250837 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 357087
ONE CIVIC SQUARE SAFE SITTER INC CHECK AMOUNT: $********59.00*
s_ Via; CARMEL, INDIANA 46032 8604 ALLISONVILLE ROAD SUITE 248 CHECK NUMBER: 250837
9y`h roN� INDIANAPOLIS IN 46250-1597 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 54030 59.00 GENERAL PROGRAM SUPPL
• • 'a
• INVOICE
Safe Sitter, Inc. 0 C T 0 5 2015
8604 Allisonville Rd Suite 248 DATE INVOICE#
xv
Indianapolis, IN 46250-1597
��- 10/5/2015 54030
R BILL TO SHIP TO
Carmel Clay Parks and Recreation 4848 Carmel Clay Parks and Recreation 4848
Attn:Paula Schlemmer Attn: Amanda Jackson
1411 East 116th Street 1235 Central Park Drive East
Carmel,IN 46032 Carmel,IN 46032
P.O. NO. SHIP DATE SHIP VIA COMMENTS ORDERED BY:
XX-2781 10/5/2015 FX-Ground-C 4848 Dawn Koepper
ITEM QUANTITY DESCRIPTION RATE AMOUNT
401 48 Safe Sitter®Important Numbers Note Pad 1.00 48.00T
Shipping-Student 1 Shipping/Handling-Student 11.00 11.00
Sales Tax 0.00% 0.00
i
Thanks for your order.Payment terms:net 30.Please disregard if payment has been
sent.If you have questions please call 800.255.4089. Total $59.00
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.
357087 Safe Sitter, Inc.
8604 Allisonville Rd., Ste 248 Date Due
Indianapolis, IN 46250-1597
Invoice Invoice Description
Date Number` (or note attached invoice(s) or bill(s)) PO# Amount
10/5/15 54030" Safe Sitter Important#s Notepads xx2781 $ 59.00
Total $ 59.00
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.
r,
357087 Safe Sitter, Inc. Allowed , 20
8604 Allisonville Rd., Ste 248
Indianapolis, IN 46250-1597
In Sdm of$
$ 59.00
ON ACCOUNT OF APPROPRIATION FOR _-
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT I hereby certify that the attached invoice(s), or
Dept#
1096-42 54030 4239039 $ 59.00 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
l:
October 12,.2015
l
Signature
$ 59.00 I. Accounts Payable Coordinator`
Cost distribution ledger classification if I Title -
claim paid motor vehicle highway fund 1
- i ,