222147 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 354975 Page 1 of 1
ONE CIVIC SQUARE SAFE PASSAGE TRANS SERVICES, INC
CARMEL, INDIANA 46032 PO BOX 828 CHECK AMOUNT: $12,000.00
WESTFIELD IN 46074 CHECK NUMBER: 222147
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343006 4021 12 , 000 . 00 BUS TRIPS
Safe Passage Transportation Service, Inc.
P. 0. B6x' 828
Westfield, IN 46074 RE+ C'F I�, ED
Office (3,17) 896-1398 MAY , 2013
Fax (317) 896-1438
- - - InvOice
Bill To i
Carmel Clay Parks & Recreation
1411 E. 116th Street
Carmel, IN 46032
ATTN: Dawn Koepper Date invoice#
5/13/2013 4021
Serviced Additional Information Hours #of Buses Rate Amount
/19/2013 Fourth Payment for 2013 Summer Camp Custom 12,000.00 12,000.00
Transportation
Ese Su rn m er r s
Purchase f y0j jS�X)lrt0jj on 4--hvu 7/lal(3
Description
P.O.# a a1(,6Qq or F
G.L.# ffla-qg- 43�3O�Co
Rudget
Line Descr
Purchaser Date
Approval Date
THANK YOU FOR USING SAFE PASSAGE TOTAL $12,000.00
Terms Due On Receipt
4
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 4021 ESE Summer bus transpo thru 7/19/13 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
120
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 4021 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
10-Jul 2013
$ 12,000.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund