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209411 05/23/2012
�,etif CITY OF CARMEL, INDIANA VENDOR: 365194 Page 1 of 1 ONE CIVIC SQUARE BOUNCE HOUSE GUYS CARMEL, INDIANA 46032 8206 ROCKVILLE ROAD #152 CHECK AMOUNT: $50.00 INDIANAPOLIS IN 46214 CHECK NUMBER: 209411 CHECK DATE: 5/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4340800 2 50.00 ADULT CONTRACTORS 2012 -03 -07 13:29 GET MORE JUMP5 LLC 3178529897 3175717926 P 1/1 RENTAL AGREEM www- BounceHouseGu s.com LESSOR Bounce House Guys LESSE10S IORG NAME 8206 Rockville Rd #152 LESSE NAME C I Indpls, Indiana 46214 ADDRESS 317- 222 -9522 Phone bouncehouseguys.com CCI ITY Z IP PHIL PHp DELIVERY FEE a NONREFUNDABLE DEPOSIT PAID a DELIVERY DATet4IME 2 Z x ,07% SALE TAX PAID s EQUIPMENT SUBTOTAL S PICKUP DATLfr m1K PAID IN FULL OR AMOUNT DUE a UNITS SET UP ON WHAT KIND F QURFA Payment is duo upon delivery h checks PAVEMENT [73' GRASS INDOOR f fh r unless It is Business, Church, School heck Power outlet within 100 feet YE No I Pub a Location YES OTHER OTHER 0 Bounce House QWKEND Bounce House [3Neutral Combo B -BALL Dan ©Luau bon ®Robe Car Isar OC urious George ban []Strawb Short ban L]Kahuna Slide OSmall Obataele E]Lorgo Obatael* OTurbo Rwsh ❑Wracking Bell (]Bungee Run Doust Adult Sumo Suits mash Machine (Shoot and Throw game []Feel pitch oDuck pond OHigh Striker OFun Pack C3Airbome Adventure ODunk Tank OGenerator ZSnow Cone OCotten Candy HOLD HARMLESS PROVISION- CUSTOMER (HEREINAFTER LESSEE) AGREES TO INDEMNIFY DISCHARGE AND HOLD HARMLESS -GET MORE JUMPS, LLC DBA BOUNCE HOUSE GUYS AND OFFICERS, AGENTS EMPLOYEES, OWNER, AND AFFILIATES (HEREINAFTER, LESSOR) FROM ANY AND ALL CLAIMS, DEMANDS ACTIONS. SUITS, PROCEEDING COSTS, EXPENSES, DAMAGES, AND LIABILITIES INCLUDING REASONABLE ATTORNEY'S FEES ARISING BY REASON OF INJURY, DISABILITY OR DEATH TO PERSONS DAMAGE OF PROPERTY OR THEFT, IN CONNECTION WITH OR RESULTING FROM THE USE OR SET UP OF THE EQUIPMENT INCLUDING BUT NOT LIMITED TO, THE MANUFACTUROR, 5ELECTION, DELIVERY, POSSESSION, USE OPERATION, OR RETURN OF THE EQUIPMENT. LESSEE HEREBY RELEASES AND HOLDS HARMLESS LESSOR FROM INJURIES OR DAMAGES INCURRED AS A RE5ULT OF THE USE OF SAID EQUIPMENT UNLESS LESSOR 1S U DEEMED BY A COURT OF LAW TO BE NEGLIGENT IN ITS ACTIONS. LESSOR CANNOT UNDER ANY CIRCUMSTANCES BE HELD LIABLE FOR INJURIES AS A RESULT OF ACTS OF GOD, NATURE, OR OTHER CONDITIONS BEYOND ITS CONTROL OR KNOWLEDGE, DUTY TO MITIGATE- IN THE EVENT OF INJURY, DAMAGE OR LOSS DUE TO LESSOR'S NEGLIGENCE. LESSEE AGREES AND ASSUMES THE DUTY TO MITIGATE ALL COSTS RESULTING FROM-SAID INJURY, DAMAGE OR LOSS. DISCLAIMER OF CONSEQUENTIAL DAMAGES- BY SIGNING THIS CONTRACT LESSEE AGREES TO FOREGO SEEKING ANY i CONSEQUENTIAL DAMAGES IN THE EVENT OF ANY INJURY, DEATH, DAMAGE, DISABILITY, OR LOSS DUE 1'0 LESSOR'S NEGLIGENCE. DISCLAIMER OF WARRANTIES. LESSOR MAKES NO WARRANTIES EITHER EXPRESSED OR IMPLIED AS TO THE CONDITION OR PERFORMANCE OF ANY EQUIPMENT AND /OR PROPERTY LEASED BY LESSEE FROM LESSOR, BY SIGNING THIS i CONTRACT, LESSEE AGREES THAT ANY WARRANTY OF MERCHANTABILITY OF FITNESS OF A PARTICULAR PURPOSE ARE HEREBY DISCLAIMED BY SIGNING THIS CONTRACT, LESSEE AGREES THAT NO EXPRESS WARRANTY AS TO THE CONDITION OR PERFORMANCE OF ANY EQUIPMENT AND /OR PROPERTY LEASED BY LESSEE IS HEREBY DISCLAIMED. NEGLIGENCE OR ABUSE- LESSEE AGREES TO BE RESPONSIBLE FOR ANY LOSS OF OR DAMAGE TO LESSOR'S EQUIPMENT AND /OR PROPERTY AND SHALL REIMBURSE LESSOR FOR REPLACEMENT OF ANY EQUIPMENT AND /OR PROPERTY. LESSEE IS SOLEY RESPONSIBLE FOR ANY LOSS OR DAMAGE THAT OCCURS FOR ANY REASON WHILE THE EQUIPMENT AND /OR PROPERTY 1S IN THE POSSESSION OF LESSER AND /OR UNTIL INSPECTION DATE INSPECTIONS LESSEE AGREES TO ALLOW LESSOR ONE WEEK FROM PICKUP DATE TO INSPECT EQUIPMENT AND /OR PROPERTY FOR DAMAGES CAUSED BY LEASEE. IF LESSOR FINDS ANY DAMAGES, LESSEE WI LL BE FINANCIALLY RESPONSIBLE FOR DAMAGES, 1 understand that this document is Intended to be at broad and lnclui/ve as permitted by the laws of the State oflndlorta and agree char /f any portion of this agreement is Invalid, the remainder will cantinue in AM legal force and effect 1 am of legal age and am freely signing this agreement 1 acknowledge and certlly that had sufficient opportunity to read the rental polley and rental agreement and understand its contents and agree to be bound by the terms. LESSEE SIGNATURE DATE string I r near units- You will bo ro$ggtgelble for replacement eoet of unit If any silly strine a910 oajL We do not rent to any customer who has silly string -a chair event. NO SIL Y TRING CANDY SHOE$ GUM- FOOD DRINK CONFETTI OALLOON>S TAPE IN /ON UNITS, DO NOT USS YOU ARE FULLY LIAR_ LE/ RESPONSIBLE FQR,ALL RENTED ITEMS /UNIT&I UNTIL PICKUP ANDfOR ANY DAMAGES CAU ED WHILE IN MUR POSSESS19 UNTIL INSPECTION DATE, A $60.00 cleaning fee will be charged If the unit at pick up time or on the Inspection da 8 excessively dirty, or trash left Inside the unit. (initials here) C 1 u 1 2 J 5 Caramel Clay Parks &Recreation CHECK REQUEST Date: 1 Check a able to: Name: Address: 2 zo b U�- er',I�v 1. �—E} z City, State, Zip �1�P6,C�b�;� Mail check to payee Return check to requestor Check Amount 5 Date Required Check needed for c nl C.,Luo C�� (14?— To be paid from r l 2 PO (if applicable) 0 y0 0 I Budget account GL Budget Line Description �A Supporting documentation or receipt(s) MUST be attached. Requested by (print): 1M. Requested by (signature): Approved by (signature of Division Manager): on this date N Form revised 1 -21 -08 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. 365194 Bounce House Guys Terms 8206 Rockville Rd 152 Indianapolis, IN 46214 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/15/12 Contract Sno cone machine Clay Vacation Station 6/22/12 50.00 Total 50.00 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. 365194 Bounce House Guys Allowed 20 8206,Rockvilie Rd. #'152 Indlahapolls;.IN 46214 *new address In Sum of 50.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -1 Contract 4340800 50.00 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 17 -May 2011 Signature 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund