174459 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 237300 Page 1 of 1
0 ONE CIVIC SQUARE PARTY TIME RENTAL INC
CARMEL, INDIANA 46032 1212 S RANGELINE RD CHECK AMOUNT: $63.60
CARMEL IN 46032
CHECK NUMBER: 174459
CHECK DATE: 7/812009
DEPARTM ACC OUNT P O NUMBER I NVOICE N AMO D ESCRIP TION
1160 4359000 163804 63.60 SPECIAL PROJECTS
Jun 25_09 11:07a Counter3 317- 575 -2272 p
1 1 ed PARR, The belay equipment nos been raCeP by the uncle rsigned for rental purposes only, anc n is understocd lrat PTR. far dAYa Party Time R-xta
Carmel, I N 46 32 "Lessor') shell .net W held responsible for any accident ar damage ma thing dire tly or ndvac* from the use of the leases equipment. The lesso,
expressly disclaws all warranties, eieter egressad or irn implied incluii
p[ ng any imp8ed warrorcias at merchavatigry or ;inL-s for a particular purpose
and nailtier assumes ncr authorizes aiy corer person to assume Icr it any liabiluy eonnecki Yoh the use of 1Ns equipmerd. The I—see agrees Ic
incemnity and hot the Lessor harmless frorr and against aiy claims, attions proceedings. cats damages to prcrerfy, consequential decages
FAX (317) 575 -2272 loss of incoma or any other incidental damages, even those damages caused by the negliyertes of lessor, inducing attorneys' fees, arising out of
ooniected WifkCrresa:ting from the use of the equipment including but not United to, the manufacture. serf :60n. delivery,pas;essicn, use operation
wvAv. r E C.eom or return of the eclianant. X
OIL! HAENr to OE! OIER TO IkEDICE
CITY OF CARMEL IINST RE PICKUP
1 ;CIIJIC SIILIARE Con 163804
CQRMEL ICJ 45032
YIN -S°f�
aAT>: nnff
NA- OOOF-7410S W (,3,17) 571 -2494 04/ 2: PM KM
en. csoERED Iii
FB NANCY HECK RETURNED
04 /20/IZ19 2 :4E F'!Y{ :h1
FIN1 =L x� Charge for 1.00 Da- (s) Paue:
0ty Ttam nay We 4 Wk Ext Amt Disc Mai Amt
1 414: 000 CASINO RAFFLE CAGE BRASS FLOOR 6141. Rill E. 01 0
DO NOT USE I`! RATNI SNOW OR STRONG WIND
Pal mer,ts
FORCE CHARGE 63. 61Z 0 4/ 0 /09
I
o Call E5E.3832 before after QUOTE FINAL BILLING
hours for- equipment problems.
Ct_lstomer re.,ponsi5le for ACS
z DAMAGED MISSING equipment Rent E7��. Llh
Sales 0.14
Other 0. 0Q
I HEREBY AUTHORIZE THE LESSORTO MAKEAPPROPRIATE CHARGESTO MY CREDIT CARD. D ia g Wa iver 31 60
YES INITIALS SC;E T.�r O. C11�1
.JRE TO RETURN PROPERTY (TEASE TO LESSOR WTHIN 72 HOURS AFfERAGR =ED TIME CONSTITUTES FRIMA FACIE
ENCEOFUNAUMRtZMOONTROLOVERSAIDPROPERTYWHI Cd CAN CONSTITUTES THEFT .TFIEFTISPUMSHABL-- SA T a;; VI, 1�I17)
YEARSINPRI SONPLUSU?TOA$10.700FJNE. ECUIPMENT RENTED ON THIS CONTRADT IS NOT SALE.
l HAVE SEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION CIF D e p osit P 0 .0 0
ABOVE EQUIPMENT AND I FULLY UNDERSTANDTHOSE INSTRUCTIONS.
undersigned having read and understood tVe above terms as wall as the Additiona'Terms and Con ditions ol TOTAL DUE F TOTAL PAID 0. 00
ever. slde 'tereoi, hereby agrees to ent the atove equipmenvarGdes on the terms and corditions set forth
pis Rental Agreement, and is an auttorizet agent for the Lessee.
.AFMENT LEASED BY X y
APMFN- FETURNEDBYX IAMT BILLED 6 60
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
7/6/09 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
Party Time Rental Purchase Order No.
'i
1212 S. Rangeline Rd. Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/20/09 163804 Raffle cage for ribbon cutting of 106th 126th $63.60
Ke stone
Total $63.60
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.
'716/09 ALLOWED 20
Party Time Rental IN SUM OF
1212 S. Rangeline Rd.
Carmel, IN 46032
63.60
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4359000
Special Projects
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
163804 4359000 $63.60 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
206 7
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund