210535 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC
CARMEL, INDIANA 46032 PO BOX 628 CHECK AMOUNT: $22,294.80
WESTFIELD IN 46074 CHECK NUMBER: 210535
SON GO
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 3647 22,294.80 BUS TRIPS
Safe Passage Transportation Service, Inc. D F7
P. O. Box 828 MAY 0 3 ?012
Westfield, IN 46074
Office (317) 896 -1398 BY:
Fax (317) 896 -1438
1 C
Bill To F a l V 0
Carmel Clay Parks Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Dawn Koepper Date Invoice
5/2/2012 3647
Serviced Additional Information Hours of Buses Rate Amount,
7/6/2012 Third Payment for 2012 Summer Camp Custom 22,294.80 22,294.80
Transportation
THANK YOU FOR USING SAFE PASSAGE TODITAL $22,294.80
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
5/2/12 3647 Bus transportation thru 7/6/12 30780 22,294.80
Total 22,294.80
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
22,294.80
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 0 ,CCT#/TlTLE AMOUNT Board Members
Dept
1082 -99 3647 4343006 22,294.80
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
28 -Jun 2012
Signature
22,294.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund