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311891 05/30/17
9+us C�q'r* ��,� CITY OF CARMEL, INDIANA VENDOR: 00352369 g ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $...****424.00* Q CARMEL, INDIANA 46032 Po sox 409211 CHECK NUMBER: 311891 M�roN�. ATLANTA GA 30384-9211 CHECK DATE: 05/30/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4467099 100431 69225242-001 424.00 ATTACH PLATFORM WK ST 0 > -0 « < « a \ / 3 O / e zQ O & -91 ® - ƒ 3 R cr � D / / m 0 0 § $ O ? \ f % 7 K § < z w / O \ G Q n w / > % O § q ° O 2 ° © 3 - £ 0 § 5 / ƒ F) G t -n > k q / 0 a 0 3 / � (D 4t cn > k C a z l 3 2 CD > -n O }_ / / q CD k z | y ) g 9 — 2 > 7 $ , / / \ / / / \ j ƒ § � § k v C _ — ; # / 0 f § =r\ i + — E § a J 3 3 a k / 0 m k = C } � om k co 03 § ® 0 g & f = \ ƒ § »2 g � Cr %Z m — e , y —_ q e CD / \ § ) \ \ CY CD m ; _ CL CD / / D \ ° ) \ 0 \ § \ § c < a $ 0 0 87 Gzg \ A 0 \ ƒ C . ) / � \ # # 6 Z / / k7 ° \ \ \ g� 7 c 0� Q D }f / D �/ @ J / q D y \ \ / \ 0 00 E m c r O E f / zE § n S « » # /� / G � m / n § \ \ § ] § \ ^ / \ F k > K Q §CD \ ƒ z 0 CD ® \ r Page 1 of 1 SUNBELT® -� RENTALS PC#: 394 SUNBELT RENTALS, INC. 11120 ALLISONVILLE RCS FISHERS, IN 46038-1837 317-849-2119 Job Site: SALES INVOICE CARMEL FIRE DEPARTMENT III IIIIIIIIIIIIIIIIIIIIIIIII III III 2 CIVIC SQUARE CARMEL, IN 46032 Invoice #... 69225242-001 C#: 317-571-2600 J#: 317-571-2600 System date. 5/18/17 Customer: 522314 Invoice date 5/18/17 11:13 AM CARMEL FIRE DEPARTMENT Job Loc..... CARMEL 2 CIVIC SQUARE Job No...... SAME CARMEL, IN 46032 P.O. #...... 100431 Ordered By.. SMITH, BRIAN NET DUE UPON RECEIPT Qty Item number Unit Price Amount 1 ATTACH,PLTF WKSTN W/O DC CONV. EA 424.000 424.00 0240087S WORK STATION IN SKY (WO POWER CONVERTER) ATTN: BRIAN SMITH CALL BRIAN SMITH 317-571-2594 WHEN PART ARRIVES Sub-total: 424. —+Tax: Total: All amounts are in USD Y wwwwwlw*******w***#*****wwww**********www*******www*****wwwwww*!**!***www*w***** *wwww*#*ww#w*ww***wwww***ww*###! w Rate vour rental ex erience www.sunbeltrentals.com/survett IF THE EQUIPMENT DOES NOT WORK MULTIPLE SHIFTS OR CUSTOMER IS RESPONSIBLE FOR PROPERLYr NOTIFY THE OFFICE AT ONCE OVERTIME RATES MAY APPLY REFUELING,DAMAGES AND REPAIRS 1. The total charges are an estimate based on the estimated rental period and other information provided by Customer. 2. Customer assumes all risks associated with the Equipment during the Rental Period,including injury and damage to persons,property and the Equipment. 3. Customer is responsible for and shall only permit property trained,Authorized Individuals to use the Equipment. 4. If the Equipment don not operate properly,is not suitable for Customer's intended use,does not have operating and safety instructions or Customer has any questions regarding use of the Equipment,Customer shall not use the Equipment and shall contact Sunbelt immediately. 5. Equipment misuse or using damaged or malfunctioning Equipment may result in serious bodily injury or death and Customer egress that Customer it)assumes all risk associated thereunder,and Gil indemnifies Sunbelt Entities for all claims or damages as a result of misuse or use of damaged or malfunctioning Equipment. 6. Customer has received,read,understands and agrees to the estimated charges and all the terms on this page,plus all sections on the reverse side of this Contract Psections'I,including Release and Indemnification in Section 6 and Environmental Fee in Section 16,which can also be found at www.sunbeltrentals.comlrentalcontract.•DelivarylPickup Surcharge fee explanation is available at www.sunbeltrntale.eomisureharga. 7. Customer must contact Sunbelt to request pickup of Equipment,retain the Pick-Up Number given by Sunbelt and will be responsible for Equipment until actually retrieved by Sunbelt. 8. Customer waives its right to a jury trial in any dispute as set forth in Section 19. 9. At the election of Sunbelt or Customer,Customer agrees to submit every dispute to arbitration and waives any right to bring a class action as est forth in Section 20. Customer is declining Rental Protection Plan(sen reverse side for details) (Customer Initials) SMITH, BRIAN Customer Signature Date Name Printed Delivered By Data •.www.sunbettrantals.com•• RNTRET21P(Rev 02/16/171