247430 07/15/15 ,Coq
CITY OF CARMEL, INDIANA VENDOR: 237300
® ONE CIVIC SQUARE PARTY TIME RENTAL INC CHECK AMOUNT: $" *'"'162.69"
,, ?4 CARMEL, INDIANA 46032 7250 N KEYSTONE AVE CHECK NUMBER: 247430
9' INDIANAPOLIS IN 46240 CHECK DATE: 07/15/15
MION GO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 139425 162.69 ADULT CONTRACTORS
Carmel Clay
Parks&Recreation CHECK REQUEST
`•.'c f� rri r` 7
Date: J Z.2 I � 5 y
MAY 2 2 201
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Check payable to:
Name: PCtir i�j Tt rn P R-C r zz 1
Address: 60 N - KeysRone. A-ve„
City, State, Zip IN -442-40
Mail check to payee Retum check to requestor
a�I
Check Amount: $ (-e 2 , (p q Date Required:
Check needed for: V2nC[()V - Co ki l Ut rd() MA(h'()�-
To be paid from:
PO#(if applicable)
Budget account - GL# LI -2- 3q 0 CI
yes
Budget Line Description smvwer e'YA(--e.-
Supporting documentation or receipts) MUST be attached.
Requested by (print): Stp-a t01 htl-L Z-t✓P
Requested by (signature);
Approved by (signature of Division Manager):
on this date
Form revised 1-21-08
,,��` ,, 536-2022
7250 North Keystone Ave. PE ff N
Indianapolis, IN 46240 i MAY 2 2 2015 FAX1 (317)222-3853
r www.PTRINC.com
-- = _ ;
RENTED-.TO`.,- ,:
JOB.:LOCATION TICKET,
CARMEL CLAY PARKS & RECREATION CARMEL MIDDLE SCHOOL Res# 139425
1235 CENTRAL PARK DRIVE EAST 300 S GUILFORD
CARMEL IN 46032 CARMEL IN 46032
Loc 100
_V,.Co PHONE DATE T ..
AR-795.2010 W (317) 573-5243 OUT 07/28/15 AM KM
F (317) 573-5254
POI:JOB::#.::.;' ::RECEIVED BY .
LJ CCPR ALYSSA CLARK-966.1288 DUE 07/30/15 PM KM
RESERVATION Charge for 1.00 Day(s) Page: 1
QTY ITEM DAY EXT AMT NET AMT
Rental Text BILLING
DEL: ANY 7/28 CALL 1ST! !
PU: ANY 7/30 CALL 1ST! !
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 46033 CARMEL P/D-33 65.00 65.00
1 6001 FLOSSUGAR PINK 7.99 7.99 7.99
2 6002 COTTON CANDY CONES/100 4.00 8.00 8.00
1 6024 FLOSSUGAR BLUE 7.99 7.99 7.99
1 6030 FLOSSUGAR GRAPE 7.99 7.99 7.99
----- Payments ------
No Payment Made
a
Xi
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
s
Initials SALES 96.97 a
FAILURE TO RETURN PROPERTY(LEASED)TO LESSOR WnHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACIE OTHER 0.00
EVIDENCE OF UNAUTHORIZED CONTROL OVER SAID PrIOPERTV WHICH CAN CONSTITUTES THEFT.THEFT IS PUNISHABLE BY 2 DMG WAIVER 3.72
m
YEARS IN PRISON PLUS UP TO A 810,000 FINE.EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OFTHE ABOVE ADDL TAX 0.00 t
EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS, 4AT.F.S TAX 0.00
The undersigned having read and understood the above terms as well as the Additional Temic and Conditions on the E
reverse side hereof,hereby agrees to rent the above equipment/articles on the terms and conditions set forth in this DEPOSIT 0.00 TOTAL PAID 0.00 `o
Rental Agreement,and is an authorized agent for the Lessee. L
EST AMT DUE 162.69
TOTAL DUE 162.69 06-MAR-15 15:35:30 N
EQUIPMENT LEASED BY X
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
7/28/15 139425 Summer Experience Cotton Candy Machine 7/29/15 xx2202 $ 162.69
" I
Total $ 162.69
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$
$ 162.69
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 139425 4340800 $ 162.69 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
July 9, 2015
Signature
$ 162.69 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
3