170560 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 357087 Page 1 of 1
ONE CIVIC SQUARE SAFE SITTER INC
O
CARMEL, INDIANA 46032 8604 ALLISONVILLE ROAD SUITE 248 CHECK AMOUNT: $196.50
INDIANAPOLIS IN 46250 -1597 CHECK NUMBER: 170560
CHECK DATE: 4/1/2009
DEPARTMENT A CCOUNT PO NUMBE IN VOICE NUMB AMOUNT DESCRIPTION
1047 4239039 40796 196.50 GENERAL PROGRAM SUPPL
Safe Sitter, Inc. INVOIC
8604 Allisonville Rd Suite 2 8 9 20.09
Indianapolis, IN 46250 -159 MAR DATE INVOICE
3/4/2009 40796
�X
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:
Lindsay Atkinson 3/4/2009 UPS Ground C 4848 Lindsay Atkinson
ITEM QUANTITY DESCRIPTION RATE AMOUNT
107SM -G 11 Student Manual (Includes Completion Card) 15.00 165.00T
301 11 Important Numbers Pad 1.00 1 LOOT
304 6 Set of 2 Introducing Safe Sitter® Cards 0.25 L50T
Shipping- Student Shipping /Handling Student 19.00 19.00
Sales Tax 0.00% 0.00
MAR 1 2009
Purchase Si
De:r i r 5u ha 1
P.O. Desc ort.
O.L�pA q q P.O. r E
Line Desar I 1 O r �U 1(n G.L v�
Budget
Purchases ip 3 Line Destx fYi E
Ap 0 Dq Purchaser Date
Approv L 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 $196.50
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)) Amount
3/4109 40796 Safe sitter materials PO 17740 F 196.50
Total 196.50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and f 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
196.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT I hereby certify that the attached invoice(s), or
Dept
1047 40796 4239039 196.50 I 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
25 -Mar 2009
�fj7 r
Signature
196.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund