205592 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC CHECK AMOUNT: $1,118.00
CARMEL, INDIANA 46032 Po Box 828
WESTFIELD IN 46074 CHECK NUMBER: 205592
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMB INVOICE N AMOUNT DESCRIPTION
1081 4343006 3505 1,118.00 BUS TRIPS
Safe Passage Transportation Service, Inc.
P. O. Box 828
Westfield, IN 46074
Office (317) 896 -1398
Fax (3 17) 896 -1438
Bill To v 0 itc; e
Carmel Clay Parks Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Audrey Kostrzewa Date Invoice
12/31/2011 3505
Serviced Additional Information Hours of Buses Rate Amount
12/28/201 Transportation Cherry Tree to Monon Center 1.00 Hrs. 1 108.00 108.00
ordered two buses, cancelled one after arrival
12/28/201 Transportation Cherry Tree to Monon Center 4.5 Hrs. 1 326.00 326.00
12/28/201 Transportation College Wood to Monon Center 4.75 Hrs. 2 342.00 684.00
JAN 0 4 2012
BY:
Purchase
Dcscripton QG'� nnofJUr
i'.O. 303 P or F
G.L. i 03
Sudget
Line Descr JL
Purc ,haler Date
�roval Date
THANK YOU FOR USING SAFE PASSAGE TOTAL. $1,118.00
Terms Due On Receipt
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
12/31/11 3505 Bus transportation 12(28111 30343 1,118.00
Total 1,118.00
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
1,118.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4 ,CCT#f'r[TLE AMOUNT Board Members
Dept
1081 -99 3505 4343006 1,118.00
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
11 -Jan 2012
Signature
1,118.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund