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252042 12/02/15 vi`c�gMf CITY OF CARMEL, INDIANA VENDOR: 00351502 ® °l ONE CIVIC SQUARE MACALLISTER MACHINERY CO INC CHECK AMOUNT: $****13,188.89* :•, ;?� CARMEL, INDIANA 46032 DEPT 78731 CHECK NUMBER: 252042 PO BOX 78000 CHECK DATE: 12/02/15 DETROIT MI 48278-0731 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 R04025757103 12,700.00 OTHER CONT SERVICES 651 5023990 R64158657901 488.89 OTHER EXPENSES 13450 BRITTON PARK ROAD ile MacAllisterFISHERS, 8- 70038 317-598 9700 S MacAllister Rentals Contract No. . Invoice No. Date Please Remit Your Payment to: 1586579 R64158657901 12NOV2015 Page 1 MacAllister Rentals Dept. 78731 P.O. Box 78000 1:54 PM Detroit, MI 48278-0731 SALES INVOICE '€ 1174600 CITY OF CARMEL STREET DEPT 3400 W 131ST ST CAT FORK 515600 CARMEL, IN 46074 , _ , Phone: 317-733-2001 9609 HAZEL DELL PKWY, CARMEL JEFF COOPER Fax: 317-733-2005 WYNAARONI 00140 Qty B/O Item Number Bin Loc Unit Price Amount 1:0 FORK,PALLET: 48„ . EA 488.89.\`::. 488:8.9`: CAT2521455:::: Sub-total 488.89 Total 488.89 IMPORTANT! Please note and acknowledge safety instruction by initialing here: DECLARE DAMAGE WAIVER (Damage waiver is not available on crane rentals). Initial here: "If declined current insurance certificate must be on file with MacAllister Rental. By his/her Initial Customer will provide guard railing, planking, out riggers,and other safety accessories as required, per safety instructions.lnitial here: Purchaser/Lessee upon failure to pay balance when due shall be liable for all expenses incurred in collection of said balance including but not limited to attorney's fees and court costs. It is agreed by the parties hereto that reasonable attorney's fees shall be one-third (1/3) of any amount owned by Purchaser/Lessee. Net 10 days unless otherwise specified. A service charge will be applied to all past due accounts. This agreement shall include the above terms and conditions as well as those set forth on the reverse hereof. ACCEPTED BY CUSTOMER RMPSLS 104N 20151 MASTER RENTAL AGREEMENT TERMS AND PROVISIONS L MacAllister hereby agrees to(case to the named Lessee,meaning all lessees jointly and severally,and Lessee hereby leases from MacAllister,under and subject to the terns and provisions hereof until the end of the term specified(Tenn) the personal property described as"Equipment'rented together with all present and future attachments,replacement parts,repairs,and additions and all proceeds thereof. 2. It is understood between the parties that MacAllister is not the manufacturer of the equipment herein rented.nor the agent of the manufacturer of said equipment and that no warranty against patent or latent defects in material,workmanship,or capacity is given,nor that said equipment will meet the requirements of any law,rules,specifications or contracts which provide for specific machinery at,apparatus or special methods,other than that of the original manufacturer of said equipment and as set forth in the manufacturer's catalog and representations wherein said machinery and equipment is listed and described.No representation or warranty is made as to the year of manufacture of any equipment.MACALLISTER HEREBY DISCLAIMS ANY AND ALL WARRANTY.IMPLIED OR EXPRESSED.OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE:. 3 MacAllister shall use reasonable care to sec that the equipment is in proper working condition before shipment to lessee. MacAllister will not operate or test the equipment unless such operation or test is deemed necessary by MacAllister or unless Lessee shall request such operation or test in writing.lin which event the Lessee will be notified of the time and place of such operation and test,and shall be permitted to he present during said operation and test. I(hay ing requested it.Lessee fails to be present at the time of operation and test.Lessee agrees that said equipment as turned out is in proper operating condition. 4 The Lessee agrees to maintain the machinery and equipment in the same condition as when delivered to it by MacAllister,less normal wear and tear,and to pay all claims and damages to the equipment during the life of this contract,and to ietum said propery in as good condition as when received by MacAllister,and to pay freight demurrage,storage,switching.drayage,trackage,or other charge against said equipment from the time the same shall leave MacAllister up to and including the tune of its return to MacAllister. MacAllister reserves the right to charge Lessee for excessive undercarriage wear and tear 5 For rubber tired equipment,Lessee acknowledges that repair and replacement of tires are not included in the rental rate and agrees to pay for the repairor replacement(with an allowance for reasonable depreaanoni of any tires reamed to MacAllister in a damaged condition regardless of the cause of damage. Reasonable wear and tear is expected,however,it is agreed rubber abustonv(gouges.tears,cuts.grooving„and removal of rubber in pieces)or damage to castings is not reasonable wear and tear. 6 The receipt and acceptance by Lessee of said equipment will constitute acknowledgement that said properly has been accepted and found in good,safe and serviceable condition,and fu for use,unless Lessee makes claim to the contrary to MacAllister by registered mad with return receipt demanded,addressed to MacAllister's home office within three days after receipt of said equipment The complaint shall set forth specifically and in detail the complete nature and condition of the property received. 7 Should any of the machinery,equipment,or appurtenances be received by Lessee floor any drayaman,railroad company or any other carrier transporting same in a damaged condition,or with any of the machinery,equipment,parrs or appurtenances missing,it shall be the duty,of Lc,,c to obtain from said drayman.railroad company or other carver it wntten acknowledgement of the damage or shortage The failure on the part of Lessee to obtain such statement or acknowledgement upon its receipt and acceptance of said machinery,equipment,parts and appurtenances shall be treated as an acceptance of said rnachinery,equipment,pans and appurtenances in good.safe,serviceable condition and fit for use Any damage or loss which has occurred and is not covered by a written acknowledgement or statement as aforesaid,or which occurs atter acceptance of said property,shall be repaired and replaced at the expense of Lessee If the machinery.equipment,parts or appurtenances are damaged or lost in transportation and the Lessee furnishes to MacAllister a written detailed acknowledgement and statement from the carrier setting forth the character of damage and loss, MacAllister agrees to use reasonable diligence in having said damage repaired and loss replaced within a reasonable time,but the equipment shall be deemed to have been delivered on the date of acceptance thereof from the carrier 9. In the event of notice to MacAllister by Lessee that the equipment is not in good,safe and serviceable condition and fit for use upon its arrival.MacAllister shall have the right to put said equipment in good,safe and serviceable condition and fit for use,within a reasonable time,or cancel this rental. 9. MacAllister shall not be liable in any event to the Lessee for any loss,delay,or damage of any kind of character resulting from defects in or deficiency of the equipment hereby retired or accidental breakage thereof. 10 Lessee shall immediately notify MacAllister of any accident involving the equipment. MacAllister may repair said machinery for the Lessee,using reasonable diligence to make said repairs upon demand. In the Bent any work is done outside of MacAllister's regular hours.by reason of which MacAllister shall be required to pay double tine or other overtime charges to its employees.or to anyone doing the work for Lessee,all such charges will be pail by Lessee to MacAllister In the event of accident or breakage of anv part of the equipment,and upon recetcnig wntten approval from MacAllister,Lessee may have the same repaired by any competent person,firm or corporation at ns own expense or, upon notice to MacAllister is to such breakage or accident 11. In the event Lessee accepts the machinery and equipment,as herein provided,and thereafter the Said machinery proves defective or unfit for use,or if for any reason Lessee desires(o disconttiiuc the use of said machinery or equipment, the only remedy of Lessee shall be to return the machinery to MacAllister and termmate this contract as herein elsewhere provided,by paying all rental charges and other charges herein provided for 12 Lessee agrees to pay any and all charges for work or inspection by any labor union. MacAllister may,at its option,refuse to do iuty repair work on the equipment in nine of ratlike,or any cause beyond its control,or in%rotation of any rule affecting the equipment MacAllister resen'es the right to r-,nov a the equipment from the job at any time when,in its opinion,the equipment is in danger because of strike,var.civil disobedience,or any other condition which MacAllister determines may threaten the equipment I a Leser agrees to comply wish and conform to all mI cipal.,tate and federal law,relating to the operation of sand machinery and to pay all cost,and r%prmes of e cru character occasioned or int oh Ing the use or operation of the machmcry or equipment,and to pay all legal assessments,taxes or public charges which may be levied upon said equipment while in the possession of the Lessee 14. Lessce agrees to pay MacAllister for all less and damages occasioned by fire,theft,flood.accident,explosion.wreck,and act of God or any other causes that may occur during the life Of rhes rental.and until such machinery has been returned to the possession of MacAllister and accepted by it. For the purpose of finding the valuation of said property in order to determine the loss,damage or injury thereto,it is agreed by the parties hereto that the value as herein before stared shall be a true and fast value forming a basin for such adjustment. When equipment leased is deemed to be a total loss,Lessee agrees to pay MacAllister the manufacturer's suggested price of the equipment In making such adjustment it is understood that no rentals theretofore paid or due apply to the payment of such loss,and it is further understood that MacAllister shall solely make the determination of whetlneithe equipment is a total lou. 15 Lessee further agues to hold hamtes,and indemnify MacAllister from and against any and all Loss,demage,expense.claim and/or penalty arising from any action on account of any injury to person or properly of any character whatsoever occasioned by the operation,handling or transportation of any of flit equipment during the rental period,and agrees to indemnify MacAllister from and against any and all such claims regardless of whether such loss was caused in part by the act,omission or negligence of MacAllister. 16 Lessee further agrees to insure all equipment rented from MacAllister with full insurance coverage as required herein,insuring the equipment against loss or damage ausmg from any cause whatsoever,including but not limned to earthquake,florid or mudshde MacAllister will provide Lessee at the commencement of the term of this lease,and wh¢h shall be incorporated herein by reference,a separate document entitled"Equiprient Rental Insurance Requirements" detailing the necessary coverages and temps thereof,but which temps shall at least contain,but not by way of limitation,provision for:1.)MacAllister as a'loss payee'and'additional insured'as applicable:2.)waiver of subrogation against MacAllister and its insurers on all claims;3.)Lessee's Insurance shall be primary and non contributor v:and,4.)Providing said insurance to cover any and all damage arising front any or all perils,including but not limited to damage occasioned by fire,theft,flood,explosion,accident.vandalism,electrocution, act of God,or any other damage that may occur without limitation as to cause during the life of this rental. Lessee shall within one(I I day from the receipt of the equipment provide to MacAllister proof of insurance relative to the equipment from a carrier and in amounts acceptable to MacAllister The proof of insumnce shall contain at least(1)a certificate of insurance(2)naming MacAllister as additional insured and loss payee,(3)clearly describing coverage for the equipment,and(4)disclosing the name.address and phone number of the company providing the coverage 17. The title to the property herein rented and to all replacements thereof or substitution thereof is,and shall remain,with MacAllister,and said machinery and equipment shall not become a pan of any building by being placed therein or by hiring annexed thereto Where the equipment is annexed to any property the Lessee shall famish MacAllister with a landlord's release.which shall permit MacAllister to remove the equipment from said property at any time during the life Of or after expuanon of the corlltrdl 18 The Lessee agrees,whenever requested by MacAllister,to give MacAllister the exact location of all of the machinery and equipment covered by this contract and further agrees to give MacAllister immediate notice of anv levy attempted upon said equipment,or if said equipment from any cause becomes liable to seizure,and to indemnify MacAllister against all loss and damages caused by any such action. MacAllister shall have the privilege at all times of entering any job. building or location where the above property is being used for the purpose of inspection and reserves the privilege of removing said machinery and equipment without notice if it is being overloaded or taxed beyond its capacity or tit any manner being abused or neglected Lessee warrants that it Inas the express permission of all land owners upon whose land the equipment is used to so use the equipment. Lessee further warrants that it will not move the equipment from one project to another without MacAllister's advance approval,which notice of movement shall be un writing 19.This aereentent cannot be assigned without the written consent of MacAllister. The equipment hereby retired shall not be sub-let without the written consent of MacAllister 20 Should an)•of the provisions of this rental be violated by Lessee the rental for the entire period herein specified shall become forthwnh due and payable and 9facAllisrer,or us agents,may,without notice,enter the preuusec Ocacupied by Les:cc without being a trespasser thereon,and take possession of and remove said equipment with or without process of law. In the event of any action as hereinbefore set forth becomes necessary the Lessee agrees to pay,in addition io other charges herein specified,all costs of removal of said machinery from the possession of the Lessee and all freight.demurrage,storage,labor or other charge on or against said property incurred during the removal,chipping and return to the possession of' acAllister at its home office or equivalent point designated by MacAllister 21. Lessee agrees to pay MacAllister all sums disc hereunder when they become due. 22 Lessee agrees that if any of these provisions arc breached and MacAllister demands the return of the equipment this rental agreement shall constitute matronly to the watchmen or other persons responsible for the equipment to deliver all or any part of the equipment to MacAllister or its agents 23 In case any manor is written or typed into this printed contract other than such as is necessary to fill in blanks provided herein,such matters shall be deemed an addition to the contract and it is specifically understood and agreed that such added matter is not in any manner whatsoever intended to alter the meaning or Intention of the printed clauses of the contract and in case of conflict and inconsistency between the printed portions and the written or typed additions,the printed portions shall control any written or typed clause in conflict therewith and the latter shall be treated as void. 24 Bath MacAllister and Lessee ogee that no modifications of this agreement shall be binding upon MacAllister unless such modification,cancellation,addition thereto or notation shall be in wnuug duty signed by MacAllister and duly approved by an officer of MacAllister at the home office of MacAllister. 25, This rental before becomme etPecme must he approved by an Ofcer or other authorized repic'mitauve of blauAllater 26 MacAllister may execute,file and sign Lessee's name to a financing statement or file a financing statement signed only by MacAllister covering equipment or goods delivered or to he delivered to Lessee under this agmement for mf " irmathon purposes"or otherwise and also covering proceeds and future advances. This agreement constihites ecr a rrvatum of title or Security Agreement with reference to such transaction, 27.This agreement and acceptance of this agreement is Subject TO correcuOuN for arithnxaic errors in computation. '_13 Siac Allister rr cs rine right to repines a rental unit ,ith a like rental unit 29. Lessee agrees to maintain the rented almpment per factory recommended lubrication and maintenance intervals and keep scheduled oil samplr records MacAllister reserves the right to ash,for maintenance records for the rental period Should said maurenance records not be available and factory recommended service maintenance is required.MacAllister will perform the appropriate service work at the Lessee's expense 30. Mac Allisier's rental ma limes will he fail of fuel when they leave MacAllister's premises. Lessee agrees to return said rental equipment full of fuel or be charged with appropriate fuel backchargc 3t, RATES Rates are based on one shift operation-S houriday,5 dayiweek or 40 hour/week,160 hour/4 week rental month. Unless quoted otherwise.hours used in excess of"o 'shift(i e,in excess of 9 hours per day or 40 hours per week or 160 hours per month)will result in an additional shift rate being charged,and hours used lin excess of a two shift operation(1.e greater than 16 hoursiday,80 hours!week or 320 hours!mmull)shall result in yet an additional one shift rare being charged. 32. Aggregation Clause, The terms and conditions of this Master Rental Agreement shall cover all equipment,machinery and appurtenances leased by Lessee from MacAllister both presently and in the future It is the intent of MacAllister and Lessee that this Master Rental.Agreement shall be construed as,and shall be,the only rental agreement between the parties,even though Lases may hereafter execute additional Master Rental Agreements. For instance.if Lessee leas one piece of equipment from MacAllister under this agreement in January,then another in May,both pieces of equipment shalt be construed as having been)eased under one agreement:this Master Rental Agreement 33. Damage Waiver* Lessee specifically acknowledges that the payment of a fire,theft,or vandalism damage waiver with respect to any equipment leased fi our MacAllister does not satisfy Lessee's obligation to insure the equipment nor abwtce Lessee of damage to the equipment caused by the negligence or carelessness of Lessee The damage waiver does not insure Lessee from damage to the equipment caused by Lessee,its agents,or others acting under Lessee's control or operation of the equipment with Lessee's active or constructive permission 34. jurisdiction: The parties agree that any disputes arising hereunder shall be resolved in the courts of Marion County,Indiana,and Lessee specifically subjects itself'to the jurisdiction thereof. Further,Lessee agrees that in the event MacAllister is required to employee an attorney for the purpose of enforcing the terns and conditions hereof,or with respect to the colkction of any amount due hereunder.MacAllister shall be entitled to recover its attorneys fees,cost of collection.and all other reasonable expenses associated with such proceeding. 35. Accidents Without demand Lessee shall notify Lessor immediately(and in any event,within twenty-four(24)hours thereafterl of each accident involving any equipment covered by this Master Rental Agreement Lessee shall include such information as is known,including,but not limited to the time,place,and mune of the accident or damage,the names and addresses of parties involved in the accidem(s),including but not limited to persons inlured,witnesses,and owners of property damaged Lessee shall promptly advise Lessor of all correspondence,papers,notices,or documents whatsoever,received by Lessee in connection with any claim or demand involving or relating to any equipment or us olu moon and,together with Lessee's employees aid in the investigation and defense of all such claims and demands,and in the recov cry of damages from third panics liable therefore. 36. Rental Protection Plan l his paragraph ism force provided Lessee a)accepts the"Rental Protection Plan"through the proper indication thereof on the front of this contract,and pays at the time of equipment rental,or any extension of said equipment rental,an additional sum equal to 14 percent of the gross equipment rental charges:b)Lessee takes reasonable precautions to protect equipment and does not intentionally damage said equipment:c)Lessee docs not cause any loss or damage by negligence,including but not limited to negligent use or operation of the equipment in a reckless or abusive manner. Notwmthstarrding the purchase of a Rental Protection Plan,Lessee shall nonedoeleas r,.am),able fora)25 percent of the manufacmrer'c hst price not to exceed 525.000 for stolen equipment and Ill 50 percent of the cost of repairs of any damaged equipment Nothing herein to the contrary.the following risks are expressly assumed by Lessee a,its exclusive responsibility: a)Damages caused by use or operation of the equipment to a manner inconsistent with the manufacturer's instructions,or contrary to this contract;b)Loss.,damage of accessory equipment wch as welding Icad,. electric cord,,hits,barrel its.hoses.tires.tubes or harnesses,etc.,c)Loss due to Operation of the equipment by a person other than an authorized operator per the contract or any dishonest act by Lessee Or by person(s)entrusted by Lessee with the equipment,including Lessee's cmplovecs,subcontractors or agents:d)Loss of damage due to flood,storm,earthquake or other external causes,e)Loss or damage due to exceeding rated capacity,misuse,abuse,negligence,or improper servicing of equipment,t)SC17me or destruction of equipment by order of governmental authority:g)All loss or damage caused by vandalism,matierOUS mischief,disappearance,theft or wrongful conversion of equipment not reported l,) Lessee promptly(within 24 hours)to the police and Lessor by filing a formal written theft,vandalism or conversion report;h)All loss or damage it,equipment r sulnng from nuclear reaction or radiation,Or radioactive contamination from any other cause,h)Loss or damage as a result of the striking of overhead objects with equipment;I)Loss or damage to equipment occurring during the loading,unloading or transportation by Lessee:k)Loss due to the equipment being upset or rolling over.nn)Loss or damage to equipment due to the exposure and contamination from hazardous material. This rental protection plan will not be effective unless at the time of such loss or damage the Lessee's account with Lessor is current. In any event,accrued rental charges cannot be applied against the purchase,or the cost of hepar.of damaged,stolen or lost equipment In the event of any loss,damage or destruction to equipment,Lessor will be subrogated to any rights of Lessee to recover against any person.Finn or corporation. Lessee will execute and deliver to Lessor whatever instruments and papers are required,and take all other necessary steps to secure in Lessor such rights. Lessee will cooperate fully with Lessor and/or its insurers)in the prosecution of those rights and will neither take nor permit nor suffer any action to prejudice Lessor's or Its Insurer's rights with respect thereto The rental ororection lits n as not msurar_ Nd does not prof c(Lessee from tisnegligence,nor from habA�ty to others arisin nut�f onsxssion,use or oucravon of eauioment. 09!09 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 351502 9 MACALLISTER MACHINE CO., INC. Purchase Order No. DEPT. 78731 Terms PO BOX 78000 Due Date 11/23/2015 DETROIT, MI 48278-0731 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/23/201,' R6415865791 $488.89 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 Date Officer VOUCHER # 156714 WARRANT # ALLOWED 351502 IN SUM OF $ MACALLISTER MACHINE CO., INC. DEPT. 78731 PO BOX 78000 DETROIT, MI 48278-0731 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code R641586579C 01-7502-06 $488.89 Voucher Total $488.89 Cost distribution ledger classification if claim paid under vehicle highway fund 7575 E 30TH ST. _ INDIANAPOLIS, IN 46219 + 317-860-4494 =� POWFJPSrSTT&�1S Contract No. Invoice No. Date MacAllister Power System 0257571 R04025757103 08SEP2015 Page 1 Please Remit Your Payment to: MacAllister Machinery Co. Inc. Dept. 78731 P.O. Box 78000 3:08 PM Detroit MI 48278-0731 COPY DEMAND INVOICE 1175490 OBJUN2015 9:30 AM CITY OF CARMEL/UTILITIES DEP - • C/O CARMEL ENERGY CTR SAME VERBAL JOHN DUFFY ONE CIVIC SQUARE _ • .- - CARMEL, IN 46032 CIVIC CENTER, CARMEL, IN JOHN DUFFY CYCLE BILL 03021 Qty Equipment # Min Day Week 4 Week Amount 1 230 TON CHILLER 12000.00 EP230TCHL Make: OT Model: MISC Ser #: 230T-CHILLER-RR *Trailer ***(2) 8 Bolt Flange to Vic Adapators ***(2) 90* Connections 14 4/0X50 CAMLOK CABLE N/C 7 4/0 CAMLOK FEMALE TAILS N/C 7 4/0 CAMLOK FEMALE TAILS N/C 10 4" DISCHARGE 250.00 **PRICE IS PER HOSE 1 2/5X50 CAMLOK CABLE 225.00 1 2/5X50 CAMLOK CABLE 225.00 BILLED FOR 28 DAYS 8/03/15 THRU 8/31/15 09:30 AM > Submitted To 2015 Clerks Treasurer Sub-total : 12700.00 Exempt: If requested, our rate will be$120.00 per hour, based on normal 7:00 AM -4.00 PM workdays. Tota I : 12700.00 All overtime, expenses and travel required will be at additional costs. There is a$6.00 per gallon fuel charge for units returned with less than when delivered. Equipment will be delivered full, unless otherwise stated. Safety instructions are not included with the delivery or rental of equipment. DECLARE DAMAGE WAIVER Initial here: *If declined current insurance certificate must be on file with MacAllister Machinery. Initial here: Purchaser/Lessee upon failure to pay balance when due shall be liable for all expenses incurred in collection of said balance including but not limited to attorney's fees and court costs. It is agreed by the parties hereto that reasonable attorney's fees shall be one-third(1/3)of any amount owned by Purchaser/Lessee. Net 10 days unless otherwise specified. A service charge will be applied to all past due accounts. This agreement shall include the above terms and conditions as well as those set forth on the reverse hereof. ACCEPTED BY CUSTOMER EP7MW 10]AP,2015) 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 09/08/15I 804025757103 I Energy Center I $12,700.00 1208 101 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 MAC ALLISTER ENGINE POWER 7575 E. 30TH STREET IN SUM OF $ INDIANAPOLIS, IN 46219- $12,700.00 6219$12,700.00 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members R04025757103 I 43-509.00 I $12,700.00 1 hereby certify that the attached invoice(s), or 1208 101 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 23, 2015 Cost distribution ledger classification if claim paid motor vehicle highway fund