218613 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
0 ;I. ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $114.17
CARMEL, INDIANA 46032 410 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 218613
CHECK DATE: 3125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 258080-1 71 . 28 OTHER RENTAL & LEASES
2201 4238900 258130-1 37 . 90 OTHER MAINT SUPPLIES
2201 4237000 258526-1 4 . 99 REPAIR PARTS
Status: Closed
V NON 410 WEST CARMEL DRIVE
V CARMEL,IN 46032 Invoice#: 258080-1
EQUIPMENT RENTAL www.runyonrental.com Invoice Date: Tue 3/12/2013
1-800-276-Tool(8665) 317-566-8888 Phone Date Out: Tue 3/12/2013 9:19:OOAM
"Don't be a tool-Rent one" 317-566-2990 Fax
Customer#: 1384 Operator: JOEL PROCHNOW
CARMEL STREET DEPARTMENT 317-733-2001 Phone Terms: On Account
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: OTTI NIGER, MARK A
Qty Key Items Rented Ser# Status Returned Date Price
1 7492#0001 SAW TABLETOP 10"BOSCH 4000 584060522 Returned 3/1212013 2:47:001310 $55.00
1 1859-1 BLADE CARBIDE 10 Returned 3/12/2013 2:47:OOPM $11.00
Thank You for your Business
Rental Contract Rental: $66.00
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: $5,28
fuels(e.g.Biodlesel,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 Runyan with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $71.28
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: INDIANA: $0.00
Total: $71.28
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-OTTINGER,MARK A Amount Due: $71.28
Modification#2
Printed On Wed 3113/2013 9,06:11AM Software by Point-of-Rental Systems WWW.POINT-OF-RENTAL.COM Contract-Params.rpt(6)
Status: Closed
410 WEST Ru NYON CARMEL,IN 46032E DRIVE Invoice#: 258130-1
EQUIPMENT RENTAL www.runyonrental.com
Invoice Date: Tue 3/12/2013
1-800-276-Tool(8665) 317-566-8888 Phone Date Out: Tue 3/12/2013 3:26:OOPM
"Don't he a tool-Rent one" 317-566-2990 Fax
Customer#: 1384 Operator: WINNIE HELMS
CARMEL STREET DEPARTMENT 317-733-2001 Phone Terms: On Account
317-733-2005 Fax
3400 WEST 131ST STREET
CARMEL,IN 46074
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: BURKE, RALPH
Qty Key Items Sold Part# Status Each Price
2 8730-1 SQUEEGEE 30"FOAM 8730 W/HA 8730 Pulled $18.95 $3790
Thank You for your Business
Rental Contract el Rental: $0.00
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
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: $37.90
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)
1 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: $37.90
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: INDIANA: $0.00
Total: $37.90
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-BURKE,RALPH Amount Due: $37.90
Modification#1
Pnnted On Wed 3/1312013 9:05.42AM Software by Point-of-Rental Systems WWW.POINT-OF-RENTAL.COM Contract-Params rpt(6)
111H II I I I I I I III II Page 1 of 1
�®�® 410 WEST CARMEL DRIVE
Status: Closed
�® CARMEL, IN 46032 Invoice #: 258526-1
>✓QUIPtrtENIT RENTAL www.runyonrental.com Invoice Date: Mon 3/18/2013
1-800-276-Tool(8665) 317-566-8888 Phone Date Out: Mon 3/18/2013 10:45:OOAM
"Don't be a tool- Rent one" 317-566-2990 Fax
f Customer#: 1384 Operator: WINNIE HELMS
CARMEL STREET DEPARTMENT 317 733-2001 Fax 317 733-2005 Terms: On Account
3400 WEST 131ST STREET
CARMEL, IN 46074 T
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: ZELLER, STEPHEN W
Qty Key Items Sold Part# Status Each, v Price
1 662911824603-1 DRILL BIT SIDS 1/4 X 8 662911824603 Pulled $4.99 $4 99
jl V
Thank You for your Business
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 STREET DEPARTMENT-ZELLER, STEPHEN W
Rental: � Sales: Delivery Charge. Misc Charges:
I $0.00 $4.99 $0.00 $0.00
Subtotal: j INDIANA: Total: Paid: Amount Due:
{ $4.99 $0.00 $4.99 $0.00 $4.99
Modification#1
Prin q�gojjyFj6QV� NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT AFPL*tT0rPtlR +ASES.
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.
TEM.AS AND CONDITIONS FOR RENTAL
!-ARGER-PPWNIT VERSION OFIVIESE TERMS AND CONDITIONS IS AVAILA—SSE UPON RECUIEFST
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'I,set to WA 4 W)w W,a"n .0-y lop n,ov 0 -j av 0 TM Hals MUNN OWMEMCM BE C011',i[IOERED A THEFT_t,-`)'.TING 1N CRIHII% fwr:)-31ECUTJON.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$114.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 258080-1 43-530.99 $71.28 1 hereby certify that the attached invoice(s), or
2201 258130-1 42-389.00 $37.90 bill(s) is (are) true and correct and that the
2201 258526-1 42-370.00 $4.99
materials or services itemized thereon for
which charge is made were ordered and
received except
f brs rc , 2013
Str6bMbftrt 3I9sii9ner
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))
03/12/13 258080-1 $71.28
03/12/13 258130-1 $37.90
03/18/13 j 258526-1 $4.99
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