221719 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS
CARMEL, INDIANA 46032 Po Box 409211 CHECK AMOUNT: $120.75
ATLANTA GA 30384-9211 CHECK NUMBER: 221719
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 40484347-001 120 . 75 FESTIVAL/COMMUNITY EV
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS, INC. e . 40484347-001
PO BOX 409211
����� ATLANTA,GA 30384-9211
182286
RENTALS
fi EW9 6/18/13
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
loz-ass-ions MCVICKER, MEGAN 40484347
CITY OF CARMEL PURCHASE ORDER NO.
1 CIVIC SQ N/R
CARMEL IN 46032-2584
LInLIIiilln��ilLnliliilil�Iil�Inl�iL�Illiniiill�Ll�I JOB NO.
1 -JAZZ ON THE MONO
JOB ADDRESS BRANCH
JAZZ ON THE MONON INDIANAPOLIS P & P PC387
MONON AND MAIN STREET 11220 ALLISONVILLE RD
lC r
i/'1� IIV `t6032
FISHERS, IN 46038-1839
317-201-2491 317-572-1180
QTY EQUIPMENT# Min Day Week 4 Week Amount
1 20KW DIESEL GENERATOR 105.00 105.00 495.00 1430.00 105.00
104007 Make: MQ POWER Model: DCA25USIC Ser#: 8102100
HR OUT: 9075.900 HR IN: 9080.200 TOTAL: 4.300
Billed from 6/15/13 thru 6/16/13
1 RENTAL PROTECTION PLAN 15.75
FINAL BILL: 6/15/13 08:00 AM THRU 6/16/13 08:00 AM.
120.75
REMIT TO: NET DUE UPON RECEIPT
SUNBELT RENTALS, INC. Invoices not paid within 30 days may be subject F • • � 120.75
PO BOX 409211 to a 1-'/2%per month charge.
ATLANTA, GA 30384-9211
RENTAL RETURN
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
06/18/13 40484347-001 $120.75
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.
ALLOWED 20
Sunbelt Rentals, Inc.
IN SUM OF $
P. O. Box 409211
Atlanta, GA 30384-9211
$120.75
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 I 40484347-001 43-590.03 I $120.75 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
Frid y,June 28, 2013
Director, Community Relations/Economic Zevelopment
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund