217430 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK AMOUNT: $210.00
CARMEL IN 46032
CHECK NUMBER: 217430
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 25245 210 . 00 OTHER RENTAL & LEASES
In doss oeabon of me payment of adorml Ten Cassaied as'damage waroer By UTe Rernee,Flerrrer agrees to,and re". does watw its right,Of any rgR:A mgm
A. naa o against Nhe Rentee,a. from normal lama p_d trw renu pnTperr.normal damage 10 be 00VITIE 0 By Rwor.The rrY IrS 7k>d siall ray upon rend d
SURFACE PREP At'A, property lonted a sun equal to 5%01 ren'ai charge- s'damage Yaw door rut inCudL damage or lass G Me,,nyoWty as a resill o1 Be re ce�eGraMenReT'ee
RENTAL&SUPPLY o thou Equipment�ase a operation� 01 Me u� rrls0ral d capaay,a da age b 6es t b s ax1 rfx e�c by�dawala cuts,puri tea
otRY re ses hterent h Nw use d ttw EWp nen-N is UY1er41Wdme amount pals I5 ra an Ir&n ncC romlurl and tot M primsion�rol r sent an insurano
posy or an agreerwil to insure.Equip-ren mat is sided,or damaged by Rena will pay Isf>ur ram.4T6or o•,d a WI loss wilI pay repaa�n`n��ra xtuS mind
410 W.Carmel Drive I,Carmel,IN 46032 The JTanlee PITH e a da DAkdges r �l a N 2 ataemenioned equprnanl and mate a s a IXlw'.i4715 , S kJ pmpe m a ca a ul aryt p uJenl arm and
,M not roan,sublel,mongage or In any manner appose of same lo arry person%"A the willen crosenl of me owner.and lurmer agrees to rdun me equ;ment
LARMEL•FISRI A5•INDLAw"OLa5 10 Renter in subsrant'aly good cordbon as'wnen rece ved,natural wear artl lear a vepted.
317 - 566 - 8888 Tle���"he owit the Rxti wual�any a o,e lerms and oa dVIs a Ins ayeerrw t tw Hara may cold damages 1U a wn rea crab e atbmy
b-A CCVI O)SS anJ FIMB5TC1 ore"ON har,(I 1 Z);wW per month a W aa=M cw4 teal{t(I)rays dd reowg an M-W page raed e+Jkm t t81 rYaO>'t
FAX:317-566-2990 The above eTVnenl rods been remyx D tie undo syri4 br renal Iirposes cn'g ana 11 is uncerswod mat Renter steal oa Ted rr�or�ue br any axkxnt u
damage resUL ng directry v irdrLClly f o I he leased KW Y1 The ter PJpresdI,dscamS al warranties,either exTsessed or rmpled,including any,impEd
"Don't be c tool-Ren t one" wand ties d me dTarxabltry or nNwss br a pa%Y1ar r?J paSe,anJ n ltRer assures qr a rJUrizes a�arer pe a r o assure b h LAP ty wn a ticn wTm me
use 01 Nis equipment.The&.fi e agrees to tdemnfy Renter,from any cla1m,loss,carnaT.s to property,cor>s< luental menages,LGs d roxne a any other
www.runyons urtaceprep.com nadrnlal aamagcs.even mrze aanTagrs caused oy me negtgence of Rentee.toget wr wall attorney Ims for aeferdra any acbon brought as a roap of me lease
of ms eqe MwL
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
RENTEE ADDRESS AT WHICH..EQUIPMENT WILL BE USED TICKET NO.
CARMEL CLAY PARKS & RECREATION PLANER Loc 200
1411 E. 116TH STREET Conn 2524
CARMEL IN 46032
IDENTIFICATION #2 PHONE DATE TIME
W (317) 848-7275 OUT 12/13/12 10:45 AM ME
F (317) 571-2468
AUTO LICENSE P.O.# RECEIVED BY
-°lrANE-R BURNETT, ANDREW W RET NED 12/13/12 2 :06 PM Jq
***FINAL*** Page: ]
Qty Item# MIN Hourly Ovnite 8-hour Day Week 4 Week Ext Pmt Net An
1 2023-0005 CONCRETE PLANER 8" GAS 200 . 00 200. 00
Purchas9
D^�criptson
P.O.# Po .
G.L.#- /�z5-•�-pg_ �f 3530 .,D
Line-et JAN 17 2013
Line�bescr
Purchaser Date___ BY:
Approval Date
RENT 200 . 00
SALES 0. 00
FTHE SOUP RENT S NOT RETURNED BY-DUE P!"DATE YOU WILL BE SUBJECT TO A CHARGE OF CONVERS ON(��T� OTHER 0 . 00
Use of aAemajw fuels.(&odlesel.EE5.etc.)in Runyon Surface Prep Rental 6 Supply equipment is PROW TUl ED. DW/FEES 10 . 00
Customer is liable br all damages&repairs that result from ahernxirie fud.
I HAVE BEEN f6TPUCTED&DpAONST ATED ON THE SAFE a PROPER OPERATION OF THE AaCVE EOUIPtMEtrT AND.. Add 1 TAX 0 . 00
Flt`L,X:,E.�TAVrTH'!cF V�RU!'"IG'Iz I ALSO UNDEFiSTANDTHATIAMT}1EFLfisYiNREMWGTHISPfYX•LRil',ATD
THAT RJNTt 4 SURFACE PREP RENTAL&SUPPLY DOES Nor avE ME PERmissioNT0 LEND THIS PROPERTI'TO ANY SALES TAX 0 . 00
OTHER PERSON.I UNDERSTAND THAT GIVING OR LETIDUIG THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON
ISUNAUTHORIZEDBYRJNYON SURFACE PREP RENTAL ISUPPLY X DEPOSIT 0 . 00
THE UNOEtSIOJED.HA%ING READ AND LREERST000 THE AMINE.HEREBY AGREES TO PENT THE ARTICLES NAMED ON THE
TERMS AND CONDITIONS SET FORTH Pr THIS RENTAL AGREEMENT.I HAVE FEFDTHE A3M INFCRUCON AID AMjCWLEDGE
TW IT IS CORRECT,COMPLETE AND ACCURATE. I PROMISE THAT AS A CDNDITQN OF BENING ECUIPMENT ThAT IF MY TOTAL DUE 210 . O O
EMPLOYMENT.ADDRESS OR PHONE NUNBER BE CHANGED I WILL NOTIFY TANYON SUAWE PREP RENEa1 SwPPLY
LIVOOUCQY WON SURFACE PREP RENTAL d SUPPLY IS AUTHORIZED TO BILL MY CRmfT CARD FCC ANr AND ALL COSTS
FEES.AIDDR INTEREST CRARGES ASSOCLCM WITH ANY CLAIM.LOSS.OR DAMAGES TO PROPERTY AS A RESULT OF THE AMT BILLED 210 . 00
RENTAL OF THIS EQUIPMENT.IF EQUIPMENT IS RETURNED DAMAGED.AND NOTOISMERED BY RUN' N SURFACE PREP RENTAL
d SUPPLY UfTIL AFTER THE CUSTOMER LEAVES AND l'AS SEMED THE 9111,RUN1ON SURFACF PREP RENTAL d SUPPLY IS O f�1� �/�7//3
AUTHORIZED TO RJN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REFAIR.LABOR RATE D1442 ED AT Sgt AN FIOLJ CC
EQUIPMENT CELL
LEASED BY X PHOrJE
ROT RN DTBY X RENTAL FEES DO NOT APPLY TO PURCHASES.
- WE CHARGE FOR TIME OUT,NOTTIME USED. Equipment is clean and full of fuel please return as such or addifional charges
YOU ARE RESPONSIBLE FOR ALLTIRES.FUEL AND ELECTRIC CURRENT. will apply. X
NO ADJUST61ENTS OR CREDITS will be made on equipment malfunctions
unless Runyon Surface Prep Rental&Supply has been notified. We charge a 5% Damage Waiver on all equipment rentals.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
354867 Runyon Equipment Rental
Terms
410 W Carmel Drive
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number
or note attached invoice(s) or bill(s)) PO#
$ 210.00
12/13/12 25245 Concrete planer
I'
Total $ 210.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
354867 Runyon Equipment Rental Allowed 20
410 W Carmel Drive
Carmel, IN 46032 �f
In Sum of$
$ 210.00
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 25245 4353099 $ 210.00 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
7-Feb 2013
Signature
$ 210.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund