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206801 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 357087 Page 1 of 1 ONE CIVIC SQUARE SAFE SITTER INC CARMEL, INDIANA 46032 8604 ALLISONVILLE ROAD SUITE 248 CHECK AMOUNT: $120.00 INDIANAPOLIS IN 46250 -1597 CHECK NUMBER: 206801 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 46064 5.00 GENERAL PROGRAM SUPPL 1096 4239039 46483 40.00 GENERAL PROGRAM SUPPL 1096 4239039 46560 75.00 GENERAL PROGRAM SUPPL Safe Sitter, Inc. INVOICE x 8604 Allisonville Rd Suite 248 DATE INVOICE Indianapolis, IN 46250 -1597 1/3/2012 46064 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 Carmel IN 46032 P.O. NO. SHIP DATE SHIP VIA COMMENTS ORDERED BY: MC002387 1/3/2012 4848 Dawn 317 573 4026 ITEM QUANTITY DESCRIPTION RATE AMOUNT IT _Video I The Safe Sitter© Instructor Training Video 0.00 O.00T CD 12 1 Instructor Manual CD 0.00 O.00T Shipping Instructor Shipping Instructor 5.00 5.00T Sales Tax 55 0.00% 0.00 0 l w TR JAN 0 9 7012 BY: PLrchase D•: srription 1 NSTr''..c.atsrZ _TO IN qe� P. MCIC)0 P or F G 9 09( 4 4 a .g Job Budeet C, �1'OC� hd Li ie Descr Pi irchaser date A pproval Date e �.Lebw 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 $5.00 Safe Sitter, Inc. INVOICE 8604 Allisonville Rd Suite 248 DATE INVOICE Indianapolis, IN 46250 -1597 2/7/2012 46483 BILL TO SHIP TO Carmel Clay Parks and Recreation 4848 Carmel Clay Parks and Recreation 4848 Attn: Paula Schlemmer Attn: Lindsay Atkinson Leber 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: MC002573 2/7/2012 UPS Ground -C 4848 Dawn 573 -4026 ITEM QUANTITY DESCRIPTION RATE AMOUNT 331 1 Game Pack with laminated pieces 30.00 30.00T Shipping Instruct... 1 Shipping Instructor Supplies 10.00 10.00T Sales Tax 0.00% 0.00 T IV FEB 0 8 2012 ]BY: Dcnri on �V ydM L��script P.O. 'l J P ,rP G.L. 10CA0 9 a,- 4 S� Budo t C° �►el 1. ISO Purchaser t. ate Approval pa`e 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. To $40.00 Safe Sitter, Inc. 8604 Allisonville Rd Suite 248 FEB 101 DATE INVOICE x Indianapolis, IN 46250 -1597 7 22 Y 2/15/2012 46560 13y: BILL TO SHIP TO Carmel Clay Parks and Recreation 4848 Carmel Clay Parks and Recreation 4848 Attn: Paula Schlemmer Attn: Lindsay Atkinson Leber 1411 East 1 16th Street 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 P.O. NO. SHIP DATE SHIP VIA COMMENTS ORDERED BY: MC002597 2/15/2012 4848 Dawn 317 573 4026 ITEM QUANTITY DESCRIPTION RATE AMOUNT CPR Video 1 The Safe Sitter© CPR Video 25.00 25.00T 112BH -A 2 The Official Safe Sitter® Babysitter's Handbook with 17.50 35.00T Completion Card Shipping- Student Shipping /Handling- Student 15.00 15.00 Sales Tax 0.00% 0.00 Purchase e� Description �Av `lkxyEg P.O.# rn 0_cQ ►'t PorF G.L. t G C r r U r a 1 3 )Q_ 2P Line Descr Purchaser Date Approval Date 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 $75.00 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 1/3/12 46064 Instructor training video 5.00 2/7/12 46483 program supplies 40.00 2/15/12 46560 Safe sitter supplies 75.00 Total 120.00 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. 357087 Safe Sitter, Inc. Allowed 20 8604 Allisonville Rd., Ste 248 Indianapolis, IN 46250 -1597 In Sum of 120.00 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 46064 4239039 5.00 1 hereby certify that the attached invoice(s), or 1096 -42 46483 4239039 40.00 bill(s) is (are) true and correct and that the 1096 -42 46560 4239039 75.00 materials or services itemized thereon for which charge is made were ordered and received except 23 -Feb 2012 LL b !'�0�1 Signature 120.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund