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HomeMy WebLinkAbout186500 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $515.19 410 W CARMEL DRIVE 0 CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK NUMBER: 186500 oh CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 156140 178.50 CONT SVS- OTHER -S PLAN 651 5023990 156751 134.40 OTHER EXPENSES 651 5023990 156962 75.99 OTHER EXPENSES 1207 4353099 156963 13.65,/ RENTAL LEASES 601 5023990 157029 27.90 TRANSPORTATION EXPENS 601 5023990 157769 27.90 MATERIALS SUPPLIES 2200 4467099 158560 56.85 ✓OTHER EQUIPMENT In consideration of the payment of additional rent classiiied as °damage waiver" by the Rentee, Renter agrees to, and hereby does waive its right, or any right It might have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon return of V,1� ArA property rented a sum equal to 5% of rental charge. This "damage waiver" does not include damage or loss of the property as a result of the negligence of the Rentee VVV or in the case of abusive damage, theft or other gross negligence of the Rentee. This damage waiver shall not apply to reckless, careless or abusive operation or use of the Equipment, use or operation of the Equipment exceeding its rated capacity damage to tires, tubes and wheels caused by blowout, bruises, cuts, punctures EQt11PMEIdT fLENTW- or other causes inherent In the use of the Equipment. It is understood the amount paid is not an Insurance premium, and that this provision does not represent an 410 W. Carmel Drive o Carmel, IN 46032 insurance policy or an agreement to Insure. The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and C o FISHERS c INDIANAPDLI5 shall not loan, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 3'9 7 3 36 3030 The parties agree that In the event the Rentee violates any of the terms and conditions of this agreement, the Renter may collect damages together with reasonable attorney fees, court costs and interest of one and ore half (1 112) percent per month added to accounts over ten If U) days old, reflecting an annual percentage rate of eighteen (18) percent FAX: 317 -566 -2990 The above equipment has been received by the undersigned for rental purposes only, and it is understood that Renter shall be held responsible for any accident or damage resulting directly or indirectly from the leased equipment. The Renter expressly disclaims all warranties, either expressed or implied, including any implied "Don't be a tool Rent one" warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for it any liability connection with the use of this equipment. The Rentee agrees to indemnify Renter, from any claim, loss, damages to property, consequential damages, loss of income or any other www.runyonrental.com incidental damages, even those damages caused by the negligence of Rentee, together with attorney fees for defending any action brought as a result of the lease of this equipment. Open 7 ®®ys a Week Monday Friday 7:00 am 5:30 pm Saturday 7:00 am 4:30 pm o Sunday 9:00 am 3:00 pm RENTED'•TOs 4 OB LOCATION,; TICKET�t CARMEL WATER DISTR13UTION 161 SHOP 3450 W. 131ST STREET Con# 157769 WESTFIELD IN 46074 Loc 100 e PHONE FATE W (317) 733 --2855 OUT 05/26/10 9:55 AM WH W (317) 733 -2840 ID #3 PO /<JOB'r 9 RECEIVED "B`l IND SHOP WHITLOW, SEAN 05/26/10 10:03 AM WH *FINAL Page: 1 QTY ITEM# v s r Q s a EXT AMT s NET AMT- tt�, f q n'as HOURLY v OVNITEs 8 HOUR MIN DAY' WEEK 4 WEEK 2 00045 HOSE CAMLOCK D -250 .13.95 27.90 27.90 Payments 4, r T.A 1 ti BE IFTHE EQUIPMENT 6 NOr RETURNED 8Y "alt IN "DAiE,YDU WILL RENT 0. 00 Use of alternative fuels, (Biodiesel, E85, etc.) in Runyon Equipment Rental, equipment is PROHIBI Customer Is liable for all damages repairs that result from alternative fuel. SALE S 27 9 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUI ND 1 OTHER 0 00 FULLY UNDERSTAND THOSE INSTRUCTIONS .IALSOUNDERSTANDTHATIAIM E ERSON ENTINGTHISPRAND THAT RUNYON EQUIPMENT RENTAL DOES N VE ME PERMISSION LEN T S PR TYTO ANY OT I DW/ FEE S 0 00 UNDERSTANDTHAT GIVING OR LENDIN NY NAUTHORIZED BY RUNYON EQUIPMENTRENTAL. i r r Addl TAX 0.00 THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGR ES TO RENT THE ARTICLES NAMED SALES TAX 0 00 ON THE TERMS AND CONOITiONS SET FORTH IN THIS RENTAL AGREEMENT I HAVE READ THE ABOVE INFORMATION DEPOSIT 0 0 0 AND ACKNOWLEDGE THAT IT IS CORRECT, COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT RENTAL IMMEDIATELY RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARO FOR ANY AND ALL COSTS, FEES, AND /OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TO'T'AL DUE 27 90 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. EQUIPMENT q T» f CELL AMT BILLED 27.90 LEASED BY X "C }ly l4p,li PHONE 26— MAY -10 10: 03: 17 EQUIPMENT RETURNED BY X 1NX A RENTAL FEES DO NOT APPLY TO PURCHASES, WE CHARGE FORTIME OUT NOTTIME -USED: Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALLTIRES, VUEL AND ELECTRIC CURRENT. will apply. NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. UNUSUAL WEAR 3-WIRE The oil level in machinery is checked when equipment CORDS leaves our yard. Maintenance of proper oil level in No electrical tools are supplied rented equipment is solely the responsibility of with safety grounded plugs for Our damage waiver covers normal wear and tear. Damage customer. For proper oil grade, call us' use in grounded outlets due to neglect or ignorance will be the customer's (except for double insulated i responsibility at a charge of $65.00 per hour plus part& i safety approved tools). Do not cut off ground lug. 6 t No damage waver fi r; license, sales o r use ,m.. IN CASE t axe s are included in FUE OF LOSS OR our rental rates They A All equipment is full of fuel THEFT I and must be returned full or of equipment, the customer will be are extra. additional charges will ap billed for list price plus rental up to g pp time of reporting lass or theft. i 0 N U RENTAL CHARGES AND TERMS Customer is totally responsible Once the equipment leaves our yard, the customer is for ALL tire repair. It is the responsible for it until it has been returned and payment Equipment with hour meters is customer's option to check over received. NO equipment is to be left in our yard if we are allowed 8 hours use within a 24 the tires before the equipment hour period of time not open to receive it. Our insurance does not cover leaves and have one of our equipment while in customer's possession. We suggest people make note of any irregularities spotted. You contract your insurance agent for coverage. A week is 7 days. A month is 28 days. Renter will not be liable for any or all damage to vehicles You will be charged for x�Pt'?'`f• ��t:3�j� alb while loading or unloading equipment. time out not time used. CLEANING l CHARGES I Rental rates for equipment are based on usage I during an 8 hour shift. Equipment is to be returned F L:T One day is 24 hours or 8 hours running time- clean as when it left- A charge of 'lei per hour will be charged for I 16 hours running time in 24 hours 2 day charge. cleanup. j 24 hours running time in 24 hours 3 days charge. T If over 8 hours in 1 day you will be charged for extra hours on equipment. LOADING AND UNLOADING EQUIPMENT: Customer is responsible for loading and unloading equipment. It Dealer's employees assist in loading or unloading the equipment, Customer agrees to assume the risk of, and hold Dealer and/or its employees harmless for any property damage or personal injuries, including damage and personal injuries attributable to the negligence of Dealer. POSSESSION/TITLE. Your right to possession of the Equipment begins upon Rental Items leaving the Rental Center and terminates on the agreed Return Date indicated on the front of this Contract. Retention of the Equipment beyond the expiration of the Rental Period constitutes a material breach of this Contract. Time is of the essence. Any extension must be mutually agreed upon in writing and signed by Us. Title to the Rental Items is and shall at all times remain in Rental Center. Failure to return rental property or equipment upon expiration of the Rental Period, and failure to pay all amounts due (including costs for damage to the property or equipment) are prima facie evidence of intent to defraud. FUTURE RENTALS. Customer acknowledges that the terms of this Contract will be deemed to apply not only to the Equipment identified on the front side of this document, but also to all other Equipment and merchandise Customer may rent or purchase from Dealer (except as to the rent and /or purchase price of such items, as applicable, which will be charged at Dealer's published rates as of the date of each such rental or purchase), whether on the date of this Contract or at any time in the future (except only as to any Equipment and/or other items with respect to which Customer executes a n ew Re ntal Contract). After being in the rental business for many years, we know what it takes to be successful good attitude, new or like new equipment, and good old fashioned service. We will never knowingly disappoint you. If for any reason you feel we haven't handled your transaction properly, please bring it to our attention, Thank you for renting from us. Reorder from IrrA -Bind 800 -862 -2463 Form $9795 e l U WEAR ��L 3- W O RE OR DA The oil level in machinery is checked when equipment CORD leaves our yard. Maintenance of proper oil level in No electrical toots are supplied rented equipment is solely the responsibility of with safety grounded plugs for I Our damage waiver covers normal wear and tear. Damage i customer. For proper oil grade, call us. use in grounded outlets i due to neglect or ignorance will be the customer's (except for double insulated 's responsibility at a charge of $65.00 per hour plus parts. safety approved tools). Do not r cut aft ground lug. 9 f I No damage waver license, sales or use IN CASE taxes are included in OF LOSS OR I FUE They All equipment is full of fuel THEFT j our rent rat and must be returned full or of equipment, the customer will be billed for list price plus rental up to IE are extra. additional charges will apply time of reporting loss or theft. I U RI+.N'I'AI., CHARGES AND TERMS Customer is totally responsible Once the equipment leaves our yard, the customer is for ALL tire repair. It is the responsible for it until it has been returned and payment Equipment with hour meters is customer's option to check over received. NO equipment is to be left in our yard If we are allowed 8 hours use within a 24 the tires before the equipment hour period of time not open to receive it Our insurance does not cover leaves and have one of our equipment while in customer's possession. We suggest people make note of any irregularities spatted. you contract your insurance agent for coverage. A week is 7 days. A month is 28 days. Renter will not be liable for any or all damage to vehicles You will be charged for while loading or unloading equipment. time out not time used. CLEANING CII.ARGE i Rental rates for equipment are based on usage I, l during an hour shift. Equipment is to be returned as 0, One day is 24 hours or 8 hours running time. clean a5 w hen i€ left. A charge of g perhourwillbe charged for Li 16 hours runnin g time in 24 hours 2 da y char cleanup. 24 hours running time in 24 hours 3 days charge. If over 8 hours in 1 day you will be charged for extra hours on equipment. LOADING AND UNLOADING EQUIPMENT, Customer is responsible for loading and unloading equipment. If Dealers employees assist in loading or unloading the equipment, Customer agrees to assume the risk of, and hold Dealer and /or its employees harmless for any property damage or personal injuries, including damage and personal injuries attributable to the negligence of Dealer. POSSESSIONMTLE. Your right to possession of the Equipment begins upon Rental Items leaving the Rental Center and terminates on the agreed Return Date indicated on the front of this Contract. Retention of the Equipment beyond the expiration of the Rental Period constitutes a material breach of this Contract. Time is of the essence. Any extension must be mutually agreed upon In writing and signed by Us. Title to the Rental Items is and shall at all times remain in Rental Center. Failure to return rental property or equipment upon expiration of the Rental Period, and failure to pay all amounts due (including costs for damage to the property or equipment) are prima facie evidence of intent to defraud. FUTURE RENTALS. Customer acknowledges that the terms of this Contract will be deemed to apply not only to the Equipment identified on the front side of this document, but also to all other Equipment and merchandise Customer may rent or purchase from Dealer (except as to the rent and /or purchase price of such items, as applicable, which will be charged at Dealer's published rates as of the date of each such rental or purchase), whether on the date of this Contract or at any time in the future (except only as to any Equipment and/or other items with respect to which Customer executes a new Rental Contract). After being in the rental business for many years, we know what it takes to be successful good attitude, new or like new equipment, and good old fashioned service. We will never knowingly disappoint you. If for any reason you feel we haven't handled your transaction properly, please bring it to our attention. Thank you for renting from us. Reorder from n -A -Bind 800 -862 -2463 Form #9795 VOUCHER 101765 WARRANT ALLOWED 354867 IN SUM OF RUNYON EQUIPMENT RENT 410 W CARMEL DRIVEP` CAARMEL, IN 46032 (n Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 157769 01- 6200 -06 $27.90 t5 ?aa`1 0l,b�cb o 97..9 Voucher Total S5 6 c) Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 354867 RUNYON EQUIPMENT RENTAL Purchase Order No. 410 W CARMEL DRIVE Terms CARMEL, IN 46032 Due Date 6/1/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/1/2010 157769 $27.90 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 Date Officer In consideration of the payment of additional rent classified as "damage waiver" by the Rentee, Renter agrees to, and hereby does waive its right, or any night f might have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon return of t r A ,�A property rented a sum equal to 5% of rental charge. This "damage waiver does not include damage or loss of the property as a result of the negligence of the Rentee or In the case of abusive damage, theft or other gross negligence of the Rentee. This damage waiver shall not apply to reckless, careless or abusive operation or use of the Equipment, use or operation of the Equipment exceeding its rated capacity, or damage to tires, tubes and wheels caused by blowout, bruises, cuts, punctures EQUI ?MENT KCNTAL or other causes inherent in the use of the Equipment. It is understood the amount paid is not an insurance premium, and that this provision does not represent an 410 W. Carmel Drive o Carmel, IN 46032 insurance policy or an agreement to insure. The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property In a careful and prudent manner and o FISHF-F C INDIANAP01-15 shall not loan, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 3 '9 7 5 6 8 00 The parties agree that in the event the Rentee violates any of the terms and conditions of this agreement, the Renter may collect damages together with reasonable altomey fees, court costs and interest of one and one half (1 1)2) percent per month added to accounts over ten (10) days old, reflecting an annual percentage rate of eighteen (18) percent FAX: 317 -566 -2990 The above equipment has been received by the undersigned for rental purposes only, and it is understood that Renter shall be held responsible for any accident or damage resulting directly or indirectly from the leased equipment. The Renter expressly disclaims all warranties, either expressed or implied, including any Implied Don't t be a too! Rent one warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for it any liability connection with the use of this equipment. The Rentee agrees to indemnify Renter, from any claim, loss, damages to property, consequential damages, loss of income or any other www.runyonrentaLcom incidental damages, even those damages caused by the negligence of Rentee, together with attorney fees for defending any action brought as a result of the lease of this equipment. Open 7 D®ys Week Monday Friday 7:00 am 5:30 pm o Saturday 7:00 am 4:30 pm o Sunday 9:00 am 3:00 pm RENTED TO JOBS LOCATION TICKET w t x CARMEL WASTE WATER 9855 SPRINGMILL 760 3RD AVENUE SW Con# 156140 SUITE 110 INDIANAPOLIS IN 46032 Loc 100 s i �S SN 3 ,•,4, r a a,: PHONE H (317) 571 -2634 OUT 05/13/10 8:26 AM SAF F (317) 571 -2636 II) #3 PO JOB:# S RE BY .v. .u. IND SPRINGMILL PONDS KINKEAD, ROBBIE TURNED 05/14/10 11:42 AM WH *FINAL Page: 1 QTY ITEM 1 EXT AMT t NET AMT MIN HOURLY A la OVNI TE „8 HOURx DAY t WEEK 4 WEEK r 1 7467 -0001 SAW CONCRETE SELF PROP 14” 4{ 75.00 75.00 1 1906 -0000 DIAMOND BLADE 18" 32.00 63.00 95.00 Meter In: 379.00 Meter Out: 38 Surcharge: 63.00 Payments s s Fr IFTHE EBUIPh�Et�T IS NOT �tE�1J9NE0.BY pllE M” TE ]IIMIILI 1UffiTT�7 P CHARGE �F (iHEFf) RENT 170 se o al ernanve uefs, llr�slo�alesel, EB5, a c. in unyon quipmen en a, equipmen is Customer is liable for all damages repairs that result from alternative fuel. SALES 0 0 0 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND I OTHER 0 00 FULLYUNDER�TANDN T�R SONS IALSOUNDERSTANDTHATIAMTHEPERSONRENTINGTHISPROPERTY AND OT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON. I DW /FEES 8.50 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED BY RUNYON EQUIPMENT RENTAL. X ;sib i; "s_ Addl TAX 0.00 THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED SALES TAX 0 00 ON THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT. I HAVE READ THE ABOVE INFORMATION DEPOSIT 0.00 AND ACKNOWLEDGE THAT IT IS CORRECT, COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT RENTAL IMMEDIATELY. RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES, AND)OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TOTAL DUE 178. 50 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. EQUIPMENT CELL AMT BILLED 178.50 r F �g r q,. LEASED BY X t PHONE 14-MAY-10 I 1 4 3:17 EQUIPMENT BY X g RENTAL FEES DO NOT APPLY TO PURCHASES. WE CHARGE FOR TIME OUT NOTTIME USED Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALLTIRES,?UEL AND ELECTRIC CURRENT. will apply. N f I I CE" X NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. In consideration of the payment of additional rent classified as 'damage waiver' by the Rentee, Renter agrees to, and hereby does waive its right, or any right it might have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon return of +1 V V A or I n the rented a sum abusive damage, theft or other ross negligence of the does not include damage or This damage waiver shall not apply to or abu operation Rentee oruse of the Equipment, use or operation of the Equipment exceeding its rated capacity, or damage to tires, tubes and wheels caused by blowout, bruises, cuts, punctures 6QUfVMENT tZENTNI or other causes inherent in the use of the Equipment. It Is understood the amount paid is not an insurance premium, and that this provision does not represent an 410 W. Carmel Drive Carmel, IN 46032 insuran policy or an agreement to insure. The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and C AWCU, o FISHERS O 1N shall not loan, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 3'0 7 e 5 66 8 8 33 The parties agree that in the event the Rentee violates any of the terns and conditions of this agreement, the Renter may oollect damages together with reasonable attorney fees, court ousts and interest of one and one halt (1 112) percent per month added to accounts over ten (10) days old, reflecting an annual percentage rate of eighteen (18) percent FAX: 317 -566 -2990 The above equipment has been received by the undersigned for rental purposes only, and It is understood that Renter shall be held responsible for any accident or damage resulting directly or Indirectly from the leased equipment. The Renter expressly disclaims all warranties, either expressed or implied, including any implied Don't t tie a foot Rent one warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for It any liability connection with the use of this equipment, The Rentee agrees to indemnity Renter, from any claim, loss, damages to property, consequential damages, loss of income or any other www. runyon com incidental damages, even those damages caused by the negligence of Rentee, together w th attorney foes for defending any action brought as a result of the lease of this equipment. Open 7 Days a Week Monday Friday 7:00 am 5:30 pm o Saturday 7:00 am 4:30 pm Sunday 9:00 am 3:00 pm RENTED :To.' ;4 ";JOB I OCATION r T10MT CARMEL WASTE WATER 9855 JEFF 760 3RD AVENUE SW Con# 156962 SUITE 110 INDIANAPOLIS IN 46032 Loc 100 w a NEB "4 SSN. PH "O ��DATE TTME ,t H {3 17) 571 -2634 OUT 05/20/10 8:43 AM JRR F (317) 571 2636 ID #3. :PO /JOB �.mRECEIVED IND JEFF COOPER, JEFF RETURNED 05/20/10 1:53 PM JAR *FINAL Page: 1 QTY ;ITEM!# EX AMT NET AMT, MIN HOURLY O\7I12TE 8 HOUR s '�.�x.,, DAY WEEICa ct 1 1956 -0002 BULL FLOAT 48" W/4 HANDLE CASE 25.00 25.00 $20.00/4 25.00 25.00 100.00 1 075155071243 BROOM 24" CONCRETE FINISH 13'.99 13.99 13.99 1 765139603057 GROOVER 6 X 4_.,5" NRW BIT' CF305:� 25.9.5, 25.95 25.95 1 765139336993 EDGER 6X4.3 %BRA`D 5�55° 5.55 5.55 1 564687654 HANDLE BROOM 1 "X60 "_._MET•AL`" END 4 25 4 25 4 .25 Rental Note(s) CUSTOMER•MUST ",;RETURN, ANY EQUIPMENT USEDFOR CONCRETE WORK;,. CLEAN IN`SIDE OUJIj OR'kdO WILL BE CHARGED N CI EANING- FEE X ,..,V X" Payments Sry IF7HEE�l1PI ENrISNOf'RE�UR�J�D,BY "D EW "Qg11,�911WIL B�SUBJE�TTDPCHl1RGE0� (T11FFrl RENT ZS.00 ET o alternative ues (Iodiesel, 85, etc. In unyon gmpment enta, equipment Is Customer is liable for all damages repairs that result from alternative fuel. SALE S 4 9 74 1 HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE 8 PROPER OPERATION OF THE ABOVE EQUIPMENT AND I FULLY UNDERSTANDTHOSE INSTRUCTION S I ALSO UNDERSTANDTHATIAMTHE PERSON RENTINGTHI9PROPERTY ,AND ,AND OTHER 0.00 THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON I DW /FEES 1 2 5 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED BY RUNYON EOUIPMENT RENTAL. X Addl TAX 0. THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED SALES TAX 0 00 ON THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT. I HAVE READ THE ABOVE INFORMATION AND ACKNOWLEDGE THAT IT IS CORRECT, COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0.00 EQUIPMENT THAT IF MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT RENTAL IMMEDIATELY. RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES, ANDIOR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TOTAL DUE 75. 99 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. EQUIPMENT CELL AMT BILLED 75.99 LEASED BY X i PHONE 20-MAY-10 13 5 3 :12 EQUIPMEN RETURNED BY X RENTAL FEES DO NOT APPLY TO PURCHASES. WE CHARGE FOR TIME OUT NOT TIME USED. Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALLTIRES, VIA AND ELECTRIC CURRENT. will apply. X +1': NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. In consideration of the payment of additional rent classified as 'damage waiver' by the Rentee, Renter agrees to, and hereby does waive its right, or any right it might have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon return of 16 A`�A property rented a sum equal to 5 of rental charge. This 'damage waiver" does not include damage or loss of the property as a result of the negligence of the Rentee or in the case of abusive damage, theft or other gross negligence of the Rentee. This damage waiver shall not apply to reckless, careless or abusive operation or use of the Equipment, use or operation of the Equipment exceeding its rated capacity or damage to tires, tubes and wheels caused by blowout, bruises, cuts, punctures �QUIPM�NT 4ZENTAL or other causes inherent In the use of the Equipment. It is understood the amount paid is not an insurance premium, and that this provision does not represent an 410 W, Carmel Drive o Carmel, IN 46032 insurance policy or an agreement to insure. The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and LP,WF,L o F1511ER5 a INVIN aCiL15 shall not loan, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 3 �f (3 (ED, 0 0 23 a The parties agree that in the event the Rentee violates any of tite terms and conditions of this agreerI the Renter may collect damages together with reasonable attorney fees, court costs and interest of one and one hat (1 12) percent per month added to accounts over ten (10) days old, reflecting an annual percentage rate cf eighteen (18) percent. FAX; 317 566 -2990 The above equipment has been received by the undersigned for rental purposes only and it is understood that Renter shall be held responsible for any accident or damage resulting directly or indirectly from the leased equipment. The Renter expressly disclaims all warranties, either expressed or implied, including any implied Don't t be a tool Rent one warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for it any liabillty connection with the use of this equipment. The Rentee agrees to indemnity Renter, from any claim, loss, damages to property, consequential damages, loss of income or any other INww. runyOnren com incidental damages, even those damages caused by the negligence of Rentee, together with attorney fees for defending any action brought as a result of the lease of this equipment. 0peyv 7 Dcyyss to Week Monday Friday 7A0 am 5:30 pm o Saturday 7:00 am 4:30 pm o Sunday 9:00 am 3:00 pm RENTED ,TO s` 'JOB` T ICKE CARMEL WASTE WATER 9855 JEFF COOPER 760 3RD AVENUE SW Con# 156751 SUITE 110 INDIANAPOLIS IN 46032 Loc 100 S SN PHONE u o DATE TIME t, g H (317) 571 -2634 OUT 05/18/10 10:42 AM WH F (317) 571 -2636 ID #3 PO JOB R. CEIVED -BX, IND JEFF COOPER COOPER, JEFF RETURNED 05/19/10 10:42 AM JRR *FINAL Page: 1 QTY ITEM #0. a EXT AMT NET AMT y'MIN HOURLY OVIjITE ?;8 HOURr" DAY WEEK 4,,WEEK r v ',y 1 3005 -0001 CORE BIT S 4 112" WET CUT 35.00 —21.00 56.00 $35.00/D 35.00 35.00 140.0,0 Z 420. 00 -Y Meter In: 272.00 Meter Out: 275`00 Surcha ge: 21.00 1 2725 0001 CORE DRILL MACHINE 72.00 72.00 $52.00/4 4.W72`00 y 72 288.00 r 864 Payments Al 3 a ',��Y�� v IFTHE FIi e" of a lieafive rue s, Io ieselBS e c ln'FTUnyongEpment Re equ PAOHItiT RENT 128.00 Customer is liable for all damages repairs that result from alternative fuel. SALES 0 00 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND I F��JJLLYUNDERSTANppTHOSEINSTFF��JJ��TIppNS I ALSO UNDERSTAND THAT IAM T HE PERSON RENTING THIS PROPERTY71F16 OTHER 0 00 TRATTI0NYO1TEt301PM limrrNTACD0E5TdOTGIVEMEPERMISSIONTOLENDTHISPROPERTYTOANYOTHERPERSON .I DW /FEES 6.40 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED BY RUNYON EQUIPMENT RENTAL. �r r Addl TAX 0. THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED SALES TAX 0 00 ON THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT I HAVE READ THE ABOVE INFORMATION AND ACKNOWLEDGETHAT IT IS CORRECT, COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0 00 EQUIPMENT THAT IF MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT RENTAL IMMEDIATELY. RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES, AND/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TOTAL DUE 134. 40 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. EQUIPMENT i aJ l CELL AMT BILLED 134.40 LEASED BY X PHONE 19- MAY -10 14:10:54 EQUIPMENT P °i°# 1;, RETURNED By X a RENTAL FEES DO NOT APPLY TO PURCHASES. WE CHARGE FOR TIME OUT NOT TIME USED. Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALLTIRES, FUEL AND ELECTRIC CURRENT. will apply. X li} 11A NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. L HER 105571 WARRANT ALLOWED 1 354867 IN SUM OF EQUIPMENT RENTAL 410 W. Carmel Drive Carmel, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT* AMOUNT Audit Trail Cade 156140 01- 7362 -06 $178.50 0 13 W a -5 Is6 ?sl. a !,x_362.06 13�I N� Voucher Total9 �8�0 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 354867 RUNYON EQUIPMENT RENTAL Purchase Order No. 410 W. Carmel Drive Terms Carmel, IN 46032 Due Date 6/1/2010 Invoice invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/1/2010 156140 $178.50 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct -and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer Inconsideration of the payment of additional rent classified as 'damage waiver" by the Rentee, Renter agrees to, and hereby does waive its right, or any right it might have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon return of M I r��V V A property rented a sum equal to 5 of rental charge. This 'damage waiver" does not include damage or loss of the property as a result of the negligence of the Rentee U or in the case of abusive damage, theft or other gross negligence of the Rentee. This damage waiver shall not apply to reckless, careless or abusive operation or use r of the Equipment, use or operation of the Equipment exceeding its rated rapacity, or damage to tires, tubes and wheels caused by blowout, bruises, cuts, punctures EQUIVM$NT 1Zf%NTigL or other causes inherent in the use of the Equipment. It is understood the amount paid is not an insurance premium, and that this provision does not represent an 410'N. Carmel Drive Carmel, IN 46032 insurance policy or an agreement to insure. The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and #GAWCL. o 17IS11-16h5 a 1N9IPNAPUL15 shall not loan, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 3 1 7 m 3 355 080 The parties agree that In the event the Rentee violates any of the term and conditions of this agreement, the Renter may polled damages together with reasonable attorney lees, court costs and interest of one and one hall (11/2) percent per month added to accounts over ten (10) days old, reflecting an annual percentage rate of eighteen (18) percent FAX: 317 -566 -2990 The above equipment has been received by the undersigned for rental purposes only, and it is understood that Renter shall be held responsible for any accident or Don't 6e a foal Rent one damage resulting directly or indirectly from the leased equipment. The Renter expressly disclaims all warranties, either expressed or Implied, including any implied warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for It any liability connection with the use of this equipment. The Rentee agrees to indemnity Renter, from any claim, loss, damages to property, consequential damages, loss of income or any other www. runyonrentaL com incidental damages, even those damages caused by the negligence of Rentee, together with attorney fees for defending any action brought as a result of the lease of this equipment. Open 7 D®yss Week Monday Friday 7:00 am 5:30 pm o Saturday 7,00 am 4:30 pm o Sunday 9:00 am 3:00 pm RENTED CITY OF CARMEL 448 ONE CIVIC SQUARE Con# 158560 CARMEL IN 46032 Loc 100 SSN PH( :r ;DATE a TIME r. W (317) 571 --2448 OUT 06/02/10 12:55 PM WH F (317) 571 -2409 ID #3 RECEIUEDB1'......', irk, IND ENGINEERING DEPT GRESKAMP, DANIEL 06/02/10 12:56 PM WH *FINAL Page: 1 ¢TY ITEM# y `a F k a a NET AMTS t 4 MIN y, HOURZY OVATITE. DAY„ WEEK s,g4 a WEEK as 3 711382032830 SAFETY V LIME XL C3L2 3022353 1 56.85 56.85 Payments o a: t i IFTHEErPMENTISNOT(IETU d BY ojJ N" OAT��IIWILLB�SU &IE(`,TTO�A CHARGE OFr"�jy�g�Q ITHEFT} RENT O.00 UUse of alternative o lesel, t etc) In nunyon Egwpment r enta equipment Is rr uHlni i to Customer is liable for all damages repairs that result from alternative fuel. SALE 56 85 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS I ALSO UNDERSTANDTHATIAM THE PERSON RENTINGTHISPROPERT ,AND ,AND OTHER 0.00 THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON. I UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHOHIZED DW /FEES 0 00 BY RUNYON EQUIPMENT RENTAL. X ci Addl TAX 0 00 THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED SALES TAX 0.00 ON THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT. I HAVE READ THE ABOVE INFORMATION AND ACKNOWLEDGE THAT IT IS CORRECT, COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0 00 EQUIPMENT THAT IF MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT RENTAL IMMEDIATELY, RUNYON EQUIPMENT RENTAL IS AUTHORIZED To BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES, AND /OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TOTAL DUE 56. 85 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. EQUIPMENT t4 CELL AMT BILLED 56.65 LEASED BY X �rY T?'gir..° PHONE 02 JUN 10 12:57 EQUIPMENT RETURNED BY X RENTAL FEES DO NOT APPLY TO PURCHASES. °,t`� WE CHARGE FOR TIME OUT NOT TIME USED. Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALLTIRES, FUEL AND ELECTRIC CURRENT. will apply. X ".l j ir,i. NO ADJUSTMENTS OR CREDITS will be made on equipment maffunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Runyon Purchase Order No. 410 W. Carmel Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/02/10 158560 Safety vests $56.85 t Total I hereby certify that the attached invoicb(s), or bill(s), is (are) true and correct and I have audited same in accordance. with IC 5- 11- 10 -1..6. .20 Clerk Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Runyon IN SUM OF 410 W. Carmel Drive Carmel, IN 46032 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the n/a 158560 200- 7667099 $56.85 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund In consideration of the payment of additional rent classified as "damage waiver' by the Rentee, Renter agrees to, and hereby does waive Its right, or any right it might have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon return of I bJ AAA property rented a sum equal to 5% of rental charge. This °damage waiver" does not include damage or loss of the property as a result of the negligence of the Rentee or in the case of abusive damage, theft or other gross negligence of the Rentee. This damage waiver shall not apply to reckless, careless or abusive operation or use of the Equipment, use or operation of the Equipment exceeding its rated capacity, or damage to tires, tubes and wheels caused by blowout, bruises, cuts, punctures 6QWVMENT 4zENTAL or other causes inherent in the use of the Equipment. It is understood the amount paid is not an insurance premium, and that this provision does not represent an 410 W. Carmel Drive a Carmel IN 46032 insurance policy or an agreement to insure. The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and LAII o Ft5Hl INDIANAP0Ll5 shall not loan, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 3 -U 7 3 63 3363 The parties agree that in the event the Rentee violates any of the terms and conditions of this agreement, the Renter may collect damages together with reasonable attorney fees, court costs and interest of one and one half (1 12) percent per month added to accounts over ten (10) days old, reflecting an annual percentage rate of eighteen (18) percert FAX: 317- 566 -2990 The above equipment has been received by the undersigned for rental purposes only, and it is understood that Renter shall be held responsible for any accident or damage resulting directly or indirectly from the leased equipment. The Renter expressly disclaims all warranties, either expressed or implied, including any implied Don't be a tool Rent one warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for J any liability connection with the use of this equipment. The Rentee agrees to indemnity Renter, from any claim, loss, damages to property, consequential damages, loss of income or any other www. runyonren Incidental damages, even those damages caused by the negligence of Rentee, together with attorney fees for defending any action brought as a result of the lease of this equipment. Opens P Days ®Vi Week Monday Friday 7:00 am 5:30 pm o Saturday 7:00 am 4:30 pm Sunday 9:00 am 3:00 pm 'RENTED.' TO +JOB fOCATI0 T ICKET CITY OF CARMEL- BROOKSHIRE GOLF 3962 12120 BROOKSHIRE PARKWAY Con# 156963 CARMEL IN 46033 Loc 100 =SSN PHONE r DATE TIME H (317) 846 -7431 OUT 05/20/10 8:46 AM BN F (317) 846 -9980 ID #3 ':PO /'JOE3. -T RECEIVED` 0 MILLER, KEN R 05/20/10 12:05 PM JRR *FINAL Page: I "QTY ITEM# e f T, AMT NET' AMT; r `cap E EX .MIN I30URLY,k OVNITE E HOUR DAY sWEEK' 4,WEEK s..f. 1 6876 -0001 PIPE BENDER HAND 3/4" R 1 "EMT 13.00 13.00 513.00 /D 13.00 13.00 5 0 �l'S5,.00 Payments IFTHE EQUIPMENT' 6 NOT RETURNED BY "DUE IN' DATE,YCU WILL BE SUBJECTM A CHARGE OF CONVERSION (THEM RENT 13 00 Use of alternative fuels, (Biodiesel, E85, etc.) in Runyon Equipment Rental, equipment is PROHIBITED. Customer is liable for all damages repairs that result from alternative fuel. SALES 0 0 0 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND OTHER 0 00 FULLY UNDERSTAND THOSE INSTRUCTIONS I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY AND THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON.I DW /FEES 0. 65 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED BY RUNYON EQUIPMENT RENTAL. x Addl TAX 0 00 THE UNDERSIGNED, HAVING READ AND UNDERSTOODTHE ABOVE, HEREBY AGREESTO RENTTHE ARTICLES NAMED SALE S TAX 0 00 ON THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT. I HAVE READ THE ABOVE INFORMATION DEPOSIT 0.00 AND ACKNOWLEDGE THAT IT IS CORRECT COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT 1F MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT RENTAL IMMEDIATELY. RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES, ANDIOR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TOTAL DUE 13 65 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT EQUIPMENT CELL AMT BILLED 13.65 LEASED BY X PHONE 20- MAY -10 12:05:11 REETURNED X is RENTAL FEES DO NOT APPLY TO PURCHASES. WE CHARGE FORTIME OUT NOTTIME USED. Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALLTIRES, 9UEL AND ELECTRIC CURRENT. will apply. X INI i i L NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been nohled. We charge a 5% Damage Waiver on all equipment rentals. -VOUCHER NO. WARRANT NO. ALLOWED 20 Runyon Equipment Rental IN SUM OF 410 West Carmel Drive Carmel, IN 46032 ON ACCOUNT OF APPROPMATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 156963 43- 530.99 $13.65 1 hereby certify that the attached invoice(s), or 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 Wednesday, June 02, 2010 Director, Brooksh Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund r i Prescribed by State Board of Accounts City Form No. 201 (Rev. 1895) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/20/10 156963 Pipe Bender $13.65 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 Clerk- Treasurer