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Home My WebLink About224114 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 354867. Page 1 of 1 1 � ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $1,538.23 CARMEL, INDIANA 46032 410 W CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 224114 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 273661-1 26 . 94 REPAIR PARTS 2201 4353099 275114-1 648 . 00 OTHER RENTAL & LEASES 2201 4353099 275114A-1 216 . 00 OTHER RENTAL & LEASES 651 5023990 276807-1. 41 . 80 OTHER EXPENSES 2201 4231100 277287-1 20 . 90 BOTTLED GAS 2201 4353099 277598-1 302 .40 OTHER RENTAL & LEASES 2201 4353099 278318-1 237 . 60 OTHER RENTAL & LEASES 2201 4231100 278770-1 44 . 59 BOTTLED GAS IA II IIIII 11111111111190111111 IN 1111 Page 1 of Status: Closed PV 11� foN 410 WEST CARMEL DRIVE Invoice#: 277287-1 V CARMEL,IN 46032 Invoice Date: Mon 8/26/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Mon 8/26/2013 11:11:00AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't he a fool-Rent one' 317-566-2990 Fax Operator: MEL SPROUSE Customer#: 1364 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 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: COFFEY, TIM Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 101-1 PROPANE 30 POUND REFILL Pulled $20.90 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $20.90 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $20.90 1 $0.00 $20.90 $0.00 $20.90 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-COFFEY,TIM Modification# 1 Printed On Mon 8126/2013 5:43:36PM Software by Point-of-Rental Systems -point-of-rental.com Contract-Params.rpt(1) 1111111 IIIIIIIIII IIIIIIIIII IIIIIIIII IN Page 1 of 1 Status: Continued I V lyyo 410 WEST CARMEL DRIVE Invoice#: 275114-1 ®®®®M® CARMEL,IN 46032 Invoice Date: Sat 8/2412013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 8/7/2013 9:13:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: JACK RUNYON Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 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: HIGGINBOTHAM, LEE MATTHEW Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Billed To Price 1 5857#0016 LASER LEVEL 12325307 Billed To 9/4/2013 9:13:00AM $600.00 4Hrs$40.00 lday$50.00 lweek$200.00 4weeks$600.00 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $600.00 $48.00 $0.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $648.00 1 $0.00 $648.00 $0.00 $648.00 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 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-HIGGINBOTHAM,LEE MATTHEW Modification# 3 Printed On Sat 8/24/2013 4:49:08PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) 11111111111111111111111111111 Page 1 of 1 Status: Closed RUNYON 410 WEST CARMEL DRIVE Invoice#: 275114A-1 CARMEL,IN 46032 Invoice Date: Tue 9/3/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 8/7/2013 9:13AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 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: HIGGINBOTHAM, LEE MATTHEW Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 5857#0016 LASER LEVEL 12325307 Returned 8/13/2013 3:13PM $200.00 4Hrs$40.00 lday$50.00 lweek$200.00 4weeks$600.00 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $200.00 $16.00 $0.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $216.00 $0.00 $216.00 $0.00 $216.00 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 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-HIGGINBOTHAM,LEE MATTHEW Modification# 2 Printed On Wed 914/2013 6:45AM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) L 111111 IIIII 111111111111111111111111 IN Page 1 of 1 Status: Closed ru iVy®N 410 WEST CARMEL DRIVE Invoice#: 277598-1 V6 CARMEL,IN 46032 Invoice Date: Thu 8129/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 8/29/2013 9:35:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: JOEL PROCHNOW Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 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:ZELLER, STEPHEN W Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 1917#0003 GEORGIA BUGGY 16 CU FT TRACKS 7300526 Returned 8/29/2013 3:27:OOPM $140.00 Meter Out:133.4 Meter In 134.7 Total hours on meter:1.3 4Hrs$110.00 lday$140.00 lweek$560.00 4weeks$1,680.00 CUSTOMER MUST RETURN,ANY EQUIPMENT USED FOR CONCRETE WORK,CLEAN INSIDE&OUT OR YOU WILL BE CHARGED A CLEANING FEE X 1 1917#0002 GEORGIA BUGGY 16 CU FT TRACKS 7300156 Returned 8/29/2013 3:27:OOPM $140.00 Meter Out:431.2 Meter In:432.6 Total hours on meter:1.4 4Hrs$110.00 /day$140.00 /week$560.00 4weeks$1,680.00 CUSTOMER MUST RETURN,ANY EQUIPMENT USED FOR CONCRETE WORK,CLEAN INSIDE&OUT OR YOU WILL BE CHARGED A CLEANING FEE X Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $280.00 $22.40 $0.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $302.40 $0.00 $302.40 $0.00 $302.40 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 Modification# 3 Printed On Thu 8/29/2013 5:42:0113M Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) �I li VIII VIII VIII illll II9II IIII II9I Page 1 of 1 Status: Closed aV pyy®IV 410 WEST CARMEL DRIVE Invoice#: 278077-1 !® CARMEL,IN 46032 Invoice Date: Tue 9/3/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Tue 9/3/2013 11:07AM 1-800-276-Tool(8665) 317-566-8888 Phone 'Don't be a tool-Rent one' 317-566-2990 Fax Operator: MEL SPROUSE Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 317-733-2005 Fax 3400 WEST 131ST STREET CARMEL,IN 46074 PO#: PATCH Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: MARTZ, FREDERICK KENT Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 103-1 PROPANE 60 POUND REFILL Pulled $38.90 1 072874129057-1 GLOVE LEATHER PALM XL 1290J Pulled $5.69 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $44.59 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $44.59 $0.00 $44.59 $0.00 $44.59 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-MARTZ,FREDERICK KENT Modification# 1 Pnnted On Wed 914/2013 6:45AM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) Status: Closed ��®� 410 WEST CARMEL DRIVE Invoice#: 273661-1 CARMEL,IN 46032 Invoice Date: Thu 7/25/2013 EgU1YMENT RENTAL www.runyonrental.com Date Out: Thu 7/25/2013 10:35:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: SCOTT FLOWERS Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 317-733-2005 Fax 3400 WEST 131ST STREET CARMEL,IN 46074 PO#: fountains Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: BURKE, RALPH Salesman: NONE Phone:-- E-Mail: Qty Key Items Part# Status Each Price 1 MS 1 1/2 male poly cam lock Pulled $5.39 $5.39 1 MS 1 1/2 female poly cam lock Pulled $13.55 $13.55 2 MS bandit clamp Pulled $1.00 $2.00 1 1008-1 SHIPPING AND HANDLING 1008 Pulled $6.00 $6.00 Thank You for your Business Rental Contract 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: $26.94 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: $26.94 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: $26.94 Paid: $0.00 Signature: CARMEL STREET DEPARTMENT-BURKE,RALPH Amount Due: $26.94 Modification# 1 Printed On Thu 9/5/2013 12:06:26PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(6) VOUCHER NO. WARRANT NO. ALLOWED 20 Runyon Equipment Rental IN SUM OF $ 410 W. Carmel Drive Carmel, IN 46032 $1,258.83 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 273661-1 42-370.00 $26.94 1 hereby certify that the attached invoice(s), or 2201 275114-1 43-530.99 $648.00 bill(s) is (are) true and correct and that the 2201 277287-1 42-311.00 $20.90 materials or services itemized thereon for 2201 277598-1 43-530.99 $302.40 2201 275114A-1 43-530.99 $216.00 which charge is made were ordered and 2201 27807701 42-311.00 $44.59 received except a T rsday, to 05, 2013 Street Commissio e Title r 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)) 07/25/13 273661-1 $26.94 08/24/13 275114-1 $648.00 08/26/13 277287-1 $20.90 08/29/13 277598-1 $302.40 09/03/13 275114A-1 $216.00 09/03/13 27807701 $44.59 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 II II IIIII 11111111111111111111 IN IN Page 1 of 1 Status: Closed RuNsfoN 410 WEST CARMEL DRIVE Invoice#: 278318-1 CARMEL,IN 46032 Invoice Date: Thu 9/5/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 9/5/2013 10:00:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: Tempe Thompson Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 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:TOWNS,ADAM Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 2023#0006 CONCRETE PLANER 8"GAS 15527 Returned 9/5/2013 1:12:OOPM $220.00 lday$220.00 lweek$880.00 4weeks$2,640.00 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $220.00 $17.60 $0.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $237.60 1 $0.00 $237.60 $0.00 $237.60 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-TOWNS,ADAM Modification# 6 Printed On Thu 9/5/2013 5:36:21 PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) VOUCHER NO. WARRANT NO. ALLOWED 20 Runyon Equipment Rental IN SUM OF $ 410 W. Carmel Drive Carmel, IN 46032 $237.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 1 278318-1 1 43-530.991 $237.60 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 Frid Se ber 06, 2013 ua" Street CommisliaXer Street GeFAngisslener 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)) 09/05/13 278318-1 $237.60 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 5-11-10-1.6 120 Clerk-Treasurer II IIII IIIII IIII II II III Page 1 of 1 Status: Closed 410 WEST CARMEL DRIVE Invoice#: 276807-1 CARMEL, IN 46032 Invoice Date: Wed 8/21/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 8/21/2013 1:26:OOPM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS ustomer Terms: On Account CARMEL WASTE WATER 317-571-2634 Phone 760 3RD AVENUE SW SUITE 110 CARMEL, IN 46032 Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm Picked up by: EIDSON, LARRY L JR Salesman: NONE Phone: -- E-Mail: Qty Key Items Ser# Status Returned Date Price 2 101-1 PROPANE 30 POUND REFILL Pulled $41.80 0I. 7 0Z- 0 sEP 0 4 2013 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $41.80 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $41.80 $0.00 $41.80 $0.00 $41.80 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: /,'ARMEL'VASTE WATER-EIDSON, LARRY L JR Modification# 1 WE Printed OnHW d 8 21/20013 IM 60�PMIJOT T Iv1E USED. YOU AR ofjESP(�NpSoBlt=of FR np I L TIR�SwwwLFp�SintNoPrer4taF comlC CURRENT. RENTAL FEES DO NOT APPLY QontFact=Para"msFpt.(1) NO ADJUSTMENTS 0 � �bIS will be made on equipment malfunctions unless Runyon has been notified. VOUCHER # 136313 WARRANT # ALLOWED i 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 276807-1 01-7502-06 $41.80 t Voucher Total $41.80 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 9/4/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/4/2013 276807-1 $41.80 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 ?Ah Date Officer