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220775 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 357087 Page 1 of 1 ONE CIVIC SQUARE SAFE SITTER INC s{ % CARMEL, INDIANA 46032 CHECK AMOUNT: $777.00 `+ 8604 ALLISONVILLE ROAD SUITE 248 INDIANAPOLIS IN 46250-1597 CHECK NUMBER: 220775 CHECK DATE: 61412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 49386 777 . 00 GENERAL PROGRAM SUPPL ®.0 INVOICE Safe Sitter, Inc. =BY:8604 Allisonville Rd Suite 248 DATE INVOICE# Indianapolis, IN 46250-1597 5/10/2013 49386 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 116th Street 1235 Central Park Drive East Carmel,IN 46032 Carmel, IN 46032 P.O. NO. SHIP DATE SHIP VIA COMMENTS ORDERED BY: 29763 5/10/2013 UPS-Ground-C 4848 Dawn 317 573 4026 ITEM QUANTITY DESCRIPTION RATE AMOUNT 112BH-A 40 The Official Safe Sitter©Babysitter's Handbook with 17.50 700.00T Completion Card 401 40 Safe Sitter&O Note Pad 1.00 40.00T Shipping-Student Shipping/Handling-Student 37.00 37.00 Sales Tat 0.00% 0.00 Purchase &X �l er Description Q_tAy-1-j(1W SL)l P.O.# ��(i-�_P rF G.L.# PUdget cr i..ine Do, ,:rcht,er 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 5/10/13 49386 Safe Sitter curriculum supplies 29763 $ 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 49386 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 30-May 2013 Signature $ 777.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund