216882 01/29/2013 ".F CITY OF CARMEL, INDIANA VENDOR: 358080 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN SECURITY CONSULTq��
CARMEL, INDIANA 46032 1853 PIEDMONT ROAD CHECK AMOUNT: $333.00
SUITE 100 CHECK NUMBER: 216882
MARIETTA GA 30066
CHECK DATE: 1129/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341990 63379 148 . 00 CRIMIINAL BACKGROUND
1091 4341990 63379 92 . 50 CRIMIINAL BACKGROUND
1125 4341990 63418 92 . 50 CRIMIINAL BACKGROUND
Southeastern Security Consultants, Inc.
Invoice
SSCJ 1853 Piedmont Road REC
Suite 100 F T VED DATE INVOICE#
Marietta. GA 30066 JAN 0 7 2013 12/31/2012 63418
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 1/19/2013 CMG 58-2558254
QTY ITEM DESCRIPTION PRICE AMOUNT
5 Criminal Checks SOCIa1 Security Verification;Address]lace, 18.50 92.50
Smart Check; US Crim; Sex Offender Registry
Search
12/03/12= 3 forms received ✓
12/10/12= I lorm received /
12/18/12= I form receivedw/
Pur ch,se V
D�.scri)iion
P.O.#04 OMCIVY 200 P or F
Below please find a reminder about the steps to
Line'D )e taken beginning 1/1/2013 when handling
Pt rChc.;er disqualifications:
D t� -Disqualification letter prepared for applicant
.Copy of the applicant's report
-Copy ol'lhe Quidelines/policy used by your
agency(optional)
-FCRA Summary of Rights(See Attached)
Thank You for Vour business; prompt payment is appreciated! Late fees(1.5°/o)may apply Total
after due date 592.50
Phone# Fax# E-mail Web Site
866-996-7412 866-996-1292 cbreeden a ssci2000.com www.ssci2000.com
Southeastern Security Consultants, Inc.
Invoice
133 Piedmont Road —
„ Suite 100 DATE INVOICE It
Marietta. GA 30066
12/31/2012 63379
BILL TO SHIP TO
Carmel Clay I'arks Carmel Clay Parks
LVmt Russell Lynn Russell
141 1 E. 1 16th Street 141 1 L. 1 16th Street
Carmel,IN 16032 Carmel, IN 46032
CUST t# TERMS DUE DATE REP TAX ID It
3799 Net 15 1/19/2013 CMG i8-2i58254
QTY ITEM DESCRIPTION PRICE AMOUNT
Below please find a r_�ntindcr about the steps to
be taken beginning 1/1/2013 When handling
disqualifications:
-Disqualification letter prepared for applicant
-Copy of the applicant's report
-Copy of the guidelines/policy used by your
agency(optional)
•FCRA Summary of Rights(See Attached)
Thank you for your business, prompt payment is appreciated! Late fees(1.5%,)may apply
after(file date Total 24 tl t/
$ .5(1
Phone# Fax# E-mail Web Site
566-996-7412 866-996-1292 ebreeden rnss62000 com cW\V.ss62000.com
Page 2
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
12/31/12 63379 Criminal background checks 148.00
12131,112-'- 63379 Criminal background checks 92.50
12/31/12 63418 Volunteer criminal background checks 92.50
Total $333.00
I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20!
Clerk-Treasurer
Voucher No. Warrant No.
358080 Southeastern Security Consultants, Inc. Allowed 20
1853 Piedmont Road, Suite 100
Marietta, GA 30066
In Sum of$
$ 333.00
ON ACCOUNT OF APPROPRIATION FOR
101 General / 108 ESE / 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 63379 4341990 $ 148.00 1 hereby certify that the attached invoice(s), or
1091 63379 4341990 $ 92.50 bill(s) is (are)true and correct and that the
1125-2 63418 4341990 $ 92.50 materials or services itemized thereon for
which charge is made were ordered and
received except
24-Jan 2013
Signature
$ 333.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund