251188 11/04/15 INVOICE TMICEIVED Page 1
OCT 19 2015
BY: SHIP
To The Face of Play."
SOLD
TO CARMEL CLAY CARMEL CLAY PK & REC DEPT PO Box 204757
PARKS & REC. DEPT. 1427 E. 116TH ST. Dallas,TX 75320-4757
1411 E . 116TH ST. CARMEL, IN 46032
CARMEL, IN 46032 0 ,00
1 Certified
Fed. I.D.#43-1595099
Phone(417)235-6917
_ o- o- e e - e-� o � • • e • e e
685620 39114 084 PHIL BENNETT 4603B06 10/09/15 768315
7UANTITY MODELNO. DESCRIPTION UNIT PRICE EXTENDED '
1 R261408 BUSHING FOR MULTI PONDO-REPAIR KIT 316 . 00 316 .00
SALES AMOUNT 316 .00
SALES TAX 0 . 00
MISC CHARGES 0 .00
DISCOUNT 32 . 00-
COMMERCIAL FREIGHT 10 . 00
TOTAL 294 . 00
TERMS OF SALE: NET 30 DAYS FROM INVOICE DATE
1.25%CHARGE PER MONTH FOR PAST DUE INVOICES -PLEASE ENCLOSE DUPLICATE COPY OF THIS INVOICE WITH PAYMENT
REMIT TO: MIRACLE RECREATION EQUIPMENT CO
PO BOX 204757 - DALLAS, TX 75320-4757 CUSTOMER
WARNING
Installation over hard surface such as concrete,asphalt,or packed earth may result in serious injury or death. All play equipment must
be installed over an appropriate impact absorbing surfacing material.
It is the responsibility of the playground purchaser/owner-operator to ensure that the size,type and depth of impact absorbing surfacing
material used complies with the U.S. Consumer Product Safety Commission"Handbook for Public Playground Safety"(CPSC Handbook). This
impact absorbing surfacing material must cover the entire"Fall Zone"area to a depth,appropriate for the height of the play equipment. The"Fall
Zone"is an area under and all around each piece of play equipment. Acceptable impact absorbing surfacing materials include manufactured safety
surfacing such as SpectraTurf Safety Surface or natural loose fill materials such as bark nuggets,wood mulch,wood chips, pea gravel and sand.
Appropriate thickness for the SpectraTurf materials can be obtained from your Miracle Sales Representative. For loose fill materials,consult the
CPSC handbook for appropriate depth in relation to material type and fall height requirements. Unacceptable surfaces include,without limitation,
turf,undisturbed natural ground, undisturbed compacted sand,decomposed granite,asphalt,concrete or any other hard surfacing. The specific size
of fall zones depends upon the type.of play equipment. For regular swings,the fall zone must extend at least two(2)times the pivot point height to
both the front and rear of the top rail. The fall zone must extend at least six(6)feet out in each end from the swing frame legs. For tire swings,the
fall zone must extend at least six(6)feet plus the length of the suspension members in all directions. The fall zone must also extend at least six.(6)
feet out at each end from the swing frame legs. For slides,the fall zone must extend at least six(6)feet in all directions from the perimeter of the
slide. Also, in front of the slide exit, measuring from the point where the slide slope is reduced to 5 degrees,the fall zone must extend a total of four
(4)feet plus the height of the platform. For all other play equipment,the fall zone must extend at least six(6)feet in all directions from the perimeter
of the play equipment. Refer to the CPSC Handbook for more specific requirements. This Handbook is available from the CPSC or Miracle free of
charge.
The playground purchaser/owner-operator agrees to assemble, install,inspect,and maintain the play equipment in accordance with
Miracle's installation and safety requirements,as set out in the"READ ME FIRST"booklet,the Installation Instruction booklets,the CPSC
Handbook,and all other materials accompanying the equipment. Any attempt to alter,adapt,change,attach to or assemble the play
equipment in any manner other than set out in these documents,or to use the equipment in any manner other than the use intended in
such documents,is strictly prohibited,and Miracle shall bear no responsibility for such actions.
During the installation, inspection and maintenance process,the playground purchaser/owner-operator must ensure that:A)There are no
exposed concrete footings to trip over or fall on. The top of all footings must be at or below the bottom of the layer of impact absorbing surfacing
material. B)All bolt threads protruding beyond the nut are cut and peened smooth to the touch. Sharp edges and/or points of any kind must be
eliminated. C)All bolts,screws,set screws or other fasteners are tightened securely. Missing bolts,set screws or other fasteners must be replaced
immediately. D)All"S"hooks and clevises are free of any wear. That all"S"hooks are closed metal to metal and all clevises and supporting
hardware are securely attached. A Miracle"S"hook for swing seat use has the dimensions of 2-3/4"x 4-1/2".
Purchaser and owner/operator acknowledge they have sole responsibility for inspection and maintenance of the playground
equipment. All play equipment must be regularly inspected and maintained in good condition by the playground purchaser and owner/operator.
Anything showing any sign or wear,fatigue or otherwise presenting an unsafe condition must be immediately replaced. If not immediately replaced,
the play equipment must be removed from service and no one permitted to use the play equipment until the problems are corrected. This same
procedure must be followed with respect to missing parts. Be sure to understand,apply and utilize the CPSC Handbook,all materials and
information provided by Miracle,and your own knowledge,experience and common sense in determining if wear,fatigue or any other unsafe
condition exists. You must devOlcp-.a check!ist specific to your needs as determined by equipment use,weather,etc.
WARNING
Purchaser and owner/operator agree to indemnify and hold Miracle harmless from and against all liabilities,losses,penalties,damages
and expenses, including costs and attorney fees, resulting from all claims,liens,damages,obligations,actions,suits,judgments or
settlements,or causes of action,of every kind,nature,and character for injuries, including personal injury and death,arising or alleged
to arise out of their failure,or the failure of their architects,contractors,subcontractors,installers,employees,agents and assigns to
assemble,install,inspect,and/or maintain the play equipment and impact absorbing surfacing in full compliance with Miracle's
installation instructions and safety requirements as set out in the"READ ME FIRST"booklet,the Installation Instruction booklets,the
CPSC Handbook,and all other materials accompanying the equipment,and their misuse and/or alteration of the play equipment.
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.
353472 Miracle Recreation Equipment Co. Terms
PO Box 204757
Dallas, TX 75320-4757
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1019115 768315 Repair part for West Park Playground piece 39114 $ 294.00
Total $ 294.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
353472 Miracle Recreation Equipment Co. Allowed 20
SPO;Boz20475.7
Pa _ .**�20* =, 7574 ,
New
address In Sum of$
$ 294.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
39114 F 768315 4237000 $ 294.00 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
October 20, 2015
III
_ Signature
$ 294.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund