HomeMy WebLinkAboutRUNYON EQUIPMENT RENTAL -002241/002226 -8/18/2011 CARMEL REDEVELOPMENT COMMISSION 002226
•
Runyon Equipment Rental Check: 2226
410 W Carmel Drive Date: 8/18/2011
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
196592 105.55 105.55 0.00 0.00 105.55
generator rental
105.55 105.55 0.00 0.00 105.55
In consideration of the payment of additional rent classified as"damage waiver by the Rentee,Renter agrees to,and hereby does waive its right or any right it might
R have against the Rentee,arising from normal damage of the rental property,normal damage to be determined by Renter.The undersigned shall pay upon return of
Y O N A®A property rented a sum equal to 5%of rental charge.This"damage waiver does not include damage or loss of the property as a resuit of the negligence of the Rentee
or in the case of abusive damage,theft or other gross negligence of the Rentee.This damage waiver shall not apply to reckless,careless or abusive operation or use
of the Equipment,use or operation of the Equipment exceeding its rated capacity,or damage to tires,tubes and wheels caused by blowout,bruises,cuts,punctures or
£QUI'PMENT (zENTAL other causes inherent in the use of the Equipment.It is understood the amount paid is not an insurance premium,and that this provision does not represent an insurance
410 W.Carmel Drive•Carmel, IN 46032 policy or an agreement to insure.Equipment that is stolen or damaged by Rentee will pay list for parts,labor or,if a total loss,will pay replacement cost of equipment.
The Rentee further acknowledges receipt of the aforementioned equipment and materials,or covenants to use said property in a careful and prudent manner and
GARMEL•FISHERS•INDIANAPOLIS shall not loan,sublet,mortgage or in any manner dispose of same to any person without the written consent of the owner,and further agrees to return the equipment
to Renter in substantially good condition as when received,natural wear and tear excepted.
31 7 — 566 — 8888 The parties agree that in the event the Rentee violates any of the terms and conditions of this agreement the Renter may collect damages together with reasonable attorney
fees,court costs and interest of one and one half(1 1/2)percent per month added to accounts over ten(10)days old,reflecting an annual percentage rate of eighteen(18)percent
FAX:317-566-2990 The above equipment has been received by the undersigned for rental purposes only,and it is understood that Renter shall be held responsible for any accident or
damage resulting directly or indirectly from the leased equipment.The Renter expressly disclaims all warranties,either expressed or implied,including any implied
"Don't be a tool- Rent one warranties of merchantability or fitness for a particular purpose,and neither assumes nor authorizes any other person to assume for it any liability connection with the
use of this equipment. The Rentee agrees to indemnify Renter,from any claim,loss,damages to property,consequential damages,loss of income or any other
www.runyonrental.com incidental damages,even those damages caused by the negligence of Rentee,together with attorney fees for defending any action brought as a result of the lease
of this equipment.
Open 7 Days a Week Monday- Friday 7:00 am -5:30 pm •Saturday 7:00 am -4:30 pm •Sunday 9:00 am -3:00 pm
RENTED TO JOB LOCATION . • TICKET #
CARMEL REDEVELOPMENT COMMISSIO # 13821 STEPHANE 496-9116
30 W. MAIN STREET 111 W MAIN ST SUITE 140 Con# 196592
SUITE 220 CARMEL IN
CARMEL IN 46032 Loc 100
SSN' PHONE DATE TIME
H (317) 571-2790 OUT 06/25/11 8: 00 AM WH
C (317) 938-2824
ID#3 . PO/JOB # ' • - RECEIVED BY ' '
0 GENERATOR STEPHANE RETURNED 06/26/11 9: 00 AM JRR
***FINAL*** Page: 1
QTY ITEM# EXT AMT NET AMT
MIN HOURLY ' OVNITE 8-HOUR DAY WEEK 4 WEEK
1 3415-0004 GENERATOR E 6500 WATT 55. 00 55. 00
.00/0 55. 00 55. 00 660..00 , ' 7:20. 00
1 14 DELIVERY & PICK-UP - STAKEBED, 40. 00 40. 00
1. 20 4 GASOLINE 6. 50 7 . 80 7 .80
IFTHE EQUIPMENT IS NOT RETURNED BY"DUE IN"DATE,YOU WILL BE SUBJECTTO A CHARGE OF CONVERSION(THEFT). RENT 55.00
Use of alternative fuels,(Biodiesel,E85,etc.)in Runyon Equipment Rental,equipment is PROHIBITED. SAFES 47.80
Customer is liable for all damages&repairs that result from alternative fuel.
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT AND I OTHER 0.00
FULLY UNDERSTAND THOSE INSTRUCTIONS I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY,AND
THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON.I DW/FEES 2 .75
UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED Addl TAX 0.00
BY RUNYON EQUIPMENT RENTAL X ,,
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NAMED ON SALES TAX 0.00
THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT I HAVE READ THE ABOVE INFORMATION AND
ACKNOWLEDGE THAT IT IS CORRECT,COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0.00
EQUIPMENT THAT IF MY EMPLOYMENT,ADDRESS OR PHONE NUMBER BE CHANGED,I WILL NOTIFY RUNYON EQUIPMENT
RENTAL IMMEDIATELY RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS,
FEES,AND/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS,OR DAMAGES TO PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT IF EQUIPMENT IS RETURNED DAMAGED,AND NOT DISCOVERED BY RUNYON EQUIPMENT TOTAL DUE 105.55
RENTAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL,RUNYON EQUIPMENT RENTAL IS AUTHORIZED
TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR.LABOR RATE CHARGED AT$85 AN HOUR AMT BILLED 105.55
EQUIPMENT CELL
LEASED BY X PHONE 28-JUN-11 14 : 54 : 31
EQUIPMENT X
R RENTAL FEES DO NOT APPLY TO PURCHASES.
WE CHARGE FOR TIME OUT NOT TIME USED. Equipment is clean and full of fuel please return as such or additional charges
YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. will apply. X
NO ADJUSTMENTS OR CREDITS will be made on equipment We charge a 5% Damage Waiver on all equipment rentals.
malfunr_tinnc unless Runvnn Fnuinment Rental has been notified_ 9 9
ai:iieinwkiit,r,-.40mgt5viii4?ierlipirds,----,:oopitit 1.,:giroilftatitokarkattinimo
siovEr:TH 4 ,, ,, ..„'ti 4 e; . , ,I. - .le 41. /.• r.t, r . tin t;.t.,. n.1.4 te,iv. •:. :. 4,4,,,, .; ,, All t:
gi;''..•:1 .1 4 4.1 ,„i1.9i fil, IIN,4::;;Sp;%11(:. * ',, ...,...'i :..,, i ,:t; i igri ii ItiA. t ..,,..0, c• .,k3q,y;i'i'AN .
111,1iiiiitir
,,-:•1 ',4:41.1,,,:;aks‘., ,t„„.:4„At4, ,,Ai„.1,-:',.,A Vitl
xilAiNithi!.W•IIIIVAIiifil=41.', . IfF.F.4144114!!‘''':.,-:''.411.1f1:..,!z.•::,',." '1,4111142171stadgiCkriaiii :iiiil. ,
•
UNUSUAL WEAR OIL LE '. , IS
/ 3-WIRE :
The oil level in machinery is checked when equipment CORDS
leaves cur yard. Maintenance of oroper oil level in dill
OR DAMAGE
No electrical toois are supplied ;
rented equipment is solely the responsioility of
with safety groundeo plugs for
Our damage waiver covers normal wear and tear Damage customer For proper oil grade.car us
use in grounded cutlets
due to neglect or ignorance will he the customer's ,
(except for double-insulated
responsibility at a charge of$85.00 per 110,r plus parts. r° , 1' safety approvec tools. Do not '
Y.
tf.:''' 7 ' '\ cut off ground lug
No damage waiver . ..,
„ (7,...4::::.:.:7, ,..‘,-::::
, .r...,,,„..,„ :,.:.. ,,,A
. ,/./m-.;41.--)'.'4.3!..z, .
license, sales or use
3 --, - IN CASE
taxes are included in r:,,477, FUEL OF LOSS OR .
our rental rates. They ..,0,,,--.,,J-,-, All equipment is full of fuel THEFT
N,
A:5. \,.,„ and must be returned full or 0,equipment,the cdstomei will be .
are extra. ,,,
additional charges will apply. billed for list price plus renna'up to
use of reporting loss or theft
TIES INS ' ' RANCE RENTAL CHARGES
AND TERMS
Customer is totally responsible Once the equipment leaves our yard. the customer is
for ALL tire repay. It is the responsible for it until it has been returned and payment Equipment with hour meters is
customer's option to check over allowed 8 hours use within a 24
received. NO equipment is to be left in our yard if we are
the tires before the equipment hour period of time
not open to receive it. Our insurance does not cover
leaves and have one of our
equipment while in customer's possession. We suggest
people make note of any
you contract your insurance agent for coverage. A week is 7 days.
irregularities spotted.
A month is 28 days.
Renter will not be liable for any or all damage to vehicles You will be charged for
time out not time used.
while loading or unloading equipment.
-
-■.
, I, CLEANING
Rental rates for equipment are based on usage -1 CHARGES
during an 8 hour shift. Equipment is to be returnee as
dean as when it left. A charge of
(----„,--Th -1_17 ; [ 1--- One day is 24 hours or 8 hours running time. $65.00 per hour wilt be cnargec for
---",
-) 1 16 hours running time in 24 hours.2 day charge.
leanup
— 24 hours running time in 24 hours=3 days charge.
If over 8 hours in 1 day you will be charged for
extra hours on equipment.
LOADING AND UNLOADING EQUIPMENT. Customer is responsible for loading and unloading equipment. If Dealer's employees assist in loading or unloading the equipment,
Customer agrees to assume the risk of,and hold Dealer and/or its employees harmless for any property damage or personal injuries,including damage and personal injuries
attributable to the negligence of Dealer.
POSSESSION/TITLE. Your right to possession of the Equipment begins upon Rental Items leaving the Rental Center and terminates on the agreed Return Date indicated on
the front of this Contract. Retention of the Equipment beyond the expiration of the Rental Period constitutes a material breach of this Contract. Time is of the essence. Any
extension must be mutually agreed upon in writing and signed by Us. Title to the Rental Items is and shall at all times remain in Rental Center. Failure to return rental property
or equipment upon expiration of the Rental Period,and failure to pay all amounts due(including costs for damage to the property or equipment)are prima facie evidence of
intent to defraud.
FUTURE RENTALS. Customer acknowledges that the terms of this Contract will be deemed to apply not only to the Equipment identified on the front side of this document,
but also to all other Equipment and merchandise Customer may rent or purchase from Dealer(except as to the rent and/or purchase price of such items,as applicable,which
will be charged at Dealer's published rates as of the date of each such rental or purchase),whether on the date of this Contract or at any time in the future(except only as to
any Equipment and/or other items with respect to which Customer executes a new Rental Contract).
After being in the rental business for many years,we know what it takes to be successful-good attitude,new or like new equipment,and good old fashioned
service. We will never knowingly disappoint you. If for any reason you feel we haven't handled your transaction properly, please bring it to our attention.
Thank you for renting from us.
.... ......
Reorder from in-A-E,.nd•800 352.2u53•r-orl 410432
CARMEL REDEVELOPMENT COMMISSION 002241
Runyon Equipment Rental Check: 2241
410 W Carmel Drive Date: 8/18/2011
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
195546-2 107.50 107.50 0.00 0.00 107.50
Rent generator
107.50 107.50 0.00 0.00 107.50
In consideration of the payment of additional rent classified as°damage waiver by the Rentee,Renter agrees to,and hereby does waive its right,or any right it might
R have against the Rentee,arising from normal damage of the rental property,normal damage to be determined by Renter.The undersigned shall pay upon return of
Y o N AA property rented a sum equal to 5%of rental charge.This"damage waiver"does not include damage or loss of the property as a result of the negligence of the Rentee
or in the case of abusive damage,theft or other gross negligence of the Rentee.This damage waiver shall not apply to reddess,careless or abusive operation or use
of the Equipment,use or operation of the Equipment exceeding its rated capacity,or damage to tires,tubes and wheels caused by blowout,bruises,cuts,punctures or
£gUIPMCNT Re•TAL other causes inherent in the use of the Equipment.It is understood the amount paid is not an insurance premium,and that this provision does not represent an insurance
410 W.Carmel Drive•Carmel, IN 46032 policy or an agreement to insure.Equipment that is stolen or damaged by Rentee will pay list for parts,labor or,if a total loss,will pay replacement cost of equipment.
The Rentee further acknowledges receipt of the aforementioned equipment and materials,or covenants to use said property in a careful and prudent manner and
C.ARMeL*FISHERS•INDIANAPOLIS shall not loan,sublet,mortgage or in any manner dispose of same to any person without the written consent of the owner,and further agrees to return the equipment
to Renter in substantially good condition as when received,natural wear and tear excepted.
31 7 — 566 — 8888 The parties agree that in the event the Rentee violates any of the terms and conditions of this agreement the Renter may collect damages together with reasonable attorney
fees,court costs and interest of one and one half(1 1/2)percent per month added to accounts over ten(10)days old,reflecting an annual percentage rate of eighteen(18)percent
FAX:317-566-2990 The above equipment has been received by the undersigned for rental purposes only,and lt is understood that Renter shall be held responsible for any accident or
„ damage resulting directly or indirectly from the leased equipment.The Renter expressly disclaims all warranties,either expressed or implied,including any implied
"Don't t be a tool- Rent one warranties of merchantability or fitness for a particular purpose,and neither assumes nor authorizes any other person to assume for it any liability connection with the
use of this equipment. The Rentee agrees to indemnify Renter,from any claim,loss,damages to property,consequential damages,loss of income or any other
wUVW.runyonrental,corn incidental damages,even those damages caused by the negligence of Rentee,together with attorney fees for defending any action brought as a result of the lease
of this equipment.
Open 7 Days a Week Monday- Friday 7:00 am -5:30 pm •Saturday 7:00 am -4:30 pm •Sunday 9:00 am -3:00 pm
RENTED TO JOB LOCATION . TICKET #
CARMEL REDEVELOPMENT COMMISSIO # 13821 MEGAN 902-3798
30 W. MAIN STREET 29 W MAIN ST. Con# 195546
SUITE 220 CARMEL IN 46032
CARMEL IN 46032 Loc 100
SSN PHONE DATE ' ' _TIME
H (317) 571-2790 OUT 06/18/11 3:30 PM JP
C (317) 938-2824
ID#3 PO/JOB #. RECEIVED BY
0 CARMEL REDEVELOPMENT MEGAN RETURNED 06/19/11 3: 00 PM JRR
***FINAL*** Page: 1
QTY ITEM#
r. EXT. AMT NET AMT
MIN HOURLY OVNITE 8-HOUR DAY WEEK . 4 WEEK
•
1 3415-0004 GENERATOR E 6500 WATT 55. 00 55. 00
$55. 00/D 55. 00 55. 00 220.00 ,660 . 00
1 14 DELIVERY & PICK-UP - STAKEBED 40. 00 40. 00
1 . 50 4 GASOLINE „- 9. 75 9.75
.
r
va
IFTHE EQUIPMENT IS NOT RETURNED BY"DUE IN"DATE,YOU WILL BE SUBJECTTO A CHARGE OF CONVERSION(THEFT). RENT 55.00
Use of alternative fuels,(Brodiesel,E85,etc.)in Runyon Equipment Rental,equipment is PROHIBITED. SALES 49.75
Customer is liable for all damages&repairs that result from alternative fuel.
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT AND I OTHER 0.00
FULLY UNDERSTAND THOSE INSTRUCTIONS.I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY,AND
THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON.I DW/FEES 2. 75 ``ll�y,
UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED Addl TAX 0.0 0 U /
BY RUNYON EQUIPMENT RENTAL. x l
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NAMED ON SALES TAX 0.00
THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT I HAVE READ THE ABOVE INFORMATION AND
ACKNOWLEDGE THAT IT IS CORRECT,COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0.00
EQUIPMENT THAT IF MY EMPLOYMENT ADDRESS OR PHONE NUMBER BE CHANGED,I WILL NOTIFY RUNYON EQUIPMENT
RENTAL IMMEDIATELY RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS,
FEES,AND/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS,OR DAMAGES TO PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT IF EQUIPMENT IS RETURNED DAMAGED,AND NOT DISCOVERED BY RUNYON EQUIPMENT TOTAL DUE 107.50
RENTAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL,RUNYON EQUIPMENT RENTAL IS AUTHORIZED
TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR LABOR RATE CHARGED AT 555 AN HOUR AMT BILLED 107.50
EQUIPMENT CELL
LEASED BY X PHONE 28-JUN-11 14 :54 : 02 UIPMENT REETU NEDBY X RENTAL FEES DO NOT APPLY TO PURCHASES.
WE CHARGE FOR TIME OUT NOT TIME USED. Equipment is clean and full of fuel please return as such or additional charges
YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. will apply. X i:,,I.,
NO ADJUSTMENTS OR CREDITS will be made on equipment We charge a 5% Damage Waiver on all equipment rentals.
malfunctions unless Runvon Eauinment Rental has been notified. 9 9
tit.45;UntakliirniNitiVi .!.t$120.0KINOW:4
•
UNUSUAL WEAR OIL � �nn���� �� �
u�p���������� ���� «o ����� �� ~ � ��u»� / 3-W1RE
ORDAMAGE ����m��u��*��� ����� �
���� ����xnn����u� /e�e our��. mam�n�o �n�m'm//��/r
No electrcai tools arc supplied �
rented equipment is solely the responsibility of
with safety grounded plugs for !
Our damage warse covers normar wee' and tear Damage customer, For proper oil grade.call"u use a grounded outlets
due to neglect or ignorance will oe the :ummmaro ' (except for ooumePl,anmu
"esoo mxua v at a ��of$85u0 per plus Darts �
| ,. o�vu�mv�mmm. 00mx '
I�
out off ground lug.
, ` | '
Nodamage������� ��|���
�� ����/ u /�� ���/
� �� ,v��n
license sales or use
|nN CASE
taxes are included in OF LOSS OR our rental rates. They equipment � 1V o1 fuel THEFT
• ��� and must be returned full or of equipment.the customer wr be
areextra. v� ���ax��N��m��
��o �� ~�^,�/�� odd�|on�| rhargeovviUGpP|y time of rem*,o:ossu,theft
TIRES� � ���
�� ����mv��u-.� � @�� �� � � �� �� �� a�e N��
������� CHARGES
� �Y� �� �� &�8 �� / � Q�� &�� '
AND TERMS
Customer is totally responsible Once the equipment leaves our yard, the customer is
for ALL tire repair. It is the Equipment with hour m»�e'u is
responsible has
customer's optton to check over allowed 8 hours use within a 24
received, NO equipment iotobe left|n our yard if*mare hourperiodo�Ume
the tires before the equipment
not open to receive it. Our insurance does not cover
leaves and have one of our
equipment while in customer's possession.mor'apouooxmion We suggest
people make note of any
�
you contract your insurance agent for coverage. A week is 7 days.
irregu|ummnop000u
A month is 28 days
Renter will not be liable for any or all damage to vehicles You will be charged for
time out not time used.
while loading or unloading equipment.
CLEANING
CHARGE
� ---------- '— — ------ —1
Rental rates for equipment are based on usage | �
during an 8 hour shift. Equipment is to be retsmed as
ciean as when lab A charge of
-� F-
I . One day ia24 hours or8 hours running time. |� oou.ou per oou,wmua:humeum,
) \ 1G hours running time in24 hours=2 day charge.
— -- LJ -- L-1 24 hours running time in 24 hours=3 days charge \.---_—_-__--_
If over 8 hours in 1 day you will be charged for
extra hours on equipment.
LOADING AND UNLOADING EQUIPMENT. Customer is responsible for loading and unloading equipment. If Dealer's employees assist in loading or unloading the equipment.
Customer agrees to assume the risk of,and hold Dealer and/or its employees harmless for any property damage or personal injuries,including damage and personal injuries
attributable to the negligence of Dealer.
POSSESSION1TITLE, Your right to possession of the Equipment begins upon Rental Items leaving the Rental Center and terminates on the agreed Return Date indicated on
the front of this Contract. Retention of the Equipment beyond the expiration of the Rental Period constitutes a material breach of this Contract. Time is of the essence. Any
extension must be mutually agreed upon in writing and signed by Us. Title to the Rental Items is and shall at all times remain in Rental Center. Failure to return rental property
or equipment upon expiration of the Rental Period,and failure to pay all amounts due(including costs for damage to the property or equipment)are prima facie evidence of
intent to defraud.
FUTURE RENTALS. Customer acknowledges that the terms of this Contract will be deemed to apply not only to the Equipment identified on the front side of this document,
but also to all other Equipment and merchandise Customer may rent or purchase from Dealer(except as to the rent and/or purchase price of such items.as applicable,which
will be charged at Dealer's published rates as of the date of each such rental or purchase),whether on the date of this Contract or at any time in the future(except only as to
any Equipment and/or other items with respect to which Customer executes a new Rental Contract). ____
After being in the rental business for many years,we know what it takes tobe successful'good attitude,new or like new equipment,andgoodo|dtsahinned
service. We will never knowingly disappoint you. If for any reason you feel we haven't handled your transaction properly, please bring it to our attention.
Thank you for renting from us.
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
GQ0,13 E62.U; ��-ir7 ",°/7f- / Purchase Order No.
17//. //.. Sri— .-J Or/1/,-- Terms
1/6 3 2. Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 4941 sy‘ �1' /07 So
Total 243-05-
I hereby certify that the attached invoice(s), or bill(s), is (are) true and co -- • P ave audited same in accordance
with IC 5-11-10-1.6.
S—!"1 , 20 (I
C-f k-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
gVil/ on Gtri-/��n�•7/ ,�,� 9 IN SUM OF $
//G' 2/--
�� /42 // 32
$ 2/.9,
ON ACCOUNT OF APPROPRIATION FOR
99o2/ 83 5 9003
Board Members
PO#EP . INVOICE NO. ACCT#!TITLE AMOUNT hereby certify invoice(s),DEPT.# I hereb certif that the attached invoices , or
'6'2 / S' u..3 /27.-So bill(s) is (are) true and correct and that the
9a2-- /96 S 92 5 3S%i%o3 /oS, materials or services itemized thereon for
which charge is made were ordered and
received except
20/l
ignature
Executive Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund Carmel Redevelopment Commission