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208588 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 360608 Page 1 of 1 ONE CIVIC SQUARE ACE PARTY RENTAL CARMEL, INDIANA 46032 7768 ZIONSVILLE RD STE 100 CHECK AMOUNT: $413.00 INDPLS IN 46268 CHECK NUMBER: 208588 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 3974 413.00 ADULT CONTRACTORS Carmel e Clay Parks &Recreation CHECK REQUEST Date: I �G Check payable to f P V 6 Name: 1� I Ce. C. Address: Z, GnSv A t Z Uc) City, State, Zip (fl c)'kc: n c p I s 4 (C� �(1 Mail check to payee Return check to requestor Check Amount Date Required 5 c O 0 Check needed for c)� SC f f1r� C C OA C W Supporting documentation or receipt(s) MUST be attached. To be paid from (tDl t) I Fund 0 00 Budget Line 0% (U I O 1 Budget Line Description \r) 6c) LQ Requested by (print): Requested by (signature): Approved by (signature of Division Manager): J on this date 51 1 y Apr 30 12 03:08p Ace Party Rental (317) 872 -7368 p.1 Invoice 3974 Workorder# 13340 -1 y 1%= ")iNftT I oil X i�e o�t$s 1N 46268 Date Order/PO Number Ph: (317) 872 -8368 APR 30 12 g� Ygi, e jj') 872 -7368 P A RT F �A L T� Y�'7k: �epartLa�idtenls.com Ship To: Bill To: Carmel Clay Parks Recreation Coliegewood Elementary 12514 Shelborne Rd 3495 W 126th St Carmel, IN 46032 Attn: James Dowell Carmel, IN 46032 Attn: Accounts Payable Ordered by: James Dowell Ph: (317) 418 -5267 Fax: (317) 733 -6501 f Person Date Complete Job Description Terms BA MAY 25 12 Event 5/24 Equipment Quantity Description Duration Unit Price Total 1 Dunk Tank 1.00 D 195.00 195.00 1 Kiddie Striker 1.00 D 65.00 65.00 1 Coke Bottle Stand Up 1.00 D 40.00 40.00 1 Finish Line Race 1.00 D 40.00 40.00 1 Ring Toss 1.00 D 40.00 40.00 1 Putt R Win 1.00 D 40.00 40.00 Policies 1 Deliveries are made on Thursday or Friday 1.00 D 0.00 0.00 Equipment Subtotal: 420.00 Equipment Discount. 10% Equipment Total: 378.00 Purchase Description 4 Delivery /Pickup 35 .0 0 P.O. Po l 1 SubtofiaL• 0 G.L. a l C1 Tax: t 4% and et �`�l Total Charges: 441.9'1 Line Descr Purchaser Approval Date Q� 4, 4 invoice Total: 441.91 PLEASE ENCLOSE COPY OF INVOICE WITH REMITTANCE e kemp� PAST DUE AMOUNTS SUBJECT TO 10% MONTHLY SERVICE CHARGE Page 1 of 1 Signature All final equipment numbers must be finalized 2 weeks poor to your event or This is an agreement a both sides before signing you will be charged for all items reserved 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. Ace Party Rental Terms 7768 Zionsville Rd., Ste 100 Indianapolis, IN 46268 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/30/12 3974 School carnival CW,WC 5/24/12 275.00 4/30/12 3974 School carnival CW,WC 5/24/12 138.00 Total 413.00 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. Ace Party Rental Allowed 20 7768 Zionsville Rd., Ste 100 Indianapolis, IN 46268 In Sum of 413.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -10 3974 4340800 275.00 1 hereby certify that the attached invoice(s), or 1081 -3 3974 4340800 138.00 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 3 -May 2012 P &JCkrVY U Signature 413.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund