330634 10/02/18 CITY OF CARMEL, INDIANA VENDOR: 354867
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ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $********24.18*
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 330634
CARMEL IN 46032 CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231100 490626-1 24.18 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 354867 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
RUNYON EQUIPMENT RENTAL IN SUM OF$ CITY OF CARMEL
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
$24.18
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
490626-1 42-311.00 $24.18 1 hereby certify that the attached invoice(s),or 9/25/18 490626-1 CTC $24.18
1120 101 1120 101
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
Thursday, September 27,2018
David Haboush
Fire Chief
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
IIIIII VIII VIII VIII VIII VIII IIII IIII Page 1 of 1
RU NYON Status: Closed
410 West Carmel Drive Invoice#: 490626-1
EQUIPMENT FZENTAL Carmel,IN 46032 Invoice Date: Thu 912012018
www,runyonrental.com Date Out: Thu 9120/2018 10:53AM
1-800-276-Tool(8665) 317-566-8888 Phone
'Don't be a tool-Renf one" 317-566-2990 Fax
Operator: Lindsey Billhymer ,
Customer#: 1162
Terms: On Account
CARMEL FIRE DEPARTMENT 317-571-2600 Phone
317-571-2615 Fax
2 CIVIC SQUARE
CARMEL,IN 46032
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: PADDOCK, DEAN
Salesman: NONE
Qty Key Items Returned Date Status Each Price
1 101-1 PROPANE 30 POUND REFILL Pulled $24.18 $24.18
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: $24.18
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: $24.18
Equipment Protection Plan(Damage Waiver)as described an the back of this Contractx (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: $24.18
Paid: $0.00
Signature:
PADDOCK,DEAN Amount Due: $24.18