HomeMy WebLinkAbout260473 07/07/16 CITY OF CARMEL, INDIANA VENDOR: 354867
•: ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $*******121.00*
9` ,_� CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 260473
,y��TON�, CARMEL IN 46032 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 391319-1 121.00 BUILDING REPAIRS & MA
Voucher No. Warrant No.
354867 Runyon Equipment Rental Allowed 20
410 W Carmel Drive
Carmel, IN 46032
In Sum of$
$ 121.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 3913191 4350100 $ 121.00 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
June 29, 2016
Signature
$ 121.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
r-�ECE1VE1?l 11111111111111111111111111111 Jill 1111 Page 1 of 1
`t11NON " `` N �:
JUN 28 2 01 UCC Status: Closed
410�We�LCarmel Drove
armel
-1446 K Invoice`Date "Mon 612712016 4'"
1-800-276-Tool(8665)� www.runyonrental.com BY: � Date'Out'� Mon`6/2712016"9 12AM
317-566-8888 Phone
"Dron't be a tool-Rent one" 317-566-2990 Fax
customer#: zosa
-) Operator: Devin Esterly
Terms: On Account
CARMEL CLAY PARKS&RECREATION 317-848-7275 Phone
317-571-4136 Fax
1411 E.116TH STREET
CARMEL,IN 46032 PO#: 9482
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 Returned Date Status Each Price
2 5615-1 FORKLIFT FORK EXTENSIONS Mon 6/27/2016 12:21PM Returned $55.00 $110.00
lday$55.00 lweek$220.00 4weeks$385.00
Thank You for your Business
Rental Contract Rental:
You understand that:(a)it is unauthorized for me to lend the Rented Items)to any other person;(b)THE RENTED ITEM(S) $110.00
IS/AREFULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $11.00
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 safely grounded plugs for use in grounded outlets(except for
double-insulated safely-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: $121.00
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 Customers prompt payment and performance of its obligations arising under this Contract.
Printed Name: Indiana Sales Tax: $0.00
Total: $121.00
Paid: $0.00
Signature:
RANSFORD,JAMES JArrtount;-U '$12100
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