174486 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC CHECK AMOUNT: $12,464.40
CARMEL, INDIANA 46032_ PO Box see
y WESTFIELD IN 46074 CHECK NUMBER: 174486
CHECK DATE: 7/812009
DEPARTMENT ACCOUN PO NUMBER I NVOI CE NUM AMOUNT D ESCRIPTION
1046 4343006 2560 12, 464.40 BUS TRIPS
Carmel Clair
Parks &Recreation CHECK REQUEST
Date: 5128/09
Check payable to
Name: Safe Passage Transportation Service, Inc.
Address: P.O. Box 828
City, State, Zip Westfield, IN 46074
Mail check to payee XX Return check to requestor
Check Amount 12,464.40 Date Required 7/13/2009
Check needed for ESE Summer camp transportation 6/29/09 through 7/10/09
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO 20515
Budget account GL 1046 4343006
Budget Line Description Bus Trips
Requested by (print): Paula Schlemmer
�y
Requested by (signature): 9�O -'Uj 'XVi'�hjoYVYYL_ k"
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Safe Passage Transportation service, Inc.
P. O. Box 828
Westfield, IN 46074
Office (317) 896 -1398
ax (317) 896 -1438
MAW
V C I
Bill T
Carmel Clay Parks Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Audrey Kostrzewa Date Invoice
5/27/2009 2560
Serviced Additional Information Hours of Buses Rate Amount
/10/2009 For Basic Transportation Services provided for the Custom 12,464.40 12,464.40
weeks of June 29, 2009 through July 10, 2009, as
per summer camp scheduling provided by Ben
Johnson.
IT79� ZIW a
MAY 2 7 2009
1
F'u►chase rn mer I t�rr
DesCriptfo�l ���►^tlt. -i—r`x
un e !LC 1L tea
Purchaser Date
APPmv Date
THANK YOU FOR USING SAFE PASSAGE TOTAL $12,464.40
Terms July 13,2009
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
5127/09 2560 ESE Summer camp transportation 6/29/09 7/10/09 20515 p 12,464.40
Total 12,464.40
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
12,464.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program
PO# or INVOICE= NO. CCT #MTLE AMOUNT Board Members
Dept
1046 2560 4343006 12,464.40
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
2 -Jul 2009
it
Signature
12,464.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund