219 1,184.00 CRIMIINAL BACKGROUND
1125 4341990 57251 573.50 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc.
Invoice
Suite 100
Marietta, GA 30066 DATE INVOICE
1853 Piedmont Road 5/31/2012 57251
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
Carmel. IN 46032 Carmel, IN 46032
CUST TERMS DUE DATE REP TAX ID
7148 Net 15 6/20/2012 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
31 Criminal Checks Social Security Verification, Address Trace, 18.50 573.50
Smart Check, US Crim, Sex Offender Registry
Search
05/01/12 5 forms received
05/07/12 6 forms received
05/22/12 15 forms received
05/29/12 5 forms received
Purchase vS1QwA t" _'j (�jaG�.�ZOUn
Description 1 p
P.O. A0000114, wo 101, ia3 P or
G.L.# 11)5 -a- 4341290
Budget 60"'k avL C,�
Line Descr CA
Purchaser Date
Approval Date
Thank you for your business, prompt payment is appreciated! Late fees (1.5°/,) may apply
alter due date Total $573.50
Phone Fax E -mail Web Site
866- 996 -7412 866- 996 -1292 cbreeden a ssci2000.coni www.ssci2000.com
Southeastern Security Consultants, Inc. I
Suite 100
Marietta, GA 30066 DATE INVOICE
1853 Piedmont Road
5/31/2012 57219
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 6/20/2012 CMG 58- 2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
86 S.S. Trace Social Security Trace Report 0.00 0.00
86 AIM Address Information Management Report 0.00 0.00
86 Crim Check Smart Check Criminal History Search 18.50 1,591.00 i
86 US Crim US Crim (50 State search for criminal 0.00 0.00
convictions)
86 Sex Offender Sex Offender Registry Search (50 State search 0.00 0.00
plus the District of Columbia).
05/01/12 1 form received
05/02/12 16 forms received
Purchase u�� 05/03/12 5 forms received
Description Q C! gD 05/04/12 6 forms received
P.O. P,KF C/. 05/07/12 4 forms received
05/08/12 10 forms received
/U•�• 05/09/12 3 forms received
Budget 05/11/12 I form received
Une Descr 111wuA B 05/14/12 8 forms received
Purchase L 05115112 1 form received
Approval Date 05/16/12 7 forms received
05/17/12 4 forms received
05/21/12 I form received
05/22/12 7 forms received
9 r V3y 19 5 0 ?,su 05/30/12 4 forms received
L 05/31/12 8 forms received
1091- y3Yi
Thank you for your business, prompt payment is appreciated! Late fees (1.5 may apply
after due date Total $1.591 00
Phone Fax E -mail Web Site
866 996 -7412 866 996 -1292 cbreeden a ssci2000.com \v \vw.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
5/31/12 57251 Volunteer background checks 573.50
5/31/12 57219 Criminal background checks 18.50
5/31/12 57219 Criminal background checks 388.50
5/31/12 57219 1,184.00
Total $2,164.50
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
2,164.50
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 108 ESE/ 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 57251 4341990 573.50 1 hereby certify that the attached invoice(s), or
1081 -99 57219 4341990 18.50. bill(s) is (are) true and correct and that the
1082 -99 57219 4341990 388.50 materials or services itemized thereon for
1091 57219 4341990 1,184.00 which charge is made were ordered and
received except
14 -Jun 2012
Signature
2,164.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund