HomeMy WebLinkAbout230120 03/12/14 "' CITY OF CARMEL, INDIANA VENDOR: 354867
® it ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $ ...."901.77*
q CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 230120
9.,;�,TON, � CARMEL IN 46032 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 293531-1 133.50 OTHER RENTAL & LEASES
2201 4231100 293626-1 54.05 BOTTLED GAS
2201 4231100 293976-1 16.12 BOTTLED GAS
2201 4231100 294023-1 48.36 BOTTLED GAS
2201 4237000 294058-1 31.99 REPAIR PARTS
2201 4353099 294064-1 599.85 OTHER RENTAL & LEASES
2201 4237000 294089-1 17.90 REPAIR PARTS
IIIIII I III VIII VIII VIII VIII IIII IIII Page 1 of 1
Status: Closed
410 WEST CARMEL DRIVE Invoice#: 293531-1
CARMEL,IN 46032 Invoice Date: Wed 2/26/2014
EQUIVMENt RENTAL www.runyonrental.com Date Out: Wed 2/26/2014 8:57AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733.2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:TOWNS,ADAM
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 2726#0005 CORE DRILL HAND HELD ELEC 020104700123 Returned 2/26/2014 10:27:OOAM $40.00
4Hrs$40.00 lday$50.00 lweek$200.00 4weeks$600.00
Handle must be attached when using machine.You will be charged for handle if not
retumed.X
1 2988#001 CORE BIT H 3"X9"DRY CUT N/A Returned 2/26/2014 10:27:00AM $30.00
Reading Out:250 Reading In:250 Total units used:0.00
lday$30.00 lweek$120.00 4weeks$360.00
1 2988#001 CORE BIT H 3"X9"DRY CUT N/A Units Used $7.00
Usage$7.00 per unit with 0 units free.
1 3412#0007 GENERATOR B 3000 WATT EZGP1182801 Returned 2/26/2014 10:27:00AM $45.00
lday$45.00 lweek$180.00 4weeks$540.00
Thank You for your Business
Rental Contract Rental: $115.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $11.50
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $7.00
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $0.00
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Misc Charges: $0.00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $133.50
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $133.50
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-TOWNS,ADAM Amount Due: $133.50
111111 IIII!111111111111111111111111 IN Page 1 of 1
Status: Closed
■o gyp ® 410 WEST CARMEL DRIVE Invoice#: 293626-1
�y r® CARMEL,IN 46032 Invoice Date: Thu 2/27/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 2/27/2014 9:42AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Ccustomer#: 1384 —� Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:MARTZ, FREDERICK KENT
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 103-1 PROPANE 60 POUND REFILL Pulled $48.36
1 072874129057-1 GLOVE LEATHER PALM XL 1290J Pulled $5.69
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized forme to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)
Rental: $0.00
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $54.05
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $0.00
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Misc Charges: $0.00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $54.05
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $54.05
Signature: Paid: $0.00
CARMEL STREET DEPARTMENT-MARTZ,FREDERICK KENT Amount Due: $54.05
111111 IIII�111111111111111111111111 IN Page 1 of 1
U Status: Closed
v IYY®IY 410 WEST
CARMEL DRIVE Invoice M 293976-1
6032 Invoice Date: Tue 3/4/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Tue 3/4/2014 1:56PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: BRIDGETTE ELMORE
CustomerM 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:CARTER, MARK
Salesman: NONE
Qty I Key Items Ser# Status Returned Date Price
1 100-1 PROPANE 20 POUND REFILL Pulled $16.12
Thank You for your Business
Rental Contract Rental: $0.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $16.12
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $0.00
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Misc Charges: $0,00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $16.12
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $16.12
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-CARTER,MARK Amount Due: $16.12
lillll VIII 11111111111111111111 IN II11 Page 1 of 1
Status: Closed
Ru Nyori 410 WEST CARMEL DRIVE Invoice#: 294058-1
�® CARMEL,IN 46032 Invoice Date: Wed 3/5/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 3/5/2014 3:04PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: HOBBS, JAMES A
Salesman: NONE
Qty Key Items Ser/# Status Returned Date Price
1 024721911643-1 BIT DRILL S&D 1"1/2"SHANK Pulled $31.99
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) Rental: $0.00
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $31.99
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug'(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $0.00
discovered after the Rented Item(s)have been returned,and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Misc Charges: $0.00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $31.99
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $31.99
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-HOBBS,JAMES A Amount Due: $31.99
111111111111111111111111 IN Page 1 oft
Status: Closed
IRU NYON 410 WEST CARMEL DRIVE Invoice#: 294023-1
CARMEL,IN 46032 Invoice Date: Wed 3/5/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 315/2014 9:51 AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a fool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733.2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: BROWNING,TIM
Salesman: NONE
Qty I Key Items Ser# Status Returned Date Price
1 103-1 PROPANE 60 POUND REFILL Pulled $48.36
Thank You for your Business
Rental Contract Rental: $0.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $48.36
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $0.00
discovered after the Rented Item(s)have been returned,and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Misc Charges: $0,00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $48.36
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $48.36
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-BROWNING,TIM Amount Due: $48.36
VOUCHER NO. WARRANT NO.
ALLOWED 20
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$284.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 293531-1 43-530.99 $133.50 1 hereby certify that the attached invoice(s), or
2201 293626-1 42-311.00 $54.05 bill(s) is (are) true and correct and that the
2201 293976-1 42-311.00 $16.12
materials or services itemized thereon for
2201 294023-1 42-311.00 $48.36
which charge is made were ordered and
2201 294058-1 42-370.00 $31.99
received except
pp
Thursti8y, !r 06, 2014
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/26/14 293531-1 $133.50
02/27/14 293626-1 $54.05
03/04/14 293976-1 $16.12
03/05/14 294023-1 $48.36
03/05/14 294058-1 $31.99
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
IIIIII IIID VIII VIII VIII VIII IIII IIII Page 1 of 1
Status: Closed
Q
V®®1y ®N 410 WEST CARMEL DRIVE Invoice#: 294089-1
® CARMEL,IN 46032 Invoice Date: Thu 3/6/2014
EQUIPMENT FZENTAL www.runyonrental.com Date Out: Thu 3/6/2014 8:50AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: BRIDGETTE ELMORE
Customer#: 1384
Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:TOWNS,ADAM
Salesman:NONE
Qty Key Items Ser# Status Returned Date Price
2 076607893994-1 BLADE ABRAS 14"X1"METAL CHOP Pulled $17.90
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized forme to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) Rental: $0.00
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $17.90
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $0.00
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Misc Charges: $0.00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $17.90
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $17.90
Signature: Paid: $0.00
CARMEL STREET DEPARTMENT-TOWNS,ADAM Amount Due: $17.90
111111 IIIII 11111111111!111111111111 IN Page 1 of 1
Status: Closed
Rig 6 y®ly 410 WEST CARMEL DRIVE Invoice#: 294064-1
�/ CARMEL,IN 46032 Invoice Date: Thu 316/2014
EQUIFMENT RENTAL vwvw.runyonrental.com Date Out: Thu 3/6/2014 9:OOAM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a fool-Rent•one" 317-566-2990 Fax
Operator: JACK RUNYON
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Salesman: NONE
Delivery and Pickup
Delivery: Thu 3/6/2014 9:OOAM Contact:JEFF
Pickup Date: Thu 3/6/2014 9:45AM Phone: 317-417-5053
Location: 106TH &GRAY RD CARMEL,IN
Used at Address: 106TH&GRAY RD ; CARMEL, IN
Qty Key Items Serb Status Returned Date Price
1 5645#0004 FORKLIFT 54'10,000 POUND 0160043255 Returned 3/6/2014 9:45:OOAM $375.00
Meter Out:1636.2 Meter In:1636.5 Total hours on meter:0.3
lday$550.00 lweek$1,595.00 4weeks$3,650.00
CUSTOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE
CHECK TIRES PRIOR TO LEAVING LOT X
EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU ARE
RESPONSIBLE FOR RETURN AND/OR RECOVERY X
1 I16A-1 DELIVERY&PU SEMI 0-20 MILES Sold $175.00
"'PLEASE BE SURE TO CALL EQUIPMENT OFF RENT!!!!"'THE EQUIPMENT WILL NOT BE
PICKED UNLESS YOU RECEIVE A PICK-UP CODE""MUST GET CODE""OR EQUIPMENT IS
STILL ON RENT!x (initial)
1.90 DIES-1 DIESEL Pulled $12.35
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) Rental: $375.00
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $37.50
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $12.35
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug,(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is Delivery Charge: $175.00
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Mist:Charges: $0.00
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $599.85
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $599.85
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT Amount Due: $599.85
VOUCHER NO. WARRANT NO.
ALLOWED 20
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$617.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 294089-1 42-370.00 j $17.90 1 hereby certify that the attached invoice(s), or
2201 294064-1 43-530.99 $599.85 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
� I
1 jaw h-�w id X2014
ff
e Lmmissloner
ree ommissloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/06/14 294089-1 $17.90
03/06/14 294064-1 $599.85
I 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