225072 10/08/2013 CITY CIF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
0 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK AMOUNT: $684.40
`o CARMEL IN 46032 CHECK NUMBER: 225072
CHECK DATE: 10/812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 280056-1 64 . 80 OTHER RENTAL & LEASES
2201 4353099 280574-1 86 .40 OTHER RENTAL & LEASES
2201 4231100 280837-1 20 . 90 BOTTLED GAS
2201 4353099 281117-1 367 . 20 OTHER RENTAL & LEASES
2201 4353099 281214-1 59 .40 OTHER RENTAL & LEASES
2201 4353099 281469-1 64 . 80 OTHER RENTAL & LEASES
2201 4231100 281559-1 20 . 90 BOTTLED GAS
111111111111111111111111 IN Page 1 of 1
Status: Closed
Ru N ®rj 410 WEST CARMEL DRIVE Invoice M 280056-1
CARMEL,IN 46032 Invoice Date: Tue 9/24/2013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 9/2012013 2:43:OOPM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074 PO#: statue
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:TOWNS,ADAM
Salesman: NONE Phone:-- E-Mail:
Qty Key Items Ser# Status Returned Date Price
15 5621-1 PADS FURNITURE/MOVING Returned 9/24/2013 9:58:OOAM $60.00
lday$1.00 1week$4.00 4weeks$14.00
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$60.00 $4.80 $0.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$64.80 1 $0.00 $64.80 $0.00 $64.80
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e g Biodiesel,E85,etc)In Rented Item(s)Is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use In grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug;(d)Runyon Is authorized to charge my debit or credit card for all amounts coming due hereunder,Including for damage to the Rented Item(s)
which is discovered after the Rented Item(s)have been returned,and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions X (Initial)
I have provided Runyon with proof of Insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this ContracLx (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of Its obligations arising under this Contract
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-TOWNS,ADAM
Modification# 2
Printed On Tue 9/24/2013 5.38 38PM Software by Point-of-Rental Systems www.point-of-rental com Contract-Params.rpt(1)
IIIII!11191 11111 11111 11111 11111 1111 1111 Page 1 of 1
Status: Closed
RU NYON 410 WEST CARMEL DRIVE Invoice#: 280574-1
CARMEL,IN 46032 Invoice Date: Wed 9/25/2013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 9/25/2013 10:11:00AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one' 317-566-2990 Fax Operator: WINNIE HELMS
Customs #: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:TOWNS,ADAM
Salesman: NONE Phone:-- E-Mail:
Qty Key Items Ser# Status Returned Date Price
1 5153#0003 TILLER REAR TINE HYDRAULIC 6858 Returned 1 9/25/2013 11:48:OOAM $80.00
4Hrs$80.00 1day$90.00 1week$360.00 4weeks$1,080.00
Thank You for your Business
i
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$80.00 $6.40 $0.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$86.40 $0.00 $86.40 $0.00 $86.40
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g.Biodiesel,E85,etc)in Rented Item(s)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug;(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which is discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of its obligations arising under this Contract
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-TOWNS,ADAM
Modification# 3
Printed On Wed 9/25/2013 5.41.21 PM Software by Point-of-Rental Systems www point-of-rental.com Contract-Params rpt(1)
IIIII 111111111111111 II 11111 IN 1111 Page 1 of 1
Status: Closed
RU I YON 410 WEST CARMEL DRIVE Invoice#: 280837-1
CARMEL,IN 46032 Invoice Date: Fri 9/27/2013
EQUIPMeNT RENTAL www.runyonrental.com Date Out: Fri 9/2712013 9:23:OOAM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Customer#: 1384
Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: STUBBS, CHRISTOPHER
Salesman: NONE Phone:-- E-Mail:
Qty I Key Items Ser# Status Returned Date Price
1 101-1 PROPANE 30 POUND REFILL Pulled $20.90
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$0.00 $0.00 $20.90 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$20.90 $0.00 $20.90 $0.00 $20.90
You understand that.(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g.Biodiesel,E85,etc)In Rented Item(s)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug,(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which Is discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been Instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this Contract x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of Its obligations arising under this Contract.
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-STUBBS,CHRISTOPHER
Modification# 1
Printed On Fri 9127/2013 5.39 06PM Software by Point-of-Rental Systems www.point-of-rental com Contract-Params rpt(1)
11111111111111111111 IN IIN Page 1 of
Status: Closed
aV IVY®N 410 WEST CARMEL DRIVE Invoice#: 281117-1
CARMEL,IN 46032 Invoice Date: Tue 10/112013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Mon 9/30/2013 9:08:OOAM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: HICKS, JEFFREY D
Salesman: NONE Phone:-- E-Mail:
Qty I Key Items Ser# Status Returned Date Price
1 8131#0005$ PRESSURE WASHER 2000 PSI 10130937 Returned 10/1/2013 9:51:00AM $110.00
4Hrs$45.00 lday$55.00 lweek$220.00 4weeks$660.00
1 8131#0004 PRESSURE WASHER 2000 PSI 10130939 Returned 10/1/2013 3:34:OOPM $110.00
4Hrs$45.00 lday$55.00 lweek$220.00 4weeks$660.00
1 8129#0002 PRESSURE WASHER ROTARY SURF/ M4129438 Returned 10/1/2013 9:52:OOAM $60.00
lday$30.00 lweek$120.00 4weeks$360.00
1 8129#0001 PRESSURE WASHER ROTARY SURF/ M3108887CR Returned 10/1/2013 9:52:OOAM $60.00
lday$30.00 lweek$120.00 4weeks$360.00
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$340.00 $27.20 $0.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$367.20 $0.00 $36720 $0.00 $367.20
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e g Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug,(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which is discovered after the Rented Item(s)have been returned,and(e)labor rate Is charged at$85.00 per hour X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment ProteCtIDn Plan(Damage Waiver)as
described on the back of this Contract x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of its obligations arising under this Contract.
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-HICKS,JEFFREY D
Modification# 4
Printed On Tue 10/1/2013 5:53:47PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Perams rpt(1)
IlIII!IIIII IIIII 11111 IIIII IIIII IIII IN Page 1 of 1
Status: Closed
RV NY®fV 410 WEST CARMEL DRIVE Invoice#: 281214-1
V CARMEL,IN 46032 Invoice Date: Tue 10/1/2013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Mon 9/3012013 5:29:OOPM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS
Customer#: 1384
Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: JOHNSON, RANDY
Salesman: NONE Phone:-- E-Mail:
Qty Key Items Ser# Status Returned Date Price
1 8131#0013 PRESSURE WASHER 2000 PSI 10191475 Returned 10/1/2013 3:33:OOPM $55.00
4Hrs$45.00 lday$55.00 lweek$220.00 4weeks$660.00
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$55.00 $4.40 $0.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$59.40 $0.00 $59.40 $0.00 $59.40
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e g.Biodlesel,E85,etc)in Rented Item(s)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use In grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug,(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which Is discovered after the Rented Item(s)have been returned,and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been Instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Instructions. X (Initial)
I have provided Runyon with proof of insurance(Insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this Contract x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of Its obligations arising under this Contract
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-JOHNSON,RANDY
Modification# 2
Printed On Tue 101112013 5 53 53PM Software by Point-of-Rental Systems www.polnt-of-rental com Contract-Params.rpl(1)
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))
09/24/13 280056-1 $64.80
09/25/13 280574-1 $86.40
09/27/13 280837-1 $20.90
10/01/13 281117-1 $367.20
10/01/13 281214-1 $59.40
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
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$598.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 280056-1 43-530.99 $64.80 I hereby certify that the attached invoice(s), or
2201 280574-1 43-530.99 $86.40 bill(s) is (are) true and correct and that the
2201 280837-1 42-311.00 $20.90
_ materials or services itemized thereon for
2201 281117-1 43-530.99 $367.20
2201 281214-1 43-530.99 $59.40 which charge is made were ordered and
received except
Th ay, b r 013
Si3tt1ef Ornrnisis�io0ier
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
IIIII!IIIII 1111111111 11111 61111 IN IN Page 1 of 1
Status: Closed
RO NYON 410 WEST CARMEL DRIVE Invoice#: 281559-1
�J �p CARMEL,IN 46032 Invoice Date: Thu 1013/2013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 10/3/2013 2:10:OOPM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: BROWNING, TIM
Salesman: NONE Phone:-- —E-Mail:
Qty Key Items Ser# Status r Returned Date Price
1 101-1 PROPANE 30 POUND REFILL Pulled $20.90
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$0.00 $0.00 $20.90 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$20.90 $0.00 $20.90 1 $0.00 $20.90
You understand that (a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g.Blodiesel,E85,etc)in Rented Item(s)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug,(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which is discovered after the Rented Item(s)have been returned,and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of its obligations arising under this Contract
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-BROWNING,TIM
I
Modification# 1
Pnnted On Thu 10/3/2013 5 39 40PM Software by Point-of-Rental Systems www point-of-rental com Contract-Params.rpt(1)
111111 IIIII 11111111111111 II II 1111 IN Page 1 of 1
Status: Closed
IRU NYOIY 410 WEST CARMEL DRIVE Invoice#: 281469-1
CARMEL,IN 46032 Invoice Date: Thu 10/3/2013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 10/2/2013 3:41:OOPM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: JOEL PROCHNOW
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:ZELLER, STEPHEN W
Salesman: NONE Phone:-- E-Mail:
Qty Key Items Ser# Status Returned Date Price
4 5448-1 SIGN A CONSTRUCTION W/fRIPOD Returned 10/3/2013 9:29:OOAM $60.00
fl /day$15.00 lweek$62.00 4weeks$185.00
2 5418-1 SIGN RIGHT LANE CLOSED AHEAD Returned 10/3/2013 9:29:OOAM $0.00
/day$9.00 /week$35.00 4weeks$106.00
2 5404-1 SIGN FLAGGER AHEAD Returned 10/3/2013 9:29:OOAM $0.00
/day$10.00 /week$40.00 4weeks$120.00
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$60.00 $4.80 $0.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$64.80 $0.00 $64.80 1 $0.00 $64.80
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g Biodiesel,E85,etc)In Rented Items)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug;(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which is discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85 00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those Instructions. X (Initial)
I have provided Runyon with proof of insurance(Insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this Contract x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of its obligations arising under this Contract.
Printed Name:
Signature:
CARMEL STREET DEPARTMENT-ZELLER,STEPHEN W
Modification# 2
Printed On Thu 10/3/2013 539 45PM Software by Point-of-Rental Systems www point-of-rental.com Contract-Params.rpt(1)
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))
10/03/13 281469-1 $64.80
10/03/13 281559-1 $20.90
I 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
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$85.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 281469-1 43-530.99 j $64.80 1 hereby certify that the attached invoice(s), or
2201 281559-1 42-311.00 $20.90 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
JF 41
Monday, October 07, 2013
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund