HomeMy WebLinkAboutREYNOLDS RENTALS -002478 -11/18/2011 CARMEL REDEVELOPMENT COMMISSION 002478
Reynolds Rentals Check: 2478
12501 Reynolds Road Date: 11/18/2011
Fishers, IN 6038 Vendor: REYNRENT
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
5889 199.00 199.00 0.00 0.00 199.00
rent 48"overseeder
199.00_ 199.00 . 0.00 `- 0.00 199.00
(CO) TOOL & EQUIPMENT "ENTAL
_ _ CONTRACT 3237 INVOICE 5889
UMW r I NUMBER NUMBER
SOO-3 2-90336 AsA° TIME IN
DATE AND 10/12/2011 8.35 AM
"A Division of Reynolds Farm Equipment,Inc."
State Rd.37 N.&126th Street 12501 Reynolds Road Fishers,IN 46038 DATE AND 10/11/2011 8.03 AM
(317)849-0810 Fax(317)558-6532 TIME OUT
RENTED AND/OR SOLD TO Closed COI1traEt/IIlVO1C2 DRESS AT WHICH EQUIPMENT WILL BE USED
Account#: 2076
CARMEL REDEVELOPMENT COMMISSIO
30 WEST MAIN ST
CARMEL, IN 46032
317-773-2001
CoCt&leN 7
WRITTEN BY CHECKED IN BY AGENT'S NAME JOB LOCATION
SEAN MONEY SEAN MONEY
CAR LICENSE NUMBER DRIVER'S LICENSE NUMBER P.O.NO OR JOB NO. DATE AND TIME DUE IN
XXXXX 10/12/2011 8.03 AM
item Number Description Qty Out/ In Rates MW D H Date&Time In Amount
TA-SEE-01 48"OVERSEEDER LANDPRIDE 0 1 24H 240.00 1 0.32 10/12/2011 8.35 AM 240.00
Serial#R350-461895
Quantity Rtnd/AmtChgd: 1/ 240.00
ENV FEE ENVIROMENT FEE Sold: 1 7.00 Price Ea. 7.00
REYNOLDS RENTALS MEANS BUSINESS.
RENT WITH CONFIDENCE. GUARANTEED.
WE THANK YOU FOR YOUR BUSINESS I1OO , I
•
irp.
N/A Total Rental 240.00
DAMAGE WAIVER CHARGE(DWC) °/, WE CHARGE FOR TIME Total Sales 7.00
OF RENTAL CHARGE. RENTER MAY, BY INmALS OUT NOT TIME USED Less Discount 48.00
HEREON, DECLINE BENEFITS OF PARAGRAPH Subtotal 199.00
15, DAMAGE WAIVER, ON REVERSE SIDE OF THIS INCLUDING SATURDAYS, Sales Tax
CONTRACT. DECLINES Total
SUNDAYS,AND HOLIDAYS! Less Deposit 0.00
DWC IS NOT INSURANCE.
Amount Due
Change 0.00
YOUR PROMPT RETURN SAVES YOU MONEY.
(INITIALS) Amount Posted To A/R
The Day rate consists of 24 hours out or 8 hours used.
You will be charged for additional hours used.
I have read and understand the terms and conditions on both sides of this agreement
and certify that those printed on the other side are agreed to as if printed above my
signature.There are no oral or other representations not included herein.
Net
Lessee's Signature:
Written: 10/11/2011, Last Adj.: 10/12/2011,Time: 08:35
YOU ARE RESPONSR LE FOR ALL TIRES, FUEL, OIL, AND PROPER ELECTRIC CURRENT
TERMS AND CONDMOrHS OF THS AGREEMENT
INSPECTION. Customer acknowledges that fie has had an 8. LATE RETURN. Cur liymer agrees tc eturn the rented goods
ocfkortunity to personalty inspect the eouipment,and finds it suitable during Dealer's regular sari)re hours. upon termination of tne rental
f.i,) nisi; needs arid ii; good condition, and that he understands its period. If not timely i-efulned. Customer shall pay an „iriitional
pmper use. Customer further acknowledges his duly.lu inspect the charge ot 1 /6 of the daily rate for eacn ii. , the goods are'retained
uaime-rient prior to use and notify Dopier of any defer ts;Customer beyond the expiration of the rental period.
at lions to permit he Dealer to inspoi the equipment and its use at
9. DIRTY DAMAGED Cfkl LOST EQUIPMENT Customer uareas to
aipf rime.
pay for any damage to a, :oss of the goods as an insurer.rr,-J,3rdless
E REPLACEMUM: OF MALFUNEWONING EQUIPMENT. If the of cause, except reasohable wear and :oar. while the ids are
efi,fi!:iment heccmcs unsafe or in disrepair as a result of normal out of the possession of InE, Dealer. Customer also agree: to pay a
Customer agrees to discontinue use and notify the Dealer who reasonable cleaning chaige for equipmen! returned dirty ;Accrued
i i. place the equipment with similifir equipment in good working rental charges cannot he applied agains the purchase Or cost of
ciicier, if available Dearer is not responsible for ariy incidental or repair of damaged or 10,-4 peods.Equipment damaged bevikri repair
ifoiisequentiai dairroons caused by delays or otherwisc. will be oral for at its Faii Market Value "hen rented, ifs:' cost of
a. W repairs be borne by Cus'orner, whether performed off
ARRAN1IE fa. THERE ARE- NO WARRANTIES OF
' , i
RCHANTABiLl Pi` 011 FITNESS) EITHER EXPRESS OR IMPLIED. at Dealers option,by en- s.
is no warramv that the equipment is suited for Custer-ilex's 10. COLLECTION 00313. Customer acrees fo pay at ikyk.;criable
inlyrided use.or Thai it is free trot i defects. collection. attorney's arm riourt fees and,..trear expenses involved in
HOLD HARMLESS AGREEMENT Customer agrees to assume the collection of the chaifies enforceniei t of Dealers under
fi .
this contract,
asks of. and Dealer narrolnss for. property damage and
personal injuries ceased by the equipment andloi arising out of 11 REPOSSESSION, tfiorn a failure to rent or other Leech of
negligence. this con;-act,Dealer may terminate this mire;and take possession
of and remove the goods from whereyei cc', are. and Dc and
PROHIBITED USES. Use al the equipment in the folfowino
his amen';shall not he liei)le for any eLiini fdi damage hi hk-ispass
inurostances it. [iianibited. and constitutes a breach of this
arising iii of the remove:of the good if.
12 TIRE REPAIR OR I:LPLACEMCNT Customer ackr,,,i.rilierAges
Use for purpose or itifi:gai inanner.
that repair and replacement of tires are nor included in the rail al rate
b. Use whca A e equipment re r bad repair or;a unsafe. and agrees to pay for tin repair or replacement of any tiir.fk 'stun-led
'a improper. ri mended use or iaisuse.
to the deader in a damaged condition, repaidiess of the ceirue cif the
L
damage, reasonable wee' ji•id tear excepted,
a. Use by arcane other that Customer or his employees,
13 DIDELAIMER OF f4lANIUFACTURF Customer agrees that
without Dealer's written peirifssion.
Dealer s neither the maiiutacturer of 11,c riocds nor the uric 4 or the
e. Use at any location othei iimn the address tarnished Dealer manufacturer.
without Deelens written permission.(Does not apply to mobile
quipment) 14.USE OF GOODS.Cinttemer agrees tarot the goods slki .rsed
e
only by persons competent in their ope.ratrm and further agrees tnat
P ASSIGNMENT:- SUBLEASES AND LOANS OF EQUIPMENT he is solely responsible kn.:providing cori;;Y,itent opera
i;eCii,T may assign his rights unaer this contract without Customer's
15. SEVEABILITY. Trio provisions agreement shall be
ei.iaserif, but \MI: remain bound by fill obligations, he-ein. Customer R of
seyeraleic that the iiiyalidity, unen ty tomulbili or waiy,I of any of
ma.) not sublease i..v) loan the filii,pitient withoul Dealer's written so
the provisions shall riot affect the remaining provisions.
nerm n
ission.Any purported assignment up Customer is rod
16. INE)ii.GANCE. Cutf1(,11,-f.agrees thai will maintain al ail times
ME OF RETURN Customer's, /'ht of possession terminates on
ratio during the period of thin iental contracisi,-I Liability losurriiine, and
uyr. n .;-)n ri cr i rGlention of pc):15'.:ffsf;lor, after
shall furnish a certifica's insurance i.c.rri I:request.
ine material Lre.ion of this coi Mile is toe
eras of this coundst. Any extension must he mutually agreed 17. MODIFICATIONS OF SAFETY SVSl' 13.Customer:ioreeie rot
woting, to modry any safety'system and to notify Healer oly in the
event of such systems rr ialfrinction or breatii.eige.
•
Form ST-105 Indiana Department of Revenue
State Form 49065 R4/8-05 General Sales Tax Exemption Certificate
Indiana registered retail merchants and businesses located outside Indiana may use this certificate.The claimed exemption must be allowed by Indiana
code. Exemption statutes of other states are not valid for purchases from Indiana vendors. This exemption certificate can not be issued for the
purchase of Utilities, Vehicles, Watercraft, or Aircraft. Purchaser must be registered with the Department of Revenue or the appropriate taxing
authority of the purchaser's state of residence.
Sales tax must be charged unless all information in each section is fully completed by the purchaser.Purchasers not able to provide all required
information must pay the tax and may file a claim for refund(Form GA-110L)directly with the Department of Revenue.
Name of Purchaser City of Carmel (Carmel Redevelopment Commission, an enterprise fund)
Business Address 30 West Main Street, Suite 220 City Carmel State IN zip 46032
of
=) Purchaser must provide minimum of one ID number below.*
Provide your Indiana Registered Retail Merchant's Certificate 0031201550 — 020
TID and LOC Number as shown on your Certificate
'11D#(10 digits) LOC#(3 digits)
If not registered with the Indiana DOR,provide your State Tax
ti
ID Number from another State
*See instructions on the reverse side if you do not have either number. State ID# State of Issue
Na
Is this a ®blanket purchase exemption request or a ❑single purchase exemption request? (check one)
'41.)< Description of items to be purchased.
Purchaser must indicate the type of exemption being claimed for this purchase. (check one or explain)
❑ Sales to a retailer,wholesaler,or manufacturer for resale only.
rs:❑ Sale of manufacturing machinery,tools,and equipment to be used directly in direct production.
;%
❑ Sales to nonprofit organizations claiming exemption pursuant to Sales Tax Information Bulletin#10.
(May not be used for personal hotel rooms and meals.)
rij: ❑ Sales of tangible personal property predominately used(greater then 50 percent)in providing public transportation-provide USDOT#.
M:; A person or corporation who is hauling under someone else's motor carrier authority,or has a contract as a school bus operator,must
,oh provide their SS#or FID#in lieu of a State ID#in Section#1. USDOT#
❑ Sales to persons,occupationally engaged as farmers,to be used directly in production of agricultural products for sale.
.4r`. Note:A farmer not possessing a State Business License#may enter a FID#or a SS#in lieu of a State ID#in Section#1.
0 Sales to a contractor for exempt projects(such as public schools,government,or nonprofits).
® Sales to Indiana Governmental Units(agencies,cities,towns,municipalities,public schools,and state universities).
❑ Sales to the United States Federal Government-show agency name.
,,; Note:A U.S.Government agency should enter its Federal Identification Number(FID#)in Section#1 in lieu of a State ID#.
r::'.,'❑ Other-explain.
I hereby certify under the penalties of perjury that the property purchased by the use of this exemption certificate is to be used for an exempt
purpose pursuant to the State Gross Retail Sales Tax Act,Indiana Code 6-2.5,and the item purchased is not a utility,vehicle,watercraft,or aircraft.
Cj" I confirm my understanding that misuse,(either negligent or intentional),and/or fraudulent use of this certificate may subject both me personally
and/or the business entity I - sent to the i position of tax,interest,and civil and/or criminal penalties.
�• /g
rn' Signature of Purchaser Date
Printed Name Les Olds Title Redevelopmet Dir
The Indiana Department of Revenue may request verification of registration in another state if you are an out-of-state purchaser.
Seller must keep this certificate on file to support exempt sales.
DC Result Report P 1
10/25/2011 09:38
Serial No. A0P2011010435
TC: 47294
Addressee Start Time Time Prints Result Note
95586532 10-25 09:37 00:00:27 001/001 OK
TMR: Timer TX. POL: Polling ORB: Original Size Setting FME: Frame Erase TX.
Note MIX: Mixed Original TX. CALL: Manual TX. CSRC: CSRC. FWD: Forward. PC: PC-Fax.
BND: Double-Sided Binding Direction. SP: Special original. FCODE: F-code. RTX: Re-TX.
RLY: Relay. MBX: Confidential. BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax.
I-FAX: Internet Fax
Result OK: Communication OK, S-OK: Stop Communication, PW-OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M-Full:Memory Full,
LOVR:Receiving length Over, POVR:Receiving page Over, FIL:File Error,
DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error.
Form ST-105 Indiana Department of Revenue
State Form 49065 154/8-05 General Sales Tax Exemptiort Certificate
Indiana registered retail e
ail m rchants and businesses located outside Indian may use this certificate.The claimed exemption must be allowed by Indiana
code. Exemption statutes of other states are valid for purchases from Indiana vendors. This option certificate can not be Issued for the
purchase or U#.tries_ Vahirlet, Ware,"."10, roALrrreS_ Purchaser must be registered with the Department of Revenue or the appropriate taxing
authority of the purchaser's state of residence.
Sales tax must be charged unless all information in each section is fully completed by the purchaser_Purchasers not able to provide all required •
information must pay the tax and may file a claim for refund(Ports.GA.-11 01-)directly with the Department of Revenue.
Name of Pomhaser City of Carmel(Carmel Redevelopment Commission, an enterprise fund)
Business Address 30 West Main Street, Suite 220 City Carmel State IN yip 46032
Purchaser must provide minimum of one ID number below."
Provide your Indiana Registered Retail Merchant's Certificate 0031201550 — 020
-MD and WC Number as shown on your Certificate
TlD#(1 O digits) LOCO(3 digits)
If not registered with the Indiana DOR,provide your State Tax
ID Number from another State
"See instructions on the reverse side if you do not have either number_ Seats neat State of Issue
Is this a lGO blanket purchase exemption request or a O single purchase exemption request? (check one)
Description of items to be purchased.
r. Purchaser must indicate the type of exemption being claimed for this purchase. (check one or explain)
: O Sales to a retailer,wholesaler,or manufacturer for resale only_
.• CI Sale of manufacturing machinery,tools,and equipment to be used directly in direct production.
•`'..:
- CI Sales to nonprofit organizations claiming exemption pursuant to Sales Mx Information Bulletin#10_
(May not be used for personal hotel rooms and meals.)
t
CI Sales of tangible personal property predominately used(greater then 50 percent)in providing public transportation-provide USDOT#.
A pers corporation who is hauling under someone else's motor carrier authority,or has a contract as a school bus operator,must
provide their SS#or l-IlJ#in lieu of a State ID#in Section#I_ oUSDO rti a
O Sales to persons,occupationally engaged as farmers,to be used directly in production of agricultural products for sale.
Note:A farmer not possessing a State Business License#may enter a PIE,*or a SS-ft in lieu of a State ID#in Section 01.
•
CI Sales to a contractor for exempt projects(such as public schools.government.or nonprofits).
,m Sales to Indiana Governmental lUnits(agencies.cities,towns,municipalities.public schools,and state universities).
i - 0 Sales to the United States I.'edecal Government-show agency name.
Note:A U.S.Government agency should enter its Federal Identification Nun.ber(YID#)in Section#1 in lieu of a State MO.
i
.._. O Other-explain_
`.." I hereby certify under the penalties of perjury that the property purchased by the usc of this exemption certificate is to be used for exempt
purpose pursuant to the State Gross Retail Sales-I-lax Act,Indiana Code 6-2.5,and the rem purchased is not a utility,vehi dlc,waterer-aft.or aircraft.
• 11 confirm my understanding that misuse.(either ttegligrrtr or iorenlionui),and/or fraudulent use of this certificate may subject both me personally
E Z`!;and/or the business entity 1 nt tot Shinn of tax.interest,and civil and/or criminal penalties.
Signature of Purchaser _ s —_ - Date ,.,"'. 7---.e2....5-7.-//
.'Printed Name Les Olds Title Redevelopmet lair
_._. The Indiana Department of Revenue may request rification of registration in other state if you are an out-of-state purchaser.
Seller most keep this certificate on file to support exempt sales_
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
P.,94/5 Purchase Order No.
lz 5d/ pf-7o /o- kvuc- Terms
1764,- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/O//z/// ?// (-2 c-r--c7/,or /99 c2a
or
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I .- . - :.:e;0--d same in accordance
with IC 5-11-10-1.6. ��
It)
�� -Treasurer
VOUCHER NO. WARRANT NO.�
44/5 ALLOWED 20
/ / � / `2 s07 1 ,7,pe/c7 / IN SUM OF $
/-5 ‘ r 3i 7,lG�,
•
$ /92
•
ON ACCOUNT OF APPROPRIATION FOR
*2
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT hereby certify invoice(s),
DEPT.# I hereb certif that the attached invoices , or
9&2 5 g2 3909 9 19s" 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
/O-22 20//
Eke'ufive Director
Title
Cost distribution ledger classification if
Carmel Redevelopment Commission
claim paid motor vehicle highway fund p