HomeMy WebLinkAbout174033 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC
CARMEL INDIANA 46032 Po Box 826 CHECK AMOUNT: $12,464.40
WESTFIELD IN 46074 CHECK NUMBER: 174033
CHECK DATE: 6124/2009
DE PARTM ENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
j 4343006 2559 12,464.40 BUS TRIPS
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Carm Iy
Parks &Recreation CHECK REQUEST
Date: 5/28/09
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 6/29/2009
Check needed for ESE Summer camp transportation 6/15/09 through 6/26/09
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
Requested by (signature): Ph II 0 J
Approved by (signature of Division Manager):
on this date z�f o9
Form revised 1 -21 -08
Safe Passage Transportation Service, Inc.
P. O. Box 828
Westfield, IN 46074
Office (317) 896 -1398
Fax (317) 896 =1438 V 'auk
Bill To -7 In uice
Carmel Clay Parks Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Audrey Kostrzewa Date Invoice
5/27/2009 2559
Serviced Additional Information Hours of Buses Rate Amount
/26/2009 For Basic Transportation Services provided for the Custom 12,464.40 12,464.40
weeks of June 15, 2009 through June 26, 2009, as
per summer camp scheduling provided by Ben
Johnson.
Its r ii
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MAY 2 7 2009 Li
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P.O.!!
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Bud —FR
Remchesar
AAPwdl Date
THANK YOU FOR USING SAFE PASSAGE TOTAL $12,464.40
Terms June 29, 2009
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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
5/27/09 2559 ESE Summer camp transportation 6/15/09 6/26/09 20515 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
i
Voucher No. Warrant No.
354975 Safe Passage Transportation Service, Inc. Allowed 20
P.O. Box 828
Westfield, IN 46074
In Sum of
w 12,464.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept it
1046 2559 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
18 -Jun 2009
Signature
12,464.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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