329902 09/11/18 CITY OF CARMEL, INDIANA VENDOR: 354867
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $********28.68*
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 329902
CARMEL IN 46032 CHECK DATE: 09/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 489113-1 28.68 REPAIR PARTS
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 354867
IN SUM OF$ CITY OF CARMEL
RUNYON EQUIPMENT RENTAL
410 W CARMEL DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$28.68
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
489113-1 42-370.00 $28.68 1 hereby certify that the attached invoice(s),or 9/6/18 489113-1 Repair Parts $28.68
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, September 07, 2018
Huffman, Dave
Director
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
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
111111111111111111111111 IN Page 1 of 1
RU MYON status: Closed
410 West Carmel Drive Invoice#: 489113-1
EQUIPMENT RENTAL Carmel,IN 46032 Invoice Date: Thu 916/2018
wwwr.runyonrental.com Date Out: Thu 9/6/2018 1:26PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: Cassie Bradford
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 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: PRIVETT, SHAUN R
Salesman: NONE
Qty Key Items Returned Date Status Each Price
1 Q PART B MALE-1 HOSE CAMLOCK N'PART B Pulled $28.68 $28.68
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: $28.68
alternative fuel;(d)no electrical tools are supplied with safely 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 rale is charged at$85.00 per hour. X (Initial)
I have beeninstructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those
instructions. X (Initial)
1 have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $28.68
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: $28.68
Paid: $0.00
Signature:
PRIVETT,SHAUN R Amount Due: $28.68
Wt AMC NU I HMPUNbItiLt PUM UAIVIAUt UUNt VIRIM LUAUINU/UNLUAUINU tUUIF'MtN 1.
111111111 III11111II 1111 Page 1 of 1
Status: Closed
RU NYON 410 West Carmel Drive Invoice#: 489113-1
EquIPMENT RENTAL Carmel, IN 46032 Invoice Date: Thu 9/6/2018
www.runyonrental.com Date Out: Thu 9/6/2018 1:26PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax
Operator: Cassie Bradford
Customer#: 1384 Terms: On Account
CARMEL STREET DEPARTMENT 317-733-2001 Phone
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL, IN 46074
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am4:30pm, Sunday 9:00am-3:00pm
Picked up by: PRIVETT, SHAUN R
Salesman: NONE
Qty Key Items Returned Date Status Each Price
1 Q PART B MALE-1 HOSE CAMLOCK 4"PART B Pulled $28.68 $28.68
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 FUELAND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILLAPPLY(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: $28.68
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: $28.68
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: $28.68
Paid: $0.00
Signature:
PRIVETT,SHAUN R Amount Due: $28.68
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.