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192230 11/23/2010
CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1 4 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $751.94 CARMEL, INDIANA 46032 410 W CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 192230 CHECK DATE: 1 112 312 01 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4467099 170783 693.00 OTHER EQUIPMENT 601 5023990 176024 8.99 MATERIALS SUPPLIES 601 5023990 176692 49.95 MATERIALS SUPPLIES Inconsideration of the payment of additional rent classfied as "damage waiver" by the Rentee, Renter agrees to, and hereby does waive its right, or any right if might O A 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 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 Rentals 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 �QU14MtaVT RENTf`i 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 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 CARMEL a 1`151 INDIANW01 -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. 317 566 88 The parties agree that in the event the Rentee violates any of the tem>,s and wndilions of this agreement, the Renter may collect damages together with reasonable attorney fees, court costs and Interest of one and ore half (1 1 C2) percent per morrth added to accounts overten (10) days old, reflecting an annual percentage rate of eighteen (1 8) 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 toot Rent one" warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other persorI 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 Days a Week Monday Friday 7:00 am 5:30 pm.• Saturday 7:00 am 4:30 pm Sunday D;fl0 am 3:00 pm RENTED ;TO JOB "LOCAT,ION TICKET CARMEL UTILITIES H 206 760 3RD AVENUE SW, 111.10 Con# 176692 CARMEL TN 46032 Loc 100 yr SSN P DATE IM TE W (317) 571 -2267 OUT 11/1 10:14 AM BL F (317) 511 -22.65 ID #3,. r .PO /JOB RECEEVED'BY PLANT 5 MAINTENANCE JIMBO 11/16/10 10:1.7 AM BL *FINA7 :Page: 1 QTY.'- I:TEM# a EXT AMT s NET AM7 MIN ;:SOURLY OVNT E 8 -_'HOUR DAY WEEK 4. WEEK' 1 00045 4" PIPE CUTTING MULTI PURPOSE 49.95 49.95 #;r RECEIVED DATE T 111 c PO# ACGr# �l U SE r Z /U4/v IFTHE EQUIPMENT IS NOT RETURNED BY "DUE IN" DATE YOU HALL BE SUBJECTTO A CHARGE OF CONVERSION (THEFT). RENT 0 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 49 95 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND OTHER 0 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. 00 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED BY RUNYON EOUIPMENT RENTAL. X AddT 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 DEPOS 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 CARD FOR ANY AND ALL COSTS, FEES, AND /OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO TOTAL DUE 49 95 PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. EQUIPMENT CELL AMT BILLED 49 °95 LEASED BY X PHONE 16- MOV -10 T0: 17:33 RETURNED .X r`• 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, VUEL AND ELECTRIC CURRENT. will apply. X NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions We charge a 5% Damage Waiver on equipment rentals. ui unless Runyon Eauloment Rental has been notified. 9 9 4 P OD UiVUSUAL WEAR IDIL LEVELS 3-W OR DAMAGE The oil level in machinery is checked when equipment COR 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 i 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 responsibility at a charge of $65.00 per hour plus parts safety approved tools). Do fict I cut off ground lug. No damage waiver license, sales or use IN CASE mm taxes are included in FUEL OF LOSS OR x our rental rates They M All equipment is full of fuel THEFT are extra. and must be returned full or of equipment, the customer will be additional charg Will I billed for list price plus rental up to app ly. time of reporting loss or theft. R E3 RENT. CH v-1NL9 TER.IVIS 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 p©ssession. We suggest people make note of any irregularities spatted. you contract your insurance agent for coverage. R 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. A C.,LEANING j Rental rates for equipment are based on usagw "`GHRGES a during an hour Shift. EgMp'm`01s to be returned as 'clean as when it Pert A charge of F F1 C,7� One day is 24 hours or 8 hours running time.--- $65.00 per hour will be charged for i I 111 Illff --ff` �z�J 16 hours running time in 24 hours 2 day charge..:-d= •M �I�anF j 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 In -A -Bind 800 -862 -2463 Form #9795 VOUCHER 103338 WARRANT ALLOWED 354867 IN SUM OF RUNYON EQUIPMENT RENTAL 410 W CARMEL DRIVE WATER CARMEL, IN 46032 OPERATIONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 176692 01- 6200 -04 $49.95 Voucher Total $49.95 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1998) 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 11/17/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/17/201( 176692 $49.95 I hereby certify that the attached invoice(s), or biil(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 Y A A property rented a sum equal to 5% of rental charge. This "damage waver 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 QtlIPMET�IT INAAL 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 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 CAWel- 1=tWIZ -5 INDIAN"01-15 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. 317 566 8 868 The parties agree that in the event the Rentee Violates any of the terms and conditions of th4s agreement, the Renter may collect damages together with reasonable attorney fees, court casts and Interest of one and one half (1 1C2) percent per month added to accounts over ten (10) days od, 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 tt 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 Days a Week Monday Friday 7:00 am 5:30 pm Saturday 7:00 am 4:30 pm Sunday 9:00 am 3:00 pm RENTED TO 14CATIdN TICKETt` CARMEL STREET DEPARTMENT 503 126TH ST &�AUMAN DR 3400 WEST 131ST STREET Con# 170783 CARMEL IN 46074 Loc 100 t PHONE K. T DATE TINIER W. W (317) 733 -2001 OUT 09/23/10 9:05 AM SAE F (317) 733 -2005 RECEIvED„ BY 126TH ST AUMAN DR BOYD PIERCY TURNED 09/29/10 2:06 PM SAE *FINAL Page: 1 TY ITE�1 #sr$a� m EXT AMTNETt�AMTt. MIN HOURLYj t, °OVNITE .F HOUR PAX` a WEEK 4„ WEEK ,a?a 1 5402 --0002 SOLAR SIGN BOARD TELESCOPIC 660.00 660.00 $165.00/D 165.00 165.00 60.,00 1980.00 IFTHE EQUIPMENT IS Nor RETURNED BY 'DUE IN "DATE,YOU WILL BE SUBJECT A CHARGE OF CONVERSION (THEFT). RENT 660. 0 0 Use of alternative fuels, (Biodiesel, E85, elc.) in Runyon Equipment Rental, equipment is PROHIBITED. Customer is liable for all damages repairs that result from alternative fuel. SALES 0 00 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE 8 PROPER OPERATION OF THE ABOVE EQUIPMENT AND I OTHER 0. 00 FULLY UNDERSTANDTHOSE INSTRUCTIONS I ALSO UNDERSTANDTHAT I AMTHE PERSON RENTINGTHIS PROPERTY, AND THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON. I DW /FEES 33.00 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED Addl TAX 0.00 BY RUNYON EQUIPMENT RENTAL. X 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 CONOITION 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 TOTAL DUE 693 .0 0 AND ALL COSTS, FEES, AND /OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO PROPERTY ASA RESULT OF THE RENTAL OF THIS EQUIPMENT AMT BILLED 693.00 EQUIPMENT CELL LEASED BY X PHONE 29 10 14:17:16 EQUIPMENT 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, VUEL AND ELECTRIC CURRENT. will apply. NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runvon Eauioment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. RUNYON EQUIPMENT RENTAL 410 WEST CARMEL DRIVE CARMEL, IN 46032 (317)566 -8888 STATEMENT DATE: 10125/10 503 PAYMENT DUE: November 25, 2010 PRINTING DATE: 10/25110 REMIT T{) CARMEL STREET DEPARTMENT RUNYON EQUIPMENT RENTAL 3400 WEST 131ST STREET 410 WEST CARMEL DRIVE CARMEL IN 46074 CARMEL, IN 46032 r, QESCRIP7IO�i ANIOUNTT; `r �ALAPiGE 09129/10 170783 100 PO# 126TH ST AUMAN 693.00 69LAYzx 0.00 693.00 10/06/10 172325 100 PO# 96TH AND DITCH 288.50 as 0.00 288.50 10/11/10 172913 100 PO# PATCH TRUCK 38.90 0.00 38.90 10/12/10 173083 100 PO# SHOP 170.98 0.00 170.98 10/18110 173759 100 PO# SHOP 64.95 0.00 64.95 10/21/10 174041 100 PO# SPRINGMILL WALK 315.00 0.00 315.00 10/21/10 174099 100 PO# PATCH TRUCK 38.90 0.00 38.90 "'Unapplied Payments Amount Allocated Remaining 3tl;DAYS 60.DAYS>. 90;DAYS 120?DAYS T,OTAL DMJE 1610.23 0.00 0.00 0.00 0.00 1610.23 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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)) 09/29/10 170783 traffic sign rental 126th /Auman $693.00 t. :.r f. Total 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 1 Clerk- Treasurer VOUCHER NO. WARRANT NO.- ALLOWED 20 Runyon IN SUM OF 410 W. Carmel Drive Carmel, IN 46032 $693.00 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 170783 200- 4467099 $693.00 materials or services itemized thereon for which charge is made were ordered and received except ignature Cost distribution ledger classification if Title 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 migf 1 have against the Rentee, arising from normal damage of the rental property, normal damage to be determined by Renter. The undersigned shall pay upon retjilf8f 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 4'�A 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 onGse EQUIP 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 Mt� C fZENTAL 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 ari 410 W. 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 GAF-MU- FISHERS NOIWAPOLIS 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. 317 5 66 8 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 allompy fees, court costs and interestof one and one had (111/2) percent per month added to accounts over ten (10) days old, reflecting an annual percentage rate of eighteen (16) pe dent. FAX: 317- 566 -2990 r: The above equipment has been received by the undersigned for rental purposes only, and A 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 too! Rent one" warranties of merchantability or fitness for a particular purpose, and neither assumes not authorizes any other person to assume for it any liability connection wlth,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 6111 WWW.1 Uft j/OR(BRtB 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 ease l of this equipment. Open 7 Days Week Monday Friday 7:00 am 5:30 pm Saturday 7:00 am 4:30 pm Sunday 9:00,am 3:00 pmt;.,' RENTED TO a:c70B §kI,QCAT.YON aw TICKE gi H a �:3 �O r.r. 'n cxc .L H r .c➢ re_'. CARMEL WATER DISTRIBUTION 4 161 2500 3450 W. 131ST STREET Con#( 176024 CARMEL IN 460741 Loc 1.00 "RA r!,•9� ���SSNr FHONE gas, DATE TIMEr JWH W (317) 733 -2855 OUT 11/09/10 12:22 PW (317) 733 2840 O RECEIVE CARPENTER, JEFF 11/09/10 12:22 P *FINAL Pa QTY ITEM #z V NEXT AMT NET AMT: ski ea a tr r t R t MIN a' OVNITE 8 HOUR sa DAY WEEK- 4 s 1 077922918973 TAPE CAUTION 3" X 1000' T.. 99 8.99 8 "99 fp I 4 j :r rrC;� c a41 IFTHE EQUIPMENT IS NI RETURNED BY "DUE IN" DATE YOU WILL BE SUBJECTTO A CHARGE OF CONVERSION (THEFT}. RENT O 00 Use of alternative fuels, (Biodiesel, EB5, etc. in Runyon Equipment Rental, equipment is PROHIBITED. Customer is liable for all damages repairs that result from alternative fuel. SAILE 8 99 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND I F LLY NDER TANDTHOSEINSTRU TIN I ALSO UNDERSTAND THAT kAM THE PERSON RENTING THIS PROPERTY, ,AND OTHER 0. 00 THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LENDTHIS PROPERTYTO ANY OTHER PERSON, Y DW/ FEES 0 00 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTYTO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED'' BY RUNYON EQUIPMENT RENTAL. X Addl TAX 0.0 THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREESTO RENTTHE ARTICLES NAMED SALE TAX 0 0 0 q" 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 PROMISETHATAS A CONDITION OF RENTING DEPOSIT 0.00 EQUIPMENT THAT IF MY EMPLOYMENT, ADDRESS OR PHONE NUMBER BE CHANGE, I WILL NOTIFY RUNYON p: EQUIPMENT RENTAL IMMEDIATELY RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES, Al INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO�' TOTAL DUE 8 99 PROPERTY AS A RESULT OFTHE RENTAL OFTHIS EQUIPMENT 7 ;`1 EQUIPMENT CELL AMT BILLED 8 99 ti LEASED BY X F r PHONE 09— NOV-10 12:22:57 0; EQUIPMENT RETURNED BY X I E:'.: 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, VUEL AND ELECTRIC CURRENT. wi ll a NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions I X I r y 1 unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals.,! f J i VOUCHER 103305 WARRANT ALLOWED 354867 IN SUM OF RUNYON EQUIPMENT RENTAL 410 W CARMEL DRIVE WATM CARMEL, IN 46032 dPWATIONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 176024 01- 6200 -06 $8.99 Voucher Total $8.99 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 11/16/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/16/201( 176024 $8.99 I hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer