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243620 3 /30/2015 (9, CITY OF CARMEL, INDIANA VENDOR: 00351526ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: 2436****459.58* CARMEL, INDIANA 46032 5185 EMrAI ST CHECK NUMBER: 243620 CHECK DATE: 03/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343006 6 459.58 BUS TRIPS 7hA voice: 61-13`13ai7 UF InAR 0 2015 Date: 16-Mar-2015 Terms: Upon Receipt BY Bill To: Remit To: CCPR Carmel Clay Schools 5185 E Main St Carmel, IN 46033 Attn: Linda Acosta Pickup Date Pickup IdR# Drop Off Requestor _ ,2/16/201512:15 PM Forest Dale 292 Linda Acosta Elementary Vehicle Billing Rate Miles Hours 1 <Unknown> Out Of District 00 to 30 Miles 0.00 3:22 $71.90 1 187 Out Of District 00 to 30 Miles 0.00 3:22 $71.90 Total Trip Cost: $143.80 Pickup Date Pickua Trip# Drop Off Requestor 2/16/201512:15 PM West Clay Elementary 295 Linda Acosta Vehicle Billing Rate Miles Hours 1 <Unknown> Out Of District 30 To 50 0.00 3:40 $99.89 Miles 1 < Unknown> In District 0.00 1:05 $58.00 1 < Unknown> Out Of District 30 To 50 0.00 3:40 $99.89 Miles 1 < Unknown> In District 0.00 0:47 $58.00 Total Trip Cost: $315.78 Total: $459.58 Invoice Information Received Payment: $0.00 President's Day Amount Due: $459.58 Printed On: 16-Mar-2015 Page: 1 of 1 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., Carmel Clay Schools Terms 5185 E Main St Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 3/16/15 6 Schools Out Camp Transportation 2/16/15 38224 $ 459.58 Total $ 459.58 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 4 oucher No. Warrant No. Carmel Clay Schools Allowed 20 518 E5518 M Iala n�� Carmel;,1N 46033 ,�., ro In Sum of$ I' u $ 459.58 II II i ON ACCOUNT OF APPROPRIATION FOR ;F 108 -ESE I, PO#or INVOICE NO. kCCT#rrITLI AMOUNT Board Members Dept# 1081-99 6 4343006 $ 459.58 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 whicii,h charge is made were ordered and received except March 25, 2015 i Signature $ 459.58 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund