HomeMy WebLinkAbout246482 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 237300
ONE CIVIC SQUARE PARTY TIME RENTAL INC CHECK AMOUNT: $********85.70*
r CARMEL, INDIANA 46032 7250 N KEYSTONE AVE CHECK NUMBER: 246482
v\ J= INDIANAPOLIS IN 46240
CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 139214 85.70 ADULT CONTRACTORS
Carrel (.. clay
Parks&Recreation CHECK REQUEST ' '---
Date: � �� MAY 15 2015
Check payable to:
Name:
Address:
City, State, Zip 8✓ �dG "�
Mail check to payee Return check to requestor
Check Amount: $ S� Date Required:
Check needed for:
To be paid from:
PO#(if applicable) ��
Budget account- GL# �a3�43 2
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): FO n
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1-21-08
Y p
7250 North Keystone Ave.
PJTff TM (317) 536-2022
Indianapolis, IN 46240 FAX(317)222-3853
ATI www.PTRINC.com
RENID1 ,
'LOCATION
CARMEL CLAY PARKS & RECREATION INSTORE PICKUP Res# 139214
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
Loc 100
PHONE- , DATA `' TI
AR-795.2010 w (317) 573-5243 OUT 06/25/15 PM KM
F (317) 573-5254
x�crwMM BY
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LJ 6/26/15 MEAGAN STORMS-698.0816 DUE 06/29/15 PM KM
RESERVATION Charge for 1.00 Day(s) Page: 1
QTY ITEM DAY EXT AMT NET AMT
1 6453-0000 CONCESSION COTTON CANDY MACHIN 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 5005-0000 CONCESSION DOME FOR CC MACHINE 15.00 15.00 15.00
REMOVE ALL DEBRIS PRIOR TO RETURN
1 6001 FLOSSUGAR PINK 7.99 7.99 7.99
1 6002 COTTON CANDY CONES/100 4.00 4.00 4.00
1 6024 FLOSSUGAR BLUE 7.99 7.99 7.99
----- Payments ------
No Payment Made
MAY 15 2015
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 62.00
Initials SALES 19.98 a
a
FAILURE TO RETURN PROPERTY(LEASED)TO LESSOR WITHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACIE OTHER 0.00 g
EVIDFNCEOFUNAUTHORIZEDCONTROLOVERSAIDPROPERTYWHICHCANCONST(MESTHEFLTHEFTISPUNISHABLEBY2 DMG WAIVER 3.72
YEARS IN PRISON PLUS UPTO A$10,000 ENE.EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE
I HAVE BEEN INSTRUCTED&DEMONSTRATED ONTHE SAFE&PROPER OPERATION OFTHE ABOVE ADDL TAX 0.00 a
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 the SALES TAX 0.00 AT
reverse side hereof,hereby agrees to rent the above equipmenNarticles 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. EST AMT DUE 85.70
TOTAL DUE 85.70 22—JAN-15 12:36:02
EQUIPMENT LEASED BY X m'
m
0
N
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
6/25/15 139214 Play On Party rental supplies 6/26/15 xa2113 $ 85.70
Total $ 85.70
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$
I
$ 85.70
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-7 139214 4340800 $ 85.70 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
I
June 11, 2015
i
Signature
$ 85.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund