246483 06/17/15 i o.C�Nb
CITY OF CARMEL, INDIANA VENDOR: 237300
ONE CIVIC SQUARE PARTY TIME RENTAL INC CHECK AMOUNT: $********59.81*
CARMEL, INDIANA 46032 7250 N KEYSTONE AVE CHECK NUMBER: 246483
yroN�° INDIANAPOLIS IN 46240 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 139259 59.81 ADULT CONTRACTORS
Carrel c clay
Parks&Recreation CHECK REQUEST—__�
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Date:_ 1 I�� MAY 15 2015
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Check payable to:
Name: portl
Address: 7
City, State, Zip
Mail check to payee Return check to requestor
Check Amount: $ LkQ 1 Date Required: �c,� �W5_
Check needed for: V' s
To be paid from:
PO#(if applicable) �l l
Budget account - GL#
Budget Line Description San-,a
Supporting documentation or receipt(s) MUST be attached.
Requested by(print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1-21-08
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V p
7250 North Keystone Ave. (317) 536-2022
PARff nG
Indianapolis, IN 46240 FAX(317)222-3853
www.PTRINC.comREM
.
T=c> Efi #
CARMEL CLAY PARKS & RECREATION INSTORE PICKUP Res# 139259
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
Loc 100
DATE TIME
AR-795.2010 W (317) 573-5243 OUT 07/02/15 AM KM
F (317) 573-5254
LJ SUMMER CAMP MEGAN STORMS-698.0816 DUE 07/06/15 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 — CALL 317.252-3832
**DO NOT USE ON AN EXTENSION CORD**
1 6010 SNOCONE CUPS/200 9.99 9.99 9.99
----- Payments ------
No Payment Made
C G
MAY 15 2015
Y
'O
If there are any problems WHATSOEVER with any of our equipment,please call 317-252-3832.
There will NOT be any credits or adjustments to this order,unless this phone call Is made. RENT 47.00
InitialsX SALES 9.99
a
FAILURE TO RETURN PROPERTY(LEASED)TO LESSOR WITHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACIE OTHER 0.00
EVDENCEOFUNAVrHO
RIZED CONTROL OAR SAID PROPERTYWHICH CAN CONSTITUTES THEKTHEFT IS PUNISHABLE BY 2 DMG WAIVER 2.82
YEARS IN PRISON PLUS UPTO A$10,000 FINE EQUIPMENT RENTED ONTHIS CONTRACT IS NOT FOR SALE S
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OFTHE ABOVE ADDL TAX 0.00
EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS.
,ES TM 0.00
The undersigned having read and understood the above terms as well as the Additional Terms and Conditlons on the
reverse side hereof,hereby agrees to rent the above equipmenUartides on the terms and conditions set forth in this DEPOSIT 0.00 TOTAL -PAID 0.00 E
Rental Agreement,and is an authorized agent for the Lessee. L2
EST AMT DUE 59.81 �
TOTAL DUE 59.81 03—FEB-15 08:49:25
EQUIPMENT LEASED 8Y X m'
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
7/2/15 139259 Play On Party Rental 7/3/15 XX2112 $ 59.81
Total $ 59.81
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
Voucher No. Warrant No.
Allowed 20
237300 Party Time Rental
7250 North Keystone Ave.
Indianapolis, IN 46240 In Sum of$
$ 59.81
ON ACCOUNT OF APPROPRIATION FOR
i
108 -ESE
i
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-7 139259 4340800 $ 59.81 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
received except
June 11, 2015
Signature
$ 59.81 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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