255517 02/19/16 CITY OF CARMEL, INDIANA VENDOR: 354867
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $********27.50*
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 255517
�"Ir'uw'ca CARMEL IN 46032 CHECK DATE: 02/19/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 373630-1 27.50 GENERAL PROGRAM SUPPL
i
Voucher No. Warrant No.
354867 Runyon Equipment Rental Allowed 20
410 W Carmel Drive
Carmel, IN 46032
In Sum of$
I
c
$ 27.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-60 3736301 4239039 $ 27.50 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
February 10, 2016
Signature
$ 27.50 I Accounts Payable Coordinator
Cost distribution ledger classification if li Title
claim paid motor vehicle highway fund
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• _ ..�11111111111111111111111111111111111IN Page of
"* � RECE& � �- Staturs .Closed
VHesttCatmel Drive
y �---�nVolce# 373630 1�M
£QUIPMEN7 RENTAL Carmel,IN 46032 ��,G' ,�_. FEB - 8 2016 invoice Date Fn 21512016. 'f
fig wwiv:runyonrental
1-800-276-Tool(8665) lr D to Out Fri 2151201 12:27PM
"Don't be a tool•Rent ane" 317-566.8888 Phone [AY!_
Y 317-566-2990 Fax
-- 1
-
......,._,.. . _ Operator: Devin Esterly
Customer#: 2094
Terms: On Account
CARMEL CLAY PARKS&RECREATION 317-848.7275 Phone
317-571-4136 Fax
1411 E.116TH STREET
CARMEL,IN 46032 PO#: 7752
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:RANSFORD,JAMES J
Salesman:NONE
Qty Key Items Ser# Status Each Price
1 6309#0004 LADDER D 14'STEP Returned $25.00 $25.00
1 day$25.00 1 week$100.00 4weeks$300.00
DO NOT DROP THE LADDER IF LADDER IS RETURNED
DAMAGED YOU ARE COMPLETELY LIABLE
CUSTOMER IS ALSO RESPONSIBLE FOR DAMAGED OR
MISSING ROPE X
Thank You for your Business
Rental Contract Rental: $25.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S)
WARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of altemative Damage Waiver: $2.50
fuels(e.g.Siodiesel,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: $27.50
Equipment Protection Plan(Damage Waiver)as described on the back of this Contracl.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 Sales Tax: $0.00
Total: $27.50
Paid: $0.00
Signature: Y _
RANSFORD,JAMES JAmourii Due' " $27 50