249979 09/24/15 or_Cq .
CITY OF CARMEL, INDIANA VENDOR: 354867
CHECK AMOUNT: $"**'**715.00'
I; a1 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 249979
CARMEL IN 46032 CHECK DATE: 09/24/15
ETON�
DEPARTMENT ACCOUNT . PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 350448-1 715.00 OTHER EXPENSES
IIIIII VIII VIII VIII VIII VIII IIII IIII Page 1 of 1
410 West Carmel Drive
S.\ RUNYOIly Status: Closed
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 To01(8665) 317-566-8888 Phone
'Don'f 6e a fool-Rent one" 317.566-2990 Fax
Operator: BRIDGETTE ELMORE
(Customer 99as 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 I Key Items Seri Status Returned Date Price
1 5712#0016 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 /day$150.00 /week$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
/day$25.00 lweek$100.00 4weeks$300.00
Equipment exchanged an 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
1 day$25.00 /week$100 00 4weeks$300 00
DO NOT EXCEED 55 MPH WHILE TOWING TRAILER X
CUSTOMER IS TOTALLY LIABLE FOR TIRE REPA)R,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
/day$30.00 tweek$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 land the Rented Ilem(s)to any other person;(b)THE RENTED ITEM(S)
ISIARE 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$05.00 per hour. X (Initial)
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 hes carefully read end 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
Paid: $0.00
Signature:
COOPER,JEFF Amount Due: $715.00
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
I
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
i
�55�58
Voucher Total 00.
Cost distribution ledger classification if
claim paid under vehicle highway fund