333920 12/27/18 a
�� C9q'' CITY OF CARMEL, INDIANA VENDOR: 354867
4/
., ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $******`*48.36*
=9 ,r� CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK NUMBER: 333920
��TON�. CARMEL IN 46032 CHECK DATE: 12/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 498411-1 48.36 OTHER EXPENSES
i
VOUCHER NO. 187050 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 354867 IN SUM OF$ 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
48.36 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
498411-1 01-7502-06 $48.36 and received except 12/13/2018 498411-1 $48.36
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
vvc Nnc IvV 1 ncarVN010LC run UAIVIAUC UVNC vvnCIv LUAUINU/UNLUAUINU CWUIYNICN I.
498411 CARMEL WASTE WATER IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1
Status: Closed
�j���®� 410 West Carmel Drive Invoice#: 498411-1
£QUI?M£NT RENTAL Carmel, IN 46032 Invoice Date: Thu 12/6/2018
www.runyonrental.com Date Out: Thu 12/6/2018 12:15PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool- Rent one" 317-566-2990 Fax
Operator: David Lee
Customer#: 9985 Terms: On Account
CARMEL WASTE WATER 317-571-2645 Phone "
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS, IN 46280 PO#: s19168
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: COOPER, JEFF
Salesman: NONE
Qty Key Items Returned Date _ Status Each Price
2 101-1 PROPANE 30 POUND REFILL Pulled $24.18 $48.36
I
i
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: $48.36
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: $48.36
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: $48.36
Paid: $0.00
Signature:
COOPER,JEFF Amount Due: $48.36
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 malfunc#ions unless Runyon has been notified.
A LARGER-FONT VERSION OF THIS CONTRAOT IS AVAILABLE UPON REQUEST.