197874 05/27/2011 a- CITY OF CARMEL, INDIANA VENDOR: 365194 Page 1 of 1
ONE CIVIC SQUARE BOUNCE HOUSE GUYS
e i CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 1172 RIVER RIDGE
BROWNSBURG IN 46123 CHECK NUMBER: 197874
CHECK DATE: 5/2712011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 6/5 400.00 ADULT CONTRACTORS
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LESSOR
Indpis. Indiana 46214 oo
317-222-95.'22 Phou
EQU1PN1VNT PICK-11 DATE/TIME
PAID JN FULL OR ANI0IJN'I'DLJF 0c), UNITS SET U'"P"'O"N WH SIJRFA('F
Puyment k due upon delivery 6c o checks PAVEMENTE] (;RASS [V IND0QR El
cljo() n
Ulllt;',", it JS f3U.611ONS, ChUrch, o I flower ijullet within 100 feet YES Nn F1 Pilblit: Location YES
1 Bounce House_ Bounce House oNeutral Combo_F] B ban E]Luau ban DRobo Car ban
E]Curious George ban Short ban L]Kahuna Slide DSmall Obstacle 01-arge Obstacle LjTurbo Rush____
f7Wrecking Ball E]l3ungee Run 0joust Ej Adult Sumo Suits OCash Machine L]Shoat and Throw game [jFast pitch.-
F pond []High 3thkn/[]Fun PaukE Adven\uve EjDunk Tank []GenenaiorElSnm* Cone []Colton Candy
HOLD HARMLESS PROVISION- CUSTOMER (HEREINAFTER LESSEE) AGREES T0!NI)EMN|PY.0|S[HAK6CANDHOLD
HARM [,FSS GET MORE JUMPS, LLC DBA F301JNCF HOUSE GUYS AND OFFICERS, AGENTS, FM PLOYEES, OWNER, AND
AFRUA?GS(8EAL|w AFTER, iES30R) FRO M ANY ANDAU.[LN MS, DBk4»N DS, ACTIONS, SU ITS, pR8CE EDIN(;COSTS.
EXPCNSCS.U6MAU/- S, AND LIABILITIES INCLUDING REASONABLE ATTORNEY'S FIFFS ARISING BY REASON OF INJURY,
DjSAnIl,1TY OR DCA I'HTO PERSONS, DAMACr OF PROPFRTY ORTHEFT, IN CONNECTION WITH OR RESULTING FROM
USE OACETUPOFTHE EQUIPMENT 1NC).UD|NC.VV7 NOT L/MlTGD70.YMGMANUF&CTDROR'SB.FCT|ON.DB.|V[KY'
POSSESSION, oS*VpFRA'[!0N.DK RETURN OF THE F0V|PIVIFNTL8SSk�HL-KEOYKGLEx5E3ANDH0
+'SSOK I'kOM INJI]RIFS OR DAMAGES INCURRED ASA RESULTOF THE USE OF SAID EQUIPMENT UNLLSS LESSOR IS
DEEMED BYAC8UKT0FLAYY?08ENCQ.\CFN?|N|1'S8(,'llUK1iF�.�OR[ANNOT UNDER ANY OR[U#STAN[CS8GHELD
LIAQLPPUk}N)UR)FSAq A OF ACTS OYGO0. NATURE, OK OTHER CONDITIONS Br-Y0ND ITS CONTR0L0R
KN0VViVDCF
DUTY ?OM|TlGATF'\N] HE kVVNTUF INJURY, |)AIVI&CEUV LOSS DUE ?D LESSOR'S NUCL|08NCEiGSSEF AND
us�//m/�xTUhNnvluMrnxxlem.L[VY7NxxSV[T|NU FROM SAIL) INJURY, DAMAGE DKLOSS,
DISCLAIMER OF CONSEOVENTIAL DAMAGES- BY SIGNING TIJIS CONTRACT, LESSEE AGREES TO VOKE(jc) SEEKINC ANY
CONSH"QUIE-N HAL L)AMA(;I:S IN THE MIUNT01"ANY INJURY, DEATH, DAMAGE, DISABI LOSS DUF LESSOR'S
NE6U(;EN(:F.
D|9CUxIh4IER OF WAKRANTIFS- I,FSSOR MAKES NO WARRANTIES EITHER EXPRESSED OR IMPLIED AS TOTHF CONDITION
OR PERFORMANCE OF ANY FQII;PMFNT AND/OR PROPERTY LEASED BY LESSEE FROM I.FSSOR. BY SIGNINGTHIS
CONTRACT, LESSEE ACREES THAT ANY WARRAINITYnFIVIFRCHANTARILITY OF FITNESS OF A PARTICUI.AP PURPOSE ARE
HBR28YNSCLA|MED8YgGN|NCTH|SC0NTKACT|FSSCkACKFBQTHATN8CXPK25SYYAKk8MTYaSTO7HR[ON0T0N
8KPLRFOKMaMCEOF ANY EQUIPMENT AND/OR PROP�pTY|.EA3CDBY LESSEE |3UCRC8YDISCLAIMED,
NEGLIGENCE OR ABUSE- LESSEE ACkCE5'rOD2A2SP0MS|8LE FOR ANY LOSS UF0R DAMAGE T0 LESSOR'S ]EQUIPMENT
AND/OR PROPERTY AND SHALL REIMBURSE LESSOR FOR RLPLACEMENT OF ANY EQUIPMENT AND/OR PROPERTY. LESSEE
/S6OLEYRESPON8BLF POR ANY LOSS OR DAMAI;F THATOCCURS FOR ANY REASON WHILE THE EQUIPMLNT AND/OR
PROPERTY IS IN THE POSSFSSION OF LESSEE AND/OR UNTIL INSPECTION DATE. INSPECTIONS- LESSEE AGREES TO
ALLOW I..ESSOR ONE WELK I-ROM PICK DATLTO INSPECTEQUIPMENT AND/OR PROPERTY FOR DAMAGES CAUSED Hy
iEAGFE-|FLIE5SOPRNDGANYDAMAGES.LUSSCKVY[LLBERMANC|ALLYROSP0NS0L8R}KDAMAGE8.
/vnuers1o/.» that m*umwmexrumundedw»^osm v,v""vo,xk the laws the State o/lFiaa"" and agree rho( if any rort*'/w'wu
oore°mvn'i.� invalid, mvwvmmm,wmmn/wmu full legal for and effivet. /"m"f ley*/ ape and *rn freely s(onm«ei-T ^/nrvno°*qg,m,x°oi&
mn,/n"xo,mcwntop,o/'?uoo,'v read the ^oxu/ polic uoup**/vvreen/m',und understood its o.nt"vbu"uvnrecmhoh"=ab* the terms.
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LES9EE 9| ��AT DATE
Silly string is 2trictly prohibited at your Rarty and/or near units- You will be responsible for replacement cost of
unit if any silly string gets an it. We do not rent to anV customer who ha$_ silly .9..tring at their event. NO SILLY
STRING-CANDY-SHOES-GUM-FOOD-DRINK-CONFETTI—BALLOONS-TAPE INIQN t)NITS. DO NOT USE
UNIT IF WIND SPEED EXCEEDS 15 MPH AND/OR RAINING. You ARE FULLY LIABLE/ FtespoNSIBLE FOR ALL
RENTED I1TEMS/LINIT($) VNIII PICKUP ANDIOR ANY DAMAGES CAg§&MjMHIIE IN YOUR POSSESsION U
INSPECTION DATE. A $50.00 cleaning fee will be chargad if the unit at)Vj*jp*Fnj Rr pn th 'm&pa IS
excessively dirty, or trash left inside the unit. P.0.8 P orf�>
(initials here)
Budget
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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.
365194 Bounce House Guys Terms
8206 Rockville RD 152
Indianapolis, IN 46214
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
615111 615 Obstacle course 28544 400.00
Total 400.00
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.
365194 Bounce House Guys A{lowed 20
8206 Rockville RD' #:152.3 fi
Indianapolis, 1N462�ti4 4,
*NEW ADDRESS In Sum of
400.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT A/TITLE AMOUNT Board Members
Dept
1082 -1 615 4340800 400.00 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
19 -May 2011
Signature
0.00 Accounts Payable Coordinator
p Title
I