234086 06/25/14 \'� CITY OF CARMEL, INDIANA VENDOR: 237300
ONE CIVIC SQUARE PARTY TIME RENTAL INC
1. CHECK AMOUNT: $********84.80*
s�. ?�; CARMEL, INDIANA 46032 7250 N KEYSTONE AVE CHECK NUMBER: 234086
+.y;�TON�. INDIANAPOLIS IN 46240 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 136481 84.80 ADULT CONTRACTORS
r' I
7250 North Keystone Ave. i
I
Tw / o�2 131,7} 536- 022
Indianapolis,IN 46240 FAX(31 7)222-3853
www.PTRINC.com
RENTED TO JOB LOCATION TICKET #
CARMEL CLAY PARKS & RECREATION IN STORE PICK UP Rest 136481
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
Loc 100
bL/ID # V Co PHONE ---
DATE TIM
AR-795.2010 W (317) 573-5243 OUT 07/25/14 AM AW
F (317) 573-5254
PO/JOB # RECEIVED BY
LJ CAMP MEAGAN STORMS DUE 07/25/14 PM AW
RESERVATION Charge for 1.00 Day(s) Page: 1
QTY ITEM - DAY
EXT AMT . MT-
-AMT-1 4349-0000 GAMES SMALL FOOTBALL TOSS 31X4 30.00 30.00 30.00
DO NOT USE IN RAIN / SNOW OR STRONG WIND
3 4203-0000 GAME SUPPLIES FOOTBALL SOFT 0.00 0.00
1 4321-0000 GAME HOOP TOSS 50.00 50.00 50.00
DO NOT USE IN RAIN / SNOW OR STRONG WIND
6 4285-0000 GAME SUPPLIES RING WOOD (BAG) 0.00 0.00
----- Payments ------
No Payment Made
�'q-1.(r-•��-�..7"""' :�Y j ILS"
BY:JUN 5 2014
It there are any problems WHATSOEVER with any of our equipment,please call 317-252-3832. R'PN780.00
' ,
There will NOT be any credits or adjustments to this order,unless this phone call is made. SALES 0.00
Initials X
a
OTHER 0.00 �
M UM 70 REnm PROPEATY(LEASED)TO LESSOR W M 72 HOURS AFM AMMWE OMMIJTES ROM MIX
EVIDENCE OFL%gffHDFaEDCONIA UMSAIDPROPERIYWH1CHCANCNZWESTHEFTTHEF 0PUMSWIEBY2 DW WAIVER 4.80
YEAPS W PHLSON PULS UP70 A 610X0 FINE EQUR ENT REIMON7M DDYMACT B NOT FOR SALE. AWL TAX O.O R
I NAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE i PROPER OPERATION OFTHE ABOVE
EQUIPMENT AND I FULLY UNDERSTANDTHOSE INSTRUCTIONS. SALES TAX 0.00 g.
The undsrs mdhaving mad and undamtoodthe abovatemsaswell asMeAddidonalTermsand Conditlonsontlxl DEPOSIT O.Od TO= PAID 0.00
reverse side hereat,hereby agrees W rent the above equlpmentlartkdes on the terns and condBons settorlh In ttds
Rental Agreement,and Is an authorized apntforthe Lessee. EST AMT DUE 134.90
TOTAL DUE 6x4.80 13—JAN-14 11:36:08
EQEQUIPMENT ' I LEASED BY X � i .g V 3
m
Reorder from In-A-Bhd*SOM2.2463 @ Form 172522
Carmel c Clay
Parks&Recreation CHECK REQUEST
Date:
JUIN - 5 2014
Check payable to: -�-
Name: I I'Nle
Address: -725D f�o K-Pus-fp - A Ve-
City, State, Zip -TnO(14MrM-c L&2 LID
Mail check to payee L"�Retum check to requestor
Check Amount: $ �� ' g� Date Required:_ �6/-ZOI4
Check neded-for: StlIYlme'r &VIO 1/&70/Or-. SOD
2tkig — P/ac/ Dn E-OW
To be paid from:
PO#(if applicable) -A I,-),
a
Budget account-GL#
Budget Line Description_
Supporting documentation or receipts)MUST be attached.
Requested by (print): SLOIILG' k?
Requested by (signature): 9C Iu'QA
Approved by(signature of Division Manager):
on this date l
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
7/25/14 136481 Football pass 7/25/14 xx494 $ 84.80
I
Total $ 84.80
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
, 20
Clerk-Treasurer
I '
Voucher No. Warrant No.
j
Allowed 20
237300 Party Time Rental
7250 North Keystone Ave.
Indianapolis, IN 46240 In Sum of$
$ 84.80
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
I
1082-11 136481 4340800 $ 84.80 1 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
which charge is made were ordered and
lreceived except
j
I
i
I
19-Jun 2014
Signature
$ 84.80 Accounts Payable Coordinator
Cost distribution ledger classification if I .Title
claim paid motor vehicle highway fund