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204956 12/20/2011
CITY OF CARMEL, INDIANA VENDOR: 357087 Page 1 of 1 ONE CIVIC SQUARE SAFE SITTER INC CHECK AMOUNT: $615.50 CARMEL, INDIANA 46032 8604 ALLISONVILLE ROAD SUITE 248 INDIANAPOLIS IN 46250 -1597 CHECK NUMBER: 204956 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT D ESCRIPTION 1096 4239039 45917 615.50 GENERAL PROGRAM SUPPL I VI Safe Sitter, Inc.; r� 0 5 2011 INVOICE 8604 Allisonville Rd Suite 248 PATE INVOICE Indianapolis, IN 46250- 1597.)L 11/30/2011 45917 BILL TO SHIP TO Carmel Clay Parks and Recreation 4848 Carmel Clay Parks and Recreation 4848 Attn: Paula Schlemmer Attn: Lindsay Atkinson 1411 East 116th Street 1235 Central Park Drive East Carmel, IN 46032 Cannel, IN 46032 P.O. NO. SHIP DATE SHIP VIA COMMENTS ORDERED BY: 30245 11/30/2011 UPS Ground -C 4848 Dawn 573 -4026 ITEM QUANTITY DESCRIPTION RATE AMOUNT 107SM -A 36 Student Manual (Includes Completion Card) 15.00 540.00T 301 36 Important Numbers Pad 1.00 36.00T 304 18 Set of 2 Introducing Safe Sitter© Cards 0.25 4.50T Shipping- Student 1 Shipping/Handling- Student 35.00 35.00 Sales Tax 0.00% 0.00 1��archa .e c crir 601 P.O. DNS P F Date SJ;� Date i Thank you for your order. Please disregard if payment has already been sent. If you have questions regarding this invoice please call (800) 255 -4089. Total $615.50 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 11/30/11 45917 Safe Sitter supplies 30245 615.50 Total 615.50 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. 357087 Safe Sitter, Inc. Allowed 20 8604 Allisonville Rd., Ste 248 Indianapolis, IN 46250 -1597 In Sum of 615.50 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or Dept 1096 -42 45917 _.4239039 615.50 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 15 -Dec 2011 Signature 615.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund