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226378 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367090 Page 1 of 1 ONE CIVIC SQUARE JACK C LANGSTON CHECK AMOUNT: $821.55 CARMEL, INDIANA 46032 5423 WOODFIELD DR CARMEL IN 46033 CHECK NUMBER: 226378 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 821 . 55 YOUTH COUNCIL 5 0 F A 215 2,50 F 0 2/6 0 F KRO APL SPRIN 7.50 F 1 @ 215.00 00 APL CRM, 2.50 F 215.00 K10 C111- lllK 2.51 F k'p,0 Apl- CRML 0.99 F I @ 2/!:x.00 KRO APL. CRML 2.50 F Great f oad I @ 2/5,00 KRO API. LRM 2.50 1- Low pr i ces . KRO API- CRML 0.99 F KRO APL, CRML. 0.99 F 157 S RANGR ME RD. I @ 2000 317-8s 6-1818 V.R 0 APL t-RNI- 2.50 F �W j� eAO� YOUR CASIflFR WAS Jessica I @ 2/5.00 KRO All, CRML_ 60 F WHITE POSTER 0 59 r 1 @ 216.00 WHITE PUSHER 0.59 T KRO APL CRML 2.50 F WHITE P�1'�IER 0.59 T 1 @ 2/5.00 WHITE POSHER 0.59 T KRO APL. 1.RML 2,50 F WHITE POSHER 0.59 1 1 @ 215.00 HF PIE PAN PU 3.00 1 KRO APL- CRML 2,50 F +t;rl- sr KROGER tiAVTN(jS 0,49 PM PENS BLK 1 .19 I @ lodo 00 sil, KROGER SAVINGS 0.80 AA KVi U NIII'VANS i .00 PM PENS BLK 1 ,49 I @ 10/10.00 sf, KROGER SAVINGS 0.80 C. kv! !J N"Iilk.I,N, I .00 i PM PENS BILK 1 ,19 I @ lopoll"J 41' KROGER 'SAVINGS 0.80 76D 40 KVLU MMS 1 00 I Pm PENS BLK 1 .19 1 @ lado 06 KROUR SAVINGS 0.80 LOS vii VVLU NkPMN.., 1 00 1 PM PINS BLK 1 .99 1 1 @ 10/10.0o sc KROGER SAVINGS 0.80 KRU NAIWNS .00 T so 3/10.00 TABLELOYFR H 1 .99 T 166.67 F TAHLECO-Ep 1 .99 T TAX 1.25 1ABLEC04k 1 '99 1- TAX EXEtIPTION 4,25- rnBi ECOqER 1 .99 T BALANCE 298,71 IHBLECOVER 1 .99 T TABLECOVER 1 .99 1 RE170: 6100000 TABLVEMR 1 .99 T PURCHASE: 29801 TABLECOVER 1 .99 1 CASHBACK: 0.00 1ABLECOVER. 1 .99 r TOTAL : 26.00 TABLECOVER I A9 T RmAQms Buldmm: 0.00 rABLEWARF 1 .99 1 TABLEWAP[ 1 .99 T GIFT CARD 26.00 Zu-kermctn FAIRIA)1- 1 IA EWARE I,1 1:1 C-Jd I,"ff I! c;r.i 1:1 T cil ;9 TABLEWARE 1 .99 1 TABLEWARE 1 .99 T VAL flApLRWARF 1 .99 T REFIT: OOOOOV VAL PAPi-pWnpi-. 1 .99 T PURCHASE: 213. 01 VAL PAPLJOJARF 1 .99 T CASHBACK 0.00 VAL PAPERWARE 1 ,99 T TOTAL: 200.00 (J.R CUll BY 2 19 T KRO APL CRML 3.99 F K R 0 G E R PLUS Cl.kJOm1R tx;;x-,()ka�0032 DEBIT 200.00 KRO API. CRQ 3-99 F KRO APL CRML 3.99 F EgMMlo SN FS OM 6049 KRO APL URR. 319 F KRO AM, Cklf! 3.99 F KRO AN ! V M; 3.99 F RFE4; 000000 KRO ,4ri Oli 309 F NNMISE: 73.71 KRO filli i tetl. 3.99 F N%1BACK: 0.00 KRO Pri 3,99 F TOTAL: 73.71 DEBIT 73.74 EXFHP I Llj `;Ai_ES fltll- 60.69 CHANGE OTO 01 LNS sfjllfl = I I ;;J"(); ""flvjj-!Gs i. i i"'Pi PROGER SAVINGS $ 1.19 ITAL SAVINGS HGS 1,19 KRMA.R TWINGS x-I-xxx in I A 3 01 2 4n 959 9 191 118 10/1/13 Order Details Order Details Order Date: 9/30/2013 4:55 PM Ship To: Bill To: Order Number: 4N7B8-F2A63-503 Jack C Langston Jack C Langston 5243 Woodfield Drive 5243 Woodfield Drive Payment Type: MasterCard Carmel,IN 46033 Carmel,IN 46033 United States of America United States of America Order Status: Shipped Phone:3173414889 Phone:3173414889 Delivery Option: 3 Business Days emycouncil @gmail.com cmycouncil @gmaii.com Estimated Date of Arrival: 10/3/2013 -='.°--mss:, x�':' _ - � _ 3.. �n;.,•� - Lawn Sign-Large 10 $99.90 Item Status: Shipped 10/1/2013 Color Backsides $22.99 Carrier:UPS Ground FALL FESm Tracking#: T-dSatlh1013y.W=at UP "'jj ' Uploaded 1Z7R44E2031'185188 .rir Y logo/photo/design INCLUDED $122.89 Item Status: Shipped 10/1/2013 Carrier:UPS Ground Lawn Sign Stands 1101 v $29.99 $29.99 Tracking#: 1Z7R44E20313185188 Original Price You Pay Product Total: $206..97 $152.88 Shipping&Processing(Rush 3 Business Days): $37.94 Total: $244.91 $190.82 You Saved$54.09! cr � . y. C . ye,4 . C �,y Walmart ®��.. E0 ttzi Save money.Live better. q'Q,gs X ( 317 ) 844 - 0096 MANAGER MARCI ANDERSON '-Q r S 2001 E 151ST ST CARMEL IN 46033 0000 ST# 1601 OP# 0083 TF# 17 TR# 01635 IGAL JAR 007644069349 7.44 X 1GAL JAR 007644069349 7.44 X To G k I, 'GAL .JAR 007644069349 7.44 X po- SUBTOTAL- 22.32 TAX 1 7.000 X 1 .56 - TOTAL 23.88 ND 23.88 ACCOUNT # APPROVAL # 909624 REF # 328500670355 TERMINAL # MX275699 10/12/13 08:28:42 CHANGE DUE 0.00 ITEMS SOLD 3 7%# 8855 392i; b i:33 9212 4396 f Idllllllldllfifl►l�'Iff�f �oddidillllllllllll lilllllllf liilllllf f(I Layaway is back. Get atar+ed today Sept— 13 A Dec: .13 10/12/13 08:28:42 ***CUSTOMER COPY*** CrA c Fa l( F"e- s4 0 F, Party clt,�v 'D NOBODY HAS MOR11! PARTY FOR LESS L ay\ i'[PRADF Kk/o, 0 1 c1f) In 160--,2 81u,...,1:846 7996260222`,4: 5 OOF I X I . '5[N T i 500E rx I 751N APPLE Ri-6 Srlk'K 7996.',?'EA22069 EO()FTX I '51N 9Cti 99 1 500E1 I .7 11[1\1 SN"All YUJ 791761.1E ?;'7151 '500FTY 1 '51N PI_EL ',I R,1-1 P -U WINI)FI) Fj RED !,,f7!kl!LD 1'�CiG 11:1K SUB I G 1 Ot-- 6 GEN llf-'RCH FrlX 0 O TO S!9.22 ITEMS 4 SALE $1 1). 2 APPR: 914678 JOL,Rlqrll,: 06-,301,8158 1 8^, i'l-I SrURC 6':13 14% 6 RB 10-1 2--20 1 '141 ONID 01)1 0068„��l,�all�ic�i����,k ,����������►�Ili'II��I I II'il��.11l Ilil�I II Ilill,,,� 11/9/13 Order Details C M" vistaprintMake an impression. G Order Details w j P4-*'-s Order Date: 9/30/2013 5:01 PM Ship To: Bill To: C Order Number: KPKB8-F2A20-9L6 Jack C Langston Jack C Langston 5243 Woodfield Drive 5243 Woodfield Drive 'auS t nL4A Payment Type: MasterCard Carmel,IN 46033 Carmel,IN 46033 A_ United States of America United States of America C-PA 11/9/13 Order Details Pay VistaprintMake an impression. Order Details Order Date: 9/30/2013 5:35 PM Ship To: Bill To: CaM � Order Number: 1 NODE-F2A57-3S5 Jack C Langston Jack C Langston 5243 Woodfield Drive 5243 Woodfield Drive (441 Order Status: Shipped Carmel,IN 46033 Carmel,IN 46033 Delivery Option: 7 Days United States of America United States of America �� Estimated Date of Arrival: 10/7/2013 Phone:3173414889 Phone:3173414889 cmvcouncil(d,)gm ail.com cmycouncil @gmail.com V r I n 11/9/13 Order Details ® 0sta p tMake an impression. Order Details �' � W C6G Order Date: 9/30/2013 7:34 PM Ship To: Bill To: Order Number: CZMH8-F2A38-2G6 Jack C Langston Jack C Langston (/rV 5243 Woodfield Drive 5243 Woodfield Drive SL-bs C� Payment Type: MasterCard Carmel,IN 46033 Carmel,IN 46033 United States of America United States of America Order Status: Shipped Phone:3173414889 Phone:3173414889 Delivery Option: 7Days cmycouncil @gmail.com cmycouncil @gmail.com PN't`GkA� Estimated Date of Arrival: 10/8/2013 -- - Premium Business 2504 $9.99 ' / Q• Q Card �•f V !� Item Status: F77P -x Shipped 1011/2013 -l1ptt�Lltdf tYlAt Uploaded INCLUDED V'ce P:esirJei r, logo/photo/design Carrier:UPS Ground rea;c�'s au Cocoa Tracking#: Uploaded INCLUDED 1 Z7R44E20313185188 logo/photo/design ------ Color Back Side $6.49 Matte INCLUDED $16.48 Original Price You Pay Product Total: $32.98 $16.48 Shipping&Processing(Priority 7 Days): $11.54 $8.00 Subtotal: $24.48 Vistaprint Credit: $6.51 Total: 0&011 $17,97 You Saved$20.04! 11/9/13 Order Details V a r Make an impression. P Order Details Order Date: 10/8/2013 12:06 PM Ship To: Bill To: Order Number: BC3FL-F2A78-9S9 Jack C Langston Jack C Langston 5243 Woodfield Drive 5243 Woodfield Drive PaymentType: MasterCard Carmel,IN 46033 Carmel,IN 46033 United States of America United States of America Order Status: Shipped Phone:3173414889 Phone:3173414889 Delivery Option: 3 Business Days cmycouncil @gmail.com cmycouncil @gmail.com Estimated Date of Arrival: 10/11/2013 IN Y 7 Lawn Sign-Standard 6 $59.94 Item Status: ' Shipped 10/9/2013 Color Backsides $14.99 Carrier:UPS Ground FALL FEST Uploaded INCLUDED Tracking#: r_:�ZFS1 a (Tr's it/,23 logo/photo/design 1Z7R44E20313707846 Uploaded INCLUDED $74.93 logo/photo/design Postcard 250 $42.99 Item Status: rid - Color Back Side $19.99 Shipped 10/9/2013 Carrier:UPS Ground Tracking#: 130 lb.Premium $13.99 $76.97 1Z7R44E20313707846 { * ,, Glossy Original Price You Pay Product Total: $188:96 $151.90 Shipping&Processing(Rush 3 Business Days): $35.96 Total: $224.94 $187.86 You Saved$37.05: E� VA -S �YG pr°CV Os ACE PARTY RECITAL � �• y � 7768 21O1-ISUILLE RD 100 INDIANAPOLIS IN 46268 (317)872-8368 IERI-IINAL ID.; 001 e.4-1� HERCHAIII #: 5530566 ©esa r, 0/0 SWIPED �-tp•n ,�••-�I �„ A4FTTTTmmmmm I 'l 4 SALE eta ` BATCH; 000259 I FIU: 000009 Oct 11, 13 15:3 4 � •-;Q c I,� L�, n 9 S�-p� RRII: 000009002911 AUT H: 560670 U JACK C LANGSION IIINOR CDSIOMER COPY 7768 Zionsville Rd Ste 100 Indianapolis IN 46268 Proposal Provided on OCT 1113 For: Matt Klineman Ph: (317)872-8368 Klineman,Matt..R'r-�+ 1 p�� Fax: (317) 872-7368 2842 Hazel Foster Or PA , E,NTA 1, vv",w.acepartyandtents.com Carmel, IN 46033 Phone: (317)605-5145 Ext: Fax: Quote By: Kelly B.Adams Invoice To: Klineman,Matt Our Job#: - 141028-1 Quotation Status: Confirmed Order Ship Via: 2842 Hazel Foster Or Purchase Order: Return Via:Customer Return Carmel,IN 46033 Job Site: Klineman,Matt Terms: Room: Delivery OCT 11 13 Address: 2842 Hazel Foster Or Return OCT 1413 Carmel, IN 46033 Contact: Matt l0neman (317)605-5145 Description: CPU EQUIPMENT QTY I Description Duration Unit Price Extended Policies 1 Customer Pick Up& Return Hours 1.00 Day(s) 0.00 0.00 Hours are Mon. - Fri. 9:00am- 5:00pm Please sign and return copy with deposit Reservation deposits are non-refundable Ace is a self loading store Policies Subtotal: Policies Total: $ 0.00 Table & Chairs 12 8' Banquet Table 1.00 Day(s) 6.00 72.00 PRICE DOES NOT INCLUDE SET UP OR TEAR DOWN Tables must be stacked for pick up Table& Chairs Total: $ 72.00 Equipment Subtotal: 72.00 Equipment Total: $ 72.00 Quotation Grand Total: $ 72.00 Signature All final equipment numbers must be finalized 2 weeks prior to your event or This is an agre ent read both soeb or e signing you will be charged for all items reserved Quotation Updated on OCT 11 13 at 16:18 Page 1 of 1 EQUIPMENT LEASE I Adams Party Rental LLC.DBA Ace Party and Tent Rental(Dealer)hereby leases to the undersigned renter.("Renter'),for the term and upon the covenants and conditions herein set forth,the followin,personal property("equipment")described above. *To have your underground utilities checked free of charge call 1-800-382-5544(Call at least 1-2 weeks prior to event) *Ace Party Rental is not responsible for any damages that may occur. *I agree that my credit card will be charged in the event that I fail to pay my balance due upon delivery,and or my personal check is returned for insufficient funds. No larranty. Dealer makes no warranty,expressed or implied,direct or indirect,as to the condition,fitness,quality,or any matter with respect to the equipment,except that it is in normal working order. ALL TENT RENTALS MUST BE CANCELED TWO WEEKS PRIOR TO YOUR EVENT OR YOU WILL BE BILLED FOR THE PRICE OF THE TENT! ALL EQUIPMENT IS TIME OUT NOT TIME USED! Renter acknowledges and agrees as follows: I. Renter has not acquired and will not acquire,unless otherwise specifically agrees to in writing signed by the parties hereto,any ownership right or interest to the equipment. 2. Renter assumes all responsibility for equipment. Equipment is used at Renter's sole risk. Renter will indemnity and hold Dealer harmless from any and all liability, claims,costs and expenses arising out of Renters use or possession of the equipment. 3. Renter shall be liable for any lost,theft,damage,or destruction of the equipment. In addition the rental charges,Renter will pay for all equipment lost or damaged beyond repair at the replacement cost thereof and there for repairable equipment damaged at the cost for such repairs. 4. A cleaning charge will be made on items returned unclean,it being the Renters reasonability to clean all equipment prior to its return. 5. Renter shall not subject the equipment to careless or ruff usage. The equipment at all times be operated in a reasonable manner in conformity with any operating instructions furnished with the equipment. 6. Renter expressly agrees to pay Dealer at the specified rate set forth hereon for the period beginning when the above described equipment leaves the Dealer office and ending upon its return thereto. Renter will return the equipment to Dealer's office in as good condition as received,ordinary wear and tear from proper use excepted. on the expiration date and time as specified,or sooner,if demanded by Dealer 7. If Renter fails to return the equipment at the agreed time or otherwise fails to abide any of the terms of this Agreement,Dealers may repossess the equipment without notice.and Dealer is herby released from any and all claims arising therefrom. S. If person signing this Agreement has directed the billing to be transmitted to another person or organization,which upon being so billed,has failed to make payment, then the person so signing shall promptly pay said charges and be PERSONALLY LIABLE therefore. 9. IDEMNIFICATION OF DEALER BY RENTER. Renter assumes liability for,and shall indemnify,defend and hold harmless Dealer,its agents,employees, officers,directors,successors,and assigns from and against,any and all liabilities,obligations,losses,demands,injuries(including,but not limited to,bodily injury, illness,and death),claims,penalties,suits,actions,costs,and expenses,including attorney's fees of whatsoever kind and nature,relating to or arising out of the use. condition(including,but not limited to,latent and other defects and whether or not discoverable by Renter or Dealer,operation,ownership,selection,delivery,leasing, or return of equipment,regardless of where,how and by whom operated,or any failure on the part of the renter to perform or comply with the conditions of this lease). Without limiting the generality of the foregoing,Renter shall,at its own cost and expense,defend Dealer against all claims,suits or proceedings commenced by anyone in which Dealer is named as a party for which Dealer is alleged to be liable or responsible as a result of or arising out of the equipment,or any alleged act or omission by Dealer,AND renter shall be liable and responsible for all costs,expenses,and attorney's fees incurred in the defense and/or settlement,judgment,or other resolution thereof. In the event any such action is commenced naming Dealer as a party.Dealer may,in its sole discretion,elect to defend said action in its own behalf with counsel of its choice,and Renter shall be liable for and reimburse Dealer for all costs,expenses,and attorney's fees incurred by Dealer in such defense. The indemnities and assumptions of liabilities and obligations herein provided for shall continue in force and effect notwithstanding the expiration or other termination of the lease. Purpose of this Clause: It is understood and agreed by the parties that the purpose of this clause is to completely shift the risk of all claims relating to or arising out of the lease of the equipment to Renter hereunder. It is the intention of the parties that this clause be interpreted broadly and in favor of Dealer. 10. PARTY RENTAL:USE OF DEPOSIT,AND LIABILITY FOR LATE PAYMENT,UPON BREACH BY RENTER. Deposit to guarantee rental of said items for event date.Deposit will be credited to balance due at time of rental. Deposit (value)of 50%of rental total is nonrefundable with or without customer signature. Overdue balances may be subject to a late fee of$25.00 per month. 11. Renter agrees that all charges for rental,damage,cleaning or material will be paid,and that all collection fees,attorney fees,court costs,or any expense involved in the collection of these charges will be borne by the Renter. 12. This Rental Agreement shall be constructed in accordance with the laws of the State of Indiana. 13. TAXES.Renter agrees to pay any and all taxes,license fees,or permit fees arising out of the hiring and use of equipment. Renter agrees to pay said taxes appear as part of the fact of this contract or whether said taxes are later claimed by the government authority. In the event of a claim by any government authority for taxes arising out of this transaction. Renter agrees to pay to Dealer said taxes upon demand. 14. TITLE.Title to the equipment is and shall remain in Dealer. If the Equipment is levied upon for any reason whatsoever,Dealer may retake the Equipment without notice or legal process,and may take all action reasonably to do so. 11/9113 https://buyg reensig ns.com/user/215&order/l71 l A nvdce/print Buw 8qS. CREATE ONLINE: BANNERS I POSTERS I SIGN FRAMES I SIGN BOARDS I BACKLITS rhawk you for your Thanks for your order, Jack! order+ i f Want to monitor your order status online? K r If you need to check the status of your order,please visit ` www.BuyQreenSigns.com.After you log in,select"My Profile"to ryfind your Order History. - Shipment tracking information will be available as soon as your product ships.Order Details 1711 Purchasing Information: E-mail Address::jackciangston @gmail.com Billing Address: Shipping Address: JACK LANGSTON JACK LANGSTON 5243 WOODFIELD DRIVE 5243 WOODFIELD DRIVE CARMEL, IN 46033 CARMEL, IN 46033 Billing Phone: Shipping Phone: v Order Grand Total: $81.63 1 Payment Method: Credit card F,p7L+� , � 9 h Maim �. Order Summary: Order#: 1711 Order Date: Sep 11 2013- 18:27 Products Subtotal: $73.24 T" 1 Promotion code: ECOMAN:-$14.65 ITCLe-k LCIV 9`ton FedEx Home Delivery: $23.04 Total for this Order: $81.63 --- -- �—— Products on order VOUCHER NO. WARRANT NO. ALLOWED 20 Jack C. Langston IN SUM OF $ 5243 Woodfield Drive Carmel, IN 46033 $821.55 ON ACCOUNT OF APPROPRIATION FOR Community Relations Gift Fund 854 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 854 Receipt $81.63 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 854 Receipt $48.96 materials or services itemized thereon for 854 Receipt $190.82 which charge is made were ordered and 854 Receipt $187.86 received except 854 Receipt $72.00 854 Receipt $200.00 854 Receipt - $17.96 Monday, November 18, 2013 854 Receipt - $22.32 JAL-e& CA-f mL` �Nlavbr�5 0�?� Director, Communit( elations/Economic Development C O kArC%\ Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 09/11/13 Receipt $81.63 09/30/13 Receipt $48.96 10/01/13 Receipt $190.82 10/08/13 Receipt $187.86 10/11/13 Receipt $72.00 10/11/13 Receipt $200.00 10/12/13 Receipt $17.96 10/12/13 Receipt $22.32 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