212541 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 366122 Page 1 of 1
_ ONE CIVIC SQUARE CHAUNCIE'S PLACE CHECK AMOUNT: $459.90
CARMEL, INDIANA 46032 4607 E 106TH STREET
CARMEL IN 46033 CHECK NUMBER: 212541
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 108CM 459 . 90 EXTERNAL INSTRUCT FEE
Chaucie's Place nn Invoice
4607 East 106th Street Carmel, Indiana 46033
Invoice#: 108CM
Invoice Date: 8/10/2012
Due Date: 9/9/2012
Bill To: Project:
P.O. Number:
Jennifer Brown
Assistant Manager
Carmel Clay Parks& Recreation
1235 Central Park Drive East
Carmel, IN 46032 AUG 2 9 2012
Date Description Amount
8/10/2012 11/1/2012, 11/2/2012, 3/7/2013 Stewards of Children -30 participants 450.00
8/10/2012 11/1/2012, 11/2/2012, 3/7/2013 Stewards of Children - 18 miles 9.90
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Thank you for your commitment to protecting our children! Total $459.90
Payments/Credits $0.00
Balance Due $459.90
P L A C E
CARING PROTECTION • HEALING
Organization:Carmel Clay Parks& Recreation
Dates/Times: Thursday, November 1, 2012 6:30pm—9:00pm AUG 2 9 X1 2
Friday, November 2, 2012 9am—11:30pm rZV
Thursday, March 7, 2013 6:30pm—9:00p, -
Location: 1235 Central Park Drive East,Carmel, IN 46032
Dear Jennifer,
Thank you for participating in our Darkness to Light Stewards of ChildrenD Program.We want to educate adults
about the steps they can take to prevent, recognize, and react responsibly to child sexual abuse.After you have read
through the contract please sign and return by 8.27.12. You will receive an invoice with the total amount shown below
prior to the training.
Chaucie's Place will provide:
• A three-part DVD presentation integrating commentary from sexual abuse survivors, experts in the field and
other concerned adults all providing practical guidance for preventing and responding to sexual abuse.
• An interactive workbook designed to facilitate discussion, reinforce key concepts, and serve as a resource guide
and personal action plan for resolving child sexual abuse for you to keep and finish at your convenience.
• A 7 steps guide to protecting our children for you to keep or pass along.
• A facilitator-led discussion about important issues in child sexual abuse prevention and the relevance of these
issues within our community,organizations that serve children, and Hamilton County Parks and Recreation Staff
Members.
• A certificate of completion.
Your organization will provide:
• Reimbursement for mileage at the IRS rate.
• $15 per persons in attendance.
• A TV/DVD player or Projector/Screen/Speakers/DVD Player for the facilitator to use during the training.
$.55 x 6 miles x 3 sessions= $9.90
$15 x 30 people= $450.00
TOTAL=$459.90
*"Should more than 30 people attend or we need to schedule additional training dates we will send a new invoice following the training.`
I AGREE TO THE TERMS AND CONDITIONS OF THIS LETTER AGREEMENT.
Signature: Date:
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.
366122 Chaucie's Place Terms
4607 East 106th Street
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8110/12 108CM training $ 459.90
Total $ 459.90
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. _
366122 Chaucie's Place Allowed 20
4607 East 106th Street
Carmel, IN 46033
In Sum of$
$ 459.90
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 108CM 4357004 $ 459.90 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
6-Sep 2012
_ Signature
$ 459.90_ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund