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221694 07/02/2013 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 826 WESTFIELD IN 46074 CHECK NUMBER: 221694 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343006 4020 12, 000 . 00 BUS TRIPS Safe� Passage Transportation Service, Inc. P. O. Box 828 Westfield, IN 46074 Office (317) 896-1398 I� cF'.T�.T�D Fax (317) 896-1438 MAY 2 0 2013 Malik IN AV AO%k Bill To I � �— — Irivvice Carmel Clay Parks & Recreation 1411 E. 116th Street Carmel, IN 46032 ATTN: Dawn Koepper Date Invoice# 5/13/2013 4020 Serviced Additional Information Hours #of Buses Rate Amount 7/5/2013 Third Payment for 2013 Summer Camp ' Custom 12,000.00 12,000.00 Transportation Purchase ESE SLtrn m et- lam -��o� or l al©n -L ra 7/13113 Cascriptio P.O.# QQ G.L.# Toga-Q -y3�►30 Line7D escr 5 ' Line D Purchaser Date Approval Date i THANK YOU FOR USING SAFE PASSAGE TOTAL $12,000.00 Terms Due On Receipt / V 3 � 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 4020 ESE Summer bus transpo thru 7/5/13 29699 $ 12,000.00 —. Total $ 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 INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1082-99 4020 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 20-Jun 2013 $ 12,000.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund