215773 12/18/2012 a CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
a ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULT_CHECK AMOUNT: $758.50
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD
SUITE 100 CHECK NUMBER: 215773
MARIETTA GA 30066
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 62512 333 . 00 CRIMIINAL BACKGROUND
1091 4341990 62512 129 . 50 CRIMIINAL BACKGROUND
1125 4341990 62512 18 . 50 CRIMIINAL BACKGROUND
1125 4341990 62668 277 . 50 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc.
Invoice
SSCI 183 Piedmont Road
Suite 100 DATE INVOICE#
Marietta, GA 30066 11/30/2012 0251'
BILL TO SNIP TO
Carmel Clay Parks Carmel Clay Parks
Lynn Russell Lynn Russell
1=11 I E. 116th Street 1411 E. 116th Street
Carmel. IN 46032 Carmel.IN 16032
COST# TERMS DUE DATE REP TAX ID#
3799 Net 15 12/21/2012 CN1G 58-2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
26 S.S.True Social Security Trace Report 0.0(1 0.00
26 AIM Address Information Managenunt Report 0.00 0 0Q
26 Crim Check Smart Check Criminal: History Search 18.50 481.00
26 US G im US Crim (50 State search for criminal 0.00 0.00
convictions)
26 Sex Oflcnder Sex Offender Registry Search(50 State search 0.00 0.00
plus the District ol'Columbia).
11/01/12= 2 forms received
11/05/12= 1 form received
11/07/12= l form received
11/08/12= 2 forms received
1 1/12/12= 3 forms received
� � A q �� 11/14/12= 4 forms received
Purchase S 11/15/12= 2 forms received
Description p or F 1 1/19/12= 3 forms received
P.O.# 11/20/12= 3 forms received
J� 11/26/12= 5 forms received
Budget "'� S
LineDesef
Purchaser Date__—_.—
Approval
y10- eov S�so
loci 99 - `� 3y19 ? U 333: _.
ml - `f 3V / 00 S-0
Thank you for your business;prompt payment is appreciated! Late fees(1.5%,)may apply
after due(late Total
5481.00
Phone# Fax# E-mail Web Site
866-996-7412 866-996-1292 cbreeden n ssci2000.com \vwxv.ssci2000.com
Southeastern Security Consultants, Inc. Invoice
1853 Piedmont Road ��RIVED
SUlte 100
DATE INVOICE#
DEC 6 2012
Marietta, GA 30066 11/30/2012 62668
BILL TO SHIP TO
Carmel Clay Volunteers Carmel Clay Volunteers
Paula Schlemmer Dana Davis
Moron 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 12/21/2012 CMG 58-2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
15 Criminal Checks Social Security Verification,Address Trace, 18.50 277.50
Smart Check,US Crim,Sex Offender Registry
Search
11/05/12= 2 forms received✓
11/13/12= 3 forms received ✓
11/16/12= 4 forms received ✓
11/19/12= 2 forms received I,'
11/27/12= 4 forms received✓
Purchase
DoscriptionVO '
G.L.-
# �25- '�3 ►990
budget
Line Descr
F=urchasar
Date_
Approval
Data
Thank you for your business,prompt payment is appreciated!Late fees(1.5%)may apply
after due date Total $277.50
Phone# Fax# E-mail Web Site
866-996-7412 866-996-1292 cbreeden a ssci2000.com Nv�xw.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
11/30/12 62512 Criminal background checks 18.50
11/30/12 62512 Criminal back round checks 333.00
11/30/12 - 62512 Criminal background checks -
11/30/12 62668 Volunteer criminal background checks 277.50
Total $758.50
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
358080 Southeastern Security Consultants, Inc. Allowed 20
1853 Piedmont Road, Suite 100
Marietta, GA 30066
In Sum of$
$ 758.50
ON ACCOUNT OF APPROPRIATION FOR
101 General / 108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 62512 4341990 $ 18.50 1 hereby certify that the attached invoice(s), or
1081-99 62512 4341990 $ 333.00 bill(s)is(are)true and correct and that the
1091 62512 4341990 $ 129.50 materials or services itemized thereon for
1125 62668 4341990 $ 277.50 which charge is made were ordered and
received except
13-Dec 2012
Signature
$ 758.50 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund