175883 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 357087 Page 1 of 1
ONE CIVIC SQUARE SAFE SITTER INC
CARMEL, INDIANA 46032 8604 ALLISOWLLE ROAD SUITE 248 CHECK AMOUNT: $409.00
INDIANAPOLIS IN 46250 -1597
CHECK NUMBER: 175883
CHECK DATE: 8!6!2009
DEPARTMENT ACCOUNT PO NU INVO NUMBER AM OUNT DESCR
1047 v 4239039 4.1750 409.00 GENERAL PROGRAM SUPPL
f L INVOICE
9% Safe Sitter, Inc.
8604 Allisonville Rd Suite 248
DATE INVOICE
Indianapolis, IN 46250 -1597
i J 0 6 2 009 6/25/2009 41.750
BILL TO SHIP TO
Carmel Clay Parks and Recreation 4848 Carmel Clay Parks and Recreation 4848
Attn: Lindsay Atkinson Attn: Lindsay Atkinson
1235 Central Park Drive East 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
P.O. NO. SHIP DATE SHIP VIA COMMENTS ORDERED BY:
22101 6/25/2009 UPS Ground -C 4848 Serra Garske
ITEM QUANTITY DESCRIPTION RATE AMOUNT
107SM -G 24 Student Manual (Includes Completion Card) 15.00 360.00T
301 24 Important Numbers Pad 1.00 24.00T
304 12 Set of 2 Introducing Safe Sitter® Cards 0.25 3.00T
Shipping Student Shipping/Handling- Student 22.00 22.00
Sales Tax 0.00% 0.00
Purchase
De8arip 1 1 ll� 11I�� 1 ui"75 1f I P.O.8
G -L �-fa� o JUL 0 2009
udget Una Dead 0 (�er�rct l ravel SLPP11 S
Thank you for your order. Please disregard if payment has already been sent. If you
have questions regarding this invoice please call (800) 2554089. Total otal $409.00
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
6125109 41750 Safe sitter program supplies 22101 F 409.00
Total 409.00
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
409.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
Dept
1047 41750 4239039 409.00 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
30 -Jul 2009
Signature
409.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund