188959 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364490 Page 1 of 1
ONE CIVIC SQUARE PRITI INC DBA NEED -A -LIFT
CHECK AMOUNT: $84.00
CARMEL, INDIANA 46032 ATTN: J PATEL
412 WORTH COURT CHECK NUMBER: 188959
CARMEL IN 46032
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 5195 84.00 BUS TRIPS
Priti, Iuc. d/b /a Need -A -Lift
Attn: 1. Patel Inv oice
412 Worth Ct date Invoice
Carmel, In 46032
5195
Bill To Ship To
Crmcl Clay Park;
1411 E. 116th Street
Carmel.IN. 46032
573- 5240/F.573 -5254
Phone Fax
Ticket
Terms Due bate
317 244 -1314 317 -244 -3590
211765 7/26/2010
Date of Trip Trip Description Service
Qty }?ate Amount
7/23/2010 211765 Day rate when multiple trips required Multi trip days 2
�ilY Steadman transported from Clay 42,b0 $4,00
Middle School To 1721 Pleasant street
returned
Ar T
Purchase
Description JU L 2 8 2 10 C
P.O.# PorF
B a Desc► L `t' l'
S f�
Purchaser Date D
Approval Date —(n
Total
Ploasc rotum a copy with yo ur check or enter the invoice on your check. if you have been $$4.00
charged regular rates and yott have need for multiple trips, call our office. We do take crcdh payments /Credits
cards, Please calf. $0.00
Balance DUG $84.00
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,
364490 Priti, Inc. dba Need -A -Lift Terms
Attn: J Patel
412 Worth Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7123110 5195 Bus transportation 84.00
Total 84.00
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.
364490 Priti, Inc. dba Need -A -Lift Allowed 20
Attn: J Patel
412 Worth Ct
Carmel, IN 46032 In Sum of
84.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -99 5195 4343006 84.00 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
12 -Aug 2010
Signature
84.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund