HomeMy WebLinkAbout252141 12/02/15 ♦iC4N,Nf _
CITY OF CARMEL, INDIANA VENDOR: 00352369
ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $*****
1,212.42`
CARMEL, INDIANA 46032 PO Box 409211 CHECK NUMBER: 252141
ATLANTA GA 30384-9211 CHECK DATE: 12/02/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4353099 56551569-001 1,212.42 OTHER RENTAL & LEASES
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS,INC.
PO BOX 409211 ° ° 56551569-001
ATLANTA,GA 30384-9211 -SUMBELTO 72326
RENTALS LM-9m
11/19/15
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
1oz-958-1197 HIGGINS, BOB 56551569
1 BROOKSHIRE GOLF CLUB PURCHASE ORDER NO.
12120 BROOKSHIRE PKWY
CARMEL IN 46033-3314 N/R
I�InI�IInIInu�Iln�IIu�IImIInnII�InInLlllnunlll JOB NO.
1 - BROOKSHIRE GOLF
JOB ADDRESS BRANCH
BROOKSHIRE GOLF CLUB INDIANAPOLIS P & P PC387
12120 BROOKSHIRE PARKWAY 11220 ALLISONVILLE RD
CARMEL, IN 46033 FISHERS, IN 46038-1839
317-501-2146 317-572-1180
QTY EQUIPMENT# Min Day Week 4 Week Amount
1 1600CFM 15OPSI IQ DIESEL AIR COMPRESSO 745.00 745.00 2750.00 7850.00 745.00
601293 Make: DOOSAN Model: HP1600WIQ Ser#: 4561000GXE97
HR OUT: 2577.200 HR IN: 2587.500 TOTAL: 10.300
Billed from 11/16/15 thru 11/17/15
1 2" X 50' AIR COMPRESSOR HOSE 55.00 55.00 105.00 280.00 55.00
1 BULL HOSE SPUD CONNECTOR 6.00 6.00 12.00 37.00 6.00
2" boss x 1"fpt
2 AIR HOSE WHIP CHECK 3.00 3.00 6.00 15.00 6.00
SALES ITEMS:
Qty Item.number.. . . Unit Price
1 DLPKSRCHG EA 10.000 10.00
TRANSPORTATION SURCHARGE
1 ENVIRONMENTAL EA 18.620 18.62
-ENVIRONMENTAL
1 RENTAL PROTECTION PLAN EA 121.80
DELIVERY CHARGE 125.00
PICKUP CHARGE 125.00
QTY EQUIPMENT# Amount
FINAL BILL: 11/16/15 09:00 AM THRU 11/17/15 09:00 AM.
EgWpment SeMc e. Guaranteed. 1,212.42
REMIT TO:
SUNBELT RENTALS, INC.. _ NET DUE UPON RECEIPT _ _ 1,212.42
PO BOX 409211 ° ° I
ATLANTA,GA 30384-9211 Invoices not paid within 30 days may be subject _
to a 1-/2%per month charge.
RENTAL RETURN
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))
11/19/15 56551569-001 Rental Equipment $1,212.42
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
Sunbelt Rentals
IN SUM OF $
P.O. Box 409211
Atlanta, GA 30384-9211
$1,212.42
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 56551569-001 I 43-530.99 I $1,212.42 I 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, Brookshf Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund