211037 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC CHECK AMOUNT: $22,294.80
CARMEL, INDIANA 46032 PO BOX 828
WESTFIELD IN 46074 CHECK NUMBER: 211037
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 3648 22 , 294 . 80 BUS TRIPS
Safe Passage Transportation Service, Inc. o ,ra 7
P. 0. Box 828 MAY 0 3 7012
Westfield, IN 46074
Office (317) 896-1398 ��:....
Fax (317) 896-1438
Bill To
Carmel Clay Parks & Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Dawn Koepper Date Invoice#
5/2/2012 3648
Serviced Additional Information Hours #of Buses Rate Amount
/20/2012 Fourth Payment for 2012 Summer Camp Custom 22,294.80 22,294.80
Transportation
THANK YOU FOR USING SAFE PASSAGE TOTAL $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 3648 Bus transportation thru 7/20/12 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. NCCT#/TITLE AMOUNT Board Members
Dept#
1082-99 3648 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
12-Jul 2012
Signature
$ 22,294.80 Accounts Payable Coordinator
Cost distribution ledger classification if i Title
claim paid motor vehicle highway fund