HomeMy WebLinkAbout196931 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL
CHECK AMOUNT: $56.29
CARMEL, INDIANA 46032 410 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 196931
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTIO
651 5023990 187544 56.29 OTHER EXPENSES
In consideration of the payment of additional rent classified as 'damage waver by the Rentee, Renter agrees to, and harem/ does waive its right, or any right it might
have against ft Rentee, arising from normal of the rental property, normal damage to be determined by Renter. The undersigned shal pay upon return of
U 9 e Ar property rented a sum equal to 5°/ of rental ehargee is "damage waver does not include dams gge or loss of the properly as a result o the negigwm of the Rentee
or m the rase of ebusl a damage, theft or other gross neg ligence of the Rentee. This damage w L e shall not apply to reckless, careless or abLLM operation or use
of the Equipment use or operation of the Equpment exceeding its rated capacity, or damage to Gres, tubes and wheels caused by blowout, bruises, lots, punctures or
EQUIPMENT F&WAL other causes Inherent in the use of the EqulplTlent. It Is understood the amount paid is not an insurance premium, and that this provision does not represent an insurance
410 W Carmel Drive It Carmel, IN 46032 polio/ or an agreement to insure. Equifunent that is stolen or damaged by Ren w will pay list for parts, labor or, lt a total loss, 41 pay replacement cost of equipment
The Rentee further acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and
CAW5L t'1511ER5 INDIANAPOLIS shall not ban, sublet, mortgage or in any manner dispose of same to any person without the written consent of the owner, and in agrees to return the equipment
to Renter b suilMnliaty good cordtion as when viewed, natural wear and tear excepted with reasonable a"
v 566 88 fees oo andinte�ofonea d (11 tpermma t and �l�waiten( 0)dayso� fl percentage of ekJM t8( )POMM
FAX: 317- 566 -2990 The stove equipment has been rocsim d 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 indreclly from the leased equipment. The Renter expressy disclaims all warranties, either expressed or implied, including any implied
Don't be a tool Rent one" warranties of merchantability or ritness for a particular purpose, and neither assumes nor authorizes any other person to assume for It "liability connection with the
use of this equipment. The Rentee agroes to indemnify Renter, from any daim, loss, damages to property consequential damages, loss of Inoome or any &ar
w.
ww runyonrentaL eom incidental damages, even these damages caused b'! the negligence of Rentee, together with attorney fees for defending any action brought as a result of tlw 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 JOB LOCATION TICKET
CARMEL WASTE WATER 9855
160 3RD AVENUE SW Con# 187544
SUITE 110
INDIANAPOLIS IN 46032 Loc 100
SSN PHONE DATE TIME
Ii (317) 571 -2639 OUT 04/14/11 8:43 AM 3N
F (317) 571 -2636
ID #3 PO/;JOB RECEIVED BY"
LAFOLLETTE, GARY 04/14/11 6:44 AM BN
*FINAL Page: 1
QTY ITEM# EXT AMT NET AMT
MIN HOURLY OVNITE B .HOUR= DAY WEEK 4 WEEK
1 100 PROPANE 20 POUND REFILL 14.49 14.49 14,49
2 101 PROPANE 30 POUND REFILL 2,0:90 41,80 41.80
d--O,
IFTHE EcupMENTr5 NM RETURNED BY"UE W"DATEYIXIWILL BE U&WrM A CFIA M OF CONVS;SM (THEFT). RENT 0
Use of alternative fuels, (Biodioset, E85, etc.) in Runyon Equipment Rental, equipment is PROHIBITED.
Customer Is liable for all damages repairs that result from aternalive fuel. SALES 56 29
I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT AND OTHER 0 00
E11LL_UNDE IMND.TFIOSE- INSTRUCILONS. I ALSO ONDERSTANDTHAT I AM THE PERSON RENTINGTHIS PROPERTY, AND
HAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PFiRMISSIONTO LENDTHIS 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 EQUIPMENT RENTAL X Addl. TAX 0.00
THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED ON SALES TAX 0 0 0
THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT. I HAVE READ THE ABOVE INFORMATION AND
ACKNOWLEDGE THAT Ii IS CORRECT. COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0 00 A PR 1 4 2011
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 PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT. IF EQUIPMENT IS RETURNED DAMAGED, AND NOT DISCOVERED BY RUNYON EQUIPMENT TOTAL DUE 56. 2 9
RENTAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL, RUNYON EQUIPMENT RENTAL IS AUTHORIZED
TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR_ LABOR RATE CHARGED AT s65 AN HOUR. AMT BILLED 56. 2 9
EQUIPMENT CELL
LEASED eY X PHONE 14—APR U9 4 4
ETUR E NED D BY X
R RENTAL FEES DO NOT APPLY TO PURCHASES.
RETUR
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 ALL TIRES, FUEL AND ELECTRIC CURRENT. will apply. X
NO ADJUSTMENTS OR CREDIT$ will be made on equipment
rna7ui c ions unless Runvon E ui ment Rental has been ied. We charge a 5 °k Damage Waiver on alt equipment (rentals.
VOUCHER 107529 WARRANT ALLOWED
354867 IN SUM OF
RUNYON EQUdPMENT RENTAL
410 W. Carmel Drive
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
187544 01- 7202 -06 $56.29
Voucher Total $56.29
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 4/18/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/18/2011 187544 $56.29
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