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Home My WebLink About155852 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 237300 Page 1 of 1 ONE CIVIC SQUARE PARTY TIME RENTAL INC CARMEL, INDIANA 46032 1212 S RANGELINE RD CHECK AMOUNT: $2,955.85 CARMEL IN 46032 CHECK NUMBER: 155852 CHECK DATE: 1/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 R4359003 16225 157204 745.20 TENTS -ARTS DISTRICT 1160 R4359003 16225 157342 483.63 TENTS -ARTS DISTRICT T60 R4359003 16225 157369 305.02 TENTS -ARTS DISTRICT 1160 R4359003 16225 157484 815.27 TENTS -ARTS DISTRICT 1160 R4359003 16225 157605 606.73 TENTS -ARTS DISTRICT 12/21/2016 22:33 FAX U002 1212 South Rangeline Rd. Thn below equipment hGs tiPna received by the under. ?gnud For rental purposos only, and H is understood Ifwd PTR, Inc, dlbls Foriy Tirrm Rental Carmel IN 46032 "LO SOt'} shall not behold raspOnsfUle kr airy :rB u 04 unwed nd or damage insulting dvucty or range, indirec o mur ra of the leased a pmeN. The leeaor ill 1 .1 r expressly dlsclnimr• warrenttee, eltner erpro:�+d a' Including any impnetl nrerreMes of murchanteUmry w rnes Is tar r a parucmar purposo, (317) 844 -5178 and nohhor assumes nor authodzos any ether poison to assume to. It any Beblilty eDnnectlon wBh tie use of the equipment The lessee affrov R Indomn ly end bolo the 4esar hu mles5 from and apnl�l any Balms, actions, pmrnedngs, cosLe, damages Ie Property, coneeg sit innmagas, FAX (317) 575-2272 lose of Income or any other ineldental domngns, uvon those damages causod by the neigHfience of Insror, Including attorneys rue:, sit out ol, connsctod whh, or resullinn from tho use of Iho equipment, lnctudlrg, but net Bmhad lo, the manuNcwta, salectlon, dnlivery,possesslon, use operatwn, www.ptrinc,corn orroturnofIleequlpment 19E1j7p ;...;...:phi CITY OF CARMEL TREASURER DFCE NRT'L CITY SHNK PARKING LOT RQS# 117370 1 CIVIC SQUARE CARMEL 46032 Con# 157204 CARMEL IN 46032 w F (317) 844 -3498 FD RETURNED 2 /03/17 1:04 PM AW ***FINAL*** Charge for 1.00 Day(s) Page: E 1 7020-0000 RISER STEP 3 STEP FOR 24” 0,0121 0.00 DO NOT USE IN RAIN SNOW OR STRONG WIND lE 58LG -0000 RISER CLIPS FOR 8' 0.00 0.00 30.00 30.0 3 6445-0000 TENT SIDE SOLID W 4 23 SU /TD RISER 48.01 48.00 0 4 P-5 SU /TD SKIRTING 8.00 0.00 40.00 40.00 1 46032 CARMEL P /D -32 3 37 SU /TD TENT SIDE X0.00 X0.00 Payments y Call E52.3BS b efore after AD hours for equipment Problems. U Customer responsible for ALL N ti DAMAGED MISSING equipment Rent 584.15 z Sales it 8.00 EMERGENCY #(317) 252 3832 UNDERGROUND (800) 382 5544 Ot her 0.00 Dmg Waiver 35.05 1 HEREBY AUTMORUTHE LESSOR TO MAKE APPROPRIATE CHARGES TO MY CREDIT CARD, SME Tax 0 00 YES INITIALS FAI;,AIRETORMRNPROPERV( LEASED }70 LESSOR wRHIN72HOURSAMR AGREED TIME CONSTITUTES PRIMA FACIE Sales Tax 0. EVIDENCE: OF UNAIJIMORiZED CONTROL OVER SAID PROPERTY WHICH CAN CONSTrrVTES THEFT THEFT IS PUNISHABLE BY 2 YEARS IN PRISON PLUS UP TO A SIg.000 FINE. EQUI MENT RENTED ON THIS CONTRACT IS NOT FOR SALE. Dep osi t I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OFTHE ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS. TOTAL DUE 745 eO The undersigned having road and understood the above forms as well as the Additional lbrrns and Conditions on the reverzo Adn hereof, hereby agrees to rent the above equipmenUartfcW on the terms and conditions set forth In this Rental Agreement, and Is an authorized agont for the Lessee. EQUIPMENT LEASED By A T BI LLED 745.20 EOUIPMENTRETURNED 1 2/ 1 8/0? °0�i�$ 12/21/2016 22:33 FAX 10003 1212 South Rangell Ile Rdt p ert IAL. FlllnGCml:n r PARff TM Tho brdo equipment has liven rocohod by the undersi!Fwd [of rental purposes only. and It understood thpl PTA, Inc. afore Party Tlmc Rental Carmel IN 46 32 p n si') shen not be held r nflI 1111 to any accident pl adage resulting directly or ran te met the use of Used equipment Thu ser ux 0 ucrossly tllaclfllms all warrontloa, eluler expressed d or i mplied Indutling any impllod warranties ies o of merOflan4,b1111y or m ph ase lore partL vier purpo (317) 844'5178 and nelther assumes nor nutMrizes any other person z assume for It any liability connebllon rdth the use of 0,L equipment The lessen 85raes to 1 I y ana hold thn r I e a from snit e arty claims, actions, p e ne costa, d m r. In to y, wnsewe ar damages, FAX {317) 575-2272 rose 038 of d Irrooma or wry o the r Icl d e ntal ntal dgnrapus, even n mo moss damaBOS smsvd by (h nepll0enco of lu:cor, In to Bit y, fncco. arising out of, RENTAL yv mnnucltld with, or resulting from tha use of the equiplmnt, Inalud1h0, but not limited lo, Ihn manufacture, aeledlon, dnllvny, paawes!on, use operation, www.ptrinc.com or return of the sn pm t. NAT' CITY RIVE CITY OF CARMEL- TREASURER OFCE BANK PARKING LOT 1 CIVIC SQUARE CARMEL 460 Con# 157,:x42 CARMEL IN 4603 AR -97 W (317)571 2495 2/07/07 12:13 PM AW F (317) 844 -3498 RETURNED 2/10/07 12:13 PM AW **FINAL Charge for 1.00 Day(s) Page: 1 y 'W 7 Rental Text BILLING DEL: LATE PM ON 12 /7 *CRLI, FIRST PU: EARLY AM ON 12/10 *SU /TD TENT CANOPIES *TENT WILL BE WEIGHTED ON ASPHALT CONTACT IS ANDREA 938 -2824 1 6408 -0000 TENT FRAME 12X12 145.00 145.00 1 6304-10121010 TENT TOP 12X I E RED WHT 0.00 00 2 6110 -0000 TENT SIDE SOLID C 20.00 200 00 1 4572 -0000 TENT TARP 12X12 FRAME 0.00 0.00 4 4473--0000 TENT WEIGHT 10.00 39, 00 0 40.00 40 117. 10 2 6420 -0000 10X10 KD WHITE (TOP ONLY) 130.00 130,00 PLEASE READ FOLLOW INSTRUCTION SHEET!. DO NOT USE IN RAIN SNOW OR STRONG WIND 2 9556 -00010 KD CANOPY FRAME ONLY 10X10 13.00 00 2 8244 --0@00 TABLE 8 BANQUET 13.0@ i3.13.00 DO NOT USE IN RAIN SNOW OR STRONG WIND DO NOT STAPLE TABLES FEES WILL BE ASSESSED 2 7399 -00010 PROP FENCE WHITE PICKET 8' 30.00 30.00 DO NOT USE IN RAIN SNOW OR STRONG WIND 4 M030 -0000 *BASE 3 FT 0.00 0.00 10 8302 -0000 CHAIR BLACK SAMSON ITE 1.50 7.50 2 ,37 SU /TD TENT SIDE 20.00 20. 1 46032 CARMEL P /D -32 55.00 J Payments y G all C before after o hours for equipment problems. 5 Customer responsible for ALL N DAMAGED MISSING equipment Rent 385.50 Z Sales 75.00 EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382.5544 Other 0.00 Dmq Waiver 23.13 I HEREBY AUTHORf LETHELESSORTOMAKEAPPROPRIATECHARGESTOMY CREDIT CARD. RME Tax 0. L71@ YES INITIALS FAILVAETo RETURN PROPERT'( LEASED) TO LESSOR WITHIN 72 HOURS AFTER A3REED TIME CONSTITUTES PRIMA FACIE Sales Tax 01� BIDE MOE OF UNAUTHORIZED CONTROL OVER SAID PROPERTY WHICH CAN CONSTITUTES THEEL THEFT IS PUNISHABLE Ry R YEARS IN PRISON PLUS UP TO A $10,000 FINE EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE. D e P tl 5 1 t 0. I HAVE BEEN INSTRUCTED DEMONSTRATED ONTHE SAFE PROPER OPERATION OFTHE ABOVE EQUIPMENTAND I FULLY UNDERSTANOTNOSE INSTRUCTIONS. TOTAL DUE 483- The undersigned hliving read and understood the above terms as well as the Addillonal T§mts end Conditions on the reverse side hereof, hereby agrees to rent the above equlpmenUanicles an the terms and conditions set forth in this Rental Agreement, and Is an aulnogod agent for the Lessee. EQUIPMENT LEASED BY X A T BILLED 483.63 EQUIPMENT RETURNED BY X 1 G:f 1 b/ 0 7 12/21/2016 22:33 FAX 10004 1212 South Ranpline Rd HtNIALAUlMLLMCNr The btdow equipme nt has Bohn rucohed by the under.+gnnll for rental purposes only, nrrd It Is understood thm PTP, Inc. dlbte Reny Timm R"I Carmel, IN 46032 shell not be held m:ponyNe lot ally acrxdem Dr damage reeultirn dPactly or IndheM Imm the use cf the leased equipment, Thn lu=r P A RTY TM expressty disclaims aN warm m p nlles, either expressed or led Including any impllud rrerrenuee of merchantabOly or mness for a pantp lur purpose, (3 1 7) 844 -5178 end neither ass�—us not aumoriZes any olhnr purson assume for h my Ilubeily connection with thin use of Oils equipment. Tho Lmsoe agrees to Indemnify and hold y e rrern and hwt Pny dale:, 6, pfoc ngfl $Oslo, de to prop erty. prop erty. y, censai i g da ol, FAX (317) 575.2272 Imes or Income or nny prher hor In ci d e ntal damages, even en axn th damages cause d by the a nugll gence ol.le ssor, Irt Including ettdmeys' Is ari sing out oI, connecled weh, ar msulling hom the use of ihn oqulpment, Including, but net limited tq the manufaclurn.:mlecdon, Uellvery, poswien, Lee operallon, www.ptrinc,corn orTeueof the equipment, X u>:uu1;l� rtt C ITY OF CIPIRMEL-IREAGURIER a 1 CIVIC SQUARE CARMEL 46032 Con# 157W69 CARMEL IN 46032 K: F (317) 844 -3498 9 PM AW 10 07 RETURNED 2/ *FINAL* Charge for 1,00 Days) Page: i Rental Text BILLING DEL 12/8 PU WITH OTHER ORDER 12/10 TENT MUST BE WEIGHTED 1 6408 -0000 T FRAME IFX12 145.00 145.00 1 6300 -0000 TENT TOP 12X 12 BLUE .WHT 0.00 41, 00 2 6110 -0000 TENT SIDE SOLID C 20.00 20.00 1 4572 -0000 TENT TARP 12X12 FRAME 0 0.00 4 4473 -0000 TENT WEIGHT 52.00 52.00 2 37 5U /TD TENT SIDE 20.00 20100 i 4603"e CARMEL P /D -32 55, 00 55.0 Payments after Call rt. b efore ,'h,`.' o hours for equipment problems. w 7 Customer responsible for ALL y DAMAGED MISSING equipment Rent 217.00 z Sales 75.00 EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382 -5544 Other 0.00 I HEREBY AU7HORIZETHE LESSORTO MAt� APPROPRIATE CHARGESTO NIY CREDIT CARD. D m g Wa iver 13.0 YES INITIALS SME Tax 0.00 FALURETOREURNPROPEITfY{ EAS EDI TDI- ESSORwITHIN 72HDURSAFfERAGREEDTIME CONVITUTESPRIMAFAM Sales Tax 0. EVIDENCE OP UNP1rTHORQED CON'rROI. O vER SAID PROPERTY wHli,' 4 CAN CONSTITUI'ES THEFTTThi l m IS PUNISHABLE B' ,YEARS IN PRISON PLUS UP TO A "$10,000 FINE. EQUIPhAENT RENTED ON THS CONTRACT IS NOT FOR SA! E. D E`. Fl D b x t 1 HAVE BEEN INSTRUCTED DEMONSTRATED ONTME SAFE PROPER OPERATION OFTHE ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS, TOTAL DUE 305 02 The undorstgnod having read and understood the above terms Us well 34 the Addltlonal Terms and Conditions on the reverse side hereof. hereby agrees to rent the above equipmenuarkles on the tamw and cpndltions set forth In this Rental Agreement, and Is an authorized agent for the Lessee. EQUIPMENT LEASED BY X A41 BILLED 305.02 EQUIPMENT RETURNED BY 12/18 09-.09:'-7 P ARTY 1212 South Rangeline Rd. RENTALAGREEMENT The Lessor') equipment has been received by a undersigned or or for re purposes ono, n It to understood thu [hat the l se equi dParry Time Fend 6 Carmel, I N 46032 ('Less') shall W be held responsible for arty accident nt or damage resulling dire* or i ndi rectly from the use of the teased equipment. Tine lessor O�� °J expressly disclaims all wane 1 either ezprasad or implied Including any implied warranks of merchantability or fitness for a parkular purpose, and neither assumes nor authorizes any other person to assume for B any liability connection with the use of this equipment. The lessee agrees to Indemnify and hcid the Lessor harmless from and against any daims. actions, proceedings, casts, damages to property, consequental damages, REN M1 FAX (317) 575 2272 loss of Income or any other incidental damages, even those damages caused by the negligence of lessor, including aBcmeys' tees, arising out N, pnneded wP,b, or resulting from the use of tl;e equfpmeA including, but nut Tdnited to, the manufacture, selection, delivery, possession, use operation, tvww.ptrinuom or return of the equipment. X Ci Y OF Clrti4EL —TREASUIRER ut -E NAT' L CITY BA NR PARKING LOT s Re s# 117541 1 CIVIC S51DURRE CAR'MEL kGTZI.32' Conic 157484 CARMEL IN 46026 i I ?:::�5ti .�:r_, w�aa �kt�.�•F .iG:� ty._.� �s� a..si.., .'�.r�:. }aw oak s ?A? �..esris;. s�t'.,;�, s, .iu� r' 1fFl� ..t,.._.i`: ..c}e.�i�` C'�.kr__. �i. �R —'S7 WI t 31 1 571 -2495 2114/07 9!32 'AM AW 2' Sa's,.k� A REVEL? COMM— SHERRANDREA STUMPF RETURNED 'ci 17/07 Sa32 AM AW INRL*** Char ne for 1.011 Day (s) Pace: 1 r Vii i• 'rips fi a '3 a �x r k., 'g�< .*+s;+^`3 s� :'r d -in ".`.V frci�" a t �'-_'M..s' L" f'.•i- �flTv �iI`... 1,. 't� 4: ++^�I'y F,,'{'C� �.+t�t j.K'7' y f ,y .:�;y i i s,}' .f {°..Qf' v.,z k Rental I A'l,t a LIIL_L NG DEL! LATE PM ON 12:14 *CALL FIRST**** PU- 61A 1 ON 12 117 #3 *SL 11Th TENT. SIDES CANOPIES TENTS WILL DE WEIGHTED ON ASPHALT CONTACT IS AND 938 2824 OR MEGAN to 20 1-2491 2 5408 -0000 TENT FRAME 12X12 290. 00 2'90. V:10 1 63100 -0000 TENT TOP i 2X 12 BLUE WHT 0.00 0.00 i 304-0000 TENT i 1 TOP i 112 RED WH 1 Kla k�+:� L a I'D0 4 5445 -0000 TENT SIDE SOLID W 4&00 40. CrItC c; 4572 -0000 TENT TARP 12 V A 12 FRAME 0.00 0.00 U 4473 -0000 TENT WEIGHT 104.00 104. 6420- 0000 10X!@ KD WHITE (TOP ONLY) i95. 00 1135,00 PLEASE READ FOLLOW INSTRUCTION SHEET! DO NOT USE IN RAIN 1 SNOW OR STRONG WIND 3 9556 0000 KD CANOPY FRAME ONLY 10X10 13. 10 0.017 8244 -0000 TABLE 3' BANQUET 13. 00 13.0! DO NOT USE IN RAIN 1 SNOW OR STRONG WIND Diu NOT STAPLE TABLES FEES WILL HE ASSESSED 2 7399 10000 PROP FENCE WHITE PICKET 8' 30.00 314+.01 DO NOT USE IN RAID! 1 SNOW OR ST RONG WIND 4 M030 -0070 *BASE 3 FT 0.0e. 0.00 1 6302 -0000 CHAIR SLACK SAMSONI TE 7.50 7.50 4 37 SU /TD TENT SIDE 40.00 40. 1212A 1 46032' CARMEL P/D -3 55. 55.00 i Pavnents Call 252. 832 before $c after= Z a5 hotars for equtipment problems. a- Cl_tstomer responsible for ALL U' z DAMAGED /-MISSING egt_liplaent Rent 579. 50 Sales 95. 100 EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382 -5544 Other 0.00 I HEREBY AUTHORIZE THE LESSOR TO MAKE APPROPRIATE CHARGES TO MY CREDIT CARD. Dm u Waiver 40. 7 YES INITIALS SME lax 0 FAILURE TO RETURN PROPERTY tI.EASED)TOLE.'w'SOR WITHIN 72HOURSAFTERAGREEDTIMECONSTTUTESPRIMAFACIE ��lOc Tax 0. t!�l�i MDENCE OF UNAUTHORIZED CONTROL OVER SAID PROPER, Y VIHICH CAN CONST[TUTES THEFT. THEFT IS PUNISHABLE. BY 2 YEARS IN PRISON PLUS UP TO A $10.000 FINE. EOIAPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE D a rr 0 S. i t 017 US 0 I HAVE 8EEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE r ABOVE EQUIPMENT AND I FULLY U N D ERSTAND THOS E IP.'SMC:TIONS. The undersigned having read and understood the above terms as well as the Addiflonai Terms and Conditions on i T 0 "j A; D j 8 1= .e rsterse side hereof. hereby agrees to rent the above equipmenUarfic!es on the tame and conditions set forth n INS Rental Agreement, and is an authorized agent forts Lessee. l EQUIPMENT LEASED BY X AI T 8I l_ FP T `r,. EQUIPMENT RETURNED BY X a h7r f3 L•. p mynu or 1212 SOUth RangelUte Rd. RENTAL AGREEMENT The below equipment has been received by the undersigned for rental purposes anly, and it is understood that PTR, Inc ftla Parry TRental g$ Carmel, IN 46032 ('Lessor) sha!I nol be held responsible for any accident or damage resulting directly or indvecty from Due use of Die leased equipment. The lessor C� g expressly disdains all warranties, either e�cpressed impied indudrig any implied warranties of merchantability or faress for a particular purpose, �i `J and nelGaer asstunes nor authorizes any other person to assume for it any Ha connection with the use of the equipment The lessee agrees to REN T indemnify and hold the other in de ns from and eh any maim., ac Proceedings, casts. damages in pro eye fees, ri s a damages. FAX (317) 575 -2272 toss of Income cr any other inddental ta! damages, even n those damages caused ed by the negligence G lessor, including attorneys lees, arising out d, connected wilh, o resulting from the use of the equipment, including, tut not limited to. the manufacture, selection, deliveN possession, use operation, mw.ptrinc.corn or return of the actt9ment. X k ;�a. e -r2rt r 7'f° -y *^x-.:z i �ls 91t118/flENfi6F s as is W L 4 xis mil? UH1�16Fd s n i ova.t1 s` -c"k s ro 3 .r-G a,.r. S S.. s.-• ,..M.+. r C` R E _.t d r fi. x.�:.�i.r_ >.'-a 1 :Y �`"�,t.:3� �I�`E .r. CITY OF CARMEL- TREASURER OFCE NAT'L CITY BANK PARKING LOT 1 CIVIC SQUARE CARMEL 46032 Cuni;�r i= ✓76.05 CARMEL IN 46032: i �,�w•"'�w�`'sa. n '�.3� '�j,'`' >�3,- ,�.',k`�%Y ��S .1� s r� Y �.se 4•jr .�k�.:.s s?t Y�. F*``.��.'� S y t .�.t� r�'er �a,'`K 91.wt�� ,h•�• r J.�. i r.. .r ,r?:, �fti�:r�..-^ yn .�fs`r ,,.9fQEx..�„��:f� s��>fi�x�<_s_<�;�i�.. =IR -97 W (317) 571-2495 2/21/07 10.28 AM AW :4Ci t .s ..'r``x P.U.A s,w,.:4a.t, ,t.t K UEUEflfg$y a r.«,.ah �:�z tv a a t r AW REDEV COMM-SI-IERRANDREA STUMPF RETURNED 12/24j"07 10428 AM AW :xFIn #AL:� Change for 1.00 Day(s) Paget 1 sw'+•� ..v r.� i:.. Y Iyisfrt i¢•'',,,ra a...- `tk ?u3: S•'4 sr-. E`�"' �,`m. 2'3..5';:: ,.t• F'_ -?5*. Y. n £��555 ctX��3s Le'..{�i�.ti:.Z teS�r};'E2 $q :':`6 f1 rtF 3` ��D,�'S�>� a3'r.'=., •r'sW''�. .Y"'s d, Rental Text t BILLIi':i�� DEL- LATE PM ON i2/21 ***CALL FIRST** Past 8AM ON 12/2 *sL /,rD TENT CANOPIES ***TENTS WILL BE WEIGHTED ON ASPHALT**** CONTACT IS ANDREA 11 938 -2924 OR MEGAN 201 2491 i 6408 -0000 TENT FRAME 12X12 145.00 1 1 6304- 0000 TENT TOP 12'A"12 RED 9 WHT 0.1210 101. 4572-0000 TENT TARP 12X12 FRAME 0.0L?t 0.00 4 4473-121000 TENT WEIGHT 52. ilea 00 1 G424-0000 10X KD RED (TOP ONLY) 65.00 65. 1710 PLEASE READ FOLLOW INSTRUCTION SHEET! DO NOT USE IN PAIN SNOW OR STRONG WIND 3 6420 0000 10X 10 KD WHITE (TOP ONLY) 195. 000 19-5.00 PLEASE READ FOLLOW INSTRUCTION SHEET! DO NOT USE IN RAM SNOW OR STRONG WIND 4 9556 -0000 KD CANOPY FRAME ONLY 1@X10 0.00 0.1010 4 8244 -0000 TABLE BANQUET 26.00 26.00 DO NOT USE IN RAIN SNOW OR STRONG t4IND DO NOT STAPLE TABLES FEES WILL BE ASSESSED 2 7399 -0100 PROP FENCE WHITE PICKET 8 30.00 30.00 DO NOT USE IN RAIN SNOW OR STRONG WIND is M030- 0000 *BASE 3 FT O.OL 9.011 10 8302 -0000 CHAIR BLACK SAMSONITE 7.50 7,50 1 46032 CARMEL P /D--32 55.10 55.013 Payments 5 b Z Z Call ,:18:2 ,tf i r er• F hours for equipment Pi^lltlemS, a Customer responsible for ALL z DAMAGED /.MISSING equipment Rent 520.50 Sales 55.00 EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382 -5544 Other 0100 I HEREBY AUTHORIZE THE LESSOR TO MAKE APPROPRIATE CHARGES TO MY CREDIT CARD. Dm g Wai ver 31. 23 YES INITIALS SME Tax ICI, 1 2 1 0 FAILURE TO RETURN PROPERY (IFISED) TO LESSOR W"IN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACE S_ Iles I 0 I,� VIDENCE OF UNAUTHORIZED CONTROL OVER SAID PROPERTY WHICH CAN C NdSTT1UTES THEFT. THEFT IS PUNISHABLE 3Y 2YEARS IN PRISON PLUS UP TO A 510000 FINE EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE. D e in 0 s i t 0. 1 1 HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS. I j he undersigned having read and understood the above terms as well as the Additional Terns and Conditions ort j C e ravarse side hereof, hereby agrees to rent the above equiomentlarticies on the terms and conditions sat for th a .,,is Rental Agreement, and is an authorized agent for the Lessee. ''EQUIPMEN LEASED BY X 6 0S. 73 EQUIPMENT RETURNED BY X 1 7 1121 -ri t}2 Mf4 FA O INDIANA RETAIL TAX EXEMPT PAGE 14§ CERTIFICATE NO. 003120155 002 0 of anal PURCHASE ORDER NUMBER FEDERAL EXCISE TAX' EXEMPT tp 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE_BOARD OF ACCOUNTS FOR •CITY OF,CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION r 06 j .L �I SHIP V f VENDOR h f I ti v, IJMLF I l k) T II L/ fir.' CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTIO r UNIT PRICE EXTENSION �q y p n S Xu j.' l 1, 1 l/ A /c, Ll C. L r' Send Invoice To: I J PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS n OP RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY V PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO.16 2 2 5 DEPARTMENT COPY 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 II I nqA Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) rOb I b lJobde-t lx-i 7LY zo 12 1573N Z t H83. &3 Z _9 -07 157 36 `1 r t 3 65. o z z -15 -0 157Lt8L-1 gis. 12 -Zz -o? 15 "7 o5 606.73 Total LE 5, R S 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 IN SUM OF CAA W4 LI b b 3 Z ON ACCOUNT OF APPROPRIATION FOR X C) Board Members PO or I OICE NO. ACCT #/TITLE AMOUNT T. I hereby certify that the attached invoice(s), or I ]vZ 2 5,7 z 0 y Z-/35�003 7y5 z o bill(s) is (are) true and correct and that the /[7 Z Z S 31y Z 1 1 359m 5 L/ 3, 6 3 materials or services itemized thereon for )6 z1 15 6� L1 05 vZ which charge is made were ordered and 1 W5 7 TYE' y 35100 215J received except ll z S I S� (a oS L1 3,590 03 606. 20 S' n tuTe Cost distribution ledger classification if Title claim paid motor vehicle highway fund