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311148 05/09/17 CITY OF CARMEL, INDIANA VENDOR: 00351502 ONE CIVIC SQUARE MACALLISTER MACHINERY CO INC CHECK AMOUNT: $..... MM■w 1,081.00' r? CARMEL, INDIANA 46032 MACALLISTER RENTALS CHECK NUMBER: 311148 -+yiroN DEPT 78731 PO sox 78000 CHECK DATE: 05/09/17 DETROIT MI 48278-0731 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4353099 R64211925901 1,081.00 OTHER RENTAL & LEASES ( \ 0 k / / / / C o D \ ^ n / / / ® m \ n a a R m I § > ? $ q q / O CL 4 o f f S [ } § / k $ / 2 / » ° 00 \ f O Cl)D 0 > \ ;u k k B \ 0 2 q �_ 3 % _ © > & ® z z O E ff! > -n O | } $ / § / a E 3 / \ k 0 § 2 e 7 � } } � 2 n -n § ƒ ) ) ¥ \ _ r � # ¥ _ ; ƒ § { m [ 9 / + _. E - « k 7 7 % \ S t E 0 k k 0 k @ k / E w 0. § - a ° [ 7 \ k CD j g m 3 | \ [ �/ % \ § \ CL, { o ® - k/ w ) \ \ cr CD ` k / D / � CL / § ) / ( -n a 3 0 03 ) § � \ § / \ E m ° r ° / ƒ C s & ' § # _ # / Z ; , e m 7 /C \ \ £ U J5' E 2 )/ 7 \ \_\ S \ -nD E ) k CD CD / X CLq / \ / / j / / C: O n 7 « z 7 ] \ a % R 0 cn § \ CD CD n $ ; = 0 , e 0 f � \ 0 \ ] k / # CD wz § ° } 7 CD / \ < CD} CD § ¥ f 13450 BRITTON PARK ROAD MacAllister , FISHERS, 8- 70038 Rental 317-598-9700 SiflflEz. MacAllister Rentals Contract No. Invoice No. Date Please Remit Your Payment to: 2119259 R64211925901 117APR20171 MacAllister Rentals Dept. 78731 Page 1 P.O. Box 78000 Detroit, MI 48278-0731 RENTAL RETURN INVOICE 4:29 PM Date out Date I-In 1174600 - - 1174600 11APR2017 12:00 PM 17APR2017 7:00 AM CITY OF CARMEL/STREET 0=��W Purchase order STREET DEPT 3400 W 131ST ST 1 - Carmel SaltBarn SALT BARN CARMEL, IN 46074 . ' • ' ered by Phone: 317-733-2001 4915 E 106TH ST. CARMEL BOYD PIERCY Fax: 317-733-2005 WYNBLAKEW 00095 Qty Equipment # Min Day Week 4 Week Amount 1 *9K# REACH FORKLIFT 42-43' 375.00 375.00 900.00 1950.0 900 .00 THH685 Make: CAT Model: TL943C OFF Ser#: THHOO685 HR WTI. 2295.50 HR IN1 2302.60 TOTAL: 7.10 1 TELEHANDLER BUCKET N/C TH/BK515 Make: CAT Model: BKT TH Ser #: CH-03-543-16 SALE ITEMS: Qty ', Item number Unit Price 1 ENVIRONMENTAL FEE EA 11.000 11.00 ENVIRONMENTAL FEE DELIVERY CHARGE 85.00 PICKUP CHARGE 85.00 FINAL BILL: 4/11/17 12:00 PM THRU 4/17/17 07:00 AM. Sub-total 1081.00 FINAL BILL: 4/11/17 12:00 PM THRU 4/17/17 07:00 AM. Exempt Total 1081.00 IMPORTANT! Please note and acknowledge safety instruction by initialing here: DECLARE RENTAL EQUIPMENT PROTECTION PLAN:Rental Equipment Protection Plan is not available on crane rentals. Initial here: *If declined current insurance certificate must be on file with MacAllister Rental. By his/her Initial Customer will provide guard railing, planking,out riggers,and other safety accessories as required, per safety instructions.lnitial here: Purchaser/Lessee upon failure to pay balance when due shall be liable for all expenses incurred in collection of said balance including but not limited to attorney's fees and court costs. It is agreed by the parties hereto that reasonable attorney's fees shall be one-third(1/3) of any amount owned by Purchaser/Lessee. Net 30 days unless otherwise specified.A service charge will be applied to all past due accounts.This agreement shall include the above terms and conditions as well as those set forth on the reverse hereof. ACCEPTED BY CUSTOMER NMPINV 03M„20171