320358 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 354867
b ONE CIVIC SQUARE RUNYON.EQUIPMENT RENTAL CHECK AMOUNT: $********56.42*
r CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 320358
CARMEL IN 46032 CHECK DATE: 01/04/18
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4591121 56.42 OTHER EXPENSES
VOUCHER NO. 173669 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 354867 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
RUNYON EQUIPMENT RENTAL CITY OF CARMEL
410 W CARMEL DRIVE An invoice or bill to be properly itemized must show: kind of service,where performed,
CARMEL, IN 46032 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
56.42 354867 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR RUNYON EQUIPMENT RENTAL Terms
Carmel Water Utility 410 W CARMEL DRIVE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL, IN 46032
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
459112-1 01-6200-06 $56.42 and received except 12/19/2017 459112-1
$56.42
100"
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
}
Page 1 of 1
RVN�►'Oru Status: Closed
410 West Carmel Drive Invoice#: 459112-1
EQUIPMENT RC t Carmel,IN 46032 Invoice Date: Fri 12/15/2017
1-800-276-TOOI(8665)
www.runyonrental.com Date Out: Fri 12/15/2017 11:24AM
317-566-8888 Phone
'Don't be stool-Rent one" 317-566-2990 Fax
Operator: Tim Church
Customer#: 110i)
CARMEL WATER 317-733-2855 Phone Terms: On Account
317-733-2053 Fax
3450 W.131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:COOKSEY, SHAWN
Salesman:NONE
Used at Address
Qty Key Items Returned Date Status Each Price
1 101-1 PROPANE 30 POUND REFILL Pulled $24.18 $24.18
1 102-1 PROPANE 40 POUND REFILL Pulled $32.24 $32.24
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)
IVARE 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: $56.42
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 retumed;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operationiof 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: $56.42
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: $56.42
Paid: $0.00
Signature:
COOKSEY,SHAWN Amount Due: $56.42
WC Alit NU I HtbFUNNULt hUK UAMAUt UUNC WHCN LUAUINU r UNLUAUINU tUUIFMtIV 1.
1111111111111111111 IN Page 1 of 1
Status: Closed
RU NYON 410 West Carmel Drive Invoice#: 459112-1
EgU1PMENT RENTAL_ Carmel, IN 46032 Invoice Date: Fri 12/15/2017
1-800-276-Tool(8665) www.runyonrental.com Date Out: Fri 12/15/2017 11:24AM
317-566-8888 Phone
"Don't be a tool-Rent one. 317-566-2990 Fax
Operator: Tim Church
ustomar o Terms: On Account
CARMEL WATER 317-733-2855 Phone
317-733-2053 Fax
3450 W.131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: COOKSEY, SHAWN
Salesman: NONE
Used at Address
Qty Key Items Returned Date Status Each Price
1 101-1 PROPANE 30 POUND REFILL Pulled $24.18 $24.18
1 102-1 PROPANE 40 POUND REFILL Pulled $32.24 $32.24
V ,
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: $56.42
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)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $56.42
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: $56.42
Paid: $0.00
Signature:
OOOKSE SHAWN Amount Due: $56.42
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.