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209336 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 357087 Page 1 of 1 ONE CIVIC SQUARE SAFE SITTER INC 0 CARMEL, INDIANA 46032 8604 ALLISONVILLE ROAD SUITE 248 CHECK AMOUNT: $777.00 INDIANAPOLIS IN 46250 -1597 CHECK NUMBER: 209336 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 47183 777.00 GENERAL PROGRAM SUPPL Safe Sitter Inc. INVOICE MAY 8 2012 8604 Allisonville Rd Suite 248 DATE INVOICE Indianapolis, IN 46250 -1597 5/4/2012 47183 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: 30748 5/4/2012 UPS Ground -C 4848 Dawn 573 -4026 ITEM QUANTITY DESCRIPTION RATE AMOUNT 112131 -1 -A 40 The Official Safe Sitter® Babysitter's Handbook with 17.50 700.00T Completion Card 401 40 Safe Sitter© Note Pad 1.00 40.00T Shipping- Student 1 Shipping /1- landling- Student 37.00 37.00 Sales Tat 0.00% 0.00 Purchase Dascripton P.O. P om) G.L. ID U /z;2 Budget 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 $777.00 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 5/4/12 47183 Safe sitter supplies 30748 777.00 Total 777.00 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 777.00 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 47183 4239039 777.00 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 17 -May 2012 Signature 777.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund