HomeMy WebLinkAbout173016 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC CHECK AMOUNT: $12,464.40
'a CARMEL, INDIANA 46032 PO BOX 628
WESTFIELD IN 46074 CHECK NUMBER: 173016
CHECK DATE: 5/27/2009
DEPARTMENT ACC OUNT PO N UMBER INVOIC N UMBER AMOUNT DESCRIPTION
1046 4343006 2546 12,464.40 BUS TRIPS
Carmel e Clay
Parks &Recreation CHECK REQUEST
Date: 5/22/2009
Check payable to
Name: Safe Passa e Trans ortation Service Inc.
Address: P.O. Box 828
City, State, Zip Westfield IN 46074
Mail check to payee XX Return check to requester
Check Amount 12 464.40 Date Required: 6/8/2009
Check needed for Summer camp bus transportation
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO
Budget account GL 1046- 4343008
Budget Line Description Bus trips
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Safe Passage Transportation Service, Inc.
P. O. Box 828
Westfield, fN 46074
Office (317) 896 -1.398
Fax (317) 896 -1438 Invo
Bill To
Carmel Clay Parks Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Audrey Kostrzewa
Date Invoice
5/21/2009 2546
Serviced Additional Information Hours of Buses Rate Amount
6/2/2009 For Basic Transportation Services provided for the Custom 12,464.40 12,464.40
weeks of June 2, 2009 through June 12, 2009, as
per summer camp scheduling provided by Ben
Johnson.
Purchase
Descriptlpn -j
P.O. .f��.`� f�
G.L. 416 �3��,/]�7S?'
Bud et c
Llne
Purchaser
Ap
THANK YOU FOR USING SAFE PASSAGE TOTAL $12,464.40
Terms June 15, 2009
ACCOUNTS PAYABLE VOUCHER
r 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
5121/09 254 Summer camp transportation 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
354975 Safe Passage Transportation Service, Inc. Allowed 20
P.Q. Box 828
Westfield, IN 46074
r In Sum of
12,464.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1046 25W to 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
21 -May 2009
Signature
12,464.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund