252043 12/02/15 �i
o'k,
CITY OF CARMEL, INDIANA VENDOR: 368010
ONE CIVIC SQUARE MACALLISTER RENTAL, LLC CHECK AMOUNT: S*******187.46'CARMEL, INDIANA 46032 DEPT 78731 CHECK NUMBER: 252043
PO BOX 78000 CHECK DATE: 12/02/15
DETROIT MI 48278-0731
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 R64155331901 187.46 OTHER MAINT SUPPLIES
13450 BRITTON PARK ROAD
MacAllister FISHERS, IN 46038
317-598-9700 Rental
SiOflfa
MacAllister Rentals contract,,14W, .Invoice:;�
Please Remit Your Payment to: 1553319 R64155331901 1130C_2015 � Page 1
MacAllister Rentals
Dept. 78731
P.O. Box 78000 NOV 16 c. 'i5 3:39 PM
Detroit, Ml 48278-0731 SALESINVOICE
a t
e out** Date In.
1174560
CARMEL CLAY PARKS & REC SPA.-
ADMIN OFFICE
1411 E 116TH ST K BOTA PARTS -2801
CARMEL, IN -46032 •
Phone: 317-571-2695 ADMIN OFFICE, CARMEL DA N
Fax: 31 7-571-4136 NAARONI 00140
Qty B/O Item Number Bin Loc Unit Price Amount
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Sub-total 187.46
Total 187.46
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.Initial here:
Purchaser/Lessee upon failure to p I ay 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.cified.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
W%LS (02U,2015)
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.
368010 MacAllister Rental, LLC Terms
Dept. 78731
P.O. Box 78000
Detroit, MI 48278-0731
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/13/15 R64155331901 Headlamp kit for the Kubota RTVX1100 xx2801 $ 187.46
Total $ 187.46
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.
368010 MacAllister Rental, LLC Allowed 20
Dept. 78731
P.O. Box 78000
Detroit, MI 48278-0731 In Sum of$
$ 187.46
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept,#
1125 R641553319o1 4238900 $ 187.46 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
November 23, 2015
1P*0kM1ht"
Signature
$ 187.46 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund