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Home My WebLink About225542 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1 e` ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $649.91 CARMEL, INDIANA 46032 410 W CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 225542 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 276516-1 108 . 00 OTHER EXPENSES 2201 4356003 281604-1 2 . 95 -SAFETY ACCESSORIES 2201 4231100 282202-1 20 . 90 BOTTLED GAS 2201 4353099 282409-1 130 . 64 OTHER RENTAL & LEASES 2201 4353099 282413-1 43 . 20 OTHER RENTAL & LEASES 2201 4356003 282432-1 263 . 52 SAFETY ACCESSORIES 2201 4231100 282456-1 38 . 90 BOTTLED GAS 651 5023990 282487-1 41 . 80 OTHER EXPENSES 111111IIIII1!11111111111111111111911111 Page 1 of Status: Closed I u y®ny 410 WEST CARMEL DRIVE Invoice#: 282487-1 V CARMEL,IN 46032 Invoice Date: Fri 10/11/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 10/11/2013 1:59:OOPM 1-800 7276-Tool(8665) 317-566-8888 Phone '006140 a toot-Rent one' 317-566-2990 Fax Operator: WINNIE HELMS Customer#: 9985^---) 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: MICAH W BECK Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 2 101-1 PROPANE 30 POUND REFILL Pulled $41.80 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 tug;(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 WASTE WATER-MICAH W BECK Modification# 1 Printed On Fri 10/1112013 5:46:28PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) VOUCHER # 136599 WARRANT # ALLOWED 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 282487-1 01-7502-06 $41.80 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 10/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/15/201: 282487-1 $41.80 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 io/313 Date Officer 410 WEST CARMEL DRIVE Status: Closed Invoice#: 276516-1 CARMEL,IN 46032 Invoice Date: Tue 8/2012013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Mon 8/19/2013 09:29 AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS Terms: On Account CARMEL UTILITIES 317-571-2267 Phone 317-571-2265 Fax 760 3RD AVENUE SW,#110 CARMEL,IN 46032 PO#: temp.sensors Open Monday-Friday 7 00am-5:30pm,Saturday 7 00am 4 30pm Sunday 9:00am 3 00pm Picked up by:Mascari, John Salesman:NONE Phone:-- Qty Key Items Rented Set# Status I Returned Datern� Price 1 2780#0002 DRILL 3/4"MAGNETIC 800E0809012 Returned 8/20/2013 01:54 PM $100.00 1 day$50.00 1 week$200.00 4weeks$600.00 Thank You for your Business Rental Contract You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S) Rental: $100.00 IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $$.00 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: $0.00 double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug,(d)Runyon is authorized to (f 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 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 i instructions. X (Initial) ).-__...�._...,-.,.- --------„•----------- -•„--___-._ ,.,,.,,.,______.._..„„ I have provided Runyon with roof of insurance Insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: € P Y P f 9 9 j $108.00 Equipment Protection Plan(Damage Waiver)as described on the back of this ContracLx (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. I Printed Name: INDIANA: $�-0-._0_0_...p Total: $108.00 I Paid: $0.00 Signature: _-- CARMEL UTILITIES-Mascari,John Amount Due: $108.00 Modification# 3 Printed On Tue 1o/8/2013 1:28:56PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(6) VOUCHER # 133028 WARRANT # ALLOWED 354867 IN SUM OF $ RUNYON EQUIPMENT RENTAL 410 W CARMEL DRIVE CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT i Audit Trail Code 276516-1 01-6360-03 $108.00 Voucher Total $108.00 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 10/14/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/14/201: 276516-1 $108.00 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 Date Officer 11111111111111111111111111111111111 Page 1 of 1 Status: Closed IRU IY YON 410 WEST CARMEL DRIVE Invoice#: 281604-1 CARMEL,IN 46032 Invoice Date: Fri 10/4/2013 EQUIPMENT F-f NTPAt_ www.runyonrental.com Date Out: Fri 10/4/2013 08:38 AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one' 317-566-2990 Fax Operator: WINNIE HELMS Customer#: 1384 Terms: On Account CARMEL STREET DEPARTMENT 317-733-2001 Phone 317-733-2005 Fax 3400 WEST 131ST STREET CARMEL,IN 46074 PO#: 106TH&WESTFILED B Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: HICKS, JEFFREY D Salesman: NONE Phone:-- Qty Key Items Ser# Status Returned Date Price 5 051138290092-1 EAR PLUGS CORDED PAIR Pulled $2.95 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $2.95 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $2.95 $0.00 $2.95 $0.00 $2.95 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-HICKS,JEFFREY D Modification# 3 Printed On Fri 1014/2013 5:33:41 PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) IlIIII IIII I II111111111II II1111 IN Page 1 of 1 Status: Closed RV NY011 410 WEST CARMEL DRIVE Invoice#: 282202-1 CARMEL,IN 46032 Invoice Date: Wed 10/9/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 10/9/2013 02:44 PM 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: BROWNING, TIM Salesman: NONE Phone:-- 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 $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-BROWNING,TIM Modification# 1 Printed On Wed 1019/2013 5:50:28PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) 111111 11111 1111111111111111111111111111 Page 1 of 1 Status: Closed IRV Nyoly 410 WEST CARMEL DRIVE Invoice#: 282413-1 CARMEL,IN 46032 Invoice Date: Fri 10/11/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 10/11/2013 9:10:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't he 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: HIGGINBOTHAM, LEE MATTHEW Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 5857#0015 LASER LEVEL 12325316 Returned 10/11/2013 11:28:OOAM $40.00 4Hrs$40.00 lday$50.00 lweek$200.00 4weeks$600.00 Thank You for your Business el- Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $40.00 $3.20 $0.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $43.20 $0.00 $43.20 $0.00 $43.20 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 Customers prompt payment and performance of its obligations arising under this Contract. Printed Name. Signature: CARMEL STREET DEPARTMENT-HIGGINBOTHAM,LEE MATTHEW Modification# 5 Printed On Fri 10/11/2013 5:46:06PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) IIIII IIIIIII 111111111111111 IIIN Page 1 of 1 Status: Closed PsV N�®� 410 WEST CARMEL DRIVE Invoice#: 282409-1 CARMEL,IN 46032 Invoice Date: Fri 10/11/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 10/11/2013 9:02:OOAM 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: MORRIS, NATHAN Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 1 5048#0005 OVERSEEDER 19"PATH 50# 5448 7301 01 6 Returned 10/11/2013 1:58:OOPM $120.87 4Hrs$100.00 lday$125.00 lweek$625.00 4weeks$1,875.00 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $120.87 $9.67 $0.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $130.54 $0.00 $130.54 $0.00 $130.54 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)Runyan 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-MORRIS,NATHAN Modification# 3 Printed On Fri 10/11/2013 5:46:23PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) 111111111111111111111111 IN Page 1of1 Status: Closed clR��®� 410 WEST CARMEL DRIVE Invoice#: 282432-1 CARMEL,IN 46032 Invoice Date: Fri 10/11/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 10/11/2013 10:01:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS 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: BENTLEY, JAMES Salesman: NONE Phone:-- E-Mail: Qty Key Items Ser# Status Returned Date Price 12 711382025092-1 SAFETY GLASSES NEMESIS CAMO/SI Pulled $71.88 12 761445198065-1 SAFETY GLASSES NEMESIS SMOKMI Pulled $59.88 12 711382025115-1 SAFETY GLASSES NEMESIS RED/SMI Pulled $59.88 12 079768009273-1 SAFETY GLASSES S&W BLK/SMOKE Pulled $71.88 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $263.52 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $263.52 $0.00 $263.52 $0.00 $263.52 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-BENTLEY,JAMES Modification# 1 Printed On Fri 10/11/2013 5:46:18PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) VIII I III VIII VIII VIII VIII IIII IIII Page 1 of 1 Status: Closed IRa NYON 410 WEST CARMEL DRIVE Invoice#: 282456-1 V CARMEL,IN 46032 Invoice Date: Fri 10/11/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 10111/2013 11:21:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS 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: 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 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: III Charges: $0.00 $0.00 $38.90 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $38.90 $0.00 $38.90 $0.00 $38.90 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 Customers prompt payment and performance of its obligations arising under this Contract. Printed Name: Signature: CARMEL STREET DEPARTMENT-MARTZ,FREDERICK KENT Modification# 1 Printed On Fri 10/11/2013 5:46:12PM Software by Point-of-Rental Systems -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 $500.11 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 281604-1 43-560.03 $2.95 1 hereby certify that the attached invoice(s), or 2201 282202-1 42-311.00 $20.90 bill(s) is (are) true and correct and that the 2201 282432-1 43-560.03 $263.52 materials or services itemized thereon for 2201 282409-1 43-530.99 $130.64 2201 282413-1 43-530.99 $43.20 which charge is made were ordered and 2201 282456-1 42-311.00 $38.90 received except edne 13 r eeM ommissioner 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)) 10/04113 281604-1 $2.95 10/09/13 282202-1 $20.90 10/11/13 282432-1 $263.52 10/11/13 282409-1 $130.64 10/11113 282413-1 $43.20 10/11/13 282456-1 $38.90 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