226825 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
` ONE CIVIC SQUARE SUNBELT RENTALS
CARMEL, INDIANA 46032 PO BOX 409211 CHECK AMOUNT: $990.30
no„t
ATLANTA GA 30384-9211 CHECK NUMBER: 226825
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4353099 43011769-001 990 . 30 OTHER RENTAL & LEASES
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS,INC. ® • 43011769-001
PO BOX 409211
ATLANTA,GA 30384-9211
0
72326
RENTALS
11/15/13
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
loz-745-930 HIGGINS, BOB 43011769
BROOKSHIRE GOLF CLUB PURCHASE ORDER NO.
12120 BROOKSHIRE PKWY
CARMEL IN 46033-3314 N/R
IJnI�Ilullun�Iln�IIn�IInJInnll�lulnl�Ill���ii�lll JOB NO.
1 - BROOKSHIRE GOLF
JOB ADDRESS BRANCH
BROOKSHIRE GOLF CLUB INDIANAPOLIS P & P PC387
12120 BROOKSHIRE PARKWAY 11220 ALLISONVILLE RD
CARMEL, IN 46033 FISHERS, IN 46038-1839
317-501-2146 317-572-1180
QTY EQUIPMENT# Min Day Week 4 Week Amount
1 1600CFM 15OPSI IQ DIESEL AIR COMPRESSO 590.00 590.00 1475.00 4420.00 590.00
97449 Make: IR Model: HP160OWCU-IQ Ser#: 359648
HR OUT: 9243.600 HR IN: 9255.600 TOTAL: 12.000
Billed from 11/12/13 thru 11/13/13
RATE OF A 915CFM
1 2"X 50'AIR COMPRESSOR HOSE 55.00 55.00 160.00 395.00 55.00
1 BULL HOSE SPUD CONNECTOR 6.00 6.00 12.00 37.00 6.00
2" boss x 1"fpt
2 AIR HOSE WHIP CHECK 3.00 3.00 6.00 15.00 6.00
SALES ITEMS:
Qty Item number Unit Price
1 DLPKSRCHG EA 20.000 20.00
TRANSPORTATION SURCHARGE
1 - ENVIRONMENTAL EA 14.750 14.75_
ENVIRONMENTAL
1 RENTAL PROTECTION PLAN EA 98.55
DELIVERY CHARGE 100.00
PICKUP CHARGE 100.00
QTY EQUIPMENT# Amount
FINAL BILL: 11/12/13 08:00 AM THRU 11/13/13 02:45 PM.
Equipment. . ervic e.'.Guarantee . 990.30
REMIT TO: NET DUE UPON RECEIPT -^
SUNBELT RENTALS, INC. Invoices not paid within 30 days may be subject • ® 990.30
PO BOX 409211 to a 1-'/2%per month charge.
ATLANTA, GA 30384-9211
RENTAL RETURN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sunbelt Rentals, Inc.
IN SUM OF $
PO Box 409211
Atlanta, GA 30384-9211
$990.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 43011769-001 I 43-530.99 I $990.30 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
Monday, November 25, 2013
Director, B shire Golf Club
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))
11/15/13 I 43011769-001 I Rental Equipment I $990.30
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