323526 03/29/18 CITY OF CARMEL, INDIANA VENDOR: 354867
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $*******193.60*
?4; CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK,NUMBER: 323526
CARMEL IN 46032 CHECK DATE: 03/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER 7' AMOUNT DESCRIPTION
651 5023990 4665691 193.60 OTHER EXPENSES
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VOUCHER NO. 185114 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 354867 IN SUM OF$ 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
193.60 354867 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR RUNYON EQUIPMENT RENTAL Terms
Carmel Wasterwater Utility 410 W. Carmel Drive Due Date
BOARD MEMBERS
I hereby certify that that attached invoice Carmel, IN 46032
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
466569-1 01-7362-06 $193.60 and received except 3/21/2018 466569-1 $193.60
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
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Status: Closed
RU NYON 410 West Carmel Drive Invoice#: 466569-1
EQUIPMENT RENTAL Carmel, IN 46032 Invoice Date: Thu 3/15/2018
www.runyonrental.com Date Out: Tue 3/13/2018 9:03AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one' 317-566-2990 Fax
Operator: Dave G Chernoff
Customer#: 1335 Terms: On Account
CITY OF CARMEL 317-571-2448 Phone
317-571-2409 Fax
ONE CIVIC SQUARE
CARMEL, IN 46032 PO#: S18218
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: COOPER
Salesman: NONE
Qty Key Items Returned Date Status Each Price
1 8384#0032 HAMMER XL DEMO ELEC Thu 3/15/2018 8:59AM Returned $160.00 $160.00
4Hrs$70.00 /day$80.00 1week$215.00 4weeks$600.00
DO NOT USE EXTENSION CORDS ON THIS EQUIPMENT X_
2 0302-1 POINT&CHISEL LARGE Thu 3/15/2018 8:59AM Returned $8.00 $16.00
/day$8.00 /week$8.00 4weeks$8.00
Thank You for your Business
Contract Signature:
COOPER
Date:03/13/2018 Modification #1
Rental Contract Rental: $176.00
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person;(b)THE RENTED ITEM(S) Waiver:a
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage $17.60
fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from
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: $193.60
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: $193.60
Paid: $0.00
Signature:
COOPER Amount Due: $193.60
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.