213623 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 364490 Page 1 of 1
ONE CIVIC SQUARE PRITI INC DBA NEED-A-LIFT CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 ATTN:J PATEL
412 WORTH COURT CHECK NUMBER: 213623
CARMEL IN 46032
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 6648 90 . 00 BUS TRIPS
P.riti,Inc. d/b/a Need-A,-Lift invoice
--Attn: J.Patel �°��eT��
41 2 Worth Ct Date Invoice#
_/Carmel,In 46032 OCT 22 2012 L
6648
I
Bill To Ship To
Carmel Clay Park
1411 E. 116th Street
Carmel.JN,46032
,573-52a0/F.573-5254
fyt s, � .5C 191 L MM�JL
5`7 —41.3 6 �ov�
Phone# Fax#
Ticket# Terms Due Date
317-244-1314 317-zaa-3590
6/27/zo 12
Date of Trip Trip# Description Service Qty Rate Amount
6/21/2012 225850 Day ratc whcn multiple trips required Multi trip days 2 45.00 90.00
Jennifer Hammons--transportcd from
Carmel Clay Park To Creek Side Middle
School&returned.
Purchase
Description . r-�,4' E��z
P.O.#_ k_-6CO2$ 2_ PorF
G.L.# /U2�P-9q 4!3`l 0174
Bucket
Linesescr t--�,
Purchaser ate
Approval j�)"_ ate i D
Total $90.00
Please mum a copy with your check or enter the invoice#on your chcck: If you have been
charged regular rates and you have need for multiple trips,call our office. We do take credit Payments/Credits $0.00
cards,please call.
Balance Due $90.00
tA A' C'K
�s. fm Lr S
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
6/21/12 6648 Accessible transportation ESE $ 90.00
Total $ 90.00
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 Allowed 20
Attn: J Patel
412 Worth Ct
Carmel, IN 46032 In Sum of$
$ 90.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-99 6648 4343006 $ 90.00 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
4-Oct 2012
Signature
$ 90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund