212374 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT p��g CK AMOUNT: $684.50
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
CHE
«o� SUITE 100 CHECK NUMBER: 212374
MARIETTA GA 30066
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 59018 259 . 00 CRIMIINAL BACKGROUND
1091 4341990 59018 37 . 00 CRIMIINAL BACKGROUND
1125 4341990 59018 18 . 50 CRIMIINAL BACKGROUND
1125 4341990 59095 370 . 00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. Invoice
1853 Piedmont Road
Suite 100 DATE INVOICE#
Marietta, GA 30066 7/31/2012 59018
BILL TO SHIP TO
Cannel Clay Parks Carmel Clay Parks
Lynn Russell Lynn Russell
1411 E. 116th Street 141 1 E. 1 16th Street
Carmel,IN 46032 Carmel, IN 46032
CUST# TERMS DUE DATE REP TAX ID#
3799 Net 15 8/24/2012 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 18.50 314.50
17 US Crim US Crim (50 State search for criminal 0.00 0.00
convictions)
17 Sex Offender Sex Offender Registry Search(50 State search 0.00 0.00
plus the District of Columbia).
Purchase [� A " ��
/09/12= 2 forms received
Description 1 - e l�(�n 07/10/12= 1 form received
P,o,# PaP 07/11/12= 1 form received
07/12/12= 1 form received
Budget nnll^^IIll 07/17/12= 5 forms received
Bud Desk 13 a e� VUVLA NUV� 07/19/12= 3 forms received
07/23/12= 3 forms received
Purchaser Date 1 Z 07/27/12= 1 form received
Approv Date z
D- 00D — 3 0 e� S-0
IOfl- Q 9- y3 y� _ asp w
X091 — (1,3 '1/ 990 3/, 00
Thank you for your business,prompt payment is appreciated! Late fees(1.5%)may apply
after due date Total $314.50
LF'
Phone# Fax# E-mail Web Site
866-996-7412 866-996-1292 cbreeden a ssci2000.com Nvww.ssci2000.com
Southeastern Security Consultants, Inc. Invoice
SSCI + 1853 Piedmont Road
Suite 100 DATE INVOICE#
Marietta, GA 30066 7/31/2012 59095
BILL TO SHIP TO
Carmel Clay Volunteers Carmel Clay Volunteers
Paula Schlemmer Dana Davis
Motion Community Center Motion 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 8/24/2012 CMG 58-2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
20 Criminal Checks Social Security Verification,Address Trace, 18.50 370.00
Smart Check,US Crim,Sex Offender Registry
Search
07/11/12= 7 forms received ✓
07/18/12= 2 forms received✓
AUG 0 9 2012 07/26/12= 7 forms received✓
07/31/12= 4 forms received✓
Pu chase V i LALB_h' Uwe Y C
De cription - CA-1c
PA.#/4K CCM 'P or F
G. .# ��k5Q �)Or lCigf jt
Lic a DescrS 11 l m l t no. LQ2=Uj L -
Pu chaser Date
Aporoval Date
Thank you for your business,prompt payment is appreciated! Late fees(1.5%)may apply
after due date Total $370.00
Phone# Fax# E-mail Web Site
866-996-7412 866-996-1292 cbreedeti ci ssci2000.com \vm\v.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 M5901 Description
Date (or note attached invoices) or bill(s)) PO# Amount
7/31/12 Criminal back round checks 18.50
7/31/12 Criminal back round checks 259.00
7.
,'/31/12 59018 Criminal background.checks 37.00
7/31/12 59095 Volunteer background checks 370.00
Total $684.50
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
Voucher No. Warrant No.
358080 Southeastern Security Consultants, Inc. Allowed 20
1853 Piedmont Road, Suite 100
Marietta, GA 30066
In Sum of$
$ 684.50
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 59018 4341990 $ 18.50 1 hereby certify that the attached invoice(s), or
1081-99 59018 4341990 $ 259.00 bill(s) is(are) true and correct and that the
1091 59018 4341990 $ 37.00 materials or services itemized thereon for
1125 59095 4341990 $ 370.00 which charge is made were ordered and
received except
23-Aug 2012
_
Q/JnL&��
Signature
$ 684.50 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund