318675 11/21/17 ,.'�a.of G�gtis
'{`, � CITY OF CARMEL, INDIANA VENDOR: 354867
D ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $ ......48.36'
x4 CARMEL, INDIANA 46032 410 w CARMEL DRIVE CHECK NUMBER: 318675
�'M,�rOeco. CARMEL IN 46032 CHECK DATE: 11/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 455131-1 48.36 OTHER EXPENSES
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WE ARE NOT RESPONSIBLE FOR DAMAGE DONE WHEN LOADING/UNLOADING EQUIPMENT.
1111111111 III 11111111III Page 1 of 1
Status: Closed
RU NYON 410 West Carmel Drive Invoice M 455131-1
EQUI?MEN7 RENTAL Carmel, IN 46032 Invoice Date: Thu 11/9/2017
1-800-276-Tool(8665) www.runyonrental.com Date Out: Thu 11/9/2017 4:23PM
317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: Dave G Chernoff
ustomer# S9$5 Terms: On Account
CARMEL WASTE WATER 317-571-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS, IN 46280
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: KEVIN BROWN
Salesman: NONE
Qty Key Items Returned Date Status Each Price
2 101-1 PROPANE 30 POUND REFILL Pulled $24.18 $48.36
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 i
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from Sales: $48.36
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
F
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: $48.36
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.
1
Printed Name:
Total: $48.36
Paid: $0.00
Signature:
KEVIN BROWN Amount Due: , $48.36;
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.