179328 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 353472 Page 1 of 1
ONE CIVIC SQUARE MIRACLE RECREATION EQUIP CO
CARMEL, INDIANA 46032 9020 PAYSPHERE CIRCLE CHECK AMOUNT: $1,499.00
CHICAGO IL 60574 CHECK NUMBER: 179328
CHECK DATE: 11111/2049
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
J 1125 4463600 22765 692787 1,499.00 PLAYGROUND /PARKS EQUI
INVOICF PAGE
CARMEL CLAY
TO 1235 CENTRAL PARK DR EAST MIRACLE
CARMEL, IN 460,32 OCT Z 009 RECREATION EQUIPMENT 1 Paysphere Circle
Chicago, IL .0
SHIP ISO 9001 Certified
CA CLAY R EC F I .D. 1
Phone (417) M-6917
T 1427 E..116TH ST.
CARMEL, IN 46032 T O THESE NUMBERS O
PAYMENTS AND C ORRESPOND ENCE
.WORK ORDER NO. CUSTOMER ORDER NUMBER SOLD BY CUSTOMER NUMBER INVOICE DATE INVOICE NO.
r 066 INDIANA RECR AT 4 i 1
QUANTITY, MODEL NO. Of SCRIPTION UNIT PRICE NET
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A 44.00 264.00
1-04.00 41.6.00
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MIRACLE RECREATION CO
9020 Paysphere Circle, Chicago, IL 60674
WARNING
ttt>iastaii a io n over hard surface such as a:o ncre e asphalt, or necked earth may result in serious injury or
death. AN play egtnipnient must he inasta6ied over an appropriate irinpact -,A)sorbinng surfacing in atte riai.
it is tl.e wspoosibi,lity of the playground to ensure that the size, type and depth of impact absorbing
sutfa;c:in material aced complies with the U .S. C;onsurner Product Safety CGmrn.iSsiOaa landbook :Eor Public Playground Safety" (CPSC
Handbook), ThiF, impact absorbing surfacing; materiiii must cover the en�irc "hall Zone' area to a depth appropr•iiite for the hbabht of the play
equipment, ThC" Fall Zone :'is an area under and all Mound teach piece of play equipment. Acceptable impact absorbing surfiacing materials
include ara<rtrtrfac,tured s t ctti surfticirtg such as `ipectr€iTurf "I Satiety Sut acv. and natural fcx)se fill materials such as }park nrrk�grts, wood mulch.
wo6d chips, die Q'ra-vol iA sand. Appropriate: thickness for the Spectra'a'irl materials can be obtain ;;d from your Miracle- Sales
RepregEntativu_ For loose-fill luatelials, consult the CPSC t- landbook for ;rpprop depth in relatiota to material type and fall beight require-
iNitt,, UP'ct C,�pt:ahle seta bte c,5 include. without hMitauora, turf. undisturbed natural ground. undisturbed compacted sand, decomposed granite,
aspbatlt concrete; (jr any drhef luird surfaciiig. The spec ifie size of fall zones depends upon tite type of play equipuient. For regular swings,
the' Fall t- �x.ten,
at�at, le�sr�ttivo (2) tirnes the pivot point be'ight to bulb the front and reir cif• the top ra�til. The fill] zone must exie:nd a
l_,'st Six" 6) feel ofd at ach` lid from the swing ararne legs. l "ot li €e sip irrgs, the fall .one must extend at least six (6) reef plus the length of
the suipera hiczr hers in-idl directions. The fail zone ialust also extend at feast sir (6) feet out at c;ach end from the swing frame legs. For
slidos. te fall Zone -rz u§� e xtend at least six (5) feed in all directions from the periructer of the slide. Also, in front of the slide e;xii, mastering
from tttc hrsitat: when •tfrw xir`i e elope is reduced to a" degrcQs, tyre fall zone; nius( extend a tool ci four t,4) feet plus the heiglit of fire hlxrtfcirtar.
P or all other pl o'(ptiipil euv". the frail zone must extend at least six (6) feet in-all directions from the. perimeter of the play oquipinent. Refer
to the CPSC for. more specific retluli 'I'his Handbook is available from the CPSC ol- Eldracle f r, °.e of char
np ii .gala(ygr ::rl,xr ,�UFelraaserfowner- operartor agrees to assemble, install, inspect., and maintain the* plLt v equipment in
aaca'tord9nee wijib NlirAde_J's installation and safet# requirements, as set out in the "READ iIIE FIIIST booklet, the Installation
Inasiruetl€ i lao l%lets, the .UlrSC Handbook, and all other materials accompanying the equilarraerat. Any attempt to alter, adapt, change,
attach 60 col seta ie'the ':jslay equipment in any (Wanner other than set out in these doeunients, or to use tlae equipment in and
ramzann"er eating• tlafaii •tile. gs mended in such documents, is strictly prohibited, and Miracle shall bear no responsibility for surge :actions.
lJitii.zt; tl:;ur�t'yilation, isaspc'.tti'on <tntl raaaintrnance process. tier piaygrotuad purc�haserfowncr- opeta�tur must insure than: A) There;
are;'no exposeii conci &I� foodnas to trip over or fail ore. The top of all footings must be. it or below the bc,tt:om of tare iaver of impact ab:sor•b-
inr surtacino ni lkrktl. B) All. bolt tlrreaids protruding beyond the Gaut are cut and peened ,mdoth to the roach. Sharp edges and/or points of
miv kind 3aitis[ bW elinairaast :i: 0 All boles, screws, set screws or• rather fasteners aro lightened securely. Missinb bolts, setscrews or other fas-
ieners must be. reel s.r_ed itrliriediately. l)) All "S" hooks and clevises are. free of any wear. That all "'S hooks are closed metal tea metal and
all clev iscs ate it uppoi�trn� 'd2varc are securely attached. A Miracle :S hook Jbr mving seat use has the dimensions of 2 -3f4° x 4 -1f2
rare °csta,a�ier aatad to 4lier•Jcoperator acknowledge they have scale responsibility for inspection acrd maintenance of the playground
equipment. All ploy* e nah naent must bo regularly inspected and inaintained in gaiod cortctiti it by the playground purchaser and owne rloper-
I attar. An thiarf; Shttiwixig any sign cr.f t��ear, fatigue. or otherwise presenting .ua unsafe •condition mutit 67,' insnaer;iiatcay rcplaied. if real itaamedi
„rely rcplaceel_ the. play. eyui rrtent mu a be removed from service and no one permitted to use the play equipment until the problems are cor-
rexted_ this be followed with respect to messing parts. lie sure to understu.a.d, apply and utiliie the; CPSC Handbook,
J! nimcrials ind.irrfcyr eat ttioli,lar ti ided hey Miracle, and your ow knowledge, experience aiitd corurrxm sense in determining if' wear, fatigue or
anv:other unsaalc conditrcraa oxist>. You must develop a checklist specific to your needs as determined by equipment use;. weather, etc.
INDEMNITY
Purchaser and ownetr)optratttor.agree ,to indealin y and hold Miracle harmless front and against all liabilities, losses, penalties, damages
3CaCt LC a4'n525,- %rtclirtiirl 'e¢r;is kind attorney -fees, resulting from all claims, liens, daaraaa3ges,. ob actions, suits, .tl dents of
svttlem6nts, or ccau es tof.aation, of every kind, nature. and character fo injuries, including personal injury and death, arising o alleged
to arise Out of theiA• L060 or the failure of their architects, contractors, sulw onir<a Aor"s,.inslaallers, employees, agents and assigns to
assc^ati.fale, install, is. pt et radleor Maintain the play!equipmeot acrd' nnp`Act �iaiasr!hmg surfaciiog in full compliance avith Miracle's
irasiallatQicaaa iarwtrta €gitans safety requirements as set out in the "READ NIE FIRST" brooklet, the Inslaaliatioia Instruction bopklcts, tlae
CPSC Hiarti #bOc ;ki Jlvd al! Oj her materials acco-mpanying the equipment, acrd their misuse artrllor arlieration of the play equipment.
Il
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.
Miracle Recreation Equipment Co. Terms
9020 Paysphere Circle
Chicago, IL 60674
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/21/09 692787 Playground equipment 22765 F 1,499.00
Total 1,499.00
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.
Miracle Recreation Equipment Co. Allowed 20
9020 Paysphere Circle
Chicago, IL 60674
In Sum of$
t, 1,499.00
ti
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
22765 F 692787 1o3W0 1,499.00 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
5 -Nov 2009
Signature
1,499.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I