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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.