303008 09/12/16 t Coq..
oy o. �*F CITY OF CARMEL, INDIANA VENDOR: 354867
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j; ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $`*...***94.50`
Q CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 303008
9:,,,.......—p` CARMEL IN 46032 CHECK DATE: 09/12/16
Y �tON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367008 399295-1 94.50 CRC FESTIVALS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
RUNYON EQUIPMENT RENTAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
410 W CARMEL DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$94.50 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
399295-1 3-670.08 $94.50 1 hereby certify that the attached invoice(s),or 8/30/16 399295-1 $94.50
1203 X85 1203 854
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
Wednesday,September 07,2016
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
To: Page 2 of 2 2016-09-01 12:29:27(GMT) 13172190697 From:Jack Runyon
111111111111111111111111 IN Page 1 of 1
RUNYiJNStatus: Closed
410 West Carmel Drive Irivolce#: 3492954
♦;Qi11VM6NT RENTAL Carmel,IN 46032 Invoice Date: Tue 8/3012016
1-800-276-TOOI(8665) www.runyonrental.com Date Out: Fri 8/2612016 3:OOPM
317-566-8888 Phone
"Dont he a foal-Root aria" 317-566-2990 Fax
Operator. JACK RUNYON
Custorner#: 1335 Terms: On Account
CITY OF CARMEL 317571-2448 Phone
317571-2409 Fax
ONE CIVIC SQUARE
CARMEL,IN 46032 PO#: ARTMOBILIA
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Salesman:BONNIE LICKLIDER 317-696-8886 bonnie@runyonrental.com
Delivery and Pickup
Delivery: Fri 8/26/2016 3:OOPM Contact: MEGAN
Pickup Date: Mon 8/29/2016 3:49PM Phone: 317-201-2491
Location: CARMEL ELEMENTARY
Used at Address: 101 4TH AVENUE SE;CARMEL, INDIANA
WHO ORDERED THIS?: MEGAN
PHONE NUMBER?:3172012491
Qty Key Items Returned Date Status Each Price
60 5447-1 CONE SAFETY 18" Sat 8!2712016 3:OOPM Returned $0.75 $45.00
1 day 50.75 lweek$4.00 4weeks$12.00
1 110-1 DELIVERY STAKEBED Sold $45.00 $45.00
Thank You for your Business
Rental Contract Rental:j ;45.00
You understand that:(a)it is unauthorized for me to lend the Rented Items)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 aftemative Damage Waiver: $4.50
fuels(e.g.Biodiesel,E85,etc.)in Rented Items)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 Delivery Charge: $45.00
charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Ilem(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 inslnrcted and demonstrated on the We 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 Equipmerrt)and am declining the Subtotal: $94.50
Equipment Protection Plan(Damage Waiver)as described on the back of this Cordractx (Initial) ;
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally E
guarantees the Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name:
Total: $94.60
Paid:
$0.00
Signature: I
CITY OF CARMEL Amount Due:I $94.50