168681 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 357067 Pag 1 of 1
ONE CIVIC SQUARE SAFE SITTER INC
CARMEL, INDIANA 46032 8604 ALLISONVILLE ROAD SUITE 248 CHECK AMOUNT: $212.50
INDIANAPOLIS IN 46250 -1597
�o CHECK NUMBER: 168681
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239099 40523 212.50 OTHER MISCELLANOUS
i
Safe Sitter, Inc. .S INVOICE
L MIMI, 8604 Allisonville Rd Suite 248 JAN Y DATE INVOICE
Indianapolis, IN 46250 -1597 0 2009
BY: 1/6/2009 40523
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:
17740 1/6/2009 UPS Ground -C 4848 Lindsay Atkinson
ITEM QUANTITY DESCRIPTION RATE AMOUNT
107SM -G 12 Student Manual (Includes Completion Card) 15.00 180.00T
301 12 Important Numbers Pad 1.00 12.00T
304 6 Set of 2 Introducing Safe Sitter® Cards 0.25 1 JOT
Shipping- Student 1 Shipping /Handling- Student 19.00 19.00
Sales Tax 0.00% 0.00
Purchase tJ 1 C r
P.O. t. D RE C EIVED
G.L. 'L. —q tl,r J N 2 9 2009
Bud S e
Line Descr
Purchaser etA $Y:
RR
A roval
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 $212.50
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.
Date Due
8604 Allisonville Rd., Ste 248
Indianapolis, IN 46250 -1597
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)}
PO 17740 P 212.50
116109 40523 Safe sitter materials
Total 212.50
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
212.50
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 40523 4239039 212.50 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
2 -Feb 2009
Signature
212.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund