214082 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
i` ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT ANTg
K AMOUNT: $851.00
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
CHEC
SUITE 100 CHECK NUMBER: 214082
MARIETTA GA 30066
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341990 60800 851 . 00 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc. Invoice
* 1853 Piedmont Road
�oMmmn� Suite 100 DATE INVOICE#
Marietta, GA 30066 9/30/2012 60800
BILL TO SHIP TO
Carmel Clay Volunteers Carmel Clay Volunteers
Paula Schlemmer Dana Davis
� r �,j ' ®
Monon Community Center Monon Community Center
1235 Central Park Drive East 1235 Central Park Drive East OCT 0 4 2012
Carmel,IN 46032 Carmel,IN 46032
BY:
CUST# TERMS DUE DATE REP TAX ID#
7148 Net 15 10/19/2012 CMG 58-2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
46 Criminal Checks Social Security Verification,Address Trace, 18.50 851.00
Smart Check,US Crim,Sex Offender Registry
Search
09/06/12= 13 forms received
09/10/12= 12 forms received
09/12/12= 2 forms received
09/14/12= I form received
09/25/12= 13 forms received
09/27/12= 5 forms received
urchase\J b0.Cl rte► x�
Fscription C cilia
0.# 1 , 1( 22,Ro5 P% ONE)
L.# \1A5- - L1
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.ine Desc Cki5
urchaser Date
pproval Date
Thank you for your business,prompt payment is appreciated!Late fees(1.5%)may apply
after due date Total 5851.00
Phone# Fax# E-mail Web Site
866-996-7412 866-996-1292 cbreeden @ssci2000.com a-),«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 Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9130112 60800 Volunteer background checks 851.00
Total $851.00
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
358080 Southeastern Security Consultants, Inc. Allowed 20
1853 Piedmont Road, Suite 100
Marietta, GA 30066
In Sum of$
$ 851.00
ON ACCOUNT OF APPROPRIATION FOR _
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 60800 4341990 $ 851.00 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
i
18-Oct 2012
Signature
$ 851.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund