RUNYON EQUIPMENT RENTAL- 002637- 1/18/2012 CARMEL REDEVELOPMENT COMMISSION 002637
Runyon Equipment Rental Check: 2637
410 W Carmel Drive Date: 1/18/2012
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
See Transmittal Sheet for check detail.
1,274.92 1,274.92 0.00 0.00 1,274.92
I
. .
THE KEY TO DOCUMENT SECURITY•HEAT ACTIVATED THUMB PRINT"ADDITIONAL SECURITY FEATURES INCLUDED•SEE BACK FOR DETAILS
.06D°��° Carmel Redevelopment.Commission y 'f)"'
ti 30 West Main Street A REGIONS 002637
I' 201421!740
l� Suite 220
kb`""MI`L Carmel, IN 46032
DATE ihi
`` 2637
AMOUNT
•
1/18/2012 1,274:92
I PAY THE SUM OFDNE,THOUSAND TWO HUNDRED SEVENTY FOUR DOLLARS AND 92 CENTS ''**** •
TO THE-
I ORDER - -
OF. Runyon.Equipment Rental
410 W,Carrnel Drive•
Carmel, IN'46032 =•. •
•
11'00263711' 1:0 740 LI, 2 L 31: 000 ? 5041LLIr
CARMEL REDEVELOPMENT COMMISSION 00263 '7
Runyon Equipment Rental Check: 2637
410 W Carmel Drive Date: 1/18/2012
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
See Transmittal Sheet for check detail.
• 1,274.92 1,274.92 0.00 0.00 1,274.92
K-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 • T-37228 l,'
Transmittal Sheet Page 1
Carmel Redevelopment Comm
Runyon Equipment Rental Check: 2637
410 W Carmel Drive Date: 1/18/2012
Carmel, IN 46032 Vendor: RUNYON01
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
214270 554.25 554.25 0.00 0.00 554.25
Rent of forklift
215069 322.92 322.92 0.00 0.00 322.92
tank and heater supplies
216652 472.50 472.50 0.00 0.00 472.50
forklift rental
ck 2120 -50.00 -50.00 0.00 0.00 -50.00
credit due
ck 2309 -24.75 -24.75 0.00 0.00 -24.75
check 2309
1,274.92 1,274.92 0.00 0.00 1,274.92
In consideration of the payment d addimal rent classified as'damage Waiver'by the Puttee,Renter agrees to and hereby does wane ins right or any 41 it nip
I A_ have evens/to Rentee,arising from normal damage d the renal property normal damage to be determined by Rentec The utersyled shall ray upon return of
R U N Y O N R A s u m T h e
or n to case of abuswe damage,theft or other gross negligence of the Rentee.This damage wafer shag not appy to reddens,careless or ahlsle operation or use
of to Equipment use or operation of the Eqt p ant soreecfng its rated cepa*,,or damage to tires,tubes and wheels caused by blowout,bruises,cuts,punctures or
EQUIPMENT RENTAL other causes Inherent the use of the Equipment.It is understood the amount paid is not an nsurance premium,and baths proesbn does not represent an insurance
410 W.Carmel Drive•Carmel, IN 46032 W1Ly a an agreement to insure.Egrepmem that's stolen or damaged W Renee will pay Est for pans,labor mil a total loss,wig pay replacement cost of equipment
Tre Partee further admoetedges recent of the abrementiored equipment and matehalss,or menans to use said property in a careful and prudent manner end
CARMEL•FISHERS•INDIANA90u5 shall not ban,sublet.mortgage or in any manner dispose of same to any person without the written consent of the owner,end further agrees to return the equipment
to Renter n substantially good cnndtion as when received,natural wear and tear excepted.
317 - 566 - 8888 The larties agee tat ii the eon(the P e l e e vilates aryd the terns and cottons of this, w,oTl the Renter may Doled damages together tut rrasonatleafbrrey
Has,cart costs and interest et one and one ref(1 I/2)percent per math added to a[au6 over tat(10)days otl,reledrg an annual percentage rata d ejteen(19)perestt
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 fur any acddem or
damage resulting directly or itdredy from the leased equipment.The Renter expressly disdains at warranties,either expressed or rrpti d,naLding ary implied
"Don't be a tool- Rent one warranties of metdtantadty Of Ninth's for a particular purpose,and neither assumes nor authorizes any other person to assume for it any!thrill/connection with the
use of this equipment The Rentee agrees to indemnity Renter,from any claim,loss,damages to properly consequential damages,loss of Ore'te or any otter
www.runyonrental.com incidental damages,even those damages caused by the negfigence of Rentee,together with attorney fees for defendng 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 REDEVELOPMENT COMMISSIO # 13821 SANTA HOUSE
30 W. MAIN STREET Corr# 214270
SUITE 220
CARMEL IN 46032 Loc 100
SSN PHONE DATE TIME
•
H (317) 571-2790 OUT 11/28/11 8 : 39 AMLNH
C (317) 938-2824
ID#3 PO/JOB # RECEIVED BY
0 SANTA HOUSE RUSSELL, ERIC C RETURNED 11/28/11 11:05 AM TT
***FINAL*** Page: 1
QTY ITEM# EXT AMT NET AMT
MIN HOURLY OVNITE 8-HOUR DAY WEEK 4 WEEK
1 5615-0000 FORKLIFT FORK EXTENSIONS \\ 50. 00 50.00
$50. 00/D 50 . 00 50 . 00 20000.0 '3'50 . 00
1 5645-0003 FORKLIFT 54 ' 10, 000 POUND n , �`�)/ 1v 450 . 00 450 . 00
$450 . 00/0 450. 00 450%00'. `1450 '00 3300 .00
4 . 50 5 DIESEL 7;- A��,) �� 6.50 29. 25 29.25
-
FTE ECUPENTIS NOT RETURNEE'S,/-DUE fTIATRYUJWLLE BE SUBJECTTO A CHARGE OFCOMt0LSO1(THEFT). RENT 500.00 /1l L'
Use of aternatwe fuels,(Biadiesel,E65,etc.)in Runyon Equipment Rental.equipment is PROHIBITED. "
Customer is liable for all damages&repairs that result from alternative fuel, SALES 29.25
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT ANDJ OTHER 0.00
EULLY UNDEESTAND41CSE INSJHJCT10NS.I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY,AND
THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THLSPRCPERTYTO ANY OTHER PERSON.I DW/FEES 25 .00
LNOERSTAND 11HAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED
BYRUNION EQUIPMENT RENTAL X .r(1' " I ,, Addl TAX 0. 00
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT IRE ARTICLES NAMED ON SALES TAX 0. 00 •
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 DEPOSIT 0. 00
EQUIPMENT THAT IF MY EMPLOYMENT,ADDRESS OR PHONE NUMBER BE CHANGED,I WILL NOTIFY RUNYON EQUIPMENT
RENTAL IMMEDIATELY RUNYON EQUIPMENT RENTAL IS AUTHORIZED TO BILL TAY CREDIT CARD FOR ANY AND AU.COSTS.
FEES,ARDOR INTEREST CHARGES ASSOCIATEDWITH ANY CLAIM.LOSS OR DAMAGESTO PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT IF EQUIPMENT IS RETURNED DAMAGED AND NOT DISCOVERED BY RUNYON EQUIPMENT TOTAL DUE 554.25
RENTAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETRED THE BILL.RUNYON EQUIPMENT RENTAL IS AUTHORIZED
TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR.LABOR RATE CHARGED AT 5a5 AN HOUR. AMT BILLED 554.25
EQUIPMENT PRINT NAME CELL
LEASED BY X PRINT Il NAME F1 f= PHONE 28-NOV-11 11:25 :33
RETNEETURD BY X "!l-.['ly>> L-1 'ti_ 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 ALL TIRES,FUEL AND ELECTRIC CURRENT. will apply. X 'p , A'
NO ADJUSTMENTS OR CREDITS will be made on equipment
malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals.
' In consideration of the earned of addNOnal rent classified as'damage waiver'by the Bente°,Renter agrees to,and hereby does waive its right,or any right a migi
jai U NyO N _ have against the Bootee,&Laing from normal damage of the rental properly,normal damage to be determined by Renter The undersigned shall pay upon return e
K ArA properly rented a sum equal to5%d rental change.This'damage waned does not include damage or loss of the property as a result of the negligence date Rentee
or in the case of abusive damage,theft or other grass negligence of the Rentee.This damage waver shag not apply to reckless, chows or atwee operation on use
of the Eedpment,use or opere cit of foe i ent.et e.vv i g es rated capacity or damage to bras,tubes and wheels caused by blrnwuf,Grudges,cuts,punctures el
eqummeNTFtMTAI- other esbheuantinttierseateEquipnent,Itis understood Ms amount paid is not eninsurancepremium,and that this provavn does not represent aninsurance
410 W.Carmel Drive•Carmel, IN 46032 policy or an agreement to insure.Equipment that is stolen or damaged by Rense wi'l pay its for pads,labor or,N a foal loss,will pay replacement cost of equipment
The Rentee further acknowledges receipt of tie aforementioned equipment and materials,or covenants to use said pi wads in a careful and prudent manner and
eAFM EL•EISH6F5•INDIANAPOLIS shall not loan,sublet,modgage or snarly mariner dispose of same to any person vlrota the written consent of the owner,end further agrees to return the equipment
to Renter in sdistantially good condition as when received,natural wear and tear excepted.
317 566 - 8888 The patties agree that in the eenJ the Rene violates any of the tees and condition el this agleerent.the Ranter maymlialdameges together nth reasniette any
lees,court costs and n'srestofone and one half(f1.2)permA per manttadled to amounts caertem(IC)days old„reflecting an annual pen:maga rate cl&Olsn(lat;erce'A
FAX:317-566 2990 The abuse equipment has been received by the undersigned for rental purposes only,and it is understood that Renter shall be heTd responsible tic arty ucoident or
"Don't 6e a tool-Rent one" damage*suiting direly or indirectly hots the leased equipment.The Reeler expressly disclaims al warranties,alter expressed or implied,incluung any implied
wrranties of merchantabifit at Illness for a particular purpose,and neither assumes no authorizes try after person to assume bit any liabilty mnneccon with the
use of ltd equipment The Rentee agrees to indemnify Renter,Irma any claim,loss,damages to properly consequential damages,loss of income or any other
www.runyonrentaL.eom inddental damages.even ttnse damages caused by the negligence of Renee,together with attorney fees fir defeating any action nought 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 u ' • TICKET # � -
CARMEL REDEVELOPMENT COMMI SSIO N 13821 MEGAN 201-2491
30 W. MAIN STREET 21 N. RANGELINE RD. Con# 215069
SUITE 220 PNC BANK
CARMEL IN 46032 CARMEL IN 46032 Loc 100
' SSN PHONE DATE TIME
. H (317) 571-2790 OUT 12/10/11 10 : 00 AM TT
C (317) 938-2824
ID#3 PO/JOB # RECEIVED BY
0 MCVICKER, MEAGAN RETURNED 12/11/11 10 :00 AM JRR
***FINAL*** Page : 1
- QTY ITEM# _ ,. . • EXTANT - NET AMT
MIN HOURLY OVNITE t,E HOUR DAY . WEEK - 4 WEER .
• 3 0218-0000 PROPANE TANK 20# 9. 00 9.00
$3 . 00/D 3. 00 3.00 6.,00 c12 . 00
5 3450-0000 CABLE COVERS 3 ' LONG ��` �ls _ \ > 50 . 00 50 . 00
d
$10. 00/C 10 00 10': 0 20\.•00` 40 .00
1 3880-0000 HEATER L/P�PA!IIO/RA IIANT` \ \,y \ . .50. 00 50 .00
$50 . DO/19 T/J 11 50t. oo N'\5'0. 00 200 .00. 'He doe. co .
1 3880-0000 HEATER L/P/PATIO RADIANT 50 .00 50.00
50 .00/D `'s `504`00 50.:,00 200. 00 x600 . 00
1 3880-0000 HEATER L/P PATIO RADIANT 50 . 00 50 . 00
850 .00/D 50'>00 50 . 00 .'200. 00 600. 00
3 100 PROPANE 20 POUND REFILL 14 .49 43 .47 43 .47
1 14 DELIVERY & PICK-UP - STAKEBED 60 .00 60.00
H
RTHE EQUIPMENT 6 NOT FERIWIED BY"TIE H'R4TE,fuJ WLL BE SUBJECTTO A CHARGE OF QOMTPSION(THEFT). RENT 209.00 /
Use of alternative fuels:(Biodiesel,Ears,etc.)ire Runyon Equipment Rental,equipment is PROHIBITED. SALES 10 3 .47 (�U
Customer is Bede tar all damages&repairs that result tea alternative fuel. 1�
I HAVE BEEN INSTRUCTED a DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT AND I OTHER 0.00
FULLY UNDER nAND THOSEitinbafTIONS I ALSO UNE/ERSrANOTHAT I AM THE PERSON RENTING THIS PROPERTY,AND
THAT RUNYON EQtI PM ENT RENTAL DOES NOT GIVE E AE PERM59000LEND THIS PROPERTY TO ANY OTHER PERSON.I DW/FEES 10.45
UNDERSTAND THAT GIVING Oft LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED
BY RUNYON EQUIPMENT RENTAL. X 6IGNAi't1RE Addl TAX 0. 00
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NmNEO ON SALES TAX 0 .00 •
THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT I HAVE HEAD THE ABOVE INFORMATION AND
ACKNOWLEDGE THAT IT IS CORRECT,COMPLETE ANC ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING DEPOSIT 0.0 0
EQUIPMENT THAT IF MY 81APLOYMENT,ADDRESS OR PHONE NUMBER RE CHANGE°,TRILL.NOTIFY RUNYON EQUIPMENT
RENTAL IMMEWAI ELY Partner EQUIPMENT RENTAL 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 OFTHE
RENTAL OF THIS EQUIPMENT IF EQUIPMENT IS RETURNED DAMAGED AND NOT DISCOVERED BY RUNYON ECUIPMENT TOTAL DUE 322. 92
RENTAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL.RI NYON ECUIPMENT RENTAL IS AUTHORIZED
TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR.LABOR RATE CHAHOEC AT 585 AN HOUR. ANT BILLED 322 .92
EQUIPMENT X PRINT NAME CELL
LEASED BY PRINT NAME PHONE 16-DEC-11 07:56 : 11
RETURNED SIGNNIFu'T U RE RENTAL FEES DO NOT APPLY TO PURCHASES.
RETURNED BY X
WE CHARGE FOR TIME OUT NO TIME USED. Equipment is clean and full of fuel please return as such or additional charges
YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. will apply. X INITIAL
NO ADJUSTMENTS OR CREDITS will be made on equipment We charge a 5% Damage Waiver on all equipment rentals.
malfunctions unless Runyon Equipment Rental has been notified.
•
RUNYON EQUIPMENT RENTAL
410 WEST CARMEL DRIVE
CARMEL, IN 46032
(3171566-8888 STATEMENT DATE1 12/26/11 13821
PRINTING DATE: 12/26/11
FeSa°Vr ati iix '1 �.3 -y. g.a. t= xxf as s I x!eP� . 1.;.
x ai t rah ,.nom -. PAS+ et e <. . .F�.�,.o:`y:S REFS3 T,�T0< re... �F, i�. . � °.��„�'.. b>cY�a%%"s'..
CARMEL REDEVELOPMENT COMMISSIO RUNYON EQUIPMENT RENTAL
30 W. MAIN STREET 410 WEST CARMEL DRIVE
SUITE 220 CARMEL, IN 46032
CARMEL IN 46032
at ,DATE' t:°INVOICE#:LOC_DF9C_Ri PTIONi 4 *eF '_. .,',Kpggl -`&-oITNTS CREDITS m/q,;4}a*¢ . BALANCE.„°yt
11/22/11 214270 100 P34 SANTA HOUSE 554.25 0 .00 554.25
12/16/11 215069 100 PROPANE TANK 20f 322 .92 0.00 322 .92
****Unalapl.ie€i Payments**** Amount Allocated Remaining
07/29/11 fK 2120 157.50 107.50 50.00
09/26/11 CT 2309 168.75 144. 00 24. 75
Qf.DP°S' F§.Q tiA SiF§Seri` 9.0t'10AYSlz: t 12C.,_DF1YSiiti. ff i:901OTAL:SSIIEN a `„lla ifft;
802.42 0 .00 0.00 0.00 0. 00 802 .42
�lpfr
•
In consideration of the payment ci additional rent classified as'damage waiver by the Rentee,Renter agrees to,and hereby does wane hs right or any 410 might
c R U NYO N fee apihst the tee'arising from normal damage of the rental property,romnl damage to be d r to fined by Renter.The undersf rue shat pay upon return e of '
ATA property rented a earn equal to 5%d rental charge.oeat the waiver does not mduda damage or loss of the property ase result of the negSgence el the return turrtee
a n the case d adsme damage,theft or other gross negligence of the Renee,This damage waver shall not apply to reckless,careless or abusive operaton or use
of the Equipment use or operation of to Equipment exceedng rts rated capacity,or damage to tires,tubes and wheels caused by blowout,bruises,ars,pictures or
EQUIPMENT RENTAL other causes lNhenut in use of the Equpment It is understood the amount paid is not an insurance prerrc,m,and that this p,wsion does not represent an Insurance
410 W.Carmel Drive•Carmel, IN 46032 poky"•"agreement to"rsnre.Eq°p'Nr°matsst denOf damagedbyRemeeMIpaylatforparts,Lateror,natotal loss,will pay regacert,ent cost megeomem
The Rentee further adnowledges remit of the aforementioned equipment and materials,or covenants to use sad property in a careful and prudent manner and
CARMEL*FISHERS•INDIANAPOLIS . shall not ban,sudet,mortgage or in any manner dispose of same to any person without the wneen consent al the owner,and further agrees to return the equipment
to Renter in substantial},good condition as when reamed,natural wear and tear excepted.
317 — 566 — 8888 The paltes ape tatra the een(the Rate violates ayathetermsandmtiasof tsagreement,theRertermaymredmregrnbgelherwdhman an.rey
besaxnaxis and irer Sone and mohair(112) ercetperli.,rmhaidedto arm,hmasterh00)daysold,rrlsdw,aenan elpercer.,geratofe; eh(t13)docent
FAX:317-566-2990 The abus equipment has been retailed by the undersigned for rental purposes ony,and t is understood that Renter shall be held responside for any accident or
"Don't be o tool- Rent one" damage resuto g direct,or indirectly from the leased equipment.The Renter expressly disclaims at warranties,either expressed or inpfied,including any implied
warranties of merrhantaailty or fitness bra 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 inane or any other
wow.runyonrental,con incidental damages,even those damages caused by the negligence of Renee,together with attorney fees for defaming any action brought as a result of the lease
or 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 REDEVELOPMENT COMMISSIO # 13821. SANTA HOUSE
30 W. MAIN STREET Con# 216652
SUITE 220
CARMEL ITN 46032 Loc 100
SSN PHONE DATE TIME
H (317) 571-2790 OUT 12/29/11 9:52 AM SAF
C (317) 938-2824
ID#3' PO/JOB # RECEIVED BY
0 SANTA HOUSE ZELLER, STEPHEN W RETURNED 12/29/11 3 :23 PM SAE
***FINAL**^ Page: 7
QTY ITEM# EXT AMT NET AMT
MIN HOURLY OVNITE B-HOUR DAY WEEK 4 WEEK
1 5645-0005 FORKLIFT 54 ' 10, 000 POUND 450. 00 450.00
$450.00/D 450 . 00 450. 00 1450;15C3 .00
0 .
Ali 'V` '
. F, -�..'r
1.
(FINE EQUIPMENT IS Ian RETURNED BY'DUE N"MTE,YQUNN-LBE SLEMECTTDA a4AReEOF CONYEASON(THEFT). RENT 450.00 OG
Use of alternative bets,(Biadiesel.EB5,etc.)in Runyon Equipment Rental,equipment is PROHIBITED. SALES 0. VI
Customer is labe for all damages fl repairs that resat from alternative fuel.
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE EQUIPMENT Mai OTHER 0.00
FULLY UNDERSTAND THOSE INSJRJCIIQN&.I ALSO UNDERSTAND THAT I AM THE PERSON RENTING THIS PROPERTY AND
THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEAD THIS PROPERTY TO ANY OTHER PERSON.I DW/FEES 22.50
UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED
BYBJNH1NEQUIPMENT RENTAL. X - ,:,p. Addl TAX 0.00
THE UNDERSIGNED,HAVING READ AND UNDERSTOOD THE ABOVE,HEREBY AGREES TO RENT THE ARTICLES NAMED ON SALES TAX 0.00
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 DEPOSIT 0.00
EQUIPMENT THAT IF MY EMPLOYMENT,ADDRESS OR PHONE NUMBER BE CHANGED,I WILL NOTIFY RUNYON EQUIPMENT
RENTAL IMMEDIATELY RUNYON EQUIPMENT RENTAL IS AUMORIZED 10 BILL MY CREDIT CARD FOR ANY AND ALL COSTS,
FEES.ANWOR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM,LOSS,OR DAMAGES TO PROPERTY AS A RESULT OF THE
RENTAL OF THIS EQUIPMENT. IF EQUIPMENT IS RETURNED DAMAGED,AND NOT DISCOVERED BY RUNYON EQUIPMENT TOTAL DUE 472.50
RENTAL UNDL AFTER THE CUSMMER LEAVES AND HAS SETTLED THE BILL,RUNYON EOUIPMEM RENTAL IS AUTHORIZED
TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EOUIPIAENT REFAIR.LABOR RATE CHARGED AT 585 AN HOUR. AMT BILLED 472.50
EQUIPMENT CELL
LEASED BY X PRINT NAME PHONF 29-DEC-11 15: 24 :01
EQUIPMENT
RETU N OSY , S I I ilkili I-!E 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 ALL TIRES,FUEL AND ELECTRIC CURRENT. will apply. X INITIAL
NO ADJUSTMENTS OR CREDITS will be made on equipment We charge a 5% Damage Waiver on all equipment rentals.
malfunctions unless Runyon Equipment Rental has been notified. g 9 -
Prescribed by Stale Board of Accounts City Fan'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.
Q Payee
kmn\\ , - ' 1 n\4\ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1\, -\\ 2\`\1:176 Cork\'tyt for sand \louse 55y. 21
cr - 50.Bb
\1-\L-\\_ X5(3 _ 337., ,2
L rt4i\- -211.15
t1..-29-1I 11 (01352 fork);f — —or -56,J4 You,sr 472. s°
•
4 z7
z
I/2- g 91
Total i An
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correc • • r.d same in accor-
dance with IC 5-11-10-1.6.
- �`d , 20
- -'reasurer