211431 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 364490 Page 1 of 1
ONE CIVIC SQUARE PRITI INC DBA NEED-A-LIFT
CARMEL, INDIANA 46032 ATTN J PATEL CHECK AMOUNT: $319.00
o� 412 WORTH COURT CHECK NUMBER: 211431
CARMEL IN 46032
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 6662 319 . 00 BUS TRIPS
I�
Priti, Inc. d/b/a Need-A-Lift RE C ' ' EID Invoice
Attn: J. Patel JUL 0 5 2012
412 Worth Ct Date Invoice#
Carmel, In 46032 BY !0-T7_ 12- 6662
Bill To Ship To
Carmel Clay Park
1411 E. 1 16th Street
CarmeL1N.46032
573-5240/F.573-5254
Phone# Fax#
Ticket# Terms Due Date
317-244-1314 317-244-3590
6/27/2012
Date of Trip Trip# Description Service Qty Rate Amount
6/26/2012 225896 Day rate when multiple trips required Multi trip days 2 45.00 90.00
Liam---transported from Carmel Middle
School TO Monon Center&returned.
6/27/2012 225885 Day rate when multiple trips required Multi trip days 2 45.00 90.00
When over 10 miles Multi trip Mi... 14 3.50 49.00
Jenton Hannah ---transported from Carmel
Middle School TO 3902 N.Glen Arm Rd
&returned.
6/28/2012 225949 Day rate when multiple trips required Multi trip days 2 45.00 90.00
Liam---transported from Carmel Middle
School TO Monon Center&returned.
Total $319.00
Please return a copy with your check or enter the invoice#on your check. If you have been Pa ments/Credits
charged regular rates and you have need for multiple trips,call our office. We do take credit y $0.00
cards,please call. p
Purchase Balance Due $319.00
Description eces,-,& -t�
P.O.# n�C�g,`�� P F
G.L.#
Budget �r' y
Line escr -
Purchaser Date
Approval Date
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.
364490 Priti, Inc. dba Need-A-Lift Terms
Attn: J Patel
412 Worth Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/27/12 6662 Accessible transportation ESE 30956 $ 319.00
Total $ 319.00
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.
364490 Priti, Inc. dba Need-A-Lift I Allowed 20
Attn: J Patel
412 Worth Ct
Carmel, IN 46032 In Sum of$
$ 319.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-99 6662 4343006 $ 319.00 1 hereby certify that the attached invoice(s), or
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
26-Jul 2012
Signature
$ 319.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund