312274 06/09/17 F 1+u•Cggy*
�;; ,� CITY OF CARMEL, INDIANA VENDOR: 354867
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $**.....425.00*
?�; CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 312274
,.yirON.. CARMEL IN 46032 CHECK DATE: 06/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238000 4317731 425.00 SMALL TOOLS & MINOR E
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RU NYON Status: Closed
410 West Carmel Drive Invoice#: 431773-1
EQUIPMENT RENTAL Carmel,IN 46032 JUN 0 2 2017 Invoice Date: Thu 6l 1/2017
1-800-276-Tool(8665)
www.runyonrental.co Date Out: Tue 5/30/2017 10:OOAM
317-566-8666 Phone
Vim'f be a fool-Rent ono" BY: ..............................
317-566-2990 Fax Operator: BECKY POWERS
customer#: 2094 —) Terms: On Account
CARMEL CLAY PARKS&RECREATION 317-646-7275 Phone
317-571-4136 Fax
1411 E.116TH STREET
CARMEL,IN 46032 PO#: 05/30/17
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am4:30pm,Sunday 9:00am-3:00pm
Ordered By:KOEPPER, DAWN Picked up by: KOEPPER, DAWN
Salesman:NONE
Delivery and Pickup
Delivery: Tue 5/30/2017 10:OOAM-11:OOAM Contact: Freddy
Pickup Date: Wed 5/31/2017 Phone:317-843-3963
Location: Monon Center
Used at Address: 1195 Central Park West;CARMEL, IN 46032
Delivery Notes: Drop off at rear of building. 317-573-4026 Dawn alternate contact if Freddy not reachable
WHO ORDERED THIS?:Jim
PHONE NUMBER?:3178433863/3179458035
Qty Key Items Returned Date Status Each Price
1 5796#0003 LIFT 40'BATTERY NARROW ART Tue 5/30/2017 4:31 PM Returned $250.00 $250.00
Meter Out:408.3 Meter In:409.8 Total hours on meter:1.5
tday$250.00 lweek$875.00 4weeks$2,188.00
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 RENTIIII—THE EQUIPMENT WILL NOT BE
PICKED UNLESS YOU RECEIVE A PICK-UP CODE" MUST GET CODE" OR EQUIPMENT IS
STILL ON RENTI x (initial)
Thank You for your Business
Rental Contract Rental: $250.00
You understand that(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) Damage Waiver:
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative 9 $25.00
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 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 Items)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: $425.00
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 Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name:
Total: $425.00
Paid: $0.00
Signature:
KOEPPER,DAWN Amount Due: $425.00