HomeMy WebLinkAbout175844 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 237300 Page 1 of 1
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ONE CIVIC SQUARE PARTY TIME RENTAL INC CHECK AMOUNT: $386.00
CARMEL, INDIANA 46032 1212 S RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 175844
CHECK DATE: 8/612009
DEPARTMENT ACCOUN PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
902 4359003 165428 386.00 FESTIVAL /COMMUNITY EV
1212 South Rangelllle Rd. RENTALAGREEMENT
The below equipment has been received by the undersigned for rental purposes only, and it t understood that Inc. d @/a Party Time Rental
Carmel, I N 46032 Lessor") shall not be held responsible for any accident or damage resulting directly or indirectly from the use of the the leased equipment. The lessor
PiTTY expressly disclaims all warranties, either expressed or implied including any implied warranties of merchantability or fitness for a particular purpose,
(31 7) 844-5178 v and neither assumes nor authorizes any other person to assume for it any liability connection with the use of this equipment. The lessee agrees to
indemnify and hold the Lessor harmless from and against any claims, actions, Proceedings, costs, damages to property, consequential damages,
,-1 FAX (317) 575 -2272 loss of income or any other incidental damages, even those damages caused by the negligence of lessor, including attorneys' fees, arising out of,
connected with, or resulting from the use of the equipment, including, but not limited to, the manufacture, selection, delivery, possession, use operation,
www.ptrinc.com or return of the equipment. X
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CARMEL ARTS P. DESIGN MERCHANTS MAIN ST c RANGELINE Res# 123164
140 CARMEL Con# 165428
CARMEL IN 46032
AR— 3 W (317) 571 -2787 07/11i09 3:36 PM AW
UB ROCK THE DISTRICANDREA STUMPF RETURNED 07/11/09 4:00 PM RR
*FINAL* Charge for 1.00 Day(s) Page: 1
ffT fis Tea i. #hfa`isE 4 #t xi T T3T Nat
Rental Text BILLING
DEL: AT 6:OOAM ON 7/11 *MUST BE SU BY 9AM
**EVENT IS FROM 11AM -1OPM
PU: AT 1OPM ON 71 1 11.
*SU /TD TENTS, STAGEING SKIRT
*STAGE SIZE IS 16X1.6
#1.6X16 TENT NEEDS TO SIT ON TOP OF STAGE
**SEE NANCY ABOUT. STEPS FOR B I LLJACK 1 1 1 1
CONTACT IS MEGAN Ia 201 -2491 OR ANDREA 938 -2:
******ORDER OF SET UP
-DROP BANQUET TABLES AS FOLLOWS:
*(23) TABLES TO SE CORNER OF RANGELINE MAIN
*(45) TABLES TO NW CORNER OF RANGELINE MAIN
*(15) TABLES TO SE CORNER OF 1ST AVE SW MAIN
(16) TABLES TO SW CORNER OF 1ST AVE SW MAIN
*(21) TABLES TO SW CORNER OF MONON GREENWAY MAIN
-NEXT, SET UP TENTS----
*THEY ARE MARKED ON MAP BUT WILL HAVE THEM MARKED
ON ROAD BECAUSE MAP IS SMALL
-NEXT, SETUP STAGE W/ 16X16 TENT ON STAGE----
***STAGE L- OCATION MARKED ON MAP
-LAST, TAKE (10) UMBRELLA TABLES, 50 CHAIRS
(10) SECTIONS OF FENCE TO WOODY'S LIBRARY
RESTURANT AREA
*BEST WAY TO GET INTO AREA WILL BE TO TAKE
RANGELINE TO S 3RD ST SW TO 1ST AVE SW TO MAIN ST
.ti.1L.d..d..ii..eL.d. Y SL ii iL 3L.K it.5t.3L.lC 1L d Si SC Y.2. Y Si SL K 3i li ii 3i.M..1t ]t 3t ]t iC Y a Y. Y x Y.! Y 3t 1t Y. Y Y
Z QUOTE FINAL BILLING
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EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382 -5544
1 HEREBY AUTHORIZE THE LESSORTO MAKEAPPROPRIATE CHARGESTO MY CREDIT CARD.
YES INITIALS
FAILURE TO RETURN PROPERTY (LEASED) TO LESSOR WITHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACIE
EVIDENCE OF UNAUTHORIZED CONTROL OVER SAID PROPERTY WHICH CAN CONSTITUTES THEFT. THEFT IS PUNISHABLE
BY 2 YEARS IN PRISON PLUS UP TO A $10,000 FINE. EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE.
I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE
ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS.
The undersigned having read and understood the above terms as well as the Additional Terms and Conditions on
the reverse side hereof, hereby agrees to rent the above equipment/articles on the terms and conditions set forth
in this Rental Agreement, and is an authorized agent for the Lessee.
EQUIPMENT LEASED BY X
EQUIPMENT RETURNED BY X
Terms and Conditions
1. INSPECT Lessee at k 1ovdedges he hashad an oppertun it to personally irispect he e uip ie and finds suitable for his needs agds n good ccnci bn. Lessee unde?7., ds
s proper use. Lessee fur ier <cknowledges Lessee responsibility to inspect the equipment prior it-, use and to notify Lessor of any defe is
2. TIME OF RETURN. Lessee right of possession terminates on the expiration of the; rental period and retention of possession after this time :onstit s a rn«,rz ;rl bre_.cn a' '_cssee's
obligations under this contract.Time is of the essence in this agreement. Any extension must, at Lessor`s.election be mutually agreed upon in writing.
3. RETURN OF-EQUIPMENT.A the termination of this agreement, Lessee shall return all the equipment to Lessor's premises during Lessor's regular business „ours In the cond,t on
and repair as tvhen delivered to Lessee. subject only to reasonable °,wear and tear. Lessee shall be liable for all damages to or loss of the Equipment occurring because is was not refu': ied
avi'hin Lessor's regular business hours. if Lessor has agreed to deliver the Equipment to Lessee or to pick up the Equipment from Lessee. Lessee shall be responsible 7 ur a tosser dr
carnage to [lie Equipment from tim of deivery to Lessee and until picked up by Lessor.
4. PARTIES. As used !n this Rental Agreernerit, the ferms "Lesso and "we" shall mesa.~ PTR, Inc. drb /a Rainy Time Rental. The terms "L'Qssee' and }o shall r „art itle ,jar exec u[ing
this Rental Agreement as S uch on the face hereof.
5. HOLD HOMLESS AGREEMENT. Lessee shall defend, indemnify and hold harmless lessor its employees, agents and subsidiaries, from and against all clairns, Ii. b, :i'ies� sees,
damages to property or othervvise, and expenses, of every character w hatsoever, resulting from the actions, negligent or otherwise, of Lessee, Lessee's employees ono agent of Lessee
o lessee subcontractor. Tree indemnities Inclused in this exhibit shall include reasonable attorney's fees paid by Lessor in deferging suit and actions involving boo lit; covered o the
ndemsification provision in tills paragraph.
6.TIME, All equipment r- ;a: charges are for time out,. NOT TIN,, LiSED. Most priti. ,doted are for a one day (24 hours; charges. I` eq ipment is needed to° a ;ergo °time per we
also have trweeky t7 da 1 and monthly 128 days; rates: For -most equipment the ;weekly rate is three times the daily rate artd the monthly rate is three times the weekly rate.
7. LIABILITY All equipment is for rental purposes only,, and it is understood that the Lessor shall not be held responsibfe'tor any accident or damage resulting directly or indirectly licit
the use of the leased equipment. The Lessor expressly disclaims all warranties, either expressed or implied including any implied warranties of merchantability or fitness for a particular
purpose, and neither assumes nor authorizes ary otiser person to assume for it any liability in connection vwith the use of this equipment, The Lessee agrees to indemnify one note t[se
Lessor harmless from and against any claims actions, proceedings, costs, damages to property, consequential damages, loss of income or any other incidental damages, even those
damage', caused by the negligence of the Lessor, including attorneys: fees arising out of, connected �wi ;h or res ult ing from the se of the equipment, including but not iri�ited too, he
rrlanul"W ire, Selection. delivery, possession, use operation, or return of the equipment.
8. COLLECTION COSTS. T he Lessee agrees iii pay all reasonall le doltecticc aftarney s and court fees and Other expensos involved in the collec tion of c` ,.r
Lessor's rights under this con 'tr<`act,
9. REPLACEMENT OF MALFUNCTIONING EQUIPMENT. If the equipment becomes unsafe or in dis for any reason, Lessee agrees to discontinue tts use and to noufy LeSSor.
Lessor :will repair or replace 'he equipment with similar equipment in good working order if available, and if the defect is the result of normal use. Lessor is not responsible for any
ncidental or consequential damages caused by delays or otherwise, and Lessee hereby waives any right or entitlement thereto.
10. DAMAGE WAIVER. A six percem (6`01 non- refundable damage waiver is applied to the cost of al= rental equipment. This cost is only minor repairable damage. and !s not to be
construed as insurance. The damage Waiver does not cover damage caused by misuse, abuse nor does it cover theft. Minor damage is defined as damage t .at .,an be re aired tor an
amount less than six percent [ff'a of the equipment's rental fee.
11. PROTECTION OF EQUIPMENT. It is the responsibility of the Lessee to protect all equipment from damage, exposure to ;breather, or outer damage that occurs from is u t cif
equipment. The Lessee must protect the equipment until if is returned or until the agreed pick up time and date,
12. THEFT OF EQUIPMENT, The Lessee agrees to pay for equipment tat its replacem cost when rented' for all types of theft or mysterious disappearance. Damage tAlaiver does not
cover then.
13. WEATHER RELATED RISKS. Lessee assumes all weather related risks involved in holding an outdoor tented event, Lessor will endeavor to minimize said risk, howeer, shoiifd
the tenting becorne unusable cue to high wind, snow, rain. flooding, extreme co or heat, or any other factor beyond: Lessor's control, Lessee shall still be ;;able for p aymen's in full of all
charge::.
14. DIRTY, OR DAMAGED EQUIPMENT. Lessee agrees to pay for any damage to rented equipment regardless of cause, except reasonable wear and tear, while equipment is cut of
possession of Lessor. Lessee also agrees to pay a reasonable cleaning charge for @!l equipment returned.dirty. Accrued rental Charges cannot be applied against the purchase 1r cost
of repair or damaged goods, Rental Equipment damaged beyond repair will be paid for by Lessee at its Replacement Cost when rented. The cost of ,epa' w'! be borne key the _essee,
whether performed by Lessor, or at the Lessor's option by others.
15. LOSS OR DAMAGE. To the extent that damage to the equipment is not covered by the foregoing Damage lil%iariver_provision,the-Lessee assumes ail risk of loss or of damage to the
eased ecjiprnent from arty cause. No loss of or damage to the equipment shall impair any obi cation of he Lessee under this Rental Agreement, rho udi,ng the repayment of rental fees.
Lessor she!! have the option of repairing or replacing the equipment, and Lessee shall be responsible for such costs.
16. PAYMENT TERMS. 4'~y'e require a valid Visa. MasterCard, American Express or Discover card number to make a reservation c;nless the party renting the equipment has a pre
a Account at Party Time Rental. The credit card number will secure the reservation until the date of the event. If a credit card is riot presented at pick -up, then a cash security
deposit egtia' to the replacement cost of the equipment is required n addition to the rental fee.
17 CANCELLATION. A party making a reservation will be subtec” to a 25% cancellation fee if the entire reservation is dance red vv hin thirt uu, da at ,:he TI ,.v, es
to all oartieS, in <o!uding'hose who have prearranged accounts a f r:,ty Time Rental. Cancellation of inflatable and special seasor,al ecuipr ent v, be s t .10C., fee v
18. DELIVER AND PICK -UP. Delivery is made to closest point truck can park. Extra charges will result in deliveries to uostairs, ele'v'ator use or any po ni ;where extra time is i,i ed.
Our service sloes net include set up and knock do ern of tables an i .hairs. If t ds sera .ce is required, arrangements she #c ,node severe' aye prior to delive= r +,ith a e. ;ra'i :��rge
quoted. if no arrangements are made and this service is desired at', delivery, our driver must caI€ for authoriaatign. If time permits, we will try to accommodate you after quoting the price.
On pick rip where no prior arrangemer,ts have been made and equipment is not knocked down and assembled in one sheltered area, tables and chairs will be left until the next coy wren
a special crew can be schedules, There will' be an additional one day rental. A knock down fee will result if equipment is still up.
19. PREPARATION OF SITE. Lessee agrees to have the site upon which the equipment is to be erected, free and clear of all obstacles. natural and man made prior to the a <r a =al of
the Lessor's work crew:. Lessee further agrees to have all tents cleared for removal prior to our arrival. Ail non- leased equipment and decorations shall be cleared and taken from sit if
Lessee fails to do so, then Lessee shall pay aif ccsts involved for any delay, additional rental, and all costs including collection and legal experip,
20. UNDERGROUND FACILITIES. Lessee agrees to have all Underground Facilities, in the vicinity of the Equipment installation clearly marked prior to the arrival of Lessors '.vcrk
crews. Lessee assumes flit' hosed, sibiiity for damage to all Undergrarand Facilities. To identify Underground Facilities. Lessee must cal' ore week prier to installation. CALL BEFORE
YOU DIG 800- 382 -5544
21. SET DOWN, Set up and %or tear down of equipment is also available. Party Time Rental vvill be happy to quote a charge to the customer based on the rental tea be
Set- up"orn cotNn. Any equipment not previous y scheduled to be sef -up or torn cover' will >e assessed normal se' -up ;tear down charges :this a ininim.,m S5C tee.
22. IDENTIFICATION. When picking up rental equipment at our location, we require a valid Indiana State Driver's License. For fnsurarce purposes, we are required to photocopy the
Lessees license.
23. EQUIPMENT USE. Upon pickirig up or ac ep ing delivery of equipment, learn to use the item(s', `Fare do our best to instruct each customer on how to safely use the equipment:
;hcu :'d an i em not work prof orgy, p ease contact the Less it as so as you nave discovered the problem, t'Ve will either provide further instructifl^ or '$e wil rCr)!ace .he .em Also,
p•or :,fir kind l;r or accep tinq delivery of equipment, be sure that yon, have received all of the rrems that you reserved, Provideo that the items lire not correct or acceptable. e must be
µdviste n _diate q in order rema the s €,uat :on. The Lessee c.hall use the equipment in a careful and prooer manner
24. Lt 2t lt€ a T ED DAPAiAGES. l.1 t e eve the, ["P Les r a' t. v ie ver any e:1u t t !t or is 1 inab e to -n "fed prcble -ri t.,. :t t le delivery ,lrl'ortlent. tree Lessor's sale 'eworon, r il:
steal; >e t ieit: d to rile Luse tie rental fee to: the „art equipment.
25. SEVERABILITY. It ary grovisiori of 'his Rental Aareet is gels inv al c by a court of compe,en" ,,dsdiclion. it shalt be consldered deleted frog ih.s Rental Agreer 9 a, b s „h
nvalidity shat', not affect the of #,er provisions that can be given effect in the absence o" ;he invalid provisi ,fns.
26.ATTORNEY'S FEES. In trg event that either party files an action in relation to this Rental Acreernont, the Unsuccessful in the action shall pay to the successful party. 'n hart tion
to all other s,rms' hat either party may be callus .pan to pay, a reasonable sum for .he Successful par' s attorneys' fees
27 LINENS. ,able y
linens ae n spectec prior to fi! up p f- E L LIP n P r' t l G
I r a nd upon ,r .u�, DO hC3T RreJ� l R LACE ��IET Ll#vt vS ��Y �?A>� risilde� resu,t�. there is obvious gar ac s.: h
as mme excessive stains, burns or }ears y u i' ill oe charged the cost of the liner` and leec same as !hcugr< were a ale, ,'urn. all lir`e,i,. "G ,rue nt
28. CONKING UNDER TENTS, Le ee agrees n t any t,� ,00 ..g ^der c wahin a reascnah e dtst. ce of he L- Sec a5- -r c.. f I asof liar. cos s r l L e`
:amcace ,r r and "g eke se t0 ient t0ps dwe Cooh;ng pror.9SSes under or near" tents,
1212 South Rangt?IICIe Rd. RENTALAGREEMENT
J c The below equipment has been received by the undersigned for rental purposes only, and it t understood that Inc. d Parry Time Rental
PA R Carmel, I N 46032 "Lessor shall not beheld responsible for any accident or damage resulting directly or indirectl ly from the use of the he leased equi equipment. The lessor
expressly disclaims all warranties, either expressed or implied including any implied warranties of merchantability or fitness for a particular purpose,
(3 1 7) 844 -5178 and neither assumes nor authorizes any other person to assume for it any liability connection with the use of this equipment. The lessee agrees to
indemnity and hold the Lessor harmless from and against any claims, actions, proceedings, costs, damages to property, consequential damages,
RE FAX (317) 575 -2272 loss of income or any other incidental damages, even those damages caused by the negligence of lessor, including attorneys' fees, arising out of,
connected with, or resulting from the use of the equipment, including, but not limited to, the manufacture, selection, delivery, possession, use operation,
www.ptrinc.COft1 or return of the equipment. X
t flit` 70/NENT TO 3 OEgUEfl INVOICE NU
CARMEL ARTS DESIGN MERCHANTS MAIN ST RANGELINE Res# 123164
,MAIN STREET CARMEL Con# 165428
CART }1EL IN 46032
AR- 38808 W (317) 571 -2787 07/11/09 ,3:36 PM AW
F (317) 818 -1451
P01 06 NE0 BY
UB ROCK THE DISTRICANDREA STUMPF RETURNED 07/11/09 4:00 PM RR
*FINAL Charge for 1.00 Day(s) Page: 2
Item s DayF f.JeeR Z =4 ,Wk Ex Amy =x I)isc:j Net Ait r
1 6534 -0000 TENT FRAME 1 GX 16 WHITE 190.00 570.00 1710.00 190.00 190.00
1 4578 -0000 TENT TOP 16X16 WHITE 0.00 0.00
1 4573 -0000 TENT TARP 1GX16 FRAME 0.00 0.
3 64' 45 -0000 TENT SIDE SOLID W 10. 30.00 90.00 30.00 30.00
8 4473 =0000 TENT WEIGHT 13.00 39.00 117.04+ 104.00 104.00
8 7733 -0000 TENT WEIGHT COVER WHITE VINYL 0.00 .0.00
12. 644.1 -0000 TENT MARQUEE 9 X i 0 WHITE 90.00 270.00 810.00 1080.00 1080.00
12 4595 -0000 TENT TARP MARQUEE 9X10 0.00 0. 00
48 4473 -0000 TENT WEIGHT 13.00 39.00 117.00 624.00 6240 00
16 6673 -0000 FLOORING BILJACK 4X4 GRAY 20.00 60.00 180.00 32 0.00 320.00
DO NOT USE IN RAIN SNOW OR STRONG WIND
NEEDS A 5/16° ALLEN WRENCH TO INSTALL
1 7373 -0000 TOOL ALLEN WRENCH 5/16" 0.00 0.00
64 6745 -0000 LEGS 30" FOR BILJACKS 0.00 0.00
4 5858 -0000 SKIRTING CASINO CRAPS B 36 "X16 0.00 0.00
PLEASE DO NOT STORE LINENS IN PLASTIC BAGS
PLEASE RETURN CLIPS REPLACEMENT FEE: $1.50 EA
PLEASE RETURN HANGERS REPLACEMENT FEE: $5 EACH
64 5872 -0000 SKIRTING CLIPS FOR CASINO 16' 0.00 0.00
130 8229 -0000 CHAIR WHITE SAM P* 1.60 4.80 14. 40 208.00 208.00
120 8244 -0000 TABLE 8' BANQUET 6. 50 19.50 58.50 780.00 780.00
DO NOT.USE IN RAIN SNOW OR STRONG WIND
DO NOT STAPLE TABLES FEES WILL BE ASSESSED
15 8254 -0000 TABLE UMBRELLA 4' 10.50 31.50 94.50 157.50 157.50
DO NOT USE IN RAIN SNOW OR STRONG WIND
DO NOT STAPLE TABLES FEES WILL BE ASSESSED
i s cp r i r 1 D .I C I IC D C 9 �rh i CZ 6A cr 1 C:7 CZ i CZ 7 c
Z 65 v UMBRELLA WHITE I T E USED w QUOTE FINAL 8ILCING
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EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382 -5544
I HEREBY AUTHORIZE THE LESSOR TO MAKE APPROPRIATE CHARGES TO MY CREDIT CARD.
YES INITIALS
FAILURE TO RETURN PROPERTY (LEASED) TO LESSOR WITHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACIE
EVIDENCE OF UNAUTHORIZED CONTROL OVER SAID PROPERTY WHICH CAN CONSTITUTES THEFT. THEFT IS PUNISHABLE
BY 2 YEARS IN PRISON PLUS UP TO A $10,000 FINE. EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE.
I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE
ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS.
The undersigned having read and understood the above terms as well as the Additional Terms and Conditions on
the reverse side hereof, hereby agrees to rent the above equipment/articles on the terms and conditions set forth
in this Rental Agreement, and is an authorized agent for the Lessee.
EQUIPMENT LEASED BY X
EQUIPMENT RETURNED BY X
Terms and Conditions
1. INSPECTION. Lessee acknowledges that he h Is had an opportr y }c personal'v inspect the eauiprta, .t and fines suitable for his need an�j in goat con c;t€ rf. Lessee onder
is proper use. Lessee further acknowledges Lessee responsibility to inspect the eq ipine prior o its use and to not;fv Lessor of any defects.
2.TIME OF RETURN. Lessee right o* possession 'erminates on the expiration of the rental Perr,d and retention of possession after this time constittal a m c,na,, ;react of'_ {;e's
obligations under this contract, Time is of the essence in this agreement. Any extension must, at Lessor`s election be mutually agreed upon ih. writing.
3. RETURN OF EQUIPMENT, At the termination of this agreement, Lessee shall return all the equipment to Lessor's premises during Lessor's regular business he�urs, in t1 con(j .3
and repair as when delivered to Lessee. subject only to reasonable wear and tea Lessee shei be liable for all damages to cr loss of the Equ+prment occurring oecau;, it v, +as not e red
within Lessor`s regular business hours, if Lessor has agreed to deliver the Equipr e ,u Lessee or to p ^k up, the Equipment from Lessee. Lessee st all be responsible _or al! lost vs, or
camace to the Equipment from time of delivery to Lessee and until Nicked up ov Le sort
4. PARTIES, As used 'n this mental Agreement, the terms "LoSSo a ld `.fie" shall rnea TR rc. Birk;.,_ P arty 1 ime RentaL i e teams Lessee :ant; s"all o� an the party exe,.,.s ly
this Rental Agreement as such on the face hereof.
5. HOLD HARMLESS AGREEMENT. Lessee she,1 defend, indemnify arid hold h_ rnloss Lessor its employees, agents and subsidiaries, from and acai. ^.s` all c l i;�s, liabilities, -csses
damages to property or otherwise, and expenses, o` every character whatsoever, resulting iron the actions, negligent or o:herik{ise, of Lessee Lessee's employees o dgen of
er Lessee suhcontractor. The indemnities lncluced in this exhibit include reasonable atCrnev s fees paid by Lessor in defending suit and actions invoiv g li:,b'k c overad c; ;ae
ridemnificatdn provision in this paragraph.
6. TIME. All equipment re :a: ,,harges are for tirr•e out NOT TiIVIE U SED, Most prices gr.ored are for a u, ie day 24 hours) charges If cruiprr, n: is neeca l fa on �e time per U.) >.e
als; have y 'o0 V dayrc dntt Y? +.3nthly t28 days; rates, For most equipment the N eek',y r ie iS three time, the daily rate and the Mont l' I`a.e; IS three times it "EE w >i?eKiy tale.
7 LIABILITY Ali equ.pment is for rental purposes only and is understood that'the ,:,or shall not be held responsible for any accident or aamage resulting, c; dir =ecJv or ind reof y rrur7
,he use of the leased equipment. The Lessor expressly disclaims all warranties, either expressed or i plieo including any implied warranties of merchantability of fitness for a narti -lar
pUrpose, and neither assumes nor authorizes any other person to assume for it any liaoility in connection with the use of t ;iS equipment._ T e Lessee agrees :C Il,dvr r .,V and hold the
L.c tiamile S from and anainst a ny cla ims, actions, procecdin ^S, %dStS, dalTages to property, consequ damages, Io55 q# income Or <it3V O ther incidental damages, bye" those
l arnaoe ausad Fat` the net, t er ce of the _asst, include "g attorneys' fees, arising o C f, connected wi or reSl i :ing f,'vr'i the use of `h e equipment, Cli (lent, :n lr>C r, bu not imited tc, he
selection, delivery, possession, use operation, or re urn of the equipment,
�OLLE COSTS. ,ho L ss.ez agrees, tp pay a' reasomible co attornc s care cou-t fees a i other expen.,e., vrf "he o of chlaw J1, -.t
LF "sso 5 igr ;s under lnis
9. REPLACEMENT OF MALFUNCTIONING EQUIPMENT. If the equipment becomes unsafe or in disrepair for any reason) Lessee agree; to t;,scondnue its use and t'7 notifil
Lessor will repair or replaoe 'he equipment %vi °h sir i ar equipment in good working order if availabl and :f the defect is the result of non nal rise. Lessor is not responsible f a: y
.p)cide <a. cr consequential damages caused by delays or otherwise, and Lessee hereby waives any right or entitlement thereto,
10. DAMAGE WAIVER. A six percent r� ;3 non- refundable damage walver is applied to the cost of a:i ientai equipment. This cost is only r ino repairable darrace. and 's "'M o Lie.
construed as insurance. The darnage ttiai'ver does not Cover damage caused by m .suse, nor d oes i' "COyer t .e`t. Minor damage iS dEfined aS damace tr a ti,aCi be repa €re<t ;3n
armcunt less thant six percent (6% of the equipment's rental fee.
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11. PROTECTION OF EQUIPMENT. It is the responsibility of the Lessee to_protoc( all gauipment fro!r damage. exposure to weather. or other damaee t ,a; cx"Irs f"orn is.,u of
equipment, The Lessee must protect tine equipment unt l it is returned or until the agreed pica -up time and date,
12.THEFT OF EQUIPMENT: The Lessee agrees to pay for equipment at its replacement cost when rented; for all types of theft or mysterious disappearance. Damage' laiver co nett
cover rhea,
13. WEATHER RELATED RISKS. Lessee assumes aI; weather related risks involved in holding an outdoor tented even'. Lessor will endeavor to minimize sa id risk, hovvevter,
;lea lenting become unusable due to high wino, snow, rain, flooding, extreme cold or ;rear, or dry other factor beyond Lessor's control Lessee shat' still be liable for payr,e. E, in ftA i all
charges.
14. DIRTY.. OR DAMAGED EQUIPMENT. Lessee agrees to pay for any damage to rr, ,red equipment regardless of cause, except reasonable year and tear, wh e equipment is cut c.
aossessi irr of Lessor. Lessee also agrees to pay a reasonable cleaning charge for all equipment returned dirty. Accrued rental charges canni tae applied acainst the pu or cost
0- repair or damaned goods. Equipment darmaged bey otad repair will be paid for by Lessee at its Replacement Cost' hen rented. The lost ox repa irs .h.,ill be bon. b -lie c4see,
whether performed by Lessor, or at the Lessor's option by others,
15, LOSS OR DAMAGE. To this extent that damage to tae equipment is not covered by the foregoing Damage Weiver pry, vision, the Lessee acsurnes atl risk of i0ss or of damage _.rte
eased ecUiprnent from any cause. No loss of r damage to the equipment shall in"pa r any obi gation of the Lessee under this Rental Agreement. ins uding the repayment of rental fees.
Les>o sha have the options of repairing or replacing the equipment. and Lessee shat; be responsible for such costs.
16, PAYMENT TERMS. V to require a valid Visa, (vlasterGard, American Express or ";scorer card number to make a reservation unless the party renting the equipment has a pre
arr ";ed r rcount at Parr Time Rental. The credit card number will secure t ^e reservation unti. the date of the event, if -a credit card i not presented at pica un, their, a cash seciATY
deposit eqirai to the replacement cost of the equipment is required in addition to the rental fee.
17 CANCELLATION. A part, making a rese..a °r +r,rll be s ibfecs to a 25% candella',icn fee it the an,+ie esery =a.Ear is ca €a e iett rr thin fhiit,r O d ~rs u. the This
to all parses, including bit �o have pre- arranged accounts a: Party T ime Rental. Cancellation of inflaiaute ar;c spec -tf seasonal 4e subject ,c :a tad' lee.
18. DELIVER AND PICK -UP Delivery's made to closest point truck can par=e. Extra charges wit result In aeliveries to up airs, eievatur usc; or any point where extra h.me is
Our service :Ices not include set tip and knock down of tables and ;:hairs, if this service is recuired, arrangements should oe made several days prior to delivery ,vitr a spe, l r ;4?
quoted. If no arrangements are made and this service is desired on deflveryr, our driver must call for authorization. If time permits. v, will try to accommodate you after quoting the price.
Ori pick u€? where no prior arrangements have been made and eruipment is not knocked amrin and assembled in one sh,,eltered area, tables and chairs will be lei; until the next day o
a special crew can be scheduled. There vriil be an additional one ciay rental. A knock down fee will M It if equipment is still up,
19. PREPARATION OF SITE. Lessee agrees to have the site upon which the equipment is to be erected, free and clear of all obstacles, natural and man made, prior to t "e arrival of
the Lessor's w ork crew. Lessee furlher agrees to have all tents cleared for removal prior to our arrival, Ail non-'eased equipment and decoratio;a shall be cleared and taken from
Lessee fails to do so, then Lessee shall pay all hosts involved for any delay, additional rental, and all costs including collection and legal expense.
20, UNDERGROUND FACILITIES. Lessee agrees to have all llnraemi -ound Facilities, in the vicinity of he Equipment installation, clearly marked prior to the afrrival of Lesser'_ flak
creaks. Lessee ass f c „I,Orsrb ,t for p,4amace to all Under around Fab Goes. T identity Underground Fa :ties. Lessef must -torte q prior o Enstrallt.t on, CALL BEFORE
YOU DIG 800 382 -5544
21. SET-UP/TEAR DOWN, Set up andor'ear down of equ pme 's also availab'p. Party Time Rental v ^tfi be happy to d.,o:e a charge to the customer oase on the re ,a. stein to be
se'- up,,drn, uo',�n, Any er.iipment not previous y scheduled to be set -up or torn down llldf be assessed normal set-up %tear d3V:'n c' arCeS p c r ini n.lm S50 fee.
22. IDENTIFICATION. When picking up rental equipment at our location, -,ie reauire a valid Indiana State Drivers License. For insurance purposes, vve are ,eau,,ed ,e phe #o nh,- the
Lessee's license.
23. EQUIPMENT USE. Upon picking up or acc°r>,pting delivery of equipment, learn to use the items We no our best to instruct each custarr er on hoot= to safely use the ea ;ipment.
Shou't: an ireon not work property, pease contact the Lessor as soon as-you have r scovered lie problem, %Y'e will either Provide t irthe. ins3tyuction or we will rod :Face the ;tern =so
cn pi k,n g p or accepting delivery of equipment, be sure that you have received all of the items that you reserved. Provides that ;he terns are not corre;:t oC r,cceptable, we must be
advised immediately in older t^ remedy `he si uat cn. The Lessee shall use the ecl ipmen° in a careful and proper manner.
24. LIQUIDATED DAMAGES. ltd the even: i a. ;he Lessor _gas ;c vet any equipr e or rs anima; to ,eI,medy problem., :-h tie ae'ive qu pn ent, the Lgss_�r's sole ,esper��.o.-
shall be tO ref +uric to the Lessee the rental fee for the particular equipment.
25. SEVER ABILITY. It any o ision of 'his r° enlal Agreement is helrl invalid by a court of c„ r, �ete t ,,r,,,dic,icn, iL shall be considered d"eielea fro n this Recital Acreeme: a ,ach
invalidity shall not affect the o'hor provisions that can. I a given effect in the absence of the invalid pr< visl,oias,
26.ATTORNEY FEES, In the event that either party files an action in relation to this Rental AgreementAhe Unsuccessful part' in the action shalt pay to the successful: party, in acid :ltlon
to all other s ems than either part`° may be called upon to pay, a reasonable sum for the successful party's attorneys' fees.
27. LINENS. Table linens are irspeciec prior to pick up and upon re' urn, DO NOT ROLL 11P OR PLACE ILT LINENS ANY ?AG malice resbft. 'f t`"ere is c v°io n�
x. h
as rn, c e rr excessive stains, burns cr tears, you will be charged the cost o' the linen, and keen same as In cuw if were a sa;e, Return all linens rI y ar„ "ree of
28. COOKING UNDER TENT Lessee agrees to to any type of Goo�ira u ,de+ or thin a rea%nabie diistanc
c arnace ,tit; o ultra exile -se to font imp- due to :oolong processes under or near tents.
1212 South Rangellne Rd. RENTAL AGREEMENT
p The below equipment has been received by the undersigned for rental purposes only, and it is the l equi understood that Inc. Party Time Rental
Carmel, IN 46032 "Lessor shall not be held responsible for any accident or damage resulting directly or indirectly from the use of the leased equipment. The lessor
expressly disclaims all warranties, either expressed or implied including any implied warranties of merchantability or fitness for a particular purpose,
(3 1 844-5178 and neither assumes nor authorizes any other person to assume for it any liability connection with the use of this equipment. The lessee agrees to
RENT indemnify and hold the Lessor harmless from and against any claims, actions, proceedings, costs, damages to property, consequential damages,
t* FAX (317) 575 -2272 loss of income or any other incidental damages, even those damages caused by the negligence of lessor, including attorneys' fees, arising out of,
connected with, or resulting from the use of the equipment, including, but not limited to, the manufacture, selection, delivery possession, use operation,
www.ptrinc.com or return of the equipment. X
BILL TO/RENT TO N DELIVER -TO, INVOICE NO
CARMEL ARTS DESIGN MERCHANTS MAIN ST RANGELINE Res# 123164
;MAIN STREET CARMEL Con# 165428
CARMEL IN 46032
t
1
AR— 38808 W (317) 571 -2787 07, 3 :36 PM AW
(70 71 AIR-1451
_POr�, OROEREORV
UB ROCK THE DISTRICANDREA STUMPF RETURNED 07/11/09 4 :00 PM RR
***FINAL*** Charge for 1.00 Day(s). page: 3
a z$
'tlet
DO NOT USE IN RAIN SNOW OR STRONG WIND
15 6591 -0000 TABLE UMBRELLA STAND 0.00 0.00
10 7399 -0000 PROP FENCE WHITE PICKET 8' 15.00 45.00 135.00 150.00 150.00
DO.NOT USE IN RAIN SNOW.OR STRONG WIND
20 M030 -0000 *BASE 3 FT 0.00 0.00
1 46032 CARMEL P/D 55.00 55.00 55.00
3 37 SU /TD TENT SIDE 10.00 30.00 30.00
Payments
cn
J z C a l l 252. 3832 before after QUOTE 3 FINAL BILLING'
<P: hours for equipment problems.
U U
N F Customer responsible for ALL
Z DAMAGED MISSING equipment Rent 3801.00
EMERGENCY #(317) 252 -3832 UNDERGROUND (800) 382 -5544 Sa I e s 85.00
Other 0.00
I HEREBY AUTHORIZE THE LESSOR TO MAKE APPROPRIATE CHARGESTO MY CREDIT CARD. Dm g Waiver W. 00
YES INITIALS SME Tax 0.00
FAILURE TO RETURN PROPERTY (LEASED) TO LESSOR WITHIN 72 HOURS AFTER AGREED TIME CONSTITUTES PRIMA FACIE
EVIDENCE OF UNAUTHORIZED CONTROL OVER SAID PROPERTY WHICH CAN CONSTITUTES THEFT. THEFT IS PUNISHABLE S Tax 0.00
BY 2 YEARS IN PRISON PLUS UP TO A $10,000 FINE. EQUIPMENT RENTED ON THIS CONTRACT IS NOT FOR SALE. Dep o s it _0. I�
I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE
ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS.
The undersigned having read and understood the above terms as well as the Additional Terms and Conditions on TOTAL DUE 3886. 0
the reverse side hereof, hereby agrees to rent the above equipment/articles on the terms and conditions set forth
in this Rental Agreement, and is an authorized agent for the Lessee.
EQUIPMENT LEASED BY X
EQUIPMENT RETURNED BY X AMT BILLED 3886.00
0 71167159 09:17:04
Terre and Conditioh§
1. INSPECTION. Lessee acknowledges that he has had an opportunity to persona y ,i�a the equipment and trees ttsuitable for his needs and in good condi ..E_essee. nder7ta:
'is proper use. Lessee further acknowledges Lessee responsibility to inspect the ec r ni r pr to its use and to notify Lessor of anv defects, E
2. TIME OF RETURN, Lessee right of possession terminates on the expiration of ,h, period and retention of possession after this time constitil a material breach o? Lessee's
obligations ;Ender this contract..Time is of the essence in this agreement. Any extension, rr,ust, at Lessor "s election be mutually agreed upon it writing,
3. RETURN OF EQUIPMENT A the termination, of this agreement, Lessee shall rCtU as the equipment to Lessor's premises during Lessors regular business incurs, in time ccnc ;t cn
and repair as ovlhen delivered to Lessee subject only to reasonable wear and tear. Lessee shall be liable for all damages to or loss of the Equipment occurring because It w not
within Lessor's regular business hours. if Lessor has agreed to deliver the Equipiriert to Lessee or to pick up the Equipment from Lessee. Lessee shall be res=ponsible for al lc sas or
damage to [lie Equipment from, time of delivery to Lessee and until picked up by Lessor,
4. PARTIES. As used in this Rental Agreement, The terms "Lessor' and "we" shall n f P"FR inn dtb/ =n Party Time Ren.ai, The terms "Lessee and }o t small mean oar, exeuc.tiag
this Rental Agreement as such on the face hereof,
5. HOLD HARMLESS AGREEMENT. Lessee shall defend, indemnify and hold harmless lessor its employees. agents and subsidiaries, from a:,d against all claims, liabilities sses
damages to property or otherwise, and expenses, of every character whatsoever. res0ing from the actions, negligent or otherwise, of Lessee, Lessee's emploliaes and agar of _essee
or Lessee subcontractor The indemnities included in this exhibit shall include reasonsble attorney`s fees p`a'd by Lessor in defending suit and actions invoiv n= !i ,t �ot =e: ec �L e
ndemnificatlon provision in this paragraph.
6. TIME. Al" equipment ,onto ;barges are fori time out NOT Ti,PdiE rSEO.. hlcst prices quoted are for a orie day (24 hours, charges. If equipme is needed fof� longer tine per r1
also have „jeeklV days' and monthly l28 days; rates, For most equipment the weekly rate is three times the dally rate and the monthly rase i s true ;f< times he weekly rate.
7 LIABILITY. All equipment is for rortal purposes only and it is understood that the Lessor shall not be held responsible for any accident or damage resulting directly or incirectiy from
the use of fire leased equipment. The Lessor expressly disclaims all warranties. either,expressed or implied including any Implied warranties of merchantability or fitness for a gartic: lar
plumose. and neither assumes nor authorizes ary other person to assume for it any liabili ty in connection with the use of this equipment. The Lessee agrees incemni` and hol *he
Lease harmless from and against any claims, actions, proceedings, costs, damages to property, consequential damages, loss of income o other incidental damages. even those
gar >,acies .,.,:,sea by the neg c or the Lessor, including attorneys fees arising out -of, connected ,`pith or resulting from the use of he equipinent, incluc_r,g but not :.invited to, the
manaract fre, selection, delivery, possession, use operation or re,urrt of the equipment.
R. COLLECTION COSTS. The Lessee agrf;£ s tip oay ail CeaSCn ;if, veil =wCtloh a :torr€E?y'i and court fe€? and other eXpCrIS.'s involved in the f,ullf;C.iCn Of {,i "art or ..:?'Y? €lilt )f ,t:E''
LESSO" s rigs ..t under tNs co nt "Ca, "f.
9. REPLACEMENT OF MALFUNCTIONING EQUIPMENT. If the equipment becomes unsafe or in disrepair for any reason Lessee agrees to discontinue its "se and to i otifv _OSSO(
Lesso w ,l repair or replace the equipment with similar equipment in good working order if available, and it the defect !s -he result of normal use. Lessor is not responsible to: any inside ,.at or consequential damages caused by delays or otherwise, and Lessee hereby lwalves any right or eni tlement thereto,
16. DAMAGE WAIVER. A six percent 6' non refundable damage waiver is applied to the cost of all rental equipment. This cost is only minor repairable damage, and is not to be
construed as insurance. The damage waiver does not cover damage caused by misuse, abuse nor does it cover theft. Minor damage IS define/ as damace tha`. can be molairee for an
amount less than six percent !6 °..G of the equipment's rental fee,
11. PROTECTION OF EQUIPMENT. It is the responsibility of the Lessee to protect all equipment from damage, exposure to vreamer or gt er damage t a ccirs trorr. of
equipment. The Lessee must protect the equipment until it is returned or until the agreed pick -up time and date.
12. THEFT OF EQUIPMENT. The Lessee agrees to pay for equipment (at Its replacement cost when rented; for all types of theft or mysterious disappearance_ Damage Waiver does not
cover tl ielft.
13. WEATHER RELATED RISKS, Lessee assumes as weather related risks involved in holding an outdoor tented event. Lessor will endeavor to minimize said risk, hog °,ever; sho.ld
the tenting becorrie unusable clue to high wind, snow, rain, flooding, extreme cold or heat. or any other factor beyond Lessor's control, Lessee shall still be liable for paynveni in f 1 of all
charges,
14. DIRTY, 0 DAMAGED EQUIPMENT. Lessee agrees to pay for any damage to rented equipment regardless of cause, e =xcept reasonable wear and tear, vin ,.e equipment is out c€
possession of Lessor. Lessee also agrees to pay a reasonable cleaning charge for al! equipment returned dirty, Accrued rental charges cannot be applied against the purCrase c, post
of repair or damaged goods, Rental Equjpmerrt damages beyond repair will be paid for by Lessee at its Replacement Cost when rented. The cost of repai wh, be borne by the Lessee.
whether performed by Lessor, or at the Lessor's option by others,
15. LOSS OR DAMAGE. To the extent that cl p to If e equipment is not covered b the foregoing Daniage V: assumes provision, the Lessee all risk of loss or of damage ;;'ha
eased eouiprnent from any cause, No loss of or damage to the equipment shall impair any obligation of the Lessee under t"iis Rental Agreement, inc tiding the repayment of rentai fees.
Lessor shall have the option of repairir)g or replacing the equipment; and Lessee shall be responsible for such costs.
16, PAYMENT TERMS. We require a valid Visa, MasterCard, American Express or Discover card number to ,rake a reservation unless the party renting ttle; equipment has a pre
arranced account at Party Throe Rental. The credit card number will secure the reservation until the date of the event. If a credit card is not presented at pick -up, :hen. a cash security
oeposit equai to the replacenfent cost of the equipment is required in addition to the rental fee.
17 CANCELLATION. A r a,t; r ax n a f?se ratror� YiIi be s_rbject to a 25 cance?ih,`ion fee if th enti r eservatior s canI! :ad .r thin thin .J_; days of'rte e,er;', Thi i r, ,1._,.
to all parties, including those o have pre arranged accounts a; Party Time Rental. Cancellation of i0 aab:e and spec a1 season e€ ea =.pr nu 1. vi be subject i fee.
18. DELIVER AND PICK-UP. Ds livery is blade to closest point truck can park. Extra charges will result ;n deliveries to Llpsiairs, elevator use or any ,loin/ wher c ex:r, t mte is invol ved.
Our service does not include s up and knock ;foe +rn of tables and chairs. If this service is required, :arrangements should ,rye made severa "jays prior to selrvery ,vifh a spectra' c ?a f
quoted. If no arrangements are mace and this service is desired on delivery our driver must d=ill for authorization. If time permits, we will try to accommodate you after quoting the price.
On PICK up where no prior arrangements have been made and equipment is not knocked sows^ and assembled in one sheltered area, tables and chairs will be left until the next day tivhen
a special crew can be scheduled. There aria be an additional one day rental. A knock down tee will result if equipment is still up.
19. PREPARATION OF SITE. Lessee agrees to have the site upon ,which the equipment is to be erected, free and clear of all obstacles, natural and man mace, prior to the arrival of
the Lessor's work crew. Lessee further agrees to have all tents cleared for removal prior to our arrival, A" non leased equipment and decorations shall be cleared and taken from site. If
Lessee fails to do so, then Lessee shall pay all costs involved for any delay, additional rental, and all costs including collection and legal expense.
20. UNDERGROUND FACILITIES. Lessee agrees to have all Underground Facilities, in the vicinity of the Equipment installation, clearly marked prior to the arrival of Lessor's work
crews. Lessee assumes full responsibility fc damage to all Underground Facilities. To identify Underground Facilities, Lessee must call one lrlveek prior tq installation. CALL BEFORE
YOU DIG 800- 382 -5544
21, SET-UP/TEAR DOWN. Set tip and/or tear down of equipment is also available, Party Time Rental pvill be happy to quote a charge to the customer based or the rental item to be
set- upltorn Co; =an. Any equipment not previously scheduled to ae set -up or torn down will be assessed normal set -up /tear do ,r.`n Charges p!us a minimum S50 fee.
22. IDENTIFICATION. When picking up rental equipment at our location, we require a valid Indiana State Driver's License, For insurance purposes, we are ren irea to photoco, y the
Lessee's license.
23. EQUIPMENT USE. Upon picking up or accepting delivery of equipment, learn to use the item(s), the do our best to instruct each customer on how to s aiely use t he eq
Shju'`o ar i *em Or work properly, please contact the Lessor as soon as you have discovered the prohle''n, isle Will either provide further Instruction or we rvit re.Vace °1e ae`r,, A. so,
upon picking alp or accepting delivery of equipment, be sure that you have receives all of the items that you reserved, Provides 'hat the iterns are not correct o, cceptabl& ivo must be
advised immediately in order t0 remedy the situation, The Lessee shall use the equipment in a careful and proper manner.
24. LIQUIDATED DAMAGES. In tine e:en'ter t "e Lessor `,a?Is to de, ver any eauiprrlew, or Is unable to re reedy problems :h t .e delivered equipment, the Lessor's Soleresoor2
shall or to refund to the Lessee the rental fee for the particular equipment.
25. SEVERaAEILITY If an p o isicin of 'his ;Dental Agreement is held Invalid by a court of cor,oe'cnt ;unsdictfcn, it shall be considered de.e ed from this Rental Agree nie ut such
nvaliU ty shall not affect the .ether provisions that can be given effect in the absence of the invalid prov;&cns.
26.ATTORNEY'S FEES. In the event that either party files an action in relation to this Rental Agreement, the Unsuccessful party in the action shall pay to the successful Party. in addition
to all other surns that either party may be called t pon to pay, a reasonable sum for the successful par v's attorneys' fees
27. LINENS, Table linens are irispected prior to pick up and upo F ret.rn. DO NOT ROLL UP OR PLACE VET 1NENS IN NNY BAG nildet. n result, w i r, o cis r ar ia-c; itch
as ml ce v, excessive stains, burns or tears you r ill be, charged the cost of the linen and Keeo some as tiougn is were a alto. Return all linens C :n (l free U1' ,last
28. COOKING UNDER TENTS, Lessee agrees hot to do any h of cookirig u nder or `thin a masonahls dista ice the it rim Lessee a sSr.i full res sib ,t3 21 e—
r
GaR?aC,£- cr.Cl C! .�a,a�. ":d expo ^Se tit 1'v!?t :opt: olio td G�f3K'snC pr ;abeS Uncle' or "ear tents.
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
Pis I Inn e Ke Purchase Order No.
r
I2 L i Terms
L Ar WL' 32. Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
D 3
Total
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
i L RC IN SUM OF
5 L in e N
far mtj 4(1r
3: 836,00
ON ACCOUNT OF APPROPRIATION FOR
X02 5 9003
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
L A1 5 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
�7 2009
Signature
Director of O
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund