316665 9/29/2017 w c��Mf
CITY OF CARMEL, INDIANA VENDOR: 354867 CHECK AMOUNT: $*******425.00*
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK NUMBER: 316665
CARMEL, INDIANA 46032 410 W CARMEL DRIVE
CARMEL IN 46032 CHECK DATE: 09/29/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCROTHER RENTIPPTIOAL SN LEASES
1094 4353099 4479381 425.00
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RU NYON 410 West Carmel Drive Status: Closed
Invoice#: 447938-1
£QUIPM£NT RENTAL Carmel,IN 46032 Invoice Date: Thu 9/21/2017
1-800-276-TOOI(8665) www.runyonrental.com Date Out: Wed 9/20/2017 7:30AM
317-566-8888 Phone
Von'f be a tool-Rant one" 317-566-2990 Fax
Customer#: 2094 Operator: BECKY POWERS
.__.___......... Terms: On Account
CARMEL CLAY PARKS&RECREATION 317-848-7275 Phone
317-571-4136 Fax
1411 E.116TH STREET
CARMEL,IN 46032 PO#: 14016
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Salesman: NONE
Delivery and Pickup T"
Delivery: Wed 9/20/2017 7:30AM Contact: JIM R p 6
Pickup Date: Wed 9/20/2017 4:23PM Phone:317-945-8035 SEP 2 2 2017
Location: MONON CENTYER-WEST BUILDING AROUND BACK BY DUMPS
Used at Address: MONON CENTER;CARMEL, IN 46032
Delivery Notes: CALL JIM ON THE WAY. BY:
TAKE TUESDAY AFTERNOON IF POSSIBLE
Qty Key Items Returned Date Status Each Price
1 5796#0003 LIFT 40'BATTERY NARROW ART Wed 9/20/2017 4:22PM Returned $250.00 $250.00
Meter Out:438.0 Meter In:440.2 Total hours on meter:2.2
lday$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 8 PU ROLLBACK 0-20 M Sold $150.00 $150.00
"'PLEASE BE SURE TO CALL EQUIPMENT OFF RENT!!—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: $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)
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $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
altemative fuel;(d)no electrical tools are supplied with safely 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: $425.00
Equipment Protection Plan(Damage Waiver)as described on the back of this Conlract.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:
CARMEL CLAY PARKS&RECREATION Amount Due: $425.00