250402 1 0/07/1 5 ,CAA .
'f. CITY OF CARMEL, INDIANA VENDOR: 354867
® it ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $*****1,206.59*
?� CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 250402
�;row.�` CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359026 3577241 420.00 CARMEL ON CANVAS
601 5023990 3583001 605.00 OTHER EXPENSES
2201 4231100 3589471 48.36 BOTTLED GAS
2201 4237000 3593891 25.00 REPAIR PARTS
2201 4237000 3601941 24.17 REPAIR PARTS
601 5023990 3602501 24.18 OTHER EXPENSES
2201 4356003 3604941 59.88 SAFETY ACCESSORIES
To: Page 2 of 2 2015-09-21 22:08:00(GMT) 13172190697 From: Jack Runyon
111111111111111111111111 IN Page 1 of 1
Status: Closed
410 West Carmel Drive Invoice#: 357724-1
EQUI9MENT(CENTAL Carmel,IN 46032 Invoice Date: Mon 9/21/2015
1-800-276-Tool(8665) www.runyonrental.com Date Out: Sat 9119/2015 8:OOAM
317-566-8888 Phone
`Don f 6e a bel-Rem!eoe' 317-566-2990 Fax
Operator: JACK RUNYON
*customer tt: 1335 Terms: On Account
r
i CITY OF CARMEL 317-571-2448 Phone
317571-2409 Fax
ONE CIVIC SQUARE
i
CARMEL,IN 46032 PO#: Cathy
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Salesman: BONNIE LICKLIDER 317-696-8886 bonnie@runyonrental.com
Delivery and Pickup
Delivery: Sat 9/19/2015 8:OOAM Contact: Cathy
Pickup Date: Mon 9/21/2015 9:54AM Phone: 317-517-1213
Location: corner of Main and NW 2nd Ave
Used at Address: Main and NW 2nd ave;CARMEL, IN 46032
Delivery Notes: P/U at at gallery 111 W Main
Ory ( Key M _ Items��- NNµ Ser# w- - Status m Returned Date Price
15 13450-1 CABLE COVERS 3'LONG M � Returned Mon9121r2015 8:00AM $300.00
!day S10.00 lvmek 320 00 4weeks$40.00
1 11OA-1 DELIVERY&PU STAKEBED 0-20 MILE Sold590.00
i PLEASE BE SURE TO CALL EQUIPMENT OFF RENT"f"THE EQUIPMENT WILL NOT BE
! PICKED UNLESS YOU RECEIVE A PICK-UP CODE""'MUST GET CODE'"'OR EQUIPMENT IS
j STILL ON RENT!x (initial)
Thank You for your Business
Rental Contract
You understand that (a)it is unarnhorized for me to lend the Rented Item(s)to any other person:(b)THE RENTED ITEM(S) ` Rental: $3110'00
IS%ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative I Damage Waiver: $30.00
hrels(e.g.Biodiesel,E85.etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
i
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(etcept for I
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to i
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Items)which is 1 Delivery Charge: $90.00
discovered atter the Rented Items)have been returned:and(e)labor rate is charged at$85.00 per hour. X pnitial)
I have been In5[NCtCd and demonstrated On tI1C safe and propel operation of the above equipment.and I fully understand tt105C ( i
instructions. X (Ini iso
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $420.00
Equipment Protection Plan(Damage Waiver as described on the back of this Contract■ '—"- -""-'------
( g ) (Initial) ;
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personalty {
guarantees the Customer's prompt payment and performance of its obligations ansrng under this Contract. I
Printed Name: € Indiana Sales Tax: $0.00 1
Total: $420.00
Paid: � $0.00 €€
Signature:
CITY OF CARMEL t\ Amount Due: $420.001
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/19/15 357724-1 $420.00
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
Runyan Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$420.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
854 I 357724-1 I Carmel on Canvas I $420.00 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
Monday, October 05,2015
Director, Community Relations/Econo is Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
111111111111111111111111 IN IN Page 1 of 1
RU NY0� 410 West Carmel Drive Status: Closed
��(( Invoice#: 358947-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Mon 9/21/2015
1-800-276-TOOI(8665) www.r"nyonrental.com Date Out: Mon 9/21/2015 10:12AM
317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: WINNIE HELMS
Customer#: 1384
Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: BROWNING, TIM
Salesman: NONE
Qty I Key Items Ser# Status Returned Date Price
1 103-1 PROPANE 60 POUND REFILL Pulled $48.36
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $48.36
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $48.36
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name: Indiana Sales Tax: $0.00
Total: $48.36
Paid: $0.00
Signature:
BROWNING,TIM Amount Due: $48.36
111111 IIIII 11111 II II 1111111111 IN IIII Page 1 of
i Status: Closed
wyoly410 West Carmel Drive Invoice#: 359389-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Wed 9/23/2015
1-800-276-Tool(8665) www.runyonrental.com Date Out: Wed 9/23/2015 2:26PM
317-566-8888 Phone
"Pon'#be a tool-Rent one" 317-566-2990 Fax
Operator: MEL SPROUSE
Customer#: 1384 —� Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: BENTLEY, JAMES
Salesman: BRUCE TAYLOR
Qty Key Items Ser# Status Returned Date Price
I I MS HOSE REPAIR Pulled $25.00
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of altemative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $25.00
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $25.00
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name. Indiana Sales Tax: $0.00
Total: $25.00
Paid: $0.00
Signature:
BENTLEY,JAMES Amount Due: $25.00
111111111111111111111111 IN Page 1 of
PU NY®I1s Status: Closed
410 West Carmel Drive Invoice#: 360194-1
I:QUIYMI=NT RENTAL Carmel,IN 46032 Invoice Date: Tue 9/29/2015
1-800-276-Too1(8665) www.runyonrental.com Date Out: Tue 9/29/2015 9:35AM
317-566-8888 Phone
'Don'f be a tool-Rent one" 317-566-2990 Fax
Operator: WINNIE HELMS
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: PRIVETT, SHAUN
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
2 765139904222-1 TROWEL GG422 5 1/2"POINTING Pulled $20.90
3 CC289-01-1 SPRING CLIP CC289-01 Pulled $3.27
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $24.17
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $24.17
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: Indiana Sales Tax: $0.00
Total: $24.17
Paid: $0.00
Signature:
PRIVETT,SHAUN Amount Due: $24.17
�IIllli IIIII 111111111111111111111111 IN Page 1 of 1
Status: Closed
410 West Carmel Drive Invoice#: 360494-1
EQUIPMENT IzENTAL Carmel,IN 46032 Invoice Date: Thu 10/1/2015
www.runyonrental.com Date Out: Thu 10/1/2015 10:25AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't 6e a tool-Rent one' 317-566-2990 Fax
Operator: BRIDGETTE ELMORE
Customer#: 1384
Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: HOBBS,JAMES A
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
12 761445198041-1 SAFETY GLASSES NEMESIS CLEAR Pulled $59.88
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative
fuels(e g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $59.88
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $59.88
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract
Printed Name: Indiana Sales Tax: $0.00
Total: $59.88
Paid: $0.00
Signature:
HOBBS,JAMES A Amount Due: $59.88
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/21/15 358947-1 $48.36
09/23/15 359389-1 $25.00
09/29/15 360194-1 $24.17
10/01/15 360494-1 $59.88
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
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$157.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
2201 358947-1 42-311.00 $48.36 1 hereby certify that the attached invoice(s), or
2201 359389-1 42-370.00 $25.00 bill(s) is (are) true and correct and that the
2201 360194-1 42-370.00 $24.17
2201 360494-1 1 43-560.03 $59.88
materials or services itemized thereon for
which charge is made were ordered and
received except
JJ
// ��iday, Ip�015
k,/VA/ W //
,"-met(Go miiisg"r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
WE ARE NOT RESPONSIBLE FOR DAMAGE DONE WHEN LOADING/UNLOADING EQUIPMENT.
IIII II IIII IIII II IIII II IIII Page 1 of 1
Status: Closed
�(�!yoly 410 West Carmel Drive Invoice#: 358300-1
EQUIVMENT RENTAL Carmel, IN 46032 Invoice Date: Thu 9/17/2015
www.runyonrental.com Date Out: Wed 9/16/2015 8:36AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool- Rent one" 317-566-2990 Fax
Operator: MEL SPROUSE
�Customer�t-1101—� Terms: On Account
CARMEL WATER 317-733-2855 Phone
317-733-2053 Fax
3450 W. 131ST STREET
CARMEL, IN 46074
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: ALFORD, JAMES
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 5631#0001 LIFT TOWABLE 56'GAS AND ELE( 17-10849 Returned Thu 9/17/2015 1:27PM $550.00
4Hrs$225.00 1day$275.00 1week$850.00 4weeks$2,150.00
CUSTOMERS USING LIFTS FOR PAINTING MUST RETURN
LIFT CLEAN&FREE OF PAINT OR OVERSPRAY OR YOU
WILL BE CHARGED A CLEANING FEE X
SAFETY HARNESS IS REQUIRED ON ALL AERIAL LIFTS
CUSTOMER HAS BEEN OFFERED HARNESS EQUIPMENT
AND HAS DECLINED X
DO NOT EXCEED 55 MPH WHILE TOWING TRAILER X
CUSTOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE
CHECK TIRES PRIOR TO LEAVING LOT X
EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU ARE
RESPONSIBLE FOR RETURN AND/OR RECOVERY X
DO NOT USE LIFT FOR TREE TRIMMING
X
Received : 6�2
D-ate : 2L12/is.
PO # : -:S�Ao91 1ST
ACCT # :
Use : A-D) �� "��a
Thank,-,You foryour t� .:ne.ss
Rental Contract Rental: $550.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $55.00
fuels(e g Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is
discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $605.00
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: Indiana Sales Tax: $0.00
Total: $605.00
Paid: $0.00
Signature:
/ — - , —- ALF MES Amount Due: $605.00
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified.
A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.
111111���11111111111111 11111 IN Page 1 of 1
�� ®� Status: Closed
410 West Carmel Drive Invoice#: 360250-1
tQUIYM£NT RENTAL Carmel,IN 46032 Invoice Date: Tue 9/29/2015
www.runyonrental.com Date Out: Tue 9/29/2015 2:01PM
1-800 276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
___. Operator: Devin Esterly
.. ......_........ ......_ _ ._-._._. . Customer#: 1101 ..._.,T
mm , Terms: On Account
CARMEL WATER 317.733-2855 Phone
f 317-733-2053 Fax
# 3450 W.131ST STREET
I CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:COOKSEY, SHAWN
Salesman: NONE
Qty ' Key Items Ser# Status Returned Date Price
1 e 101-1 PROPANE0 POUND REFILL Pulled, $24.18
Thank You for your Business �-
Rental Contract. ....."___--.
You understand that.(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) I
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative l
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from E
alternative fuel,(d)no electncal tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $24.18
double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug,(d)Runyon is authorized to
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is i 1
discovered after the Rented Item(s)have been returned,and(e)labor rate is charged at$85.00 per hour X (Initial) f j
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
.�......._�_....._ ----..__.a ...................._._e._—.�.._i
instructions X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the l Subtotal: I $24.18
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract x (Initial) -- ----m•---••-• --3••-•••---------
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally {
guarantees the Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name Indiana Sales Tax: $0.00 i
Total: T S24.18
Paid: $0.00 l
Signature:
COOKSEY,SHAWN (, Amount Due: $24.18
Prescribed by State Board of Accounts City Form No.201 (Rev,1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354867
RUNYON EQUIPMENT RENTAL Purchase Order No.
410 W CARMEL DRIVE Terms
CARMEL, IN 46032 Due Date 9/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/2015 358300-1 $605.00
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordance,with ICp 5-11-10-1.6
Date Officer
VOUCHER # 153191 WARRANT # ALLOWED
354867 IN SUM OF $
RUNYON EQUIPMENT RENTAL
410 W CARMEL DRIVE
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
358300-1 01-6360-03 $605.00
3�b�56-� le2-�•L� �y.�9
Voucher Total �� ` $ $605.00
Cost distribution ledger classification if
claim paid under vehicle highway fund