HomeMy WebLinkAbout198443 06/22/2011 \,f CITY OF CARMEL, INDIANA VENDOR: 365194 Page 1 of 1
ONE CIVIC SQUARE BOUNCE HOUSE GUYS
CARMEL, INDIANA 46032 6206 ROCKVILLE ROAD #152 CHECK AMOUNT: $350.00
INDIANAPOLIS IN 46214 CHECK NUMBER: 198443
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/1 350.00 ADULT CONTRACTORS
Carrel Clay
Parks &Recreation CHECK REQUEST
Date: S( l z 1 I
Check a able to:
Name: Ce f' 1UJ L
Address: 2.0 b oc,K /V 2 QU +t" I S 2
City, State, Zip I �b 21 "1
Mail check to payee Return check to requestor
Check Amount Date Required
Check needed for: V1�(1�
To be paid from
e�
PO (if applicable)
Budget account GL "f C l r l J
Budget Line Description V�
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Supporting documentation or receipt(s) MUST be attached.
Requested by (print): ec C�
Requested by (signature):
MAY 2 7011
Approved by (signature of Division Manager): RV.
on this date
x-13 4
Form revised 1 -21 -08
2011-05-04 13:53 ou MORE JUMPS uc 3178529897 37577926
Bounce I jouse Guys
8206 Rockville Rd #152
3 17-222-9522 Phone 10034
NONREFUNDABLE Dl PlOS11 DELIVERY DATErrlMFj
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FR LESSE-F) AGREES TO INDEMNIFY, DISCHARGE AND HOLD
HARMLESS G MORE JUMPS, I.LC DRA 13(AINC]" HOUSE GUYS AND OFFICERS, AGENTS, FMPLOYEES, OWNER, AND
APFILIATFS (HERr..',INAFTFIk, lj. FROM ANY AND ALI. CLAIMS, I)EMANDS, ACTIONS, SUVYS, PROCEEDING COSTS,
EXPRNSES, DAMAGES, AND 1AABILITIES IN(jjjC)INC, REASONABLE ATTORNEY'S FELS ARISING 13Y RF.ASON OF INJURY,
LESSOR PROM INJURIES OR DAMA11 S INC
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Silly string is strictly orohibited at your party and/ ny customer who has silly strinq at their event. NO SILLY
unit if any silly string gets on it. We do not rent to a APE INION UNITS- DO NOT USE
VNIT IF yVIND SPEF_D EXCEEDS 15 MPH ANID/OIR RAINING. YQU ARE FULLY LIABLE/ RESPONSIBLE FOR ALL
RENTED ITF_MS1UNITj5j UNTIL PICKUP A DIOR ANY DAMAGES cAMj&RaNH(LE IN YOU5 P SUSSION UNTIL
INSPECTIQN� DATE, A $50.00 cleaning fee will be charged if the unit= tim ucavafilkim pection date is
excessively dirty, or trash left insid"e the'unit. 7� -rT
MAY 9 6 2011 Bud
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
note ote attached invoice(s) or bill(s)) PO Amount
514111 7/1 Program Carmel Middle School 7/1/11
28544 350.00
Total 350.00
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
8206 Rockville Rd 152
Indianapolis, IN 46214
In Sum of
350.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #ITITLE AMOUNT Board Members
Dept
1082 -1 7/1 4340800 350.00 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
350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund