HomeMy WebLinkAboutRUNYON EQUIPMENT RENTAL- 003418- 12/27/2012 CARMEL REDEVELOPMENT COMMISSION 003418
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1
Runyon Equipment Rental Check: 3418 u J
410 W Carmel Drive Date: 12/27/2012
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
251429 300.00 300.00 0.00 0.00 300.00
Rent forklift
251429-2 262.50 262.50 0.00 0.00 262.50
Forklift rental
562.50 562.50 0.00 0.00 562.50
•
THEKEYaT'O,DOCUMEN sECTa 11]ME.ATitinVAtcriliiiuMBPRINT•fir3mt ONALESEq:RIT ELEATURE5INCLunEdz sgE_B'RCKFOR Dane§
0,i+s°is%a Carmel Redevelopment Commission 003418
30 West Main Street
A REGIONS
Art 220 20-1421/740
i
"0"RI"" Carmel, IN 46032
wl
0, rcS
DATE 3418
AMOUNT
12/27/2012 **********562.50
PAY
THE SUM OF FIVE HUNDRED SIXTY TWO DOLLARS AND 50 CENTS **********************************
TO THE
ORDER
OF Runyon Equipment Rental
•
410 W Carmel Drive
} Carmel, IN 46032
fie
3L, Lao r:0740LI, 2L 31: 0087504LLLH'
CARMEL REDEVELOPMENT COMMISSION 003418
Runyon Equipment Rental Check: 3418
410 W Carmel Drive Date: 12/27/2012
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
251429 300.00 300.00 0.00 0.00 300.00
Rent forklift
251429-2 262.50 262.50 0.00 0.00 262.50
Forklift rental
562.50 562.50 0.00 0.00 562.50
K-u.52 COMPUTERFASE FORMS DIVISION(877)577-5751 T-71771 ECA
In consideration of the payment of addiiael rent classified as'damage waivers by the Rentee Renter agrees lo,and hereby does wale rs rign,or any right t might
�j ^FLrL .r®�Fr _e have against the Relates,aliung flan normal damage of the rental property normal damage to be determined by Renter.The undersigned shall pay upon return d
In wV w properly rented'a sum equal to5%of rental charge.The damage waivers does rwtinekde damage er toss dee properly as a resit Lithe negligence M the Pemce
� 'Te'y'' or in are case of ahas'r,e damage,Melt or other gross negligence of the Rentee.This damage waver shall not apply to reddess careless or abusive operation or use
f[ SUP-FACE vP.EV RENTAL b SuPVLV of the Equipment,use or operation d the Equipment exceeding its rated capably,or damage to Gres„tubes and wheels caused by blowout,Muses,cuts,punctures or
d's .= etherealises inherent in to use of tie Eevpment.II is understood the amount paid is not an llaurarce premum,and that Pis proesion does not specs an insurance
410W Carmel Drive•Carmel, IN 46032 poky or an agreement to inane Equipment that**ten or damaged by Pelee ima pay tist for pars,labor or,d a total lass,will pay replacement oast of equipment
The Rentee further adewwledges receipt ol the aforementioned equipment and materials,or covenants to use said property in a caretul and prudent manner and
LA7a.AEL•FISHER5 o INPIANAYOLt5 shat not loan.sublet,mortgage or in any manner darn's of same to any person adieu!the warren consent of the owner,and lurther agrees to return the equipment
to Renter in substanlaly good rendition as when received,natural wear and tear excepted.
317 - 566 - 8888 The partes agree that that h the event te Rotas ablates era/af the tears and con:tons el tie agreement,the Fenter rnaa collect damages together with reasonable allomey
fees,cetalcosts endda6dofoneandaehall(f12)penmenpermmmad te aaarrsoerten(10)days na,renting an annual perce,ragera%ofe'yrcentrotpercent
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 respens!ble tar any accident or
damage resulting directly or indirectly from the leased equipment.The Renner expressly disclaims all warrdnlies,either expressed or implied.including any implied
"Don't be a tool - Rent one" warranties el merchartadley or Gress fore particular purpose,end neither assumes nor eaglerves any other person to-natal&fort anytoMMty armeclion with the
use of this equipment..The Rentee agrees to indemnity Renter,from any claim,loss,damages to property,consequential damagxs lose ol.home or nary other
www.runyensurfaeeprep.eom incidental damages,even those damages caused by Be negligence of Renlee,together wtlh attorney tees tor defending any action brought as a resat of the lease
of this equipment.
Open 7 Days a Week Monday- Friday 7:00 am -5:30 pm •Saturday 7:00 an -4:30 pm •Sunday 9:00 am -3:00 pm
-RENTED TO JOB LOCATION . . TICKET .#! --`
CARMEL REDEVELOPMENT COMMISSIO # 13821 SANTA HOUSE
30 W. MAIL' -S9'D ET Con# 251429
•
' oDI'TE 220
CARMEL IN 46032 Loc 100
_- SSN PHONE DATE' A'. ..TIME `.•
H (317) 571-2790 OUT 11/30/12 1 : 26 PM PT
C (317) 938-2829
ID#3 ' • PO/JOB #...-. . . RECEIVED BY ,
I0 SANTA HOUSE ZELLER, STEPHEN DUE IN 12/01/12 1 : 26 PM TT
CONTRACT Page : 1
,'ir,QTY.- ITEM# I - EXT AMT NET TAMT•
. `;MIN'p, HOURLY. OVNITE -B-HOUR DAY WEEK 4' WEEK
1 5638-0003 FORKLIFT 42 ' 8000 POUND /\S \ 300 .00 300 . 00
8250 .00/4 300.00 300 .00 95D/` \\ 200. 00
Meter Reading Out: 749 . 00 ����.,,,,��11((Ij lf\ \h%\�
Free Meter Units per Day: 8 . 00 ,Charge per A'dditiona1 Unit : 38 . 00
��) s�� �j�J \A>
\ > ;I-
-�,.. E ql"- ,.,r , t�
aG3
n
IFTRE EQUIPMENT IS NOT RESUMED EluDUE IN'WIE,YOU WILL BE Slt&IECTTO A DIN/GE OF CONVEISSONf M
Use at allematire fuels.(Bitdi esel,EB5,eto.)in Runyon Surface Prep Rental B Supply equipment is PROHIBITED.
Customer is Vieth for all damages&repairs that result ham alternative fuel f
HAVE SEES INSTRUCTEO&DEIMONSTRATEO ON THE SAFE a PROPER OPERATION OF'I HE ABOVE EQUIPMENT mNei '17 14 NOV 14 0 ,j:42:7:
FULLY UNDERSTAND-NOSE INSTRUCTIONS.I ALSO UNDERSTAND THAT t AM.THE PERSON RENTING THIS PROPERTY,AND
THAT RUMOR SURFACE PREP RENTAL&SUPPLY DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY
OTHER PERSON. I UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON
ISUNAUTTIOFZED EY RUNYON SURFACE PREP RENTAL&SUPPLY X A rlaala rOE
THE UNDERSIGNED.HAVING READ AND UNCERSTESOC THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NAMED UN THE
TERMS AND GNOMONS SET FORTH IN THIS RENTAL AGREEMENt I HAVE READ THE ABOVE INFORMATION was ACANOWI EDGE
THAT IT y15 CORRECT,COMPLETE MO ACCURATE. I PROMISE THAT AS A CONDITION OF RE6TUNG EQUIPMENT THAT IF MY
EMPLOYMENT. ADDRESS OR PHONE NUMBER BE QHANGED,I ALL EOnFY RiseON SURFACE PREP RENTAL&SUPRY
IMMEDIATELY. RUNYON SURFACE PREP RENTAL A SUPRY IS AUTHORIZED TO EiLL MY OREOIT DARE FOR ANY AND ALL COSTS.
FEES.ANCOR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS,OR EAMAGES TO PROPERTY AS.A RESULT OF THE
RENTAL OFTH,5 EQUIPMENT IF EOUIRMENf IS RETURNED DAMAGED.AND NOT DISCOVERED BY RUNIDN SURFACE PREP RENTAL.
ASuERY UNTIL AFTER THE CUSTOMER LEAVES AND I IAS SETTLED THE ELL RAYON SURFACE PREP RENTAL&SUPPLY IS
AIIIHORIZEU TO SUN ANY FORM OF FAYMMEa4Tpsis rl-Lf�at''SATISFY EWIPMENI REIMS.TABOR RATE CHARGED AT 5115 AN HIOUR.
LEASED BY X PRINT NAME CELL
30-NOV 72 13;28 : 12
EQUIPMENT X SIGNATURE 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. wit apply. X ;Nil-1AL
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions We charge a 5%Dama a Waiver on all equipment rentals.
unlnce Runvnn Rei fnt Pam RPntel R Ronnie hag been notified. 9 t3
T In consideration of the payment d addtialal rent classified as-damage waiver byte Rentee,Renter agrees to,and hereby does wave its ripe,Cr any( d 1 negd
R U NYO N have again the Rentee,arising from normal damage d the renal properly normal damage to be determined by Renter.The t ndersiged shall pay wan return of
At property rented a sum equal to 5%d rental large The*damage waiver does not include damage or loss of are property as a result of the negfgete d the Rentee
or in the case of abusive damage,theft or other gross negligence d the Rentee.This damage waver shall not apply to rededess,careless or adsve Cperaten or use
SURFPGE PREP RENTAL 6 SUPPLY of the EquymenL use or operacon of the Equipment weeding its rated capacity,or damage to tires,ekes and v.tees caused by blowout braises,cuts,punctures or
other causes inherent in the use of the Equipment.It is understood the amount pads not an hsumrce Vellum,and that this prwson does not represent an insurance
410 W.Carmel Drive•Carmel, IN 46032 poECY or an agreement to insure.Equipment that is selel or damaged by Rentee will pay Est for pars,labor a,to total'ie5,5Nl pay replacement cost dequ"prrrn.
The Rentee further acknowledges receipt of the aforementioned equipment and materials,or ea.eDants to use said property in a careful and prudent manner and
LARMEL•FISHERS•INDIANAPOLIS shall not ban,sublet mortgage or in any manner depose of same to any person without the written consent a'the owner,and further agrees to return the equipment
to Renter n substantaiy good condition as when rented,natural wear and tear excepted.
317 - 566 - 8888 Pe parties agree hat n the Bent Pb Ranee viddes any d to toms and conditions d the agreement the Renter may mkt damages together wive reasonable mviney
best court Lear and itere-u d ono and one hal(112)percent per month added to accounts over ten(1 D)tgys dd retedng an erns!peertxp rate of e gheeh(18)permit
• FAX:317-566-2990 The above equipment has been received byte undersigned br rental purposes only and n is understood that Renter shall be held resp tibe br any azident or
damage resuttirg direcey or indirectly from the leased equipment The Renter expressly 6sclaims all vxnanties,ether expressed or implied,including any holed
"Don't be a tool- Rent one" warranties of merchantability or flnese tor a particular purpose,and niter assumes nor authorizes any other person to assume for it arty Bablly connection with the
use of this equipment The Rentee agrees to ydemnly Renter,from any claim,loss,damages to properly consequential damages,loss of ihccme or any other
www.runyonsurfaceprep.corn incidental damages,even those damages caused by the negligence of Rentee,together with attorney lees for defending any action brought as a result of the lease
of this egLpTent
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 SANTA HOUSE
30 W. MAIN STREET Con# 251429
2
3UITE 20
CARMEL IN 46032 Loc 100
SSN PHONE DATE TIME
H (317) 571-2790 OUT 11/30/12 1 :26 PMTT
C (317) 938-2824
ID#3 PO/JOB # RECEIVED BY
0 SANTA HOUSE ZELLER, STEPHEN RETURNED 11/30/12 4 : 50 PM WH
***FINAL*** Page: 1
I QTY. ITEM# EXT AMT NET ANT•
MIN HOURLY OVNITE 8-HOUR DAY WEEK 4 WEEK
1 5638-0003 FORKLIFT 42 ' 8000 POUND /,\C\ 250.00 250. 00
$250. 00/4 300 . 00 300 . 00 950,'00\\ \\20 . 00
. o� 01
E Tr:
(Si" VCILV
(,-,/". z-
-r, , v
yam,
{,. .
L.
FTHE EOWMENTS NOT RETURNED BY"WE PPDWEHWWILL BE SLSIECTTO A CHARGE OFCGNVISISiON RENT 250. 00
Use of alternative fuels.(8iodiesel,CBS,etc.)in Runyon Surface Prep Rental&Supply equipment is PROW ITED,
Customer is bade for al damages&repairs that result from alternative fuel. SALES 0. 00
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT AND I OTHER 0 .00
I,i
FULLY UNDEBSPNDTHQSE INS1BJCTI0N5.I ALSO UNDERSTAND THAT I AM THE PERSON RENTINGTHIS PROPERTY,AND �-
THATFUNYONSURFACEPREPRENTAL&SUPPLY DOES NOT GNE ME PERMISSON TO LEND THIS PROPERTY TO ANY DW/FEES 12 .50
OTHER PERSON-I UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON Q
IS UNARiORIZED BY RUNYON SURFACE PREP RENTAL&SUPPLY )( St ONATl.+: Addl TAX 0.00 \ 7
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABM,,HEREBY AGREES TO RENT THE ARTICLES NAMED ON THE A
TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT I HAVE READ THEABWE INFORMATION AND ACNNOY/LEDGE SALES TAX 0.00
THAT IT IS CORRECT,COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY
EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED I WILL NOTIFY RUNYON SURFACE PREP RENTAL A SUPPLY DEPOSIT 0 .00
IMMEDIATELY. PUN1ON SURFACE PREP RENTAL a SUPPLY IS APHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS
FEES,ANDOR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM.LOSS,OR DAMAGES TO PROPERTY AS A RESULT OF THE
RENTAL OF THIS EDUIPMENN IF EOUIFIAENT IS RETURNED DAMAGED AND NOT DISCOVERED BY RUNYONSURFACE PREP RENTAL
&SUPPLY LNTI AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL,R1NYON SURFACE PREP RENTAL&SUPPLY IS TOTAL DUE 262 .50
ATORIZEDTO RUN ANY FORM OF PAYMENT ON RE TO SATISFY EQUIPMENT REPAIR LABOR RATE CHARGED AT 585 AN HOUR. ANT BILLED 262.50
EQUIPMENT NAME CELL
LEASED BY X PRINT NAME PHONE 30-NOV-12 16 : 50: 34
EQUIPMENT RETURNED BY x • SIGNATURE 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 ALLTIRES,FUEL AND ELECTRIC CURRENT. will apply. X INITIAL
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions We charge.a 5% Derma a Waiver on all equipment rentals.
unless Runyon Surface Prep Rental&Suooly has been notified. 9 9
'/7E�� rI(I M M In consideration of the payment d editorial rent classified as'damage waiver'by the Rentee,Renter agrees td,and hereby does wane is right,or any right it might
V V QS V 9y0 9 �— haw against the Rumee, al to 5 from normal damage T of the age w hWury. :.notl damage to be determined by Renter.The undersigned eg pay upon re al of
O��f� p A'EA or in railed abesequalb5%dito,odrgross negE magewanefdces rats dudedararer tetno to Pro pa lows, mSor abmwere iabm Cr or In tlE case er cursive damage, the doer gross negligence d the Renee.This ddhage waiver shall not apply d reddens,caeless w some t,Bur n or use
SURFACE PREP RE.NTA.6 SUPPLY of the Equipment use or operation of to Equipme t aceedng is rated ceps ,or damage to tires,tubes and wheels caused by douous bnise4 cuts,punctures or
other causes Inheres in to use of the Emiphhert Its understood the amount paid is not an isuarce premium,and that Ma provision does not represent an nsurarce
410 W.Carmel Drive•Carmel, IN 46032 poky or an wyeement to insure.Enteprem that is stolen or damaged by Renee will pay Est km pars,labor or,if a total loss,oil pay replacement cost of equpment.
The Ranee further adeTowledges receipt of the aforementioned equipment and materals,or covenants to use sad popery in a careful and prudent manner and
LARMEL•FISHERS•INDIANAPOLIS dap not ban,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 equpmuent
to Renter in substantially good cendltan as when received,natural wear and tear excepted.
317 — 566 — 8888 The parties ogee teth to event the RentLEB violales retryd teams and mhdre dthis agreement,the Porter may aced damages tlgetenwitn[ensemble attorney
1 fees,cast coats and i ofo-eandone hallo 12)percent per month added toaccost aer ten 00)days ad,refiestgan annual percentage raedellgeteeh(Te)perat
. - - FAX:317-566-2990 The above equipment has been received by the undersigned for rental purposes any and t is understood that Renter shall be held responsible tar any accident or
Y damage resulting daddy or rdrecty from the leased equipment.The Renter expressly rkdams all warranties,enter expressed or implied inducing any itched
"Don't be a tool- Rent one" warranties of merchanadtty or fitness br a particular purpose,and neither assumes nor authorizes any other person to assume be it any liaa'.iy cone tienWM the
use of the equipment. The Rentee agrees to indemnify Renter,from any claim,bss,damages to property,consequential damages,loss cf income or any other
www.runyonsurfaceprep.com iddenal damages even those damages caused by the negligence of Rentee,together with attorney fees fm delendng 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 CHRISTMAS TREE
30 W. MAIN STREET Con# 251291
SUITE 220
CARMEL IN 46032 Loc 100
' SSN PHONE DATE TIME
H (317) 571-2790 OUT 11/29/12 10 : 50 AM SAF
C (317) 938-2824
ID#3 PO/JOB # RECEIVED BY
0 CHRISTMAS TREE TOWNSEND, SCOTT C RETURNED 11/30/12 10:20 AM SAF
***FINAL*** Page: 1
QTY ITEM# EXT AMT NET AMT
MIN HOURLY OVNITE 8-HOUR DAY WEEK 4 WEEK
1 5797-0006 LIFT 60 ' STRAIGHT BOOM 4WD A 375 . 00 375 . 00
$325 . 00/4 375.00 375 . 00 101 0TOO\ .2' 0 . 00
- ' . //;----\) -\S\ c,c'...%\e'N ‘c cD°Y412t.)1
C'X l
FTHEEWflI93 KNOT RETURNED BY"DUE tWDATE,YWHRI BE SUBJECTRI A CNRM'EOFWNVERSIONm¢Fl). RENT 375.00
Use of aternative fuels,(Biodiesel,EB5,etc.)in Runyon Surface Prep Renal&Supply equipment Is PROHIBITED.
Customer is liable br all damages&repairs that result from alternative fuel. SALES 0.00
I NAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE a PROPER OPERATION CF THE ABOVE EQUIPMENT AND I
FULLY UNDER$TANDTHOSE INSTRUCTIONS.I ALSO UNDERSTAND THAT I AM THE PERSONRENDNGTHIS PROPERTY,AND OTHER 0. 00
THAT RJNYON SURFACE PREP RENTAL&SUPPLY DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY DW/FEES 18.75
OTHER PERSON.I UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON
IS UNAUTHORIZED BY RUNYON SURFACE PREP RENTAL&SUPPLY x .. ;(\yI !I Addl TAX 0.00
DIE UNDERSIGNED.HAVING READ AND UNDERSTOOD THE AeO/E.HEREBY AGREES TO RENT THE ARTICLES NAMED ON THE SALES TAX 0.00
TERMS AND CONDITIONS SET FORTH W THIS RENTAL AGREEMENT.I HAVE READ THE ABOVE INFORMATION MD ACNNQALEDGE
THAT IT r5 COnNECT.COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY DEPOSIT 0. 00
EMILOIMENT ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUMOR SURFACE PREP RENTAL_ &SUPPLY
IMMEDIATELY RUMOR SURFACE PREP RENTAL&SUPPLY IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS.
FEES,ARDOR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS.OR DAAAGES TO PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT.IF EQUIPMENT IS RETURNED DAMAGED AND HOT DISCOVERED UT RUNYONi SURFACE PREP RENTAL
a SUPPLY UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL.RUMOR SURFACE PREP RENTAL a SUPPLY IS TOTAL DUE 393 .75
AUTHORIZED TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR,LABOR RATE CHARGED AT nay AN HOUR. AMT BILLED 393 .75
LEASED EM PRINT ^1P,�YIE CELL
LEASED BY X PHONE 30-NOV-12 10 : 36 :41
RETURNED BY X SIGNATURE 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 ALLTIRES,FUEL AND ELECTRIC CURRENT. will apply. X INITIAL.
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions We charge a 5% Dente a Waiver on all equipment rentals.
unless Runyon Surface Prep Rental&Supply has been notified. 9 9
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form NO.201 Rev.1995)
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.
p -.
Payee
w: n„ Purchase Order No.
AM' e. ('wit-:n--/ /Jr;te Terms
C4 r»>v/ /ftJ 2760 32- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i/36//2 25/ i/29 2pN r 0.i</ 2 ,5-6
Total 2 6 -SO
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
17- X1 , 2O IL
Tr asurer
Proscribed 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
91 Uvy ors Purchase Order No.
4/(O /O. 61w»o/Vr,'v Terms
Carottai Pc )7/‘O3Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
010.2 -267/12,9 �,,-/<7i"f271 /-i / 3 coda
•
Total Sod 0O
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6. .�
IZ �Z 2012
rer