221225 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES,INC CHECK AMOUNT: $12,000.00
CARMEL, INDIANA 46032 PO BOX 828
WESTFIELD IN 46074 CHECK NUMBER: 221225
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 4019 12 , 000 . 00 BUS TRIPS
Safe Passage Transportation Service, Inc.
P. O. Box 828
Westfield, IN 46074 R CFT17F,D
Office (317) 896-1398 MAY 210 2013
Fax (317) 896-1438
Bill To 7] 111 V 0 CC
Carmel Clay Parks & Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Dawn Koepper
Date Invoice#
5/13/2013 4019
Serviced Additional Information Hours #of Buses Rate Amount
/21/2013 Second Payment for 2013 Summer Camp Custom 12,000.00 12,000.00
Transportation
Purchase LSE SLLi�� i7 7EI' �(t5
Description �t C�15�Ot A I'1-tkiv GA '2i
P.O.# oQ Ct(n(*) --(P)or F
c.L.# 1082-CtG - 434-3OCXo
U Budget 1�US yI PS
Lina escr
Purchaser Date
Approval Date
THANK YOU FOR USING SAFE PASSAGE TOTAL $12,000.00
Terms Due On Receipt
2
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
5/13/13 4019 ESE Summer bus transpo thru 6/21/13 29699 $ 12:000.00
I
To $ 12,000.00
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.
354975 Safe Passage Transportation Service, Inc. Allowed 20
P.O. Box 828
Westfield, IN 46074
In Sum of$
$ 12,000.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1082-99 4019 4343006 $ 12,000.00
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
13-Jun 2013
Signature
$ 12,000.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund