250567 10/21/15 *.F CITY OF CARMEL, INDIANA VENDOR: 369957
ONE CIVIC SQUARE AMERICAN PARTY-TIME CHECK AMOUNT: $*****1,321.41*
?� CARMEL, INDIANA 46032 3121 S.LAFOUNTAIN STREET CHECK NUMBER: 250567
' _.oN KOKOMO IN 46902 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359025 61943-1 1,321.41 ARTS DISTRICT FESTIVA
AMERICANStatus: Closed
3121 S Lafountain St Invoice#: 61943-1
Kokomo,IN 46902 Invoice Date: Wed 9/23/2015
PARTY-TIME www.americanparty-time.com Event Beg: Sat 9/19/2015 9:OOAM
765-453-6020 Phone Event End: Sat 9/19/2015 2:OOPM
765-453-6055 Fax Operator: Heather Johnson
Customer#: 32059
CITY OF CARMEL 317-571-2494 Phone
1 CIVIC SQUARE
Carmel,IN 46032
Delivery and Pickup
Delivery: Sat 9/19/2015 8:OOAM Contact: CATHY BAUDER
Pickup Date: Sat 9/19/2015 8:30PM Phone: 317-517-1213
Location: CORNER
Used at Address: MAIN ST./SECOND AVE NW; Carmel, IN 46032
Delivery Notes: CALL AND SHE WILL MEET YOU
THEY WILL BE DONE BY 8:30PM SAT NIGHT SO IF YOU WOULD PICK UP THEN THAT WOULD BE GREAT
EVENT BEGINS 10AM ROAD CLOSED AT 8AM SETUP NEEDED BETWEEN 8-830AM
Qty Items Rented Key Status Each Price
1 20X40 WHITE FRAME TENT-INSTALLED 085-0400-1 Returned $400.00 $400.00
'Surface:ASP
'Underground utilities:K
4 TENT SIDES W/CATHEDRAL WINDOWS-20'WHITE 085-0490-1 Returned $15.00 $60.00
6 TABLE,30"X30/42H"RND,3 PIECE PEDESTAL 070-0135-1 Returned $6.00 $36.00
6 4 LEGGED BASE 070-0136-1 Returned $0.00 $0.00
6 42"POLE 070-0138-1 Returned $0.00 $0.00
9 TABLE,6'BANQUET(SEATS 6-8) 070-0090-1 Returned $7.00 $63.00
2 TABLE,60"ROUND(SEATS 6-8) 070-0180-1 Returned $8.00 $16.00
44 CHAIR,BROWN SAMSONITE 070-0030-1 Returned $0.95 $41.80
3 LTENT LIGHTS-40'STRAND-CLEAR GLOBE 055-0080-1 Returned $35.00 $105.00
11 3FT UPRIGHT POLE 040-1020-1 Returned $0.00 $0.00
FOR STANCHIONS
11 SMALL BASE 040-1015-1 Returned $0.00 $0.00
FOR STANCHIONS
6 120"ROUND CLOTH,WHITE 075-0660-1 Returned $13.00 $78.00
2 13"X90"POLY TABLE RUNNER,GOLD 075-2022-1 Returned $3.00 $6.00
2 90"ROUND CLOTH,WHITE 075-0360-1 Returned $7.00 $14.00
9 60X108 CLOTH,WHITE 075-1170-1 Returned $6.00 $54.00
2 13"X90"SATIN TABLE RUNNER,ROYAL BLUE 075-2000-1 Returned $3.00 $6.00
2 13"X90"SATIN TABLE RUNNER,PLUM 075-2023-1 Returned $3.00 $6.00
11 STANCHION,WHITE 095-0080-1 Returned $5.00 $55.00
10 STANCHION ROPE,8'WHITE PLASTIC 095-0090-1 Returned $2.50 $25.00
8 CONCRETE WEIGHT 230-0075-1 Sold $6.00 $48.00
11 Misc Labor Charge LABOR Sold $0.00 $0.00
INSTALL STANCHIONS
1 Delivery/Pickup 46032 Carmel 146032-1 Sold $90.00 $90.00
Delivery/Pickup is curbside or dock within 30'of the back of the truck.It does not include long
carries,stairs,elevators,or setup&takedown.All items must be returned to the same location and
condition for pickup or extra charges may apply.
1 1 After Hours Pickup Weekend JAHWEPU Sold $150.001 $150.00
Thank you for your Business!
Store Hours: Mon-Fri 9am-5pm Sat 9am-2pm Modification# 9
Printed On Thu 10/15/2015 4.42PM Software by Point-of-Rental Software www.point-of-rentalxom Contract-Params.rpt(16)
Invoice#: 61943 CITY OF CARMEL Page 2 of 2
Rental Contract Rental: $965.80
THIS IS YOUR RENTAL CONTRACT. READ BOTH SIDES BEFORE SIGNING.
I,the undersigned renter,specifically acknowledge that 1 have received and understand the instructions regarding the use and safe Damage Waiver: $67.61
operation of the rented equipment. Sales: $48.00
Renter further acknowledges that he has read and fully understands the within equipment rental contract and agrees to be bound Delivery Charge: $240.00
by all the terms,conditions and provisions hereof. Renter acknowledges that he had received a true and correct copy of this
agreement at the time of execution hereof.
If I am other than the actual Customer named above,I certify that I am a bona fide agent of Customer and assume all responsibility Subtotal: $1,321.41
for Customer as provided in this agreement.
Sales Tax: $0.00
Total: $1,321.41
Paid: $0.00
Signature:
CITY OF CARMEL Amount Due: $1,321.41
Store Hours: Mon-Fri 9am-5pm Sat 9am-2pm Modification# 9
Printed On Thu 10/1512015 4:42PM Software by Point-of-Rental Software www.point-of-rental.com Contract-Params.rpt(16)
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))
09/23/15 61943-1 $1,321.41
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
i
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
American Party-Time
IN SUM OF $
3121 S. Lafountain St.
Kokomo, IN 46902
$1,321.41
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 I 61943-1 I Arts District Festivals I $1,321.41 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
Sunday, October 18,2015
Director, Commu ity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund