HomeMy WebLinkAbout248508 08/12/15 ur_CSN f
�-' ;� CITY OF CARMEL, INDIANA VENDOR: 354867
® ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $*****3,202.42*
_� CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 248508
,M,roN. CARMEL IN 46032 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 343281-1 1,375.00 OTHER EXPENSES
609 5023990 343281A-1 1,297.90 OTHER EXPENSES
2201 4353099 346636-1 217.80 OTHER RENTAL & LEASES
1192 4350900 349604-1 93.95 OTHER CONT SERVICES
2200 4239099 351028-1 11.99 OTHER MISCELLANOUS
2201 4231100 351669-1 161.20 BOTTLED GAS
651 5023990 351871-1 44.58 OTHER EXPENSES
III II 1111111111 II 1 I III 1!II IN IN Page 1 of 1
Status: Closed
410 West Carmel Drive
Invoice#: 349607-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Wed 7/15/2015
1-800-276-TOOI(8665) www.runyonrental.com Date Out: Wed 7/15/2015 9:28AM
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: PRIVETT, SHAUN
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 19260014 GEORGIA BUGGY 16 CU FT GAS W-B 14179 Returned Wed 7/15/2015 12:16PM $80.00
4Hrs$80.00 1day$95.00 /week$380.00 4weeks$1,140.00
CUSTOMER MUST RETURN,ANY EQUIPMENT USED FOR
CONCRETE WORK,CLEAN INSIDE&OUT OR YOU WILL
BE CHARGED A CLEANING FEE X
1 064144030941-1 PAM NO STICK SPRAY Pulled $5.95
Thank You for your Business
Rental Contract
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S) Rental: $80.00
WARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $8,00
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 Sales: $5.95
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 Subtotal: $93.95
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 Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name: .INDIANA: $0.00
Total: $93.95
Paid: $0.00
Signature:
PRIVETT,SHAUN Amount Due: $93.95
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))
07/15/15 349607-1 $93.95
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
$93.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 I 349607-1 I 43-509.00 I $93.95 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, Augu t 10, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
WE ARE NOT RESPONSIBLE FOR DAMAGE DONE WHEN LOADING/UNLOADING EQUIPMENT.
IIIIII I I I1111111111111111111 IN Page 1 of 1
Status: Closed
® 410 West Carmel Drive Invoice#: 351028-1
+✓QUIPMENT RENTAL Carmel, IN 46032 Invoice Date: Fri 7/24/2015
1-800-276-Tool(8665) www.runyonrental.com Date Out: Fri 7/24/2015 11:04AM
317-566-8888 Phone
"Don't be a tool- Rent one" 317-566-2990 Fax
Operator: BRIDGETTE ELMORE
usC�o335 Terms: On Account
CITY OF CARMEL 317-571-2448 Phone
317-571-2409 Fax
ONE CIVIC SQUARE
CARMEL, IN 46032 PO#: ATTN ENGINEERING DEP
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: THOMAS, JOHN G
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 032076881108-1 CABLE TIES 14"100PK Pulled $11.99
Thank You for your Business
Rental Contract
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 Sales: $11.99
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 Subtotal: $11.99
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: INDIANA: $0.00
Total: $11.99
Paid: $0.00
Signature:
THOMAS,JOHN G Amount Due: $11.99
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified.
A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.
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
Runyon Equipment Rental Purchase Order No.
410 W. Carmel Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
7/24/2015 351028-1 Cable ties $ 11.99
Total $ 11.99
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.
Runyon Equipment Rental ALLOWED 20
410 W. Carmel Drive IN SUM OF $
Carmel, IN 46032
$ 11.99
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 351028-1 2200-4239099 $ 11.99 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
8/7/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
111111111 IN Page of
oly Status: Closed
��!y
j 410 West Carmel Drive Invoice#: 350448-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Fri 7/24/2015
www.runyonrental.com Date Out: Tue 7/21/2015 9:05AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a fool-Roof one` 317-566-2990 Fax
Operator: BRIDGETTE ELMORE
Customer#: 9985��—� Terms: On Account
CARMEL WASTE WATER 317-671-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS,IN 46280
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: COOPER, JEFF
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 571240016 DINGO AND BUCKET 314000326 Returned Fri 7/24/2015 1,14PM $550.00
Meter Out 92.0 Meter In 102.4 Total hours on meter:10.4
4Hrs$100.00 1day$150.00 1week$600.00 4weeks$1,800.00
3 DAYS+4 HOURS
Customer is responsible for tracks if they come off machine x (initial)
1 8922-1 TRAILER W/EQUIPMENT Returned Tue 7/21/2015 9:40AM $0.00
lday$25.00 lweek$100.00 4weeks$300.00
Equipment exchanged on 7/21/2015 for 8909#0006
DO NOT EXCEED 55 MPH WHILE TOWING TRAILER X
CUSTOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE
CHECK TIRES PRIOR TO LEAVING LOT X
EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU ARE
RESPONSIBLE FOR RETURN AND/OR RECOVERY X
1 8909#0006 TRAILER 4X8 OPEN W/RAMP 4MJUB0814CE058174 Returned Fri 7/24/2015 1:14PM $100.00
1day$25.00 1week$100 00 4weeks$300 00
DO NOT EXCEED 55 MPH WHILE TOWING TRAILER X
CUSTOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE
CHECK TIRES PRIOR TO LEAVING LOT X
EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU ARE
RESPONSIBLE FOR RETURN AND/OR RECOVERY X
1 5713#0003 DINGO BUCKET 34" Returned Fri 7/24/2015 1:14PM $0.00
lday$30.00 lweek$120.00 4weeks$360.00
Thank You for your Business
Rental Contract Rental: $650.00
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 Damage Waiver: $65.00
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 Subtotal: $715.00
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 .INDIANA: $0.00
Total: $715.00
Signature: Paid: $0.00
COOPER,JEFF Amount Due: $715.00
WE ARE NOT RESPONSIBLE FOR DAMAGE DONE WHEN LOADING/UNLOADING EQUIPMENT.
II��II�I I I I IIII I I�I IIII�II Page 1 of 1
Status: Closed
����® 410 West Carmel Drive Invoice#: 351871-1
EQUIPMENT RENTAL Carmel, IN 46032 Invoice Date: Thu 7/30/2015
1-800-276-Tool(8665) www.runyonrental.com Date Out: Thu 7/30/2015 10:58AM
317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: BRIDGETTE ELMORE
(Customer?1-995—� Terms: On Account
CARMEL WASTE WATER 317-571-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS, IN 46280
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: COOPER, JEFF
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 765139350845-1 COMEALONG ALUM W/HK CC965 Pulled $22.29
1 765139323665-1 COMEALONG ALUM W/HK CC945 Pulled $22.29
Thank You for your Business
Rental Contract
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/AREFULL 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 Sales: $44.58
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 Subtotal: $44.58
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: INDIANA: $0.00
Total: $44.58
Paid: $0.00
Signature:
COOPER, JEFF Amount Due: $44.58
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified.
A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354867
RUNYON EQUIPMENT RENTAL Purchase Order No.
410 W. Carmel Drive Terms
Carmel, IN 46032 Due Date 8/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/4/2015 350448-1 $715.00
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
-
Date Officer
VOUCHER # 156014 WARRANT # ALLOWED
354867 IN SUM OF $
RUNYON EQUIPMENT RENTAL
410 W. Carmel Drive
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
350448-1 01-7362-06 $715.00
f
Voucher Total00
Cost distribution ledger classification if
claim paid under vehicle highway fund
To: Page 4 of 5 2015-07-28 14:28:02(GMT) 13172190697 From: Jack Runyon
Page 1 of 1
Runyon Equipment Rental
410 West Carmel Drive
Carmel, IN 46032
www.runyonrental.com E---- Closed Invoice#
Fri 7/3/2015 343281A-1
L_
Bill to: Customer# 1136
CARMEL UTILITIES Job Descr:
CINDY SHEEKS PO#: JOHN DUFFY
30 WEST MAIN STREET
SUITE 220
CARMEL, IN 46032 Date Out Thu 6/25/2015
I
Terms Aging Date
On Account Fri 7/312 01 5
Open Monday-Friday 7:00am-5:30pm,Saturday 7:OOam-4:30pm,Sunday 9:00am-3:00pm
Qty Item Description Date Amount Rate
1 40571 GENERATOR G 25 KW -----�— Thu 7122015 1.100.00 1,100.00
1 Day 5300.00 1 Week 5800.00 4Wks 51,250-00
1 10719 PICK-UP-STAKEBED Sales 45-00 45.00
7 11696 DIESEL Sales 6.50 4290
Picked up by: LANGE,WILLIAM
Salesman: KEITH HARTZ Phone: 317-564-1176 E-Mail: keith@runyonrental.com
PICKUP
Delivery Date: Sat 12/30/1899 Contact:
Pickup Date: Thu 7/2/2015 4:10 PM Phone: -Used at Address: 30 WEST MAIN STREET; CARMEL, IN 46032
Rental and Sales: Misc Charges: Damage Waiver: INDIANA:
$1,187.90 $0.00 $110.00 $0.00
Current On Account
I Total Amount: $1,297.90 Total Paid: $0.00 Total Due: $1,297.90
I
317-56"888 317-566-2990
I
Prin.ed On Tue 7J2&201510:27.50 am 80,ware ty Poiri-of-Rertal soft are W J W DOINT-OF RENTALCOM Statefwds-Panrm rl
To: Page 3 of 5 2015-07-28 14:28:02(GMT) 13172190697 From:Jack Runyon
Page 1 of 1
Runyon Equipment Rental
410 West Carmel Drive
Carmel, IN 46032
www.runyonrental.com Closed _ Invoice#
Sat 6/13/2015 343281-1
Bill to: Customer! 1136
CARMEL UTILITIES Job Descr:
CINDY SHEEKS PO#: JOHN DUFFY
30 WEST MAIN STREET
SUITE 220
CARMEL, IN 46032 Date Out: Thu 5/28/2015
Terms Aging Date
On Account Sat 6/13/2015
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am3:00pm
Qty Item Description Date Amount Rate
1 37368 GENERATOR G 25 KW Thu 5/28/2015 0.00 0.00
1 Day S300.00 1 Week 5800.00 4VVks S1,25D 00
1 40571 GENERATOR G 25 KW Thu 6/252015 1,250-00 1,250.00
1 Day 5300.00 1 Week 5800-00 4VVks 51,250.00
Picked up by: LANGE, WILLIAM
Salesman: KEITH HARTZ Phone: 317-564-1176 E-Mail: keith@runyonrental.com
Rental and Sales: Misc Charges: Damage Waiver: INDIANA:
$1,250.00 50.00 $125.00 $0.00
30+ Days aged
f
Total Amount: $1,375.00 Total Paid: $0.01 Total Due: $1,375.00
i
317-566-8888 317-566-2990
Printed On Tue 7IM01610:27 W am SoUare ty Poird-o;-Rerkai Software WAW POINT-OF RMAL•OJN Statements-Params.Tt
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354867
RUNYON EQUIPMENT RENTAL Purchase Order No.
410 W CARMEL DRIVE Terms
CARMEL, IN 46032 Due Date 8/6/2015
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2015 3432811 $1,375.00
i
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date �Ioffic r
VOUCHER # 152700 WARRANT # ALLOWED
354867 IN SUM OF $
RUNYON EQUIPMENT RENTAL
410 W CARMEL DRIVE
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3432811 07-1051-85 $1,375.00
'? (-N . g0
Voucher TotalQ�-
Cost distribution ledger classification if
claim paid under vehicle highway fund
Status: Closed
�u��®� 410 West Carmel Drive Invoice#: 346636-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Thu 6/25/2015
1-800-276-TOOI(8665) www.runyonrental.com Date Out: Mon 6/22/2015 11:20AM
317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: BRIDGETTE ELMORE
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: DELPH, DAMIAN
Salesman: NONE
Qty Key Items Rented Ser# Status Returned Date Price
6 7025-1 HOSE DISCHARGE 3"X50' Returned Thu 6/25/2015 10:03AM $198.00
tday$11.00 tweek$44.00 4weeks$132.00
Thank You for your Business
Rental Contract Rental: $198.00
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 Damage Waiver: $19.80
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 Subtotal: $217.80
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 Customers prompt payment and performance of its obligations arising under this Contract
Printed Name. INDIANA: $0.00
Total: $217.80
Paid: $0.00
Signature:
DELPH,DAMIAN Amount Due: $217.80
IlIIII IIIII 11111111111111111111 IN IN Page 1 of 1
Status: Closed
P*u IVYOIY 410 West Carmel Drive Invoice#: 351669-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Wed 7/29/2015
1-800-276-TOOI(8665) www.runyonrental.com Date Out: Wed 7/29/2015 10:03AM
317-566-8888 Phone
"Don't be a fool-Reef 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 PO#: PATCH
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: MARTZ, FREDERICK KENT
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
2 104-1 PROPANE 100 POUND REFILL Pulled $161.20
Thank You for your Business
Rental Contract
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 Sales: $161.20
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 Subtotal: $161.20
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 Customers prompt payment and performance of its obligations arising under this Contract
Printed Name: .INDIANA: $0.00
Total: $161.20
Paid: $0.00
Signature:
MARTZ,FREDERICK KENT Amount Due: $161.20
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))
06/25/15 346636-1 $217.80
07/29/15 351669-1 $161.20
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Runyon Equipment Rental
IN SUM OF$
410 W. Carmel Drive
Carmel, IN 46032
$379.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 346636-1 43-530.99 $217.80 1 hereby certify that the attached invoice(s), or
2201 351669-1 42-311.00 $161.20 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
r l
Thursday, we15
rye ,
r
%T94�c4i»mi seion"er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund