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317679 10/19/17 941 us Cllq*R a; CITY OF CARMEL, INDIANA VENDOR: 354867 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $********24.40* ° CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 317679 .y,�oN o. CARMEL IN 46032 CHECK DATE: 10/19/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 450344-1 24.40 REPAIR PARTS n Q 0 m $ « C: \ C) j 9 k / / 0 D r 0 0 % _ 0 / M k k z E & < k E 7 R O R o g CA) 0 w k nQ m f [ ■ -n e / , ] # � o -n / \ t -n > -• > / / G § § § m 3 / © f �E \ > k 2 0 ; _ O � § m | m o ¥ $ _ 3 i § z ( 0 § / / k k % k } ( o m / mo ? G - ( § 7 = - 7 CL — C /3 \ m [ E 0 ¥ — [ — \ . $ %3 � § / 7 E t 2 _ o E R ° g MwC _ \ m CL $ 2 \ C § § f £ y 2 § � o / | ƒ 7 }\ \ jm / Cl § A. # � C) —® ) \ C & § k & -n k ° 0 k/ G k § \ \ m m D■ f \ 0 Z \ Gn kI § k \ 0 7a E 2 | a/ \ \( 0 » m (A 3ED ) a E > k � m / — 2 / \ / / j w \ \ r- 0 ? f 3 \ § \ 7 2 C fR e c (A0 ® § 2 \ \ CD \ \ § ICW / / ' f \ \ CD # 7 a i a) \ \ § E . > & ; = e o § CD A ¥ k WE ARE NOT RESPONSIBLE FOR DAMAGE DONE WHEN LOADING/UNLOADING EQUIPMENT. Ilii)11111111111111111111111 Page 1 of RU MYON Status: Closed 410 West Carmel Drive Invoice#: 450344-1 EQUIVMENT RENTAL Carmel, IN 46032 Invoice Date: Wed 10/4/2017 www.runyonrental.com Date Out: Wed 10/4/2017 12:51 PM 1-800-276-TOOI(8665) 317-566-8888 Phone "Don't be•tool-Rent one, 317-566-2990 Fax Operator: ODESSA TYNAN (Customer#: 1182 Terms: On Account CARMEL FIRE DEPARTMENT 317-571-2600 Phone 317-571-2615 Fax 2 CIVIC SQUARE CARMEL,IN 46032 PO#: Maintenance Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm Picked up by: FORCE, JASON Salesman: NONE Qty Key Items Returned Date Status Eac Price 1 116100-ZOT-911 CARBURETOR(BE65Q A) Pulled $24.4 $24.40 Thank You for your Business Rental Contract 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 fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from Sales: $24.40 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 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) Subtotal: $24.40 1 have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the 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: $24.40 Paid: $0.00 Signature: FORCE,JASON Amount Due: $24.40 WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES. NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified. A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.