198834 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC CHECK AMOUNT: $17,975.00
CARMEL, INDIANA 46032 PO BOX 828
WESTFIELD IN 46074 CHECK NUMBER: 198834
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 3247 17,975.00 BUS TRIPS
Safe Passage Transportation Service, Inc.
P. O. Box 828
Westfield, IN 46074
Office (3 17) 896 -1398
Fax (317) 896 -1438
Bill To Inv L;w
Carmel Clay Parks Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Audrey Kostrzewa Date Invoice
5/5/2011 3247
Serviced Additional Information Hours of Buses Rate Amount
/24/2011 Third Payment for 2011 Summer Camp Custom 17,975.00 17,975.00
Transportation
p4y 16 2011
BY:
Purchase c... n_
Description SW ter" l-{_ MIQ 1 ansp0 ru. QW1, I
P.O. a �yac5 n or F
G.L. 1Q9,1;7-
Bud
Line Descr �I S 1 L JCZflj-
Purchaser Date
Approval Date
THANK YOU FOR USING SAFE PASSAGE TOTAL $17,975.00
Terms Due On Receipt
.2 plc-K010 (0
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.
354975 Safe Passage Transportation Service, Inc. Terms
P.O. Box 828 Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/5/11 3247 Summer Camp transportation thru 6/24/11 17,975.00
Total 17,975.00
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.
354975 Safe Passage Transportation Service, Inc. Allowed 20
P.O. Box 828
Westfield, IN 46074
In Sum of
17,975.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4,CCT#fTITLE AMOUNT Board Members
Dept
1082 -99 3247 4343006 17,975.00
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
16 -Jun 2011
Signature
17,975.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund