229145 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 237300 Page 1 of 1
ONE CIVIC SQUARE PARTY TIME RENTAL INC CHECK AMOUNT: $114.53
?. CARMEL, INDIANA 46032 7250 N KEYSTONE AVE
INDIANAPOLIS IN 46240 CHECK NUMBER: 229145
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 136510 114 . 53 ADULT CONTRACTORS
7250 North Keystone Ave. P41L (31 7) 536-2022
Indianapolis, IN 46240P ,� FAX(317)222-3853 l,'tE.&IWAL
��� www.PTRINC.com
RENTED TO JOB LOCATION - TICKET #
CARMEL CLAY PARKS & RECREATION INSTORE PICKUP Res# 136510
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
Loc 100
DL/ID # V Co PHONE DATE TIME
AR-795.2010 ! W (317) 573-5243 OUT 01/31/14 AM KM
IF (317) 573-5254
PO/JOB # RECEIVED BY
LJ X MEAGAN STORMS!-698.0816 DUE 02/03/14 AM KM
RESERVATION Charge for 1.00 Day(s) Page: 1
QTY ITEM DAY EXT AMT NET AMT
1 6455-0000 CONCESSION SNOW CONE MACHINE 47.00 47.00 47.00
REMOVE ALL DEBRIS PRIOR TO RETURN
DO NOT DISASSEMBLE MACHINE - CAIaL 317.252.3832
**DO NOT USE ON AN EXTENSION CORD**
1 6010 SNOCONE CUPS/200 9.99 9.99 9.99
1 6018 SYRUP BLUE RASPBERRY 12.25 12.25 12.25
1 6020 SYRUP GRAPE 12.25 12.25 12.25
3 6021 SYRUP PUMP 5.99 17.97 17.97
1 6022 SYRUP CHERRY 12.25 12.25 12.25
----- Payments ------
No Payment Made
i
If there are any problems WHOUSOEVER with any of our equipment,please call 317-252-3832.1 c
"
There will NOT be any credits or adjustments to this order,unless this phone call is made. RENT 47.00 �
Initials X SALES 64.71
d
FAILURE TO RETURN PROPERTY(LEASED)TO LESSOR WITHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FOIE OTHER 0.00
L
EVIDENCE OF UNAUTHORIZED CONTROL OVER SAID PROPERTY WHICH CAN CONSTITUTES THEFT THEFT IS PUNISHABLE BY 2 DMG WAIVER 2.92 g
YEARS IN PRISON PLUS UPTO A$10,000 FINE.EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE ih
I HAVE BEEN INSTRUCTED&DEMONSTRATED ONTHE SAFE&PROPER OPERATION OFTHE ABOVE? ADDL TAX 0.00
EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS,
The undersigned having read and understood the above terms as well as the Additional Terms and Conditions on he SALES TAX 0.00 a
reverse side hereof,hereby agrees to rent the above equlpmenUarticles on the terms and condltlons set forth in t�ls DEPOSIT 0.00 TOTAL PAID 0.00
Rental Agreement,and is an authorized agent for the Lessee. i EST MMT DUE 114.53 E
TOTAL DUE 114.53 17-JAN-14 11:13:46
EQUIPMENT LEASED BY X c
0
N
�- Reorder from In•A•Bind 800.862.2463•Form#12522
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.
237300 Party Time Rental
7250 North Keystone Ave. Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1131114 136510 Snow cone for Beach Bash xx170 $ 114.53
Total $ 114.53
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.
Allowed 20
237300 Party Time Rental
7250 North Keystone Ave.
Indianapolis, IN 46240 In Sum of$
$ 114.53
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1
1081-7 136510 4340800 $ 114.53 d 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
6-Feb 2014
Signature
$ 114.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I