251971 12/02/15 i C,Ab
- CITY OF CARMEL, INDIANA VENDOR: 369336
ONE CIVIC SQUARE EMILY FRANK CHECK AMOUNT: $********41.74*
CARMEL, INDIANA 46032 10431 WINDEMERE BLVD CHECK NUMBER: 251971
•,,roN.� CARMEL IN 46032 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359033 REIMB 41.74 MAYOR'S YOUTH COUNCIL
'm` C
y I
U-HAUL EQUIPMENT CONTRACT In-Town Return(IN)
Contract No.: 98373587 Michigan Road Self Storage 9834 N Michigan Rd (317)471-1560
Monday 10/26/2015 9: 19 AM (021028) CARMEL„ IN. 46032
Customer Name: Cust Ph - Email:
EMILY FRANK 3178468046 j p o� Q
40431 WINDEMERE emilyfrank1971@gmail.com �/`-
CARMEL IN 46032
Rental Date/Time: 10/24/2015 10:24 AM
Return Date,/Time: 10/24/2015 4: 15 PM
Chargeable Rental Periods: 1
Equipment MI Out MI In MI Rate_ MI Charge Coverage Missing or Damage Charge: Rental Rate Rental Charge Actual Charges
M - 10' Truck 25305.0 25326.0 $0.99 X 21.0 $20.79 $0.00 $0.00 $19.95 $19.95 $40.74
M 7132H
Plate: AG35332
State: AZ
FUEL TANK CAPACITY: 0 GALLONS Environmental Fee: 1.00
SubTotal: $41.74
Et 1/8 'At 3/8 1/8 1118 314 7/8 FJ Rental Tax: .60
! t o t 1 f 1 E 1 1 Rental Charges: $46.34
Previous Paid: $0.00
Card Type: Account: Auth: Credit Card Payment: $46.34
VISA XXXXXXXXXXXXXXXX2660 08589D
Net Paid Today: $46.34
I confirm that during the term of my rental there was not an accident involving the rented U-Haul equipment and no incidence where this equipment struck
or otherwise caused damage to any person or property either while on a public road or private property. There was no injury or damage sustained by me or
any other drivers or passengers of this equipment.
X X
Customer Signature - (EMILY FRANK) Agent Signature - (PTRADMIN3WBS TRNCRS)
How are we doing? Please go to http:/Zwww.uhaul.com/review and let us know if you
received the level of quality and service you expect trom this U-Haul location.
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r 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))
10/26/15 Receipt $41.74
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
Emily Frank
IN SUM OF $
10431 Windemere Boulevard
Carmel, IN 46032
$41.74
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 Receipt
Mayor's Youth Council I $41.74 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, November 30, 2015
Director,Commun y Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund