HomeMy WebLinkAbout216869 01/29/2013 a CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $1,804.89
CARMEL, INDIANA 46032 410 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 216869
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 2507-1 93 . 75 OTHER CONT SERVICES
211 4462838 252572 78 . 75 STORM WATER PHASE II
651 5023990 253851 33 . 60 OTHER EXPENSES
651 5023990 254766-1 67 . 79 OTHER EXPENSES
1801 4350900 254834 444 . 00 OTHER CONT SERVICES
102 4467099 24426 255357 1, 087 . 00 PRESSURE WASHER - STA
III II VIII I I II VIII IIIIII Page 1 of 1
410 WEST CARMEL DRIVE Status: Closed
o® ®B� CARMEL, IN 46032 Invoice#: 255357-1
EQUIVMENT RENTAL www.runyonrental.com Invoice Date: Thu 1/24/2013
1-800-276-Tool(8665) 317-566-8888 Phone Date Out: Thu 1/24/2013 8:18:OOAM
"Don't be a tool-Rent one" 317-566-2990 Fax
Customer#: 1182 Operator: SCOTT FLOWERS
CARMEL FIRE DEPARTMENT 317 571-2600 Fax 317 571-2615 Terms: On Account
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: JIM DAVIS
Salesman: INDUSTRIAL SALES &
F2ENTA
Qty Key Items Sold Part# Status Each Price
1 CA-2703-OMHB-1 PRESSURE WASHER 2700 PSI CA-2703-OMHB Pulled $1,087.00 $1,087.00
SERIAL#10653359
Please pay from this invoice.
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 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 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:
Signature:
CARMEL FIRE DEPARTMENT-JIM DAVIS
Rental: Sales: Delivery Charge: Misc Charges:
$0.00 $1,087.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$1,087.00 $0.00 $1,087.00 $0.00 $1,087.00
T�p��r���T Modification#1
Printyfog4 Rpf4�99 @.'19-46RM,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT®,&%yt-_PGrR"H1ASBS.
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified.
A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.
TERMS AND CONDITIONS FOR RENTAL
' AR' -ji'VERSION OF 14ESE TERMS AND CONDITIONS IS AVAILAFLE UPON REQ,�if`ST
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$1,087.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24426 I 255357-1 1 102-670.99 I $1,087.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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))
255357-1 Sta. 46 Pressure Washer $1,087.00
1 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
410 WEST CARMEL DRIVE
Status: Closed
CARMEL,IN 46032 Invoice#: 2507-1
6QUIFM£NT RENTAL www.runyonrental.com Invoice Date: Fri 11/30/2012
1-800-276-TOOI(8665) 317-566-8888 Phone Will Call: Fri 11/3012012 11:33:OOPM
`0001 be a tool-Roof one" 317-566-2990 Fax
Customer#: 13857 Operator: POR Admin
CARMEL REDEVELOPMENT COMMISSIO 317 571-2790 Terms: On Account
30 W.MAIN STREET Job Descr: Previous invoice#251291
SUITE 220
CARMEL,IN 46032
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Qty Key Items Rented Ser# Status Returned Date Price
1 1 BALANCE PREVIOUS ACCOUNT BALANCE Returned 11/30/2012 11:33.00PM $93.75
Please pay from this invoice.
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) Rental $93.75
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
alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $0.00
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 Delivery Charge: $0.00
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 Misc Charges: $0.00
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: $93.75
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 ansing under this Contract
Printed Name
INDIANA: $0.00
Total: $93.75
Signature: Paid: $0.00
CARMEL REDEVELOPMENT COMMISSIO Amount Due: $93.75
Modification#1
Printed On Wed 1/23/2013 2.1322PM Software by Point-of-Rental Systems WWW POINT-OF-RENTAL.COM Contract-Params.rpt(6)
h corisfde OOR of the payment of awl rem daasiried n'dstnaga waken by ft RenfeS,Render aWam and hw*does mAe lb tK or wv�tf mkt
too Ox Rantea,wiSIM firm manaldflrt��of ft ISrdel proparlK —A damage b be da0ammed�Renter.The tmdersormd s1r all pay upon realm of
ArA properly Mrfed a wn equal to 5°0 of wital dwNgs,TTts%aMaP waiver'does nd h dutla damage Of bM offta property as a MA tW reT Brice of ttre
or h the case of abusive IttaR of cM gross of ft Rennes.This d waher stem appy to mddws,oamiess ar Au4w opetaf w or M
°swore"Jw F&-ITN-6,sup y d tfte Equipmott,use or�of me sent us rated or damage to tires,tomes and ON6cot by blomA bra arts pulrt�a
aferrausn afferent hfie use oftie Egdpmertt,9 is undo r:;Wfhe amount paid is not an i surmce prenden,and tW ft p ov"i does notrepreaerltanl aw w oe
410 W.Carmel Drive•Carmel,IN 46032 polq a an apement b Insum EwOmerd trNat s stogy or danrsga!by Re tee a pay N br parts,tabor or,Ka total foss,wW pay!Mplaoarntw C04 of equip wt.
The Re No kxftr adovMedgev receipt of ft almneIrtloned equont and mat IW%or covenants fD use said Waperty In a oamtl and parderd nwm and
GARAfA.•Fi5[M•LHV1MN PoLAS Mal not l�sublet,mortgage or h any manner dispoca of am to any pesm WALDEN ft witten cortsent of fhe ornrter,and further agrees to return ft egtiprnert
to Bender h subatantiaay good oordd m as when mcehed,Tatar way and tear=opted
317 — 566 8866 The prsbes agm da n the eAld the Ftardee any d the tern and wndwm of atfs ageam ant,ma Rear aW mW damVes mpt,ar Wb reasonable amp oy
,wut costs and hwestof one wdomhd(lV2)percert per rnorfdtaWtoamamtsa"ien(10)tlErrool, anwnwporco* mbdel�}tta 0n pmoerd.
FAX:317-566 2990 me NtfTrne has leap,cared by the ur�ersigned ptuposes oRty and b understood shat Bandar sfraB be held re q ortsl6fe fw any aaident a
damage ar Dd recty horn the teased equlprr art Tr a Renter expaeasiy dfaaahrs ad varrartties,either N3�nea4ed a any inpted
`DaNNtr'}be a fool-Rent otte'°' Wanarl6es of me�oT figs fir a pal'BaNlar purlpase,and r asslmtas rror aulrw¢es any other person to assume Iona Y�axDeam unri the
roe d tMs egLdpmect The Refdee agrees m hdemnify(iertar,from any cde&rl,less dmrtagas to de[nagas less of a erry o9tar
tHww.runyansurfaceprep.com �tq
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
:RLAN�I3D �Cl'•;:-:"���;;,- -�'aP1 LflCA't'T�N :i;T� _
CARMEL REDEVELOPMENT COMMISSIO # 13821 CHRISTMAS TREE
30 W. MAIN STREET Con# 251291
SUITE 220
CARMEL IN 46032 Loc 100
nr:zs- - •:„� - rang„_ sa:•,..:.,,;•,g"-.a - - ..a:-,•;.z;�:
H (317) 571-2790 OUT 11/29/12 10:50 AM SAF
C (317) 938-2824
', (+�►<+S ?J-` Y- .rt"s.r.
`)�147/'M•� ).t-- :log/L! }y .}r t... :-Et!'�Y4..::t''S t- S[rlSf.T...L,V�iA/^:;•R7S.r.., -�1t'-`;vF It ^tiL+xi`�4'•�...-.
P�'r ?ice ",f}?'N..•- .7_ - :1., z}J`.fiSi:ii:t:`.:�.�:"r-
0 CHRISTMAS TREE TOWNSEND, SCOTT C IU TURNED 11/30/12 10:20 AM SAF
***FINAL*** Page: 1
r„ TY;'`STEM
1tT;
T Ii i T
_ - - 'NE '=A2d
1 5797-0006 LIFT 60' STRAIGHT BOOM 4WD 375.00 375.00
s
$325.00/4 375.00 375.00 10.00 1>'U;0 V,2:>�,00,0o
30 d Ir e d
� tu� sE E�)in RMyoa�s� �aft a SMpl °Fonc�t R�rrr 375.00
Customer Is Wa6 br d damages&repairs drat rasulf from ahemaM tueL SALES 0.00
I HAVE BEEN INSTRUCTED A DEMONS THAI ED ON THE SAFE&PROPER OPERATION OF THE ABOVE EOEAPMENT AND 1
gJllytlr�EEA5t1NNQnMME 0P_NS,IALSOLMERSUNDTWIAMTHEPERSONRENT MIR-WPROPEiifY,mD OTHER 0.00
7W Fi.RM SURFACE PREP RENTAL.&SUPPLY DOES NOT GIVE ME PERMISSION M LENDTHI8 PROPEF(NY TG ANr
OT DW/FEES 18.75
HER PERSON.I UNDEA5WND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FUR ANY REASON
IS UMITHMWED BY FILMM SURFACE PREP RENPkL&SUPPLY X Addl TAX 0.00
THE LUDERSOIEa HAYING READ NZ UNDERSTOOD THE ABaNE,HEREBY AGREES TO RENT THE ARMES NAMED ON THE
TERMSAiNO ONMIGNa BET FORTH IN nO RWM AW MDR I HAVE READ THE ABOVE INFORMAFYTN AND ACKNOWLEDGE SALES TAX 0100
TWa R 16 COHRECL COMPLETE AND AM WE I PROMISE TRa AS A CONDITION OF RENTING EOUIPMENT THAT IF MY
EMPLWMENT,AODREaS OR PHONE NUMBER BE(,TWr.M,I WILL NOnFY IWNIOH SURFACE PREP REN114f,&SUPPLY DEPOSIT 0.00
UMEDLIMY RN"SURFACE PREP RWK&SUPPLY is AIIHORIZED TO BILL MY MEW CARD Pon}AW AHO M1 OXM
FEES,ANDM INTEREST CHARGES ASSOCIA M WITH ANY OWM,LOM OR MMAM TO PROPERTY AS A RESLIT OF THE
N:SUPPLYY UNTIL A THE cusTOMEER s�HHAS SETTLED TAND HE� NNM SURFA RUNYON SURFACE PREP PREP RWK&SUPPLY IS TOTAL DUE 3 93.7 5
A LMORIZED TO was ANY FORM OF PAYMENT ON ME TO SATISFY EWPMEHT REPAIR LABOR RATE CHARGED AT MAN HOUR
EGt9T PMeC CEiL AMT p ,, BILLED 393.75
LEASED BY X PHONE 30-NOV-12 10:3 6:41
COUIPMENT X 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,FUEL AND ELECTRIC CURRENT. WiI1 apply X
NO ADJtIST1L?EJyTS OR GREDfTS will be made on equipment malfunctions
unless Runyan Surface Prep dental&Supply has been notlfled. We charge a 5%Damage Waiver on all equipment rentals.
410 WEST CARMEL DRIVE
Status: Closed
CARMEL,IN 46032 Invoice#: 254834-1
UtPMENT RENTAL
www.runyonrental.com Invoice Date: Wed 1/1612013
Q
1-800-276-Tool(8665) 317-566-8888 Phone Date Out: Wed 1/16/2013 9:00:OOAM
"Don'f be a fool-Rem one" 317-566-2990 Fax
Customer#: 13857 Operator: JOEL PROCHNOW
CARMEL REDEVELOPMENT COMMISSIO 317 571-2790 Terms: On Account
30 W.MAIN STREET
SUITE 220
CARMEL,IN 46032 PO#: Santa house
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: RUSSELL, ERIC C
Salesman:BONNIE LICKLIDER
Qty Key Items Rented Ser# Status Returned Date Price
1 5642#0001 FORKLIFT 42'9000 POUND 0160038274 Returned 1/16/2013 11:05:OOAM $375.00
Meter Out:251.8 Meter In:253.9 Total hours on meter:2.1
CUSTOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE
CHECK TIRES PRIOR TO LEAVING LOT X
EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU
ARE RESPONSIBLE FOR RETURN AND/OR RECOVERY X
Qty Key Items Sold Part# Status Each Price
6 00050-1 FUELING CHARGE 00050 Pulled $6.50 $39.00
Please pay from this invoice.
Rental Contract Rental: $375.00
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 Damage Waiver: $30.00
fuels(e g Biodiesel,E85,etc.)in Rented Item(s)Is prohibited and you are responsible for all damages and repairs resulting from
alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $39.00
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 Delivery Charge: $0.00
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 Misc Charges: $0.00
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: $444.00
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 ansing under this Contract.
Printed Name INDIANA: $0.00
Total: $444.00
Signature: Paid: $0.00
CARMEL REDEVELOPMENT COMMISSIO-RUSSELL,ERIC C Amount Due: $444.00
Modification#3
Punted On Wed 1/2312013 2.14:05PM Software by Point-of-Rental Systems WWW.POINT-OF-RENTAL COM Contract-Params.rpt(6)
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
Rn\lion' , E a Lo P ni kL Purchase Order No.
X10 W. (�rmel Dr. Terms
hrme�, .L f Y 4 ° 032- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
F)b-12 250-7-1 li i u d +o rkn5 d SAnS Now 13,'7S
IA-13 25` 93�4 I' � " °o
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
p ALLOWED 20
11wny(I�w rAeA+ Ren+ l IN SUM OF $
Ca,rme��T (U
40A
$ 53 7. 'S
ON ACCOUNT OF APPROPRIATION FOR
Igo I/'�3so�oa
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
90 2So — '�350ga0 �3,�s or bill(s) is (are) true and correct and that
gd 25 $ �- �35Q9QQ bd the materials or services itemized thereon
for which charge is made were ordered and
received except
20L?
Slg ature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
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
R ��O 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
A,r 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 rase 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
SURFACE PREP RENTAL 8,SUPPLY 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 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 insurance
410 W.Carmel Drive•Carmel, IN 46032 policy or an agreement to insure.Equipment that is stolen or damaged by Rentee will pay list for parts,labor or,if a total loss,will 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
CAFLMEL•FISHERS•INDIANAPOLIS 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 — 8888 The parties agree that in the event the Rentee violates arty 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 halt(11/2)percent per month added to acoDunts 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 be a toot-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 daim,loss,damages to property,consequential damages,loss of income or any other
www.runyonsurfaceprep.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 JOB LOCATION s >;;: TICKET,#
CARMEL WASTE WATER # 9855 JEFF COOPER
760 3RD AVENUE SW Con# 253851
SUITE 110
CARMEL IN 46032 Loc 100
SS N' t ,: PHONE DATE:; TIME:
H (317) 571-2634 OUT 01/04/13 4 :24 PM_MS
F (317) 571-2636
'D# PO/.JOB 4' RECEIVED; BY
JEFF COOPER ANTHONY R TURNED 01/04/13 5: 33 PM MS
***FINAL*** Page: 1
IT
�QTY NET- AMT
MIN HOURLY'.•OVNITE.. .- 8-HOUR' DAY .WEEK:; 4 'WEEK
2 1240-0000 COIL SPRING COMPRESSOR 32 . 00 32 . 00
$16. 00/D 16. 00 16. 00 64`: 00--';`;193 . 00
'b
`X,9
M
IFTHE EQUIPMENT IS NOT RETURNED BY"D11E IN"DATE YOU WILL BE SUaJECTTO A CHARGE OF CONVERSION((11HH
Use of alternative fuels,(Biodiesel,E85,etc.)In Runyon Surface Prep Rental&Supply equipment is PROHIBITEED. RENT 32.00
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 OTHER 0.0 0
FULLY UNDERSTAND THOSE INSTRUCTIONS.I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY,AND
THAT RUNYON SURFACE PREP RENTAL&SUPPLY DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY DW/FEES 1.60
OTHER PERSON. I UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON
IS UNAUTHORIZED BY RUNYON SURFACE PREP RENTAL&SUPPLY X w;.;,• Addl TAX 0.
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO REM THE ARTICLES NAMED ON THE
TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT.I HAVE READ THE ABOVE INFORMATION AND ACKNOWLEDGE SALES TAX 0.00
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 SURFACE PREP RENTAL&SUPPLY DEPOSIT 0 .co
IMMEDIATELY.RUNYON SURFACE PREP RENTAL&SUPPLY 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 PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT.IF EQUIPMENT IS RETURNED DAMAGED,AND NOT DISCOVERED BY RUNYON SURFACE PREP RENTAL
&SUPPLY UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL,RUNYON SURFACE PREP RENTAL&SUPPLY IS TOTAL DUE 33 .60
AUTHORIZED TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR,LABOR RATE CHARGED AT$85 AN HOUR. AMT BILLED 33. 6 0
EQUIPMENT FJ: g CELL
LEASED BY X ' k I j "' f"�%a€ PHONE
04-JAN-13 17 :33 :33
EQUIPMENT
RETURNED BY X ; AT i. -i.:ry 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 ?',l_
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions
«niace R„nvnn Cnrfaru Oran aontal R:C1)nn1'v hna haon nntffiorl We charge a 5%Damage Waiver on all eauioment rentals.
TERMS AND CONDITIONS
1.Inspection.Customer acknowledges that it has had art opportunity to personally Inspect the equipment and finds it suitable for its needs and in good condition,and that Customer understands its proper use.Custornei further acknowledges its
city!"inspect JI1e equipmem pilot to use and notify Runyon Surface Prep Supply LLC (hereinafter`Runvon")of any defects
2.WARRANTIES.THERE ARE NO WARRANTIES OF MERCHANTABILITY OR FITNESS;EITHER EXPRESSED OR IMPLIED.THERE IS NO WARRANTYTHATTHE EQUIPMENT IS SUITED FOR CUSTOMER'S INTENDED USE;ORTHAT
IT IS FREE FROM DEFECTS,
3.Indemnification. Customer agrees to assume the risks of and hold Runyon harmless for,oroperty damage and personal injuries,including death and diamembernnent caused by the equipment and/or arisirc out of Ruryon's negligence
Cus'cmer snail :,deco-tify and dcfc-::d Runyon against and hold)Pinyon harmless from any and all claims,actions,suits,proceedings,costs.expenses,damages and liabilities including attorney's fees which,(1)refa is to:.njury,I destruction ct
proper y,or boo iy injury,!,mess.ci ckn2ss,disease or death of any oarson'rncluding employees of Customer),and(2)are caused by,or claimed to be caused,in whole or fit part,by his equpir it leased herein or by the!:an,!ty or conduct(,r rdi:d:ng
act:ve.:)aasive,primary or secondary)of Customer,its agents or employees,or anyone for:yhose acts any of them may be liable.Customer shall,at its own cost or expense,defend Runyon against all suits or proceedings commenced by anyone
it which Runyon is a hared party for which Runyor.is alleged to be liable or responsible rs a result of or arising out of the equipment,or any alleged act or emission by Runyon,and Customer shall be liable and resporsibia for all costs,expenses
end attorney's'„es incurred in such deterse and/or settlement judgment or other resolution. In the event that such action:is commenced naming Runyon as a party Punyon may elect to defeno said actor,on its own behalf and Customer agrees
shall be Viable for all costs.expenses and attorney's fees incu,ed by Runyon!r,such defense.
4.Rental Charges and Terms.Equipment with hour meters is ai'owed eight(8)hours use within a 24-hour period of time. Rental rates for equipment are based on usage,during this eight(8)hour shaft. If Customer runs the equipment for over 8
^.ours in one day,Custri will be charged lot extra hours on equipment One day is 24 hours or eight(8)hours running time. 16 hours running time in 24 hours-a 2-day charge.24 hours running lime:n 2r hours=a 3-day charge.
5.Future Rentals.Customer acknowledges that the forms of!his Agreement will be deemed to apply to all Equipment Customer may rent or purchase from Runyon,.,wnetner on the date of ihis Agreement or at any lime in the future)except only
as to ary Equipment a nd;or other items with respect to which Customer executes a new Agreement;.
6,Prohibited Uses, Use of the equipment in the`io:lowing circumstances is prohibited and constitutes a breach of this Agreement:(a)Use for illegal purpose or in an illegal manner,(b)Use when the equipment is in bad repair or is unsafe;;c;
moroper,unintended use or misuse:(d)Use by anyone other than Customer or its employees without Ruryon's wri*.-ten permission;(a)Use at any location other than the address furnished Puri wltnout Runyon's Britten permission.
7.Fuel and Oil Levels A':aguipment s lull of fuel when rented to Customer and must be returned to Runyon full or additional charges will apply.Also.use of alternative foe's(B,od:ese! E85.ate),in Runyon equ pment is prohibited Customer's
:able for all damages and repairs that rosult'rom alternative fuel. Runyon checks the of level in the equipment when it is rented to Customer. Maintenance of p,00er oil level:n the equipment is solely to.:)responsibility of Customer,
8.Repossession.;;ooh a'ague to pay rent or other breach of this contract,Dealer may terminate this contract and take possession of anc remove the goods from wherever they are,and Dealer and his agents<hail riot be liable for any Ga;rhs
for damage or trespass arising cut of the removal of the goods.
9.Tires. Custc,iier s totally respons ble for all tire repair. its Customer's option to check over the tires before the equipment leaves and notify Runyon of any irregularities spotted.
10.Insurance . nyon's ir:suraice does no'cover equipment while in Customer's possession. Customer is responsible for insuring the equipment once it ieaves Runyon's property and anti!it has been returned to Ruryor's oroperty and
psyment has been rec?ived.EQU:PMEN T MAY ONLY BE RETURNED DURING NORMAL BUSINESS HOURS,ANY EQUIPMENT LE=T AT RUNYON'S LOCATION OTHER THAN NORMAL BUSINESS HO;;RS RFMAINS THE CUS-ON4ERS
9ESPONS161i FV
11,Cleaning Charges, Eir-p^lerf is to be returned to Runyon as clean as when it Jeff.A charge of saty five dollars(,$65 00)per hour will b2 charged for cleanup.
12,Assigninents,Subleases and Loans of Equipment.,Z inyon may assign its rights under this Agreement without Customers consent,bit will remain bound by all obligations herein.Costumer may not sublease or loan the equipment without
?,rrq.,r's:tvrtc n+;ermiss on.Any purported assignment by Customer is void.
13 Time of Return, Customers right to possession terminates on the expiration of the rental period('Due in'data&:;one)and retention of possession after lhrs limo constitutes a material breach of this Agreement Tire is o'the essence in this
ee,r!.-Viy exii:lsier must be mutually agreed upon in whiting
14'Late Return Title to edu pment is and small at all times remain.will Runyon..Failure to return the equipment by the"Due In'date wilt subject Customer to a charge of conversion(theft)
15.Time of Payment-Accounts are due and payable at trio farm:oahon of the rental period.
16.Violation of Agreement and Venue Costs. Customer agrees that in the event the Customer violates any of the terms and conditions of this agreement,Runyon may collect damages together with reasonable atomeys`fees,court costs and
1-Ices'of one aid one nalf(1 l,,)percent per month added to accounts over ten(10)days old,reflecting err:annual percentage rate of eighteen(1 8)percent. Customer agrees that this agreement is to be cocst•ued under the laws of the State of
rd:aca and 1ha't legal action is brought to enforce the agreement.that Hamilton County,Indiana,shall be the jurisdiction and legal venue for said action,unless otherwise agreed by Runyon.and Customer at a later fir rte,
17,Waiver, Am,•taaure by eit!1er party to enforce any provision of tills Agreement shall riot constitute a waiver of such provision or prejudice the right of either party to enforce such provision thereafter.
18,Damage Waiver.In conederator.cf the payment of adoit:oval rent classified as"damage waived by Customer,Runyon agrees to and hereby does,waive its Tight,or any right it might have against Customer,arising from normal damage of the
enter!oroperty normal damage to be deteminec by Runyor.Customer snail pay upon return of property rented a sum ecua':to 5%of rental charge.This"damage waiveri does not include daroane or toss of the property as a result of the negligence
of Customer or in the case of abusive damage,theft or other gross negligence of Customer.This dan-iage waiver shall not apply to reckless.careless or abusive operation or use of the equipment.use or operation of tie equipment exceeding its
rated capacity,cr damage to films.tubes and wheels caused by nlowout,arises,cuts,punctures or other causes inherent in the use of the equipment. It is understood the amount paid is not an insurance premi tn,and that this provision does not
represent alt irSirance policy or at,agreement to:nsure.No damage waiver license,sales or use taxes are included rn Runyon's rental rates.They are extra
19.Damaged,Dirty;or Lost Equipment.Customer agrees to pay nor any damage to or loss of the goods,regardless of cause,except reasonable year and fear,whsle the goods are out of:�:-,nyar s possession:.Equipment tost,stolen or damaged
be..ond rep,:: -i:I be paid for at its current list price ous tae cost et rental up to the time of reporting the loss or theft to,Runyon.':he cost of repairs will be borne by Customer,whether performed by Runyon,or,at Pariyori s onion,by others,at a
charge of bill-k)e collars;S6c 00;per hour plus parts.
20,Severabittty,The provisi;irs of the Agreement shall be sevemble so that trier invaiiarty,unenforceability or waivei of any of the provisions steal!not affect the remaining provisions.
21.Loading and Unloading Equipment. Customer is responsible TV loading and unloading equipment. if Runyon's employees assist in loading or u^loading the equipment,Customer agrees to assume the risk of ant:hold Runyon err 1rrr its
omp:oyees,nai-loss for any property damage or personal injuries,:ncludirg damage and personal injuries attributable to the negligence of Runyon.
22,Property Damage. Runyon is rot respcnsin!e for any damage whatsoever as a result of on-the-job deliveries or pick-up by Runyon.
23.Fees,Licenses,Permits,Taxes and Fines. Customer shall be solely responsible for payment of any fees,licenses,permits,'taxes or fines,required by or resulting from the Customer's use or operation of the equipment.
24,Charges. Customer shall pay all charges required under this Agreement upon demand.Customer agrees that mileage and time charges are minimum charges only and that no refund or reimbursement is due Customer in the event that fewer
days and,or mrit s are actually used.
25.Other Liability.Customer assumes all risks from Vie improper use of the equipment Customer is responsible for damages to Custome!'s property or goods in storage or in transit,pr tot ally property left or stored;r,the equipment,or ersea,,here
ir.the•ent.og loch,on.Customer agrees not to hold Runyon liable for damages from down nr`e,materials or other consequential damages resulting from the use of the cq:n.ment.Customer releases and holds Pinyon Its agents and employees
parml ss troy”and 3ca,r31 any and all losses,iiabilitas,damages,injuries;claims,costs and expenses arising out of Customer's use or possession of the equipment,including.out riot::mited to an ano al.fines,penaiues and forfeitures imposed dy
a,,v gover,°,erta entity and,io the exlcrt not covered by insurance,ary cams or liabilities to third parties arising out of the abandonment conversionn,concealntent or unauthorized sale of 1n2 equipment by Ccstome-;or its zgems or etrri ogees.
or far:he:z.,6sr a°ion of ire eq"rccient;y any gc;varnmantai a:ahonty because of illegal or VII)NOper use.C!�stomer shall additionally hold Runyon harmless for all toss,liability and expense in;.cos o'the i:mits ut Ilan ility provided fir here i as
as, of ill,;•,, eetl:c p car':gar„_,ge arising cut of Custornar's use of the equipment. Neither Customer nor any other user of the equipment shall be deemed the ayart,servant or employee of Runyon to,any real,r,3,a-,,,,purpos, Jol:rq
fe re ;f'n„Ar,, %iniint,Customei assn^'es full responsibihty'or the equipment to me cubic and any regulatory body havinc,jurisdiction.
26,Delivery!Pick Up.Delivery,s made tc closest cirrtruca can part.Extra charges will result;n selivenes to upstairs,e!cvaict use or any point where extra time is i wolved.Our service does rr :nc,ide set by and i no„k do•,vr or taoies a"O",r'S
It this service is!equired anareemenis;hoa!d be Tiede several days prior to delivery with a special charge quoted If no arrangements are made and tills service is desired on delivery,cur dri,o mo_t call for aumc,rand,” it 5r-a coroI till r,,dl
lira to accammoda'c vuu after quoting the price,Or pick up where no p,or arrangements have peen made and rental items are not knocked down avid assembled.n oqo sheltered area,taoies and chairs w:!h,3;eft:,ntil the rex;day when a spec a!
crew,car!be>_hed,ded.Thee viii:be an additional one day rental.A knock dawn fee will resilt if rental items are still;ID
27,Waiver of Jury Trial.Each parr{waves it;right to a;dry anal of any claim or cause of action based on or arising out of this agreement or the subject matter hereof.This waiver pertains to all dispu es that may relate to the subject matter hereof.
rciudrng ,w!hr.u' initabor, contract,tort,bleachof cuty.and all other common law and s!atulory claims,and wilt not be subject to any exceptions.Each party(A)understands that this is a waiver of imp" an:loge:nghis Inn iB)acarovi-dges Mat
aahe-;has had a reasonable eppdnuni'y to discuss th,s v;aver anc Is effects with:noel c cunsel Accordune:y.each party knowingly voluntarily,irrevocably and unconditionally waives its jury)nil r.glnts.
28.Tckets,Fines and Penalties.You agree to fully and promptiv pay a:fires.perailies.park ng tckets,traffic tickets fulls,coin costs,atterneys'fees and other charges assessed during the rim in connect:ori wim the use,park rig,storage,and,'
sessk tr of the EGuipmer.'.regardless of identity of the driver of any vehid:e Ydu ent hem s.
29,Traifers and Towing.The custorre"is responsible for inspecting anc maintaining the trailer coupling mechanism,safety chaos,all tie dcaers,pins and e0fs in a safe and secure cond_it.on_while to their possession Gusto^^er agrees riot T,to•.v
am:trails,rerted'rom LESSORIDE,ALER fa)in a dateless or neg:igent manner.(b)at excessive speed or;dj while under the influence of hiedicaJon,alcotlot or illicit d:ugs`
30.Headings,The headings used herein are so eiy for convenient reference and shall not be used to construe or affect the interpretation of this Agreement.
ADDITIONALTERMS AND CONDITIONS FOR SALES
All sales arc-aisc cpverred by'hd oar>..e>'E:; :r e:i,Pu!cttaso Anrd^mgnt. if the Eclu:p^,cnt Pircrase and the Terns and Conditions previously enumerated are inconsisteri.:her the fen ms flrn,me E.0 p-ert Piro h:se Ag-ement preva!
AS-IS-NO WARRANTY:HE'aNAPH.ANT'r:S THE SOLE AND EXCLUS:VE'NARRANTY APPLICABLE TO THE EQUIPMENT AND ALL OTHER EXPRESS OR IMPLIED NARRA%TI"S :NCL.uD NO,WI-HO—T L":'51T10":,THE iMPL ED
y/AURA,;."iE5 ,r 'r,hERC Af.lA 1L'T'°AF,';,' T'dESS FOR A PARTICULAR PURPOSES,ARE EXCLUDED FROF,'THE SALE OF THIS EQUIPMENT RUNYON SURFACE PEEP SUi Pl1' C OR AFFIL..<':f f::'.r„^.y.ts,AN ES.':Ll.N.0`SE
14 F_c C.;:;,cos:i,":iciRi.E F ,-r A,%v Si'=C A_. :NCirFNTAi ON CONSEQUENTIAL DAMAGES OUT OF OR"?E!A;ED`0T+E SALE O=THIS EQUIPMENT TO CUS-GMER.PECA-iDtrESS OF ';n l!:_P SJCS DAIAAGES Ai JISE
t•!UE.TN=r)R FS`O''`f`_,\iN C' <AI;-S OR TORT
RETURN POLICY FOR PURCHASED ITEMS:Tne Custer:e:is:'able`or ail shiopng costs A,hi r. etumino or exchanging an item to Runyon,unless the product has been damaged dunmg shipti nq This policy also oitslos;o warrant_,,retir:1s.As
states.r.the n:ny;r.Return Pobcy'rile•customers return an ite:of items for credit,a 259 restocking fee will be charged to your account,plus all applicable mbounc and outbound freight'his po:cy also applies to sniorna^:s refused and retuned.
All cancelietions of wale gcocs are a_iblsc*to a 25`b`df total zi vulced order)cancellation fee on in stock items from Runyon locations ONLY.Return shipping of the proof ct is not refuhdab:e A'!parrs purchases are non ri,�fundabie..Any,snioment
,ece ved ^r,nditions other than hranu new will be charged 51.`.l restocking tee of the total arro.unt.All return,thus be properly boxed before they are returned.Its'he customer's respors'b'.,ty lip report any damages;shortages within 48 hours
of recei_inu tie prnd;ct.iu)yon:viP not accept claims 48 hours offer delivery.Runyon will not accept returns without authorization.Upon issuing a Merchandise Return Authorization(MI Runyon will Instruct customers as to the best means of
sUmirg merchandise.Ruryon's MRA's are valid for 30 cave offer issuance,MRAs are not valid after the 30 day time limit expires Runvon will absolutely not,under any circumstances,issue art MRA for returns on useci.or damaged products Any
're o^t rdatea damage must be rioted on the signed&1 of Lading AT THE TIME OF DELIVERY The purchase puce at time of sale is final.
REPRESENTATIONS AND WARRANTIES:Se lei represents art,,,iiarrar.ts that(a':Sellei has all necessary right,power and authority to enter imo and perform the transactions referenced ho,,em,(b1 Se o,has good and marketa,:e bi to the
„rr ,:n;,rr,,n:he tar sfe,Cite , ,,:!I corare n Bu er isave onit'r the arcnase mete aen,if: ,to be retained h„Se!ier should Se:or in ils= re p nt =Fr i;
f. _ _ a y n'e��ptior,elect tin,,.. ali.�r sir �ruo,. t i;:Pa';has i.a, uye'
.,a:,;in-t;^F. .r. ,,: necessary TIP,:;ca.-r and slit u,itl C e^irr,in”a r:,error:•,the t•ansarrnns afen tnced here 9,pij diver has sa:er(e a:id carerjhy irsoecter,ant;xam.net the E^;i pr-.eri r..,`ou:)J me sarne r be
,chip,is l n a;pen 7h,:.:r.;r:rrtF la escct.seep sr• V by B•:••ter and riot based on any recomme+ndalion by Seller and;r:1 Buver has receives,carefully tebir,.wed ano:s eat sf ed mini,ail aver!able tra�nir,f nsh,.ctins,.^,oeratiric yin
i,n;'ad",_,z ',a,nrn reri-:-ed linter applicable OSHA andtor ANSI Standards.if any!regarding the proper and safe transportation,use :maintenance,n;pa!t and storage c`the Eq j meni.
11 11111 111 11111 11 N Page 1 of 1
410 WEST CARMEL DRIVE Status: Closed
® CARMEL, IN 46032 Invoice#: 254766-1
EQUIPMENT RENTAL www.runyonrental.com Invoice Date: Tue 1/15/2013
1-800-276-Tool(8665) 317-566-8888 Phone Date Out: Tue 1/15/2013 1:14:OOPM
"Don't be a tool• Rent one" 317-566-2990 Fax
(customer#: 9985 Operator: SCOTT FLOWERS
CARMEL WASTE WATER 317 571-2634 Fax 317 571-2636 Terms: On Account
760 3RD AVENUE SW
SUITE 110
CARMEL, IN 46032 PO#: shop
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am4:30pm, Sunday 9:00am-3:00pm
Ordered By: COOPER, JEFF Picked up by: COOPER, JEFF
Salesman: BONNIE LICKLIDER
Qty Key Items Sold Part# Status Each Price
2 101-1 PROPANE 30 POUND REFILL 101 Pulled $20.90 $41.80
1 051643055056-1 STRAP RATCHET 4PK 14'500LB 051643055056 Pulled $25.99 $25.99
0 f� ea
• 3�9y
Please pay from this invoice.
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 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 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.
Signature:
CARMEL WASTE WATER-COOPER,JEFF
Rental: Sales: Delivery Charge: Misc Charges:
$0.00 $67.79 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$67.79 $0.00 $67.79 $0.00 $67.79
Modification#1
W�CF#AR� zg�T�t ,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT Ai3&yt5 }St$
flrPADG EIS.
Printe NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified.
A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.
TERMS AND CONDITIONS FOR RENTAL,
LAP
GER4!,i;;t!T VERSION OF THESE TERMS AND CONDITIONS IS AVAILABLE UPON RF_t',,UFST
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VOUCHER # 126534 WARRANT # ALLOWED
354867 IN SUM OF $
RUNYON 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 Code
253851 01-7362-06 $33.60
95q766-1 o1 730-0(0 67'.19
101.:39
Voucher Total
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 1/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 253851 $33.60
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
//-5113 CA-- PA-
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 right It might
O 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 ATA or loathe case of abusive damage,6theft or lthr charge.oss negligence gene of the Renttee.This damage waiver shall oft apply to reeddess result
careless or abusive operation n or use
t URFACE VREV RENTAL ir SUPPLY 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 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 insurance
410 W.Carmel Drive•Carmel, IN 46032 policy or an agreement to insure.Equipment that is stolen or damaged by Rentee will pay list for parts,labor or,if a total loss,will 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
@3 G"E,L•F15NER5•INDIANAPOLIS 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.
17 — J 66 — 8888 The parties agree that in the event the Rentee violates any of the tennis and conditions of this agreement,the Renter may tolled damages together with reasonable attorney
fees,court costs and interest of one and one half(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
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,runyonsurfaceprep.eom 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 JOB LOCATION. TICKET. #",
CARMEL STREET DEPARTMENT # 503
3400 WEST 131ST STREET Con# 252572
CARMEL IN 46074
Loc 100
7
PHONE DATE TIME
SN.
S
W (317) 733-2001 OUT 12/14/12 11:20 AM JP
F (317) 733-2005
'I•D#'3 .> PO/JOB:, #; "" .':'. . .` '.,RECEIVED, BY, „
ZELLER, STEPHEN W R TURNED 12/14/12 3 :05 PM MS
***FINAL*** Page: 1
QTY ITEM# EXT;AMT NET-AMT
MIN HOURLY_ OVNITE, , 8-HOUR 'DAY.. WEEK . 4, WEEK
1 2079-0007 CONCRETE VIBRATOR � , 35 . 00 35.00
{ $35. 00/D 35.00 35 . 00 140'.00 ;"t 420 . 00
1 3412-0007 GENERATOR B 3000 WATT 40. 00 40. 00
•;���-_.
$40 . 00/D 40 . 00 40._,OOs 16000 480. 0,0
X2345e78 ,0
c. �A
r^y cRaME` v
C1N�NGINEER���
eZ I.ZO���
IFTHE EQUIPMENT IS NOT RETURNED BY"DUE IN"DATE YOU WILL BE SUBJECTTO A CHARGE OF CONVERSION 7 RENT 75.00
Use of alternative fuels,(Biodiesel,E85,etc.)in Runyon Surface Prep Rental&Supply 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&PROPER OPERATION OF THE ABOVE EQUIPMENT AND I
FULLY UNDERSTANDTHOSE INSTRUCTIONS.I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY,AND OTHER 0.00
THAT RUNYON SURFACE PREP RENTAL&SUPPLY DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY DW/FEES 3.75
OTHER PERSON.I UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON
IS UNAUTHORIZED BY RUNYON SURFACE PREP RENTAL&SUPPLY X :�:' Addl TAX 0.00
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NAMED ON THE
TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT.I HAVE READ THE ABOVE INFORMATION AND ACKNOWLEDGE SALES TAX 0.00
THAT IT IS CORRECT,COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY
EM MENT,ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON SURFACE PREP RENTAL&SUPPLY DEPOSIT 00
I ELY. RUNYON SURFACE PREP RENTAL&SUPPLY IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS,
/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS,OR DAMAGES TO PROPERTY AS A RESULT OF THE
R FTHIS EQUIPMENT.IF EQUIPMENT IS RETURNED DAMAGED,AND NOT DISCOVERED BY RUNYON SURFACE PREP RENTAL
&SUPPLY UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL,RUNYON SURFACE PREP RENTAL&SUPPLY IS TOTAL DUE 78.75
AUTHORIZED TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR.LABOR RATE CHARGED AT$85 AN HOUR.
EQUIPMENT °. Y 1 CELL AMT BILLED 78.75
LEASED BY X PHONE 14-DEC-12 15: 05:22
RETURNED TBY 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,FUEL AND ELECTRIC CURRENT. will apply, X
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions
unless Runvon Surface Pren Rental&Sunnly has been notified. We charge a 5% Damage Waiver on all equipment rentals.
i
TERMS AND CONDITIONS
1,Inspection-Cus:orster achno'ededres'tta?'a has had art opportunity to personally;aspect the equipment and finds it suitable for its needs and in good condition,and that Customer unmers°ands its proper_,se.Customer further acknowledges its
duty's nspect.he equipment prier to use and notify Runyon Surface Prep Supply LLC (hereinafter"Runyon')of any defects.
2.WARRANTIES.THERE ARE NO WARRANTIES OF MERCHANTABILITY OR FITNESS,EITHER EXPRESSED OR IMPLIED,THERE IS NO WARRANTY THATTHE EQUIPMENT IS SUITED FOR CUSTOMER'S INTENDED USE,ORTHAT
IT IS FREE FROM DEFECTS.
3,indemnification. C.storner agrees m assume the risks of.and hold Runyon harmless for,property damage and personal injuries,it iuding death and dismetneerment,caused by the equipment and/or arising out of Runyon's negligence.
Customer sriall:rdem-1,ty and defend Runyon against and hold Runyon harmless from any and all claims,actions,suits,proceedings,costs.expenses,damages and liabilities including attorneys fees which(1)relate to injury or to destr ^f
pr ee!:y,or bodi y k,,gry,::mess,sickness,disease or death of ary person(including employees of Customary,and(2)are caused by.or claimed to be caused;in whole or in part,by the equipment leased herein or by the lianday or coned 3
as v6,passivr,prrr.ay or secondary;of Customer,its agents or employees,or anyone for whose acts any of them may be liable.Customer shall,at its own cost or expense,defend Runyon against all suits or proceedings commenced b�e
:h!cn Runyor Is a caned party for wfi'•ch Runyon is alleged to be liable or responsible as a result of or arising out of the equipment,or any alleged act or omission by Runyon,and Customer shall be iiabie and responsible for ail costs,expenses
aria at:cmey's fees incurred in such defense and/or settlement judgment of other resolution. In the event that such action is cornntenced naming Runyon as a party-,Runyon may elect to defena sad actior or.,Its own behalf and Customer agrees
'lea'i'shall be liable for all costs,expenses and attorney's fees incurred by Runyon it such defense.
4.Rental Charges and Terms, Equipment with hour meters is a:laved eight(8)hours use wrth;!i a 24-hour period of time.Rental rates for equipment are based on usage during th's eight(8)hour shift If Customer runs the equipment for over e
hours In one day,Costo^ler wall be charged for extra`;ours on equipment.Ore day is 24 hours or eight(8)hours running tm?e. 16 hours running time in 24 hours=a 2-day charge.24 hours running time in 24 hours=a 3-day charge.
5,Future Rentals.Customer acknowledges that the terms o`In's Agreement will be aeemed to apply to al Equipment Customer may rent or purchase from Runyon.,whether on the date of this Agreement 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 Agreement)
6,Prohibited Uses. Use of the equipment in the fo!'ow:ng circurnstances is prohibited and constitutes a breach of this Agreement:(a)Use for illegal purpose or in an illegal rnanner,(b)Use when the equipment is in bad repairer is ureafe;(c)
!mprgper,:^Mended use or misusa;i,dt Use h}v unwire other than Customer or its employees,without Runyon's written permission;;e1 Use at any location other than the address furnished Pinyon without Runyon's w,ittan permission.
7.Fuel and Oil Levels A:eoii pmert is full of fuel When rented 1;Customer and must be returned to Runyon full or additional charges will apply.Also,use of alterative fuels(Biodiesel.E85.etc.)in Runyon equipment:s prohib,Od.CljStd^'er is
liable for all damages arc repairs fiat result from a,temaiivs tug:. Runyon checks the ail level in the equipment when it is rented to Customer.Maintenance of proper oil level in the equipment`s solely the responsibility of Customer.
8.Repossess!on.'"Dor a failure to pay rent or other preach of this cortract,Dealer may terminate this contract and take possession of and remove the goods from wherever they are,and Dealer and his agents shat:rot be sable for ay cams
for damage or 1:6spass arising out of the re:^ova:of;he goods.
9.Tires.Customers tally rspons:ble I'll all tire repa'r. It is Customer's option to check over the tires before the equipment leaves and notify Runyon of any irregularities spetted.
10.Insurance- Ounyon's rsura co d:,es nn:cove,equipment,thile in Customers possession. Customer is responsible for insuring the equipment once it:eaves Runyon's property and u:ri::it as Learn returiaa to Runyor's Property ano
payment has been re- wed EQUIPMENT N.AY ONL'BE REI URNED DURING NORMAL BUSINESS HOURS,ANY EQUIPMENT LEFT AT RUNYON'S LOCATION OTHER THAN NORMAL B:,S'NESS HO R5 REi:1AINS 1 HE CUSTOMERS
RESPONS81LIT`'
11.Cleaning Charges, Ea..V^-tort is to he returnee to Runyon as clean as Wien it left.A charge of sixty-five dollars($65.00)per hour will be charged for cleanup.
12,Assignments,Subleases and Loans of Equipment.R;nycn may assign its rights under tnis Agreement without Customer's consent,but will remain bound by all obligations here n.Customer may not sublease o-loan the equipment without
Runyon's written pet miss on.Ary purported assignment by Cislorner is void
13Sime of Return. Customer's right to possession terminates on the expiradoh of the rental period("Due In'date&time)and retention of possession after this time constitutes a material breach:of this Agreement Time is of the essence in this
Agreeme rt Anly exlensior,musl be mutually agreed upon in writing
14.Late Return. ';tie to eca,p-errt is and she!:at all times repair With Runyon Fa lure to return the equipment by the"Due Id'date will subje:t Customer to a charge cf Conversion
15.Time of Payment.Accounts are due and payable at the terminatio•1 of the rental period.
16.Violation of Agreement and Venue Costs. Customer agrees that in the event the Customer violates any of the terms and conditions of this agreement,Runyon may collect damages togr:;her w:th reasora:ble a wr,::is'ees,court costs Ira
elesf
of cue and ere calf(I',•z)percent per month added to accounts over ten(t0j days old,reflecting an annual percentage rate of eighteen(t8)percent Customer agrees taut this agreement is lobe construed under the laws of•ha Slat of
nd'.ara and that f legal act on is brought to enforce this agreement,that Hamilton County,ttdiana,shall be the yunsdiction and legal venue for said action,unless otherwise agreed by Runvor and Customer at a later tin-e.
17,Waiver,Ar;'tenure by either party to enforce any provision of!his Agreement shall act constitute a waiver of such provision or prejudice the right of either party:D enforce such provision thereafter.
18.Damage Waiver.Jr,consideration of the payment of addil onal rent classified as"damage wane?by Customer,Runyon agrees to,and hereby does,waive its right,or any right it might have against Customer,arising from normal damage of the
rental oroperty normal damage to be determined by Runvor.Customer shall Day upon return of property rented a sum equal to 5:0 of rental charge.This"damage waiver does not include damage or loss of the property as a result of the negligence
of Custohie-qr in the case of abusive damage,theft or other gross negligence of Customer,This damage waiver shale not apply to reckless.careless or abusive operation or use of the equipment,use or operation of the equipment exceeding its
rated capac'v.or damage to tires,tubes aud'.vheels caused by blowout,bruises.cuts,ouncturos or other causes inherent in the use of the equipment. It is understood this amount pad is not an insurance prermum,and that this provision does not
represent an insurace policy or art agreement to insure.No damage waiver license,sales or use taxes are included it Runyon's rental rates.They are extra
19.Damaged,Dirty,or Lost Equipment,Customer agrees to pay for any damage to or loss of the goods,regardless of cause.except reasonable wear and tear,whsle the goods are cut of Runycr.'s possession:.Egdi:pment lost,stolen or damaged
beyond repG r'w';be paid for at its curent list price plus trio cost of!ental up to the time of reporting the lass or theft to Runyon.The cost of repairs will be borne by Customer,whether performed by Runyon.,or,at Runyon's option.,by others,at a
charge of sioy-five dollars($65 0C)per hoar plus pats.
20.Severability.The provisions of this Agreement shall be severable so trial the invalidity,unarforceability or waiver of any of the provisions snall not affect the remaining provisions.
21.Loading and Unloading Equipment. Customer is responsible for loading and unloading equipment. If Runyon s employees assist in loading or unloading the equipment,Customer agrees lo assume the nsv of and hold Runyon and/or its
e^-p'oyees•)armless for any prooerty damage or personal injuries,including damage and personal injuries attributable to the negligence of Runyon.
22.Property Damage. Runyon is not rasc,onsible for any damage whatsoever as a result c'on-the-job delivenes or pick-up by Runyon. 0
23,Fees,Licenses,Permits.Taxes and Fines. Customer shat De soiely responsible for payment of any fees,licenses,perrnits.taxes or fines,required by or resulting!rot:the Customer's use or operation of the equipment.
24.Charges, Customer shall pay ail charges required under this Agreement upon demand.Customer agrees that mileage and time charges are minimum charges only and that no refund or reimbursement is due Customer in the event that fewer
days ano;^r m:ea are aclually used.
25,Other Liability.Customer assumes all risks from ti-improper use of the equipment Customer is responsible for carriages to Custcmer's prooerty or goods in storage or in transit,or for any property left or stored it the equipment.or esewhere
h tie a ntog location,Customer agrees not torpid Runyon liable for damages from aown tine.materials or other consequential damages resulting from the use of the equipment.Customer iolr ases and holds Runyon.its agents and emplo'vocs
mar^less from and against any and all losses,liabilities,damages injures,claims,costs and expenses arising out of Customer's use or possession of the equipment,including,put not:mite-d to at v and ali fines,penalt'.es and forfeitures imposes by
any govern—::,,tai entity.and,to the extent not covered by;nsurarce,any clams or liabilities to third pares arising out of the abandonment,conversion,concealment or unauthorized sale of the equipment by Customer,or its agents or e?:p€oyees,
or for the confiscation of the equipment�v any governmental authority because of illegal or improper use.Customer shall additionally hold Runyon harmless for all loss,liability and expense ir:excess of the!t-fs of liability provided for here�n as a
�escif of injury.;Ptah or property damage arising out of Customer's use of the equipment.Neither Customer nor any other user of the equipment shall be deemed the agent,servant or employee rf Runyon for any reason or ary purpose.Ducrg
the term of this Agreement,Customer assumes full responsibility tot the equipment to the publ c and any regulatory body having yarisdiclion.
26.Deiivery/PickUp.Delivery is made to closest Point truck can park.Extra charges will result in deliveries to upstairs,elevator use or any point where extra time is Involved.Our service does nn:Include set up and knock down of tables and chaos.
If this service i�requirec arrangements should be made several days prior to delivery:::th a special charge quoted It no arrangements are made and this service is desired on delivery,our dnvrr must call for author zation.If t.me permits,we will
try to accomnii you after quoting the price,Or,pick up where tic,prier arrangements have been made and rental Items are not knocked mown and assembled in one sheltered area,tab es and chairs ;be!eft unti the net:day when a spe air
crew cat be schedAed.There nvc:be an aod!5onal one day rental A knock down fee will result if rertal items are still up
27.Waiver of Jury Trial.Each party valves rs right to a jury trial gl any claim or cause of act ert based on or arising out of this agreement or the subject matter hereof.This waiver pertains to ail d'sprdes trial may relate to°fie subject matter hereof,
hcludmg without omifa cr.contract,tort,breach of duly.and all other co-nior lawn and statutory claims,and will not be subject to any exceptions.Each parry(A)understands that this is a waiver of mportam legal rights and(B)ackriow;edges trial
'e/sna'f.has had a reasonable opportunity to discuss this'.va'ver and its effects wilt iegal coursel.Accordmgiv each party'Knowingly,voluntarily,irrevocably and unconditionally waives Its jury trial tights
2&Tickets,Fines and Penalties.You aurae to fL:!v and piomptly pay ail fines.penalties parkirg tickets,traffic tickets tolls,court costs,attorneys'fees and other Charges assessed du!ing the Term in c^nnecton with the tse,park,m,storage.arid!
or an; cs,ci,ni rho cquipTGm,iegardles:of'hv=;dent W of'he river of any veh;c!e You lent from its.
29.Traiters and Towing.The rusto^:cr s tesponsble for inspecting and maintaining the trailer coupling mePhaa:sm,safety chairs,all lie dowrs,pins and lights in a safe and secure cond3:on'iujiile:n Chair possession.Customer egr>ec of io l e;
aiy lra'e::antzd frr,m LESSORrDEALEH to)in a careless or negligent manner,(b)at excessive speed or;c)wh:e under the influence of medication,alcohol,or illicit drugs.
30.Headings.'[he head,rigs used neteer are soiely for corvetirent reference and shall not be used to construe or affect the interpretation of eras Agreement
ADDITIONAL TERMS AND CONDITIONS FOR SALES
All sales are also ncverred by;he oarl'es'E:;upmom,PLichase.Agreement. If the Equiprn,nt Purchase and the Terms and Conditions previously enumerated are inconsistent,:her the terms from the E c.p.r jerl Putcrase Agreement prevail.
AS-IS-NO WARRANTY:'Hr_4"1A'r.Hi:IJ'Y'S THE SOLE AND EXCLuS;VE WARRANTY APPLICABLE TO THE EQUIPMENT AND ALL OTHER EXPRESS OR IMPLIED WARRANTIES :NCI-UD:NG,WITHOUT I-AlITATIO a,THE!MPLED
'WARRAN 1 ES OF"AeRCH.ANTABIt 71 A'•„?=TNESS FOR A PAHTICULPR PURPOSES,ARE EXCLUDED FROM THE SALE OF THIS EQUIPMENT.RUNYON SURFACE PREP SUPPLY I.,-C OR,AFFIUA'T ED COMPANIES AlILL NO- iE
14B:E OR RE'POINSIBLE FOR ANY Sf'EC A_,&IDDENTAL OR CONSEQUENTIAL DAMAGES ARISING OU'OF OR RELATEDTOTHE SALE OFT`JIS EQUIPMENT TO CUSTOMER.REGARDLESS OF NIHE;HFR SUCH DAMAGES AgSE
NDER-HEOR ES 0-T hE LAW OF CONT�,A;7S On 1OR`
RETURN POLICY FOR PURCHASED ITEMS:The customer s irate;e for ail shipping costs when returning or exchanging at,,item to Runyon,unless the product has brert damaged during sir pping.This policy also acplies t:warragty returns As
stated:r the=dn;cn Retu:n Policy,,wher Lustg;ners return an its,,%or items for credit,a 259 restocking fee will be charged to your account p u::all applicable inbound and outbound freight.T his pnl;cy also applies to shipments refused arc-etirr.ed.
All carceliaturs of:r:7r;le gaoms are subjast to a 25`0(of etal Invoiced order)cancellation fee or,in stock items from Runyon locations ONLY Holum shipping of the product is not refundable.All parts purchases are.non refundable.Any snicment
e^e:wed a co•�rLtrPrs poser:far hr in.a re',d will De charged 5016 restocking fee of the total amount.All returns must be properly boxes before they are returned.It's the c istomer's responsibility to report any camaces:shortages witnin 48 hours
,of receroirg tie r,roduct H,.ryon wit rot ncr-ep:clams 48 hours after delivery.Runyon will not accept returns without authorization.Upon;issuing a Merchandise Return Authorization(MRA).Runyon will instruct customer';as tg the best means of
•et,rr:, mercnaed se.Ruryons N--"R4.s Pie valid for 30 days after issuance,MRAs are not valid after the 30 day time limit expires Runyon will absolutely not,under any i ircumstances,ssue,an MRA for returns on k;sed or damaged pro/ ny
`.re qr,t rela>.ea damage must he noted or t^,e sinned B.7 of Lad rig.AT THE TIME OF DELIVERY.The purchase price at time of sale is final.
REPRESENTATIONS AND WARRANTIES:Seder represents and,varraris;hat.(a)Seller has all necessary ngnt,power and authority to enter into and perform the transactions referenced herein;ib)Seller has good ano rnarketao e tike to the
Equipment.an n ic)::n fife-rarsfer Date Sal er will ccnvev tie sari e Buyer(save only is-the purchase money fen,if any,to be retained by Seller should Seller.at its sole option,elect to finance all or any portion oft to Pu>caase P•ice),Buyer
ecteser:s and viva°rams that;h Bu yar nas al'necessary right,powai and authority to enter into and perform:the transa bans reterenced here:m;(Iii Buyer has sE ected and carefully riscected and exam:ned*he E,u pment ar d fond the same':o be
cCeptable to Bay'et al respec c based in:,iteria eatab'shed solely by Byer and rot based on any recommendation by Serer,and t")Buyer has received,carefully renewed ands sat stied wr.th.all available tra0irg,astn,et:ocs,operating ano'
use!marua:s :id other:nicr^tali r finch;;ding air training recurred untie applicable OSHA and/or ANS Standards,it any)regarding the proper and safe transcritation,use,maintenance,iepa;r r.nd storage a`the EcOorlent.
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 lt might
Psufqy O ®� 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
A'�A property in the case of abusive gdamage,%theft or of er charge.os negligence g nce of the Rentee.not
This damagdamage aiiverr shall not apply to reckless,property carelees or abusive operation or use
SURFAGE PREP RENTAL fi SUPPLY 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 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 insurance
410 W.Carmel Drive•Carmel, IN 46032 policy or an agreement to insure.Equipment that is stolen or damaged by Rentee will pay list for parts,labor or,if a total loss,will 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
LARMEL•FISHERS•INDIANAPOLIS 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 — rJ 66 — 8888 The parties agree that in the Brent the Rentee violates any of the terms and conditions of this agreement,the Renter may collect damages together with reasonable aftomey
fees,court costs and interest of one and one hag(11/2)percent per month added to accounts over to(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 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.runyonsurfaceprep.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 JOB `LOCATION TICKET #, ,
ARM-T v_;- LEPARTMENT # 503
3400 WEST 131ST STREET Con# 252572
CARMEL IN 46074
Loc 100
SSN PHONE,'.. . DATE- TIME
W (317) 733-2001 OUT 12/14/12 11 :20 AM JP
F (317) 733-2005
PO/JOB # RECEI�IED, ,BY.
ZELLER, STEPHEN W DUE IN 12/15/12 11:20 AM JP
CONTRACT Page: 1
QTY iITEM#...•:..,..: EXT AMT NET AMT
`'MIN HOURLY•' OVNITE: 6-HOUR DAY ` WEEK', ;. 4. WEEK
1 2079-0001 CONCRETE VIBRATOR ;>: 35. 00 35.00
$35. 00/D 35. 00 35. 00 14Q,___001 ,:A20 .00
Rental Note (s) CUSTOMER MUST RETURN, ANY EQUIPMENT USED FOR
CONCRETE WORK, CLEAM INSIDE- & OUT: OR YOU WILL
BE CHARGED A.,,,-LEANING FEE,.=X
12345F�
�1 8
00% RECEIVED j
N
C11 w
CARMEL +0
% '4 CITYENGINEER
IFTHE EQUIPMENT IS NOT RETURNED BY"DUE IN"DATE YOU WILL BE SUBJECrTO A CHARGE OF CONVERSION 7
Use of alternative fuels,(Biodiesel,E85,etc.)in Runyon Surface Prep Rental&Supply equipment is PROHIBITED
Customer is liable for all damages&repairs that result from alternative fuel.
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT AND
FULLY UNDERSTAND THOSE INSTRUCTIONS.I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY AND ——1— - — —
THAT RUNYON SURFACE PREP RENTAL&SUPPLY 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 UNAUTHORIZED BY RUNYON SURFACE PREP RENTAL&SUPPLY X _THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NAMED 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 EQUIPMENT THAT IF MY
EMPL MENT,ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON SURFACE PREP RENTAL&SUPPLY
I ELY. RUNYON SURFACE PREP RENTAL&SUPPLY IS AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS,
/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS,OR DAMAGES TO PROPERTY AS A RESULT OF THE
R FTHIS EQUIPMENT IF EQUIPMENT IS RETURNED DAMAGED,AND NOT DISCOVERED BY RUNYON SURFACE PREP RENTAL
&SUPPLY UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL,RUNYON SURFACE PREP RENTAL&SUPPLY IS
AUTHORIZED TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR.LABOR RATE CHARGED AT$85 AN HOUR.
EQUIPMENT _ CELL
LEASED BY X `-Rif-, ,;,7�: --, PHONE
14-DEC-12 11 :22: 02
EUIPMENT
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,FUEL AND ELECTRIC CURRENT. will apply. X
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions
unless Runvon Surface PreD Rental&SuDDIV has been notified. We charge a 5% Damage Waiver on all equipment rentals.
TERMS AND CONDITIONS
1,inspection.Custorner acknowledges that it has had an opportunity to personally inspect the equipment and finds it suitable for its needs and in good condition,and±hat Customer understands its proper use,Customer t„rher acknowledge Ts
duty to inspect the equipment prior to use and notify Runyon Surface Prep Supply LLC (hereinafter"Runyon')of any defects.
2,WARRANTIES.THERE ARE NO WARRANTIES OF MERCHANTABILITY OR FITNESS,EITHER EXPRESSED OR IMPLIED.THERE IS NO WARRANTYTHATTHE EQUIPMENT IS SUITED FOR CUSTOMER'S INTENDED USE,ORTHAT
IT IS FREE FROM DEFECTS.
3,Indemnification. Customer agrees to assure the risks of.and hold Runyon harmless fof,property damage and personal injuries,including death and dismemberment.caused by the equipment and/or arising out of Runyon's negligence
Customer snap indemnify and defend Runyon against and hold Runyon ham ass from any and all claims,actions,suits,proceedings.costs expenses,damages and;aoi ities including attorney's fees which(t)foists to in;ury dr'o destr et
proper of bo&y mjurv,:dress.sickness,disease or death of any person(Including employees of Customer),and(2)are caused by.or claimed to be caused;in whole or u,part,by the equipment leased herein or by the habil:ty or conduct y
active,passive,on-ary or secondary;of Customer,its agents or employees,or anyone for::hose acts any of them may be liable Customer shall,at its own cost or expense,defend Runyon against all suits or procatiumgs commenced b>�e
:r Wh.c:h Runyon e a r.Grred part'')for wrrich Huryor is alleged to be liable or,esponsible as a result of or arising out of Its equipment,or any alleged act or omission by Runyon,and Customer shall be Lable and responsible for all costs,expenses
and arc rney's lees:ricurrec in such defense and/or settlement.judgment or other resolution. In the event that such action is commenced naming Runyon as a party.Runyon may elect to defeno said action on its own baha and Customer agrees
that t shall be:able for all costs,expenses and artorney`s fees incurred by Runyon:e such defense
4.Rental Charges and Terms. Equipment with ho r refers is allowed eight(8)hours use wim;n a 24-hour period of time. Rental rates for equipment are based on usage during tin s eiaat(8))our shift. I.Customer rafts the equipment for over e
!hours in onto day.Customer will de charge d for extra)ours on equipment.One day is 24 hours or eight(8)hours running time 16 hours running time in 24 hours=a 2-day charge 24 hours running time in 24 hours=a 3-day enarge.
5.Future Rentals.Customer acknowledges that the:arms of this Agreement will be deemed tc apply to all Equipment Customer may rent or purchase from Runyon„whether on the date of this Agreement or at any time i^the future(except only
as to arty Equipmeri and';or other Items 6tilin respect to which Customer executes a new Agreement).
6,Prohibited Uses Use of the equ pment ih the following circumstances is prohibited and constitutes a breach of INS Agreement:(a)Use for illegal purpose or in an illegal manner.(b)Use when the equipment is in bad repair or is unsafe;(c)
!moropec un mended use or misuse:(di Use by anyone other than Customer or its employees.without Runyon's written permission:(e)Use at any location other than the address furnished=funvon without Runyon's v',rftten permissie:
7.Fuel and Oil Levels Aar equviment,b lull of tee!:^fi:en rented to Customer and must be retuned to Runyon fall of additional charges will apply.Also.use of alternative fuels;B odiesel.EHb rite.)in Runyon:eat:proem s Prot ibire,' Customer is
liable for all damages and repairs that reauC from atemative fuel. Run_vorn checks the oil level in the aquipa ant when it is rented to Customer.Maintenance of proper od'evel in the equipmert:s solely the responsibility of Customer.
8.Repossession.Upon a'a:lure to pay lent or other breach of i!:is contract,Dealer may terminate this contract and take possession of and remove the goods from wherever they are,and Dealer and his agents s a'-not be::able for any cia,! S
or damage or h espass arising out of tt e remove:of:he g000s.
9.Tires. Ce;stcmer s Iota ly frspons:ble for all tire repair q s Customers option to check over the tires before the equipment leaves and notify Runyon of any irregularities sported.
10,Insurance. Ruilyon's rsurance doer no:cover equipment while in Customer's possession. Customer is responsible for insuring the equipment once it leaves Runyon's property and unt:it has been returned x;Ruryo-s property and
payment^as been received.EQU:Pf.1EN MAY ONLY BE RETUR'NE'D DURING NORMAL BUSINESS HOURS,ANY EQUIPMENT LEFT AT RJNYON'S LOCATION OTHER THAN NORMAL BUSINESS HOr HS RFJkIAINS T HE CUSTOMERS
RESPO%SIBIJ°`•
i 1.Cleaning Charges. Equ paned�s to be returned to Runyon a:clear as wnen it left.A charge of sixty-five dollars(,865.00)per hour will be charged for cleanup
12.Assignments.Subleases and Loans of Equipment.Pinyon,ir•ay,assign its lights under this Agreement without Customers consent,but will remain bound by all obligations herein.Customer may not sublease o'loam the equipment without
Hunyor.'s wnfl?^permiss:oh Any purported assignment by Customer is void
13.Time of Return. Ccstor.e right to possessioh terminates on the expiraron of the rental period f"Due Ir'date&time)and retention of possession after this tiree constitutes a material breach of this Agreement Time is of iba essence in this
maroons it. Arty extenswr,must be mutually agreed upon in writing
14.Late Return."life in equipment is and steal,of all times rPnram with Rumor. 'Failure to return the equipment by the-Due in-date wilt subject Customer to a charge cf conversion(tI eft)
15,Time of Payment.Accounts are due and payable at the termination of the rental period.
16,Violation of Agreement and Venue Costs. Customer agrees that in Ile event the Customer violates any of the!arms and conditions of this agreement,Runyon.^<:i.;rol:ecl damages togelheir with teascrabla alto;no'd's tres,court c is and
;crest of cn?and one half f t perccr*per moot^added to accounts over ten;i C)days old;reflecting an anneal percentage rate of eighteen('.&)percent.Customer agr es iraLhfs ag eemo t is to be ccnstruec under th?iasys of tn2 S[afa of
noon and that f legal actor•,is brought I enforce ins agreement,that Hamilton County,Indiana,shall be the jurisdiction and legal venue for said action,unless oilier vise agreed by Runyon and Customer at a;star
17,Waives. Any ta:iure by either parry to enforce ary provider.of this Agreement shall not constitute a;waiver of such provision or preludice the right of either party;c enforce such provision thereafter.
18,Damage Waiver.Ir consideration of the payment of additional rent classified as"damage waiver''by Customer,Runyon agrees to,and hereby does,waive its right,or any right it might have against Customer,arising Iran normal damage of the
enta;oroperly)-rmal damage to be determined by Runyor.Customer shall bay upon return of property rented a sum equal to 5`.c of rental cnarge This"damage waiver"does not'rcfude damage or toss of the property as a result of the negligence
of Costo'^ey or in the case of abusive dani theft or other gross negligence of Customer.This damage waiver shall not apply to reckless.cateiess or abusive operation or use of the equipment.use or operation of the equipment exceeding its
died capac?y,;r oamace to ores,tubes and;vneels ceased by blowout,Bruises.cuts,punctures or other causes inherent in the use of the ecu:pftnrni. It is understood the amount paid is not an iinsurance pr?mtum,and that this provision does not
represent an:nsirarce pohcy or an agreement to rsure.No damage waiver license,sales or use taxes are included in Runyon's rental rates.They are extra
19.Damaged,Dirty,or Lost Equipment.Customer agrees to pay for any damage to or loss of the goods,regardless of cause,except reasonable wear and tear,while the goods are out of Runyon's possession.Equ,prnent lost,stolen or damaged
bevond reps:wi!;be paid for at its current!st once oL s the cost of rental up to the time of reporting the loss or theft to Runyon,The cost of repairs will be borne by Customer,whether performed by Runyon,or,at Rinyor.'s option.,by others,at a
charge of slxly rive dollars(865.1,0)per Dour phis pars.
20.Severabifity.The provisions of this Agre?mere shad da severabi?so that the irvalfgi;,unerfesceabilrty vs waive=of any of the provisions steal not aHact Coe rsmaimnq provisions
21,Loading and Unloading Equipment. Customer is responsible for loading and urioading equipment. If Runyon's employees assist in loading or unloading the equipment,Customer aq:ees to assume the nsK of and,hold Runyon andior its
arrpioyees harmless for any property damage or personal injuries, Feludirg damage and personal injuries attributable to the negligence of Ruruyon.
22.Property Damage. Runyon's riot rsporsio;e for any damage whatsoever as a result of on-the-job deliveries or pick-up by Runyor:.
23,Fees;Licenses,Permits,Taxes and Fines. Customer shall:;e solely responsible for payment of any fees,licenses,permits,taxes or fines,required by or resultinq from tare Customer's use or operation of the equipment:. 18
24,Charges, Customer shall pay all charges required under tnis.Agreement upon demand.Customer agrees that mileage and time charges are minimum charges only and that nc refund or reimbursement is due Customer in the event trial fewer
days and,or ml,are actually used.
25.Other Liability.Customer assumes ell risks from tine Improper use of the equipment.Customer is responsible for damages to Customer's property or goods in storage or in transit,of for any property le`t or stored in`he equipment.or eisewhere
in trio r-mi rg location.Customer agrees aof is!hold Runyon i:abie for damages from down time,materials or other consequential damages resulting from the use of the equipment.Customer releases and holds Runyon.its agents and employees
iarm1rss°ram a rid aga nst any and all losses,liabilities,damages,injures,claims,costs and expenses arising out of Customer's use of possession of the equipment,Including,brit not l€mined to any and al:fines,penalties and forfeitures imposed b;'
any goner riff?)tar:-entity,and,to the extent opt covered py'rsurance,any gia:ms or liabilities to third parries arising out of the abandonment,conversion.concealment a tunauihodzed sale of the equipment by Ccstonier.or its agent,or employee
or for fhe co)fiscation of the equipment.y any governmental authority because of illegal or:rrproper use.Customer shall additionally hold Runyon harmless for all loss.habdity and expense in excess of the!:mils of liability provided for herein as a
result of injt.iy.death of property damage arising not of Customer's use of the equipment. Neaher Customer nor any other user of the equipment shall be deemed the agent.servant or erl ployee of Runyon for any reasc:h or any purpose During
the term of in e Agreement,Custorner assumes`ull responsibility for the equ:pmer t to the public and any regulatory body Having jurisdiction,
26.Delivery/Piclf Up.Delivery is made to dosest peenn truck can pa;k Extra charges will result in deliveries to upsiats,eievitor use or any point where extra time is involved,Our service does net inch,de set up and knock down of faces and chaos,
if this service is required,arrangements should be made several days prior to Delivery with a special charge quoted.if no arrangements are made and this service is desired on delivery,our driver must call for autnor,zat:on.:f time pe,mits,arc will
try to accommodate you after quelling the price.Or pick up whet:~no prior arrangements have been made and rental items are not knocked down and assembled in one sheltered area,tables and chairs wit;pe:eft until the next day v:rien a spec!ai
craw car:be soy eduled,There will'be air,additional one day rental.A knock down fee wi t result it rental ftems are still tip.
27,Waiver of Jury Trial.Eacn party waives its right to a j!,ry trial of any claim or cause of act on based on or arising out of this agreement or the sablei t matter hereol,This waive,pertains to as disputes that may relate to the sob-act matter hereof
darting ,v thou.tmitaticr.coniraat,fort breach o'duty.and all cfher common law and statutory claims,and will net be subject to any exceptions.Each partly(A)understands that this is a.va vef of:mppr.,ar::legal rights and(5)ac rove edges mat
has t d rFas:rat r.pporlur,iv to discuss this waver and its effects with egal counsel.Accordind'ry.each party knowingly,voluntarily,irrevocably and unconditionally waives its jury marl figPts
28.Tickets,Fines and Penalties.ybu agrno to fsy and proni;ray all lines,vera:fes,parking tickets,traffic tickets!()Its,court costs,attorneys'fees and-other charges assessed during the Term in connection with the use.,parking.storage,and!
or,.D:,.assic,,of tho EquIP7nrnt.regardless of the dentity of the drover of any vehicle You feat from L.
29.Trailers and lowing.Toe a.stor'c,s responsible for inspecting and maintamirg the trailer roupfing mechansm,safety chairs,all tie dowry,pins and^grits in a safe and secure condif oar;while in;heir possession,Customer agrees)Of to toga
arty tra'sr re•tted from LESSOR DEALER fst in e careless or negligent manner,(b)at excessive speed or yc}'while under the influence of medication.alcohol.or illicit drugs.
36.Headings.The headings used herein are soiety for convenient reference and shall not be used to construe or affect the interpretation of rots Agreement.
ADDITIONALTERMS AND CONDITIONS FOR SALES
All sales are arse governed by the parties'Egvp-enf Purchase Agreement,If the Equipment Purchase and the Ternis and Conditions previously enumerated are inconsistent.then tae terms from tie Edufprnert Pu•chese Agreement prevail
AS-IS-NO WARRANTY:THE WAHRAN T Y'S THE SOLE AND EXCLUSIVE WARRANTY APPLICABLE TO THE EQUIPMENT AND ALL OTHER EXPRESS OR IMPLIED L"IARRAP:TIES; NCI_UD:NG,VATHOuT I.:MI ATION,THE IMPLIED
WAPHANTiES CIF 1,1ERCHANT,A6I1.7°AND=.TNESS FOR A RARTICJLAR PURPOSES,ARE EXCLUDED FROM 7 H SALE OF TN S EQUIPMENT.RUNYON SURFACE PREP SUPPLY L LC OR AFFILIATED COMPANIES WILL NOT BE
JAE'E C fiFSr n 1SIBLE FOP.ANY SPI CiAI. INCIDENTAL OR CONSEQUENT'AL DAMAGES ARISING OUT OF OR RELA?EDTOTHE SA-E OFTHIS EQUIPhv1ENTTO CUSTOMER,REGARDLESS OFWHIETNEI'l SUCH DAMAGES ARISE
UNDER-tir-Cil E,`,OF 71H'P:LAW CrCONTRACTS OR TORT.
RETURN POLICY FOR PURCHASED ITEMS:The customer is:iabie for all shipping costs when returning or exchanging an item to Runyon,unless the product has been damaged during shipping.This pol cy also applies'o'rraran:ty ret:ims.As
stated w the R ,in'Return Po!r_y.',vher:customers return an dein or terns for credit,a 25%restocking fee will be charged to your account,plus all applicable r:bound and outbound fre ght This policy also applies to shicments refused and returned.
All arceliato r f:vide goods are subject to a 25°i(of fetal invoiced order)cancellation fee on in stock items from Runyon locations ONLY.Return shipping of the product is not refundable.All parts purchases are non reundable.Any shipment
nice:',led;r cnn:ditiers o;he-han b-ind ri?.v Will be charged 50°, restocking fee of the total amount All returns must be properly boxed before thev are returned.It's the cu;;omer's respons,Ulily to report any damages/shortages wimin 48 hours
of;ecai:u e m,^rnduGt R;:)yon',vd not accept claims 48 hours after delivery.Runyon will not accept refutes without a:ithorization.Upon issuing a Merchandise Return Authorization(I IR,A).R,myon will instruct customers as to the best means of
retur'r.p merO,erd se.R6,nyor s V.RAs air valid for 30 days after issuance,MRAs ale not valid after the 30 day time limit expires.Runyon will absolutely net,under any circumstances,ssue an MRA for returns on used or damaged pro ^v
're ght rela:cd damage rnst tic'noted:m tree signed Bit of Lading AT THE TIME OF DEL,VERY.The purchase price at time of sale is final.
REPRESENTATIONS AND WARRANTIES:Seile,represents anti vfainants that(a)Seller has all necessary rght,power and authority to enter Into and perform the transactions referenced herein;(b)Selzer has good and marketau:e title to the
:qu:p^tent and;e)^r,the`ransfer Date,Sel?rWrl convey the same:o Buyer(save only let the purchase money:Ien,if any,to be retained by Seller should Setter.at its sole option,elect to firarce all of any porboc of ffhe Purchase Price).Buyer
=;;resents and,..rranls that ;)B,iyet teas all necessary right,power and authority fo enter into and perform the transactions referenced herein;(Il)Buyer has selected and carefully inspected and examined the Equipmert and round the same to be
a ceptaois to nu:<t:n as yespeCS based or,;nit?via esiao:'shad snfe'v by Buyer and riot cased ors any recommendation by Seller;and;fill Buyer has received,carefully raviewed and is sat;sf:ed ni^h.all ava!ab!a trairrg,insiructiors,operating and
air manuals:;:t.7 ter afion irn,.:ding a`:training requited,inner applicable OSHA aridlor A\S Standards,if any)regarding the proper and safe transportation,rise,maintenance repair and smiage of the Equ,om nt.
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 Equipment Rental Purchase Order No.
410 W. Carmel Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
12/14/2012 252572 Auman Newark Improvements $ 78.75
Totall $ 78.75
1 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
VOUCHER NC WARRANT NO.
Runyon Equipment Rental ALLOWED 20
410 W. Carmel Drive IN SUM OF$
Carmel, IN 46032
$ 78.75
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 252572 211-4462838 $ 7875 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
OEZ� 1/28/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund