HomeMy WebLinkAbout233100 05/28/14 CITY OF CARMEL, INDIANA VENDOR: 237300
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ONE CIVIC SQUARE PARTY TIME RENTAL INC CHECKAMOUNT: S********65.72*
CARMEL, INDIANA 46032 250N KEYS ON AVE CHECK NUMBER: 233100
CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 136480 65.72 ADULT CONTRACTORS
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7250 North Keystone Ave. PA' TM (31?) 536-2022
Indianapolis, IN 46240 FAX(317)222-3853_
ENMP .. ATI www PTRINC.com
RENTED TO JOB LOCATION - TICKET #
CARMEL CLAY PARKS & RECREATION -�q� Res# 136480
1235 CENTRAL, PARK DRIVE EAST Q
CARMEL IN 46032 1Z-`13
l- y34U-Zon Loc loo
DL/ID # V Co FHONE DATE TIM
AR-795.2010 1 (317) 573-5243 OUT 06/20/14 AM AW
17, (317) 573-5254
PO/JOB # RECEIVED BY
LJ CAMP MEGAN STORMS DUE 06/20/14 PM AW
RESERVATION Charge for 1.00 Day(s) Page: 1
QTY ITEM DAY EXT AMT NET AMT
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Rental Text : NO SUPPLIES NEEDED
1 6453-0000 CONCESSION COTTON CANDY MACHIN 41.00 47.00 47.00
REMOVE ALL DEBRIS PRIOR TO RETMR
DO NOT DISASSEMBLE MACHINE - CALL 317.252.3832
**DO NOT USE ON AN EXTENSION CORD**
1 5005-0000 CONCESSION DOME FOR CC MACHINE 15.00 15.00 15.00
REMOVE ALL DEBRIS PRIOR TO RETURN
----- Payments ------
No Payment Made
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MAY 210 2014
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1 If there are any problems WHATSOEVER with any of our equipment,please call 317-252-3832.l RENT 62.00 ,
There will NOT be any credits or adjustments to this order,unless this phone call is made. I ez
initials X i SAM 0.00 �
MUM TO RETURN PAOPEMY UASM M LEM WTM 72 HOURS AFTER ARM TIME CONsmUTES PREA4 FAQ.
E OTHER 0.00
DeMOFLMMORMCONfRDI.OMIWDPROPERIYVHCHCANCCNOWESTHEKTHEFrSPUNISH M.t+2 rw 1ULT"R 3.72
YEARS IN PRISON PLUS UPTOAWADDFW-EWP"PBM0N7M0WrRAGT18Wrr0RwE i ADDL TAX 0.00 a
1 HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OFTHE ABOVA
EQUIPMENT AND I FULLY UNDERSTANDTHOSE INSTRUCTIONS. 1 SALES TAX 0.00
The underelgned having read and understood the above temre as well asthe AdditlonalTemms end Cmxft s on J1, DEPOSIT 0.00 TOTAL PAID 0.00
reverse sidehereai,hereby agrees to recd the above equonentlaftes on the terms and cordidons eatforlh In ttils
Rental Agreement,and Is an authorized agent forthe Lessee. EST AMT DUE 65.72
TOTAL DUE 65.72 13-JAN-14 11:35:40 �
EQUIPMENT LEASED BY X
Reorder from In-A-Bbd•BOME-2463 a Form#12522
Carrel c. Clay
Parks&Recreation CHECK REQUEST
ISI 12_ 1
Date: `
1 MAY 2 0 2014
Check Gaya;bile to: �- �------__
Name:
Address: _72 S D Nof- '1 Eve
City, State,Zip li cd i arnap al�S N q b.zq o
Mail check to payee V"'Retum check to requestor
- --Check Amount: $ Date Required: (0 l2 C)/2Oq
Check needed for: ,?wnA1w.r ( ZM I)ZhC1dr C0*Yt Ca.117C4
PW
To be raid from: / I
PO#(ii applicable)
Budget account- GL# i L'�o� " 1 - ���� ��� � ®� LCV3�)
Budget Line Description _EG _P/Qu Ph
Supporting documentation or receipt(s)MUST be attached
Requested by(print): '�Wanr .l VM L
Requested by (signature): l�GZy� Get
Approved by(signature of Division Manager):
on this date S4,_jq
Form revised 1-21-08
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
6/20/14 136480 Cotton candy xx497 $ 65.72
Total $ 65.72
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$
$ 65.72
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ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1082-11 136480 4340800 $ 65.72 f 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
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which charge is made were ordered and
received except
22-May 2014
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Signature
$ 65.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund