319450 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 368699
d I ONE CIVIC SQUARE ARROW TOOL RENTAL CORP CHECK AMOUNT: $********45.64*
CARMEL, INDIANA 46032 5505 E MASSACHUSETTS AVE CHECK NUMBER: 319450
INDIANAPOLIS IN 46218 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 91534 45.64 OTHER EXPENSES
VOUCHER NO. 176862 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 368699 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
ARROW TOOL RENTAL CORP. CITY OF CARMEL
5505 MASSACHUSETTS AVE. An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46218 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
45.64 368699 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ARROW TOOL RENTAL CORP. Terms
Carmel Wasterwater Utility 5505 MASSACHUSETTS AVE. Due Date
BOARD MEMBERS
I hereby certify that that attached invoice INDIANAPOLIS, IN 46218
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
91534 01-7202-06 $45.64 and received except 11/28/2017 91534 $45.64
J
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
' t"r
444'A ,, -RENTAL CONTRACT- We charge 7 days a week, including
Saturday, Sunday, and holidays.
A4%� Equipment rented on this contract is
not for sale.
ARROW TOOL RENTAL CORP. Failure to return(leased)property to
5505 MASSACHUSETTS AVE. Lessor within as hours after agreed
INDIANAPOLIS, IN 46218 time constitutes prima facie evidence
547-8118 of unauthorized control over said
XL FAX 547-3198 property which can constitute theft.
pzcie
1
RENTED/SOLD TO DELIVERY INFORMATION CONTRACT INFORMATION
1 t 1 1 Contr.No. Inv.No.
15712Pi tp [j C)rd.E'lat2:"(V1-7117 DUA,11E1'v1.JAF..VIS 911 r_-34- 9iq
531
'i lJt' _�a.Y':P-�i=!- !irrl'iE_r� DateMme Out:
95I]Q_ HAZEL DELL '"�,—r.I-1;rhIjgV F 'i -1 it i 1t t I 1 '_Y,:-f18 P'M
Ii.EK_1kNA.P1-DUS li'd -4628G- Date/Tme Due:
-571-2034 F(-'I '1 ii•l7/1.f '14:'18
Authorized By: Delivery Date: Date/Time In:
P.O.No.: a 6 ,1• ` Pick Up Date: i 1. .r 1 r
Drv.Lic.#: Job Location: Written By: Checked In By:
RENTEDITEMS • ' SOLD
CLOSFID CON'Ti?.AC.4'fvonda I V- c iW to 'Vi7 I
tIv Ibmi-cl Ougn"l / Ur., 'NtIrr e Demi I—'rio.—ef zs,
l iP
.i<='i,ir'^. TA^,IV .1Unh;l-,„___..w� �,i— All,
.011,12
.,(ll,
1 1 111t.7". J•-L L.I-l:ti.4 !.^.l'Jrl! 1 -,
11.00 __-`.`0r2.05
.13
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L .._�.0}...—Ny^07 I120o6 -SIRq'i -FLIE HOSE HONDA .02
1
4 ._ 1.00 H',]1_irli_l'i-•"4J003 i lJmL -1i'•)t:-=i.`t:`.: (.11� 1-1LJf'31..t% s:4.?'.! 24 3
L1 F:S S1iii''FIP,IG .:HJ"F.t';`U`� 1 '..e�
The above equipment has been received by the undersigned for
DAMAGE WAIVER CHARGE(DWC) % rental purposes only, and it is understood that Arrow Tool Rental
OF RENTAL CHARGE. RENTER MAY, BY INI- Corp., shall not be held responsible for any accident or damage
TIALS HEREON, DECLINE BENEFITS OF resulting directly or indirectly from the use of the leased equipment. 451 (31 41
PARAGRAPH 12, DAMAGE WAIVER, ON The Lessor expressly disclaims all warranties, either express or ! ,
REVERSE SIDE OF THIS CONTRACT. implied including any implied warranties of merchantability or fitness oto, rfl�Lint 45.64
DWC IS NOT INSURANCE. DECLINES for a particular purpose, and neither assumes nor authorizes any A!7,.6A
other person to assume for it any liability connected with the use of P-q... it ni: Nling
X this equipment.The Lessee agrees to indemnify Arrow Tool Rental Corp.,from any claim --
(INITIALS) loss,damages to property,consequential damages,loss of income or any other M64eentall I_ ("r'
damages together with attorney fees for defending any action brought as a result of therlease ;jln?I!n'fDIC
and use of this equipment. i•1;•i 71°? CIS+: 6:47
I have read and understand the terms and conditions on both sides of this agreement and certify that those printed on
the other side are agreed to as if printed above my signature.There are no oral or other representations not included
herein. Unless declined, I also agree to the damage waiver charges. I have received a copy of this agreement, I also certi-
fy that I have been instructed in the proper s ,including safety instruction,on the above described rental property this date
by the Lessor.
Lessee's Signature:X t
The parties agree that in the event the. essee violates any of the term and conditions of this agreement,the Lessor may collect
damages together with reasonable attorney fees, court costs and interest of one and one-half(172) percent per month added to
accounts over ten(10)days old,reflecting an annual percentage rate of eighteen(18)percent.