309257 03/16/17 CITY OF CARMEL, INDIANA VENDOR: 354867
CHECK AMOUNT: $*******298.50*
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 309257
MroN
CARMEL IN 46032 CHECK DATE: 03116117
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 4197571 298.50 BUILDING REPAIRS & MA
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RU NYON Status: Closed
410 West Carmel Drive Invoice#: 419757-1
EQUIFMENT RENTAL Carmel,IN 46032 Invoice Date: Thu 3/212017
1-800-276-TOOI(8665) '.runyonrental.com Date Out: Wed 3/1/2017 8:00AM
317-566-8888 Phone
'Don't be a feel-Rent one 317-566-2990 Fax
Operator: JOEL PROCHNOW
(customer#: 20� Terms: On Account
CARMEL CLAY PARKS&RECREATION 317-848-7275 Phone
317-571-4136 Fax
1411 E.116TH STREET
CARMEL,IN 46032 PO#: 11721
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Salesman:NONETM=s {
RSC rg�. .
Delivery and Pickup
Delivery: Wed 3/1/2017 8:OOAM Contact: JIM LIAR 0 3 1017
Pickup Date: Wed 3/1/2017 4:05PM Phone:317-945-0835
Location: MONON COMMUNITY CENTER
Used at Address: 1235 Central Park Dr E;CARMEL, IN 46032 M
Qty Key Items Returned Date Status Each Price
1 5787#0004 LIFT SCISSOR 26'X 30" Wed 3/1/2017 4:05PM Returned $135.00 $135.00
Meter Out:475.0 Meter In:475.9 Total hours on meter:0.9
1day$135.00 1week$405.00 4weeks$875.00
CUSTOMERS USING LIFTS FOR PAINTING MUST RETURN
LIFT CLEAN&FREE OF PAINT OR OVERSPRAY OR YOU
WILL BE CHARGED A CLEANING FEE X
SAFETY HARNESS IS REQUIRED ON ALL AERIAL LIFTS
CUSTOMER HAS BEEN OFFERED HARNESS EQUIPMENT
AND HAS DECLINED X
1 112A-1 DELIVERY&PU ROLLBACK 0-20 M Sold $150.00 $150.00
—PLEASE BE SURE TO CALL EQUIPMENT OFF RENT!I!!"'THE EQUIPMENT WILL NOT BE
PICKED UNLESS YOU RECEIVE A PICK-UP CODE" MUST GET CODE--OR EQUIPMENT IS
STILL ON RENT!x (initial)
Thank You for your Business
Rental Contract Rental: $135.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) a
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Waiver:
ative $13.50
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
altemative 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: $150.00
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: $298.50
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:
Total: $298.50
Paid: $0.00
Signature:
CARMEL CLAY PARKS&RECREATION Amount Due: $298.50