205971 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 364490 Page 1 of 1
ONE CIVIC SQUARE PRITI INC DBA NEED -A -LIFT
CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 ATTN: J PATEL
412 WORTH COURT CHECK NUMBER: 205971
o
CARMEL IN 46032
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343006 6320 90.00 BUS TRIPS
Priti, Inc. d /b /a Need -A -Lift
Invoice
Attn: J. Patel
412 Worth Ct Date Invoice
Carmel, In 46032
6320
Bill To Ship To
Carmel Clay Park
1411 E. 1 16th Street
Carmel.IN. 46032
573- 5240/F.573 -5254
Phone Fax
Ticket Terms Due Date
3 17-244-13 14 317- 244 -3590
12/29/2011
Date of Trip Trip Description Service Qty Rate Amount
12/28/2011 223277 Day rate when multiple trips required Multi trip days 2 45.00 90.00
Noan Capuano transported from 12415
Shelborne Rd TO Monon Com Center
returned.
p TP1.�
JAS! 0 9 1012 Purchase
Descriptor C`P
BY: P.O. f 000 14 7 P or
u.L#_ (D3/ -99 1 1V3W7
Buc!oet
i_ine bescr _l c<
Purchaser Date
Approval_ Date C 7�Q
Total $90.00
Please return a copy with your check or enter the invoice on your check. If you have been
charged regular rates and you have need for multiple trips, call our office. We do take credit Payments /Credits $0.00
cards, please call.
Balance Du $90.00
I�
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
12/29/11 6320 Bus transportation 90.00
Total 90.00
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
1 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 c
90.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1081 -99 6320 4343006 90.00 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
26 -Jan 2012
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund