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HomeMy WebLinkAbout198442 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365194 Page 1 of 1 t, ONE CIVIC SQUARE BOUNCE HOUSE GUYS CARMEL, INDIANA 46032 8206 ROCKVILLE ROAD #152 CHECK AMOUNT: $160.00 INDIANAPOLIS IN 46214 CHECK NUMBER: 198442 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4340800 6/29 160.00 ADULT CONTRACTORS Carmel c Clay Parks &Recreation CHECK REQUEST Date: 611 RAY 1 1011 Check payable to Name: C Address: 2 City, State, Zip Mail check to payee V Return check to requestor Check Amount Date Required c Check needed for t XA n 'T /J 0 C<l r IM C 00 id G� To be paid from PO (if applicable) L Budget account GL Budget Line Description 4 t5qmw +V Supporting documentation or receipt(s) MUST be attached. Requested by (pant): Requested by (signature): Approved by (signature of Division Manager): on this date Form revised 1 -21 -08 2011 -05 -10 16:26 GET MORE JUMPS LLC 3178529897 3175717926 P 1/1 tuu t1%ffr%j L' 101111\ JIL T7 n V7.LVUl�bC11V{i^la.v u �•�.vaa� LESS Bounce House Guys L NAME 1172 River Ridge Dr do elt a RS N 5 Vt CAA DW,kat-_ Brownsbwg, N 46123 L 317 -222 -9522 Phone ORGANIZATION NAME �l k— 1.888- 859.2947 Fax ADDRESS 3 CI7Y y1P LILP DELIVERY DATE/rQHE PHONE NO. PICK -UP DATF✓rUdE PHONE NO. CAN WEDELIWREARL YES[] NoEl UNI'T'S SET UP ON VPHAT ICII•ID OF SURFACE I'ICK -UP TD IE WILL BE THE SAME PAVEMENT GRASS MOOR RENTAL TYPE/UNITS CHECK TYPE Power outlet within 100 feet YES No Bounce H ous e basketball banner ❑Speed Car banner ❑Lua;u banner []Robo Car ban QStrawb Short ban []Curious George ban ❑Neutral mbo []Princess combo ❑Sports Combo []Small Obstacle []Rockwall Obstacle Large Obstacle []Sllp -n -Slide �ungee Run []Joust E] Adult Sumo Suits 02 air guys$50 er to Pool -Golf rao a achine MFun Pack$50 enerator$50 I GENERATOR POWERS TWO UNITS OTHER UNIT'S DIRECTIONS/COMMENTS DELIVERY FLEE S /PAYMENT INFO EQUIPMENT SUBTOTAL 5 NONREFUNDABLE DEPOSIT PAID -r— TOTAL, AMOUNT DUE Payment is due upon delivery in o checks unless it is Business, Church, o choo k Need to have a standard we ou Within 100 feet HOLD HARMLESS PROVISION CUSTOMER (HEREINAFTER LESSEE) AGREES TO INDEMNIFY, 'DISCHARGE AND HOLD HARMLESS GET MORE JUMPS, LLC DBA BOUNCE HOUSE GUYS AND OFFICERS, AGENTS, EMPLOYEES, .OWNER, AND AFFILIATES (HEREINAFTER, LESSOR) FROM ANY AND ALL CLAIMS, DEMANDS, ACTIONS, SUITS, ?ROCEEDING COSTS, EXPENSES, DAMAGES, AND LIABILITIES INCLUDING REASONABLE ATTORNEY'S FEES ARISING BY REASON OF INJURY, DISABILITY OR DEATH TO PERSONS, DAMAGE OF PROPERTY OR THEFT, IN CONNECTION WITH OR RESULTING FROM THE USE OF THE EQUIPMENT INCLUDING BUT NOT LIMITED TO, THE MANUFACTUROR, SELECTION, DELIVERY, POSSESSION, USE OPERATION, OR RETURN OF THE EQUIPMENT. LESSEE HEREBY RELEASES AND HOLDS HARMLESS LESSOR FROM INJURIES OR DAMAGES INCURRED AS A RESULT OF THE USE OF SAID EQUIPMENT UNLESS LESSOR IS DEEMED BY A COURT OF LAW TO BE NEGLIGENT IN ITS ACTIONS. LESSOR CANNOT UNDER ANY CIRCUMSTANCES BE HELD LIABLE FOR INJURIES AS A RESULT OF ACTS OF GOD, NATURE, OR OTHER CONDITIONS BEYOND ITS CONTROL OR KNOWLEDGE. DUTY TO MITIGATE IN THE EVENT OF INJURY, DAMAGE OR LOSS DUE TO LESSOR'S NEGLIGENCE, LESSEE AGREES AND ASSUMES THE DUTY TO MITIGATE ALL COSTS RESULTING FROM SAID INJURY, DAMAGE OR LOSS. DISCLAIMER OF CONSEQUENTIAL DAMAGES- BY SIGNING THIS CONTRACT, LESSEE AGREES TO FOREGO SEEKING ANY CONSEQUENTIAL DAMAGES IN THE EVENT OF ANY INJURY, DEATH, DAMAGE, DISABILITY, OR LOSS DUE TO LESSOR'S NEGLIGENCE. DISCLAIMR OF WARRANTIES- LESSOR MAKES NO WARRANTIES EITHER EXPRESSED OR IMPLIED AS TO THE CONDITION OR PERFORMANCE OF ANY EQUIPMENT AND /OR PROPERTY LEASED BY LESSEE FROM LESSOR BY SIGNING THIS CONTRACT, LESSEE AGREES THAT ANY WARRANTY OF MERCHANTABILITY OF FITNESS OF A PARTICULAR PURPOSE ARE HEREBY DISCLAIMED BY SIGNING THIS CONTRACT. LESSEE AGREES THAT NO EXPRESS WARRANTY AS TO THE CONDITION OR PERFORMANCE OF ANY EQUIPMENT AND/OR PROPERTY LEASED BY LESSEE IS HEREBY DISCLAIMED. NEGLIGENCE OR ABUSE- LESSEE AGREES TO BE RESPONSIBLE FOR ANY LOSS OF OR DAMAGE TO LESSOR'S EQUIPMENT AND /OR PROPERTY AND SHALL RER BBUSE LESSOR FOR REPLACEMENT OF ANY EQUIPMENT AND /OR PROPERTY OR REPAIR FOR SAID ITEM. LESSEE 1S SOLEY RESPONSIBLE FOR ANY LOSS OR DAMAGE THAT OCCURS FOR ANY REASON WHILE THE EQUIPMENT AND/OR PROPERTY IS IN THE POSSESSION OF LESSEE, I understand that this document is intended to be as broad and inclusive as permitted by the laws of the Slate of Indiana and agree that ljany portion of this agreement is invalid the remainder will continue in full legal force and effect. 1 am of legal age and am freely signing this agreement. I acknowledge and eery J& that I had sur lcient opportunity to read the rental polity and rental agreement and understand its contents and agree to by the terms U P k LESSEE SIGNA'T'URE P. MAY 1011 aL Z 1- 9 C Q l S P L� By: i 1 APe► rf 3—I 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 1172 River Ridge Dr Brownsburg, IN 46123 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/29/11 6/29 Dunk tank Carmel Middle Sch Vac station 160.00 Total 160.00 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. 365194 Bounce House Guys Allowed 20 1172 River Ridge Dr Brownsburg, IN 46123 In Sum of 160.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members Dept 1082 -1 6/29 4340800 160.00 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 16 -Jun 2011 Signature 160.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund