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226801 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1 0 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $1,479.78 CARMEL, INDIANA 46032 410 W CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 226801 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4353099 2852621 531 . 36 OTHER RENTAL & LEASES 2201 4353099 286181-1 237 . 60 OTHER RENTAL & LEASES 2201 4231100 286343-1 38 . 90 BOTTLED GAS 2201 4231100 286671-1 38 . 90 BOTTLED GAS 2201 4231100 286791-1 457 .42 BOTTLED GAS 601 5023990 286956-1 6 . 88 OTHER EXPENSES 2201 4238000 287017-1 99 . 00 SMALL TOOLS & MINOR E 2201 4231100 287297-1 69 . 72 BOTTLED GAS IIII 1 11111111111111111111111111111 IN Page 1 of 1 410 WEST CARMEL DRIVE Status: Closed Invoice#: 286956-1 CARMEL,IN 46032 Invoice Date: Thu 11/21/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 11/2112013 2:16PM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: BRIDGETTE ELMORE ._...t"Customer# 1101 Terms: On Account CARMEL WATER DISTRIBUTION 317-733 2855 Phone 3450 W.131 ST STREET CARMEL,IN 46074 Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: HAAG, JIM Salesman: NONE Qty I Key Items Ser# Status? Returned Date Price 1 MS-1 govemer rod Pulled $3.56 1 MS-1 govemer spring Fulled i $3.32 Thank You for your Business Rental: Damage Waiver: Sales, i< Delivery Charge: Misc Charges: ' $0.00 $0.00 $6.88 ! $0.00 ; $0.00 Subtotal: 1 INDIANA I Total:j Paid: Amount Due: $6.88 i moo $0.00 1i i $s as $688 1 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) l)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 WATER DISTRIBUTION-HAAG,JIM __._ _............ .-_mw___...._..�.Modification# 1 Printed On Thu 11/21/2013 5:4175PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(i) VOUCHER # 133480 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 Audit Trail Code 286956-1 01-6200-06 $6.88 Voucher Total $6.88 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 11/25/2013 Invoice. Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/25/201, 286956-1 $6.88 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 a ///2 /3 q ;�)/G — Date Officer i IIIII IIIII IIIII III I III IIII IIII IIII Page 1 of 1 Status: Closed Ru lytfo V 410 WEST CARMEL DRIVE Invoice#: 286181-1 CARMEL,IN 46032 Invoice Date: Fri 11/15/2013 EQUIPMENT fZENTAL www.runyonrental.com Date Out: Thu 11/14/2013 9:03AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Roof one' 317-566-2990 Fax Operator: Laura Royem 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: KALOGEROS, GEORGE MIKE Salesman: NONE Qty Key Items Ser# Status Returned Date Price 1 5782#0014 LIFT SCISSOR 19'X 30" 088365 Returned 11/15/2013 4:14:OOPM $220.00 Meter Out:199.5 Meter In:199.5 Total hours on meter:0.0 tday$110.00 lweek$300.00 4weeks$650.00 CUSTOMERS USING LIFTS FOR PAINTING MUST RETURN LIFT CLEAN&FREE OF PAINT OR OVERSPRAY OR YOU WILL BE CHARGED A CLEANING FEE X SAFETY HARNESS IS REQUIRED ON ALL AERIAL LIFTS CUSTOMER HAS BEEN OFFERED HARNESS EQUIPMENT AND HAS DECLINED X 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 $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-KALOGEROS,GEORGE MIKE Modification# 3 Printed On Fri 11/15/2013 5:36:55PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) �IIIIII IIIII 1111111111 1 111111111111 IN Page 1 of l Status: Closed A v yorj 410 WEST CARMEL DRIVE Invoice#: 286343-1 /� CARMEL,IN 46032 Invoice Date: Fri 11/15/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 11/15/2013 1:02PM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Renf one" 317-566-2990 Fax Operator: Laura Royem 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 Qty I 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: Misc Charges: $0.00 $0.00 $38.90 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $38.90 1 $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 Customer's prompt payment and performance of its obligations arising under this Contract. Printed Name: Signature: CARMEL STREET DEPARTMENT-MARTZ,FREDERICK KENT Modification# 2 Printed On Fri 11/15/2013 5:36:50PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) 111111 IIIII 11111 it II 11111111111111 IN Page 1 of Status: Closed Ra lyy®ly 410 WEST CARMEL DRIVE Invoice#: 286671-1 v CARMEL,IN 46032 Invoice Date: Tue 11/19/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Tue 11/19/2013 9:23AM 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 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: Misc 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 Customer's prompt payment and performance of its obligations arising under this Contract. Printed Name: Signature: CARMEL STREET DEPARTMENT-MARTZ,FREDERICK KENT Modification# 1 Printed On Tue 11/19/2013 5:38:10PM Software by Point-of-Rental Systems w .point-of-rental.com Contract-Params.rpt(1) 111111111111111111111111 IN Page oft Status: Closed ®.N�®� 410 WEST CARMEL DRIVE Invoice#: 286791-1 V CARMEL,IN 46032 Invoice Date: Wed 11/20/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 11/20/2013 9:16AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don'f be a tool-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: RUSSELL, ERIC C Salesman: NONE Qty Key Items Ser# Status Returned Date Price 2 9018729387-1 TANK PROPANE 100#CYLINDER Pulled $317.98 2 104-1 PROPANE 100 POUND REFILL Pulled $139.44 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $457.42 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $457.42 1 $0.00 $457.42 $0.00 $457.42 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-RUSSELL,ERIC C Modification# 1 Printed On Wed 11/20/2013 5:36:43PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) 111111 Illlf 111111111111111 11111 IN IN Page 1 of 1 Status: Closed Rv IVYON 410 WEST CARMEL DRIVE Invoice#: 287017-1 CARMEL,IN 46032 Invoice Date: Fri 11/22/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 11/22/2013 10:07AM 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 Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: BENTLEY, JAMES Salesman: NONE Qty Key Items Ser# Status Returned Date Price 1 5601#0002 DOLLY APPLIANCE 650#CAP 201 Sold Asset $99.00 Serial#201 Model#40271 Thank You for your Business Sales—All sales are governed by the parties'separate Terms and Conditions for Sale and/or their Equipment Purchase Agreement(if one exists). Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $99.00 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $99.00 $0.00 $99.00 $0.00 $99.00 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-BENTLEY,JAMES Modification# 1 Printed On Fri 11/22/2013 5:36:27PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) III II IIIII 1111111111 1111111111 IN IN Page 1 of 1 Status: Closed �V�®p'sf®ly 410 WEST CARMEL DRIVE Invoice#: 287297-1 CARMEL,IN 46032 Invoice Date: Mon 11/25/2013 EQUIPMENT iZENTAL www.runyonrental.com Date Out: Mon 11/25/2013 2:20PM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a fool-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:TOWNS,ADAM Salesman: NONE Qty Key Items Ser# Status Returned Date Price 1 104-1 PROPANE 100 POUND REFILL Pulled $69.72 Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $0.00 $0.00 $69.72 $0.00 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $69.72 1 $0.00 $69.72 $0.00 $69.72 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# 1 Printed On Mon 11/25/2013 5:43:39PM 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 $941.54 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 286181-1 43-530.99 $237.60 1 hereby certify that the attached invoice(s), or 2201 286343-1 42-311.00 $38.90 bill(s) is (are) true and correct and that the 2201 286671-1 42-311.00 $38.90 materials or services itemized thereon for 2201 286791-1 42-311.00 $457.42 which charge is made were ordered and 2201 287017-1 42-380.00 $99.00 2201 287297-1 42-311.00 $69.72 received except Tues y, N mber 6, 2013 UVAIYIV 8t§MEtt&jqffiW6 R9er 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)) 11/15/13 286181-1 $237.60 11/15/13 286343-1 $38.90 11/19/13 286671-1 $38.90 11/20/13 286791-1 $457.42 11/22/13 287017-1 $99.00 11/25/13 287297-1 $69.72 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 IIIIIII III 11111111111111 IIII Page 1 of 1 NF���z T Status: Closed ®tee 410 WEST CARMEL DRIVE Invoice#: 285262-1 ®• CARMEL, IN 46032 NOV 18 2013 � Invoice Date: Tue 11112/2013 CQUIPMENT RENTAL www.runyonrental.com Date Out: Tue 11/5/2013 8:13AM 1-800-276-Tool(8665) 317-566-8888 Phone BY.- "Don't be a tool•Rent one" 317-566-2990 Fax Operator: WINNIE HELMS Customer u`2o`saW�" Terms: On Account CARMEL CLAY PARKS & RECREATION 317-848-7275 Phone 317-571-4136 Fax 1411 E. 116TH STREET CARMEL, IN 46032 PO#: 36312 Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm Picked up by: BURNETT,ANDREW W Salesman: NONE Phone: -- Qty Key Items Ser# Status Returned Date Price 1 11114,111024 AIR COMPRESSOR 185 CFM DIES 29687 Returned 11/5/2013 9:23:OOAM $0.00 Meter Out:809.7 Meter In:809.7 Total hours on meter:0.0 4Hrs$90.00 1day$115.00 1week$420.00 4weeks$875.00 Equipment exchanged on 11/5/2013 for 0314#0001 DO NOT EXCEED 55 MPH WHILE TOWING TRAILER X C'U'STOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE CHECK TIRES PRIOR TO LEAVING LOT X EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU ARE RESPONSIBLE FOR RETURN AND/OR RECOVERY X 1 0314#0001 AIR COMPRESSOR 185 CFM DIES 20860 Returned 11/12/2013 8:07:OOAM $420.00 Meter Out:644.4 Meter In:652.0 Total hours on meter:7.6 4Hrs$90.00 1day$115.00 1week$420.00 4weeks$875.00 DO NOT EXCEED 55 MPH WHILE TOWING TRAILER X CUSTOMER IS TOTALLY LIABLE FOR TIRE REPAIR,PLEASE CHECK TIRES PRIOR TO LEAVING LOT X EQUIPMENT IS FOR LOCAL RENTAL ONLY 25 MILE RADIUS FROM OUR STORE YOU ARE t RESPONSIBLE FOR RETURN AND/OR RECOVERY X 2 0300-1 HOSE AIR 3/4"X 50' Returned 11/12/2013 8:07:OOAM $36.00 { -1dav_$6.00-1 week$1.8.00 4weeks$54.00 - - - t 1 0313-1 AIR COMP.REGULATOR Returned 11/12/2013 8:07:OOAM ! $36.00 1day$12.00 1week$36.00 4weeks$108.00 E At� u At�* 30/1 F a 1125 q-- vi 435 3089 J^ Thank You for your Business Rental: Damage Waiver:� Sales: Delivery Charge: Misc Charges: $492.00 $39.36 $0.00 $0.00 $0.00 Paid: Aount Dug Subtoiai: INDIANA: 1 $531.36 $0.00 $531.36 $0.00 $531.3 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$85.00 per hour. X (Initial) I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions. X (Initial) I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial) The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and performance of its obligations arising under this Contract. Printed Name: Signature: CARMEL CLAY PARKS.& RECREATION-BURNETT, ANDREW W Modification# 5 P,intMQMPC'5tFSQRtTIy59(WTvNOT TIME USED. YOU CURRENT. RENTAL FEES DO NOT APPLYcTQ,rRUF�QIdA$.U0) 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. TERMS AND CONDITIONS FOR RENTAL A LARGER-PRINT VERSION OF THESE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST f3gntpl,"A's in,'Ns C'srt - al"C,.stoma.r. s 1, ;',,ev'mean t7i-- cst.7ercr'Lesse"islotf Rented ­_r; f rch�>r Es loss): j�ovid,-d „rat m ,O �j "'JrvI,r, l, and i ?o.= Hutal Inc. and P,_Mfor Bcctdent,bS Or ja agc-:fal y"A.-4,1 be,res­on,;ht,for:he fi,"t :n,-,c_-ai sl­r,rrlsr ard jf: 11-]uridiz�.,�;xr�i,;icl, S�ip­,-iv U_u: f;r�llz Or J thi"I IC"'OraCt: IRK�0` h­iva ""t cmv I Id, n Gov" leili ICIYO lell T Fi,,w, �p! Cart;`manna jja T,e p P er of.,fror, �rake F. ioi iinl;,�Irrlolns avail�.Ii,p 1p,punde.r,,6 it tesoe."'tO, Or ou o"t"Or', rcn,�e ol g:vinc ir;s, -Iaro, �llc Au-k', Rl-ilur D:�,e;is '0 1 Pag c yol,t­,env S4Ice to frost "ne��Iajfrl for fliO, �Uu up able,:­us as S�,�x l�i.cr�t­2 o,=I, forj��c Tiwi a„j P,ol or ,,Ir rrit ens �,pen'), "i tl IP: UIC-1 Olaill-I as "actit abl"3 and tv,s.,Jr- Iniril';hE-,Plei ts tarv,j is,are rsI niec s­_ri-_t ver-c vid-1,it,-,Equpme-,t Prs.,­Jor Pl­ anc t u4,1 fc-Train i ab,e,for,,,Ih: -d a "i lr, j," P­jr,fl.Itfi -,N,1 corlt;,7lit, n:d-_1zI"r,.,,,-_1 or daprl-,gee ro-air:(b)Y-,u if_Jki rfsiin nie lv��`s ar,i s�^1 los'�s', IF U .moo i,a , i s.N o 14- S-1,f�or (ncl�,o ng w triou im ta,io-,. i1fif "k-str"'I'lon naq,,, ltorr's) si re to j o if ?Oil I J, Dau �me J,p� N I,;,Or�ef! Re, -,IkI,me',,)I,rc,,-rral rise �f if Roitec fler,fiO n it abu�e al),!,'Or irpor0p,­Lse iinckid.,)p i�0 re,R"f,,Otliicl"Juri 1,�ife"J", el- "'e Is loi�,. e�or I- r c�zjsed: i��, v, F s", J �j Ill S h,"ufs iu 't: tUb rd leneFi� !,;J lie Renteci fie ol%i, v,,=Lb -na;v nr­ned,t.,Vc d Is t g r Hoof he;Idirg u,w 1 loiadI 1,,e R ltc to'fl Dafriqc ar io,t'4,lft tit_ of:i,c-Rerioc :smi�n'if,a- ;ri S; ,ifrie I!jva'Isi: ;ljk� par o.is A 1ral v.cla es:is lotr2 04 it'is"ontla"o,ol a„,-Af.ri,,Ac laiv, o4 S.r sp jy�jo- v A: � J ----o abani d, , N. "l�DefoultiRpmedies,It v�u or is�IIii 1t -xj J i ­el%� V,!""I"Y FOV­1� Co 'T'll fp"Wl;c. or TO nQ 1,10:1'1.A,Ir, to u,, .6 vint d [1,4,;, a f0- i,ef,u' ,f rodite,­ 44e, 1 ol �,�;:;a ills �_l ei�yo ni is; cso po S:re'),it-;u:l ai%�-wi-h al appinoe iqu jafsr:or ol,a ^,aaec. hu n,,ss 4,1 O-_d��emic "I dol!solt, ia: to+^,a r.a-­,so,ir,sj^ r I a aE ,c I,,,&� st-lir Ss� tc," S-i�.�J'J, n,*irc . oilty c0e,'hai Ol:! 07 of sr ex e, ci:norit,ol i,,_, sry arli a:. �;. ,,il,,V i,ry o'r ail , you,c­,,,I on vou oeijl It Ou ul v V fV!'y;""I loc:n r., _ v) n1a,"'emert ten*`'J�l 'ka, 'yk,� "(WO"'Ou Ott v tr n�sy use t=ie Ru'):;;d li_­ Si irollic" n J­)m and :;rise 4u­r�a ex,'xnse� nc!u n ijw_ "4:10 , _ hrTal,or, 0 Ionia! iruunrcej, I,; innicclialoly look .ti -E and!clr rc1,,4o xnseSS,_­i a9c 0,xl�,_l 01 t-le Fey re-_t ftooli�i� s Deliveiy FAr�,,Vil, if w,� io .3, Fe!�ked yi�u liv I pfwt Jr poula, ,f� - T P�IC HDIJIF N0fi'_E- wrhout rtor­,!_­.,-_ '4;1 KJ Cr SS 0" 1 s.i.- us x;f �r i� f,'re ,n Ne 61 ,,mV damase"j as a o X�A- -is Iq -D-1-v darnafrc,� Tri:ispaas� n�ry -if--, irri t: it by Hw l"r:, 'Ig ard wlioa`irig:�ne pe-ted v"e rmru�,,Pry athH JawS,an,,u, co"Ine tl""r� I,iie, w;jr, C""',�T:,,JiJ;,� t 4�J­,-pr,,, d;;iC13d'-w1i hnid'-)a;ri:u,�s liip�xcf' _R,It _F _1 uOrscia! 4:1 to th-,r-,q "i WAIVE RAN DEMI NlTY�AfF A111 vi :)It `,E,4iGNi I 14�N JP, for allij d'elava�:pusej by the acts or omissions of any her /,,COORDIN,1�"' _H�7;IF .ED 7,0v �,'A If- i AKO 'V%i!I i- be �z �1` I I? j 11arliw" I, r„ ie.AeO, to 'n", 0 V�vARRANTIES. EYPRFSQ F7' 4rXI W r, V,A .7 NO P- ieF .,ou rca,wlify. d"-,.iterld at�, �wi N, F,C H AN TA Ri.1 FJNC�101%, DESIIN TY OF, ::REFDON f7,0V 'EN-1 ED F Eivi;S,[,,�,F 00%NE v'AKE viii .i13 N-, H'_�-,A-�D'NG L E iN17ZiIi1111GE7IL1�,E7t_A".�11_C. 'tA4II"I� YOL IL ED"'WAiVE 'J"D DE SCRIP",ONS Op IF P;Otc,.A, i -1!�)i",, I.,�e'ms'01�.,.ry D�% av-', "61 V 1,r[IRY)[JIMF",�e ...... F- "Y A NT, f�,0I i�51 _,�I oi�, _GAP.0LFSS C�WHq'! FH AR. 'ONSTI[I�T� ,sr in oofx`oi('e,condilion��-,rd ap,I ...... .... YCJ ASSUIV- Al P!SK 0, NJURY3 P;?`iA4AGE NV'Q0I,,Iv1F'1 7 A' T'Al,'%.A,I i A 01 6sn�,;fve`OV�s X per liow b. 1, c c t 3 1,t!p,Af'fl, AND AR(Sit,X, K CONNECT'01,, ',v'M-, 'TIiE nE.NTEC 71"i" . !N,,I_UJD:N(,YVI`� i;"' I ! - . 0 53 . s it 0i", lenIs�is­k]­""ou,­S��nnsioill' AND ALL ILIAPLFIES. 111-AINIS AND DAMAGES ARG A', FFR,'),4 OR EN T :3), lnspect;li�­; "Al "'i'MJ Sub_r,,qt!Ori q, Rorlea SELECTION,MANUFACTURE.USE (,)AD:Nr,,JNL0.AU:rJ' A .0, A­_ tj J1 J wif adkiOwile-,lu snd a-,jcO, tu, find Aih SERVIC-NiG.MAINTENANCE,REPAIR AJN,,'1;0P FETL,3N C,--AN OF Tj �_fw,,Et�TPC i Et.`S` 'E A_Nl 13 is fIr seiened,exai-i-iud,cou,t I :L cy NOT YOL��A(._'I. 31_1 HERESY RELEAS_ - 'S N) I,- 'X, rt Ar al -FI CF Ili 1�as�P�-n Ui� _�vD Jr,AN!) HC r) AA:3Mt_E,-5 Itt ?A , ITS ('Mi'i�P& (i f,:, of a­,jaj, -o iv!is iSre I^,-y^jr-t,rpcse�, E%1APLOYFS. Klq��ll_,_Its.Sjr.1FOGFF, Si-S,'�DRS At, I A��:%',f�J, 1 1 A,`,'A�-, N ­ .^j:3 1 1," .I I - I- 11 10 v. vY E, ve�p -Fld fmd �hrl ina:ning ,, -Q I-C I ,c,ir ALI 'ABIL T E75� ;LAIN LCSSES. I'll",D EXPE,�� N., it uifir,��aill I-a ii qu ted unde,at) EPA.OSHA itindlur LIMITAT Of, P-.-7 ORNIEYS� 7FES� ARF,440 --ROIM OR A ;C'C1ATED 'vtd-H E,­,�i C T iE wfii IT ANS,stsndsIO3,if i Slid_,,,c:ra­,s�,,r:�-,',,.x,iisnl:�1160!1,[ISO siu-i�gI3 TEM'S' J C(Jj!_,Xi iNI 1<11 T I!;T,1A-1,'_,N, AwlY ANC AL_ COS7S ASSCL!A�zD Z�f-p pr N L: �u v, T_;,onv t-l: A,,cii,Olvc-d a[ivucow­.,:;icoo--i reqijifi�c fiiifoty ANR,0R REPLAG.NG THE SA"IIEr EVEN F AF1S.r,.1'4 QF� 0,_ F. EVENI AN ACI'101% IS N trio! _r.jv,,lJirg- loO~,a I 4aa- or, and rvl,,.iina' as wil .!S-_I i4�� NEGLIGENCE, N Aji, NV:- N AS i Pi, -0 DEFT C, S-`Vl)ACT lO,.N 0,N ITS OVf% PEH?,'�J�Aril"V,'�U E TI-Ai r, kil-ro and sietfti anner: fv� I e ot, PJNYON M.-AY EL-OT -v 1, 11-fid:_ f:.r spoeim"!olef ,)v 9aP inct; F.'ri no. ) SHALL BE UARi-11 OR ALL CXY�TS_ EY'ENGES ANC A ',3NEYS FEES 1E. JRREC Fi­RIJPY� SUCH DEFENSE. -v !,,in-_a s to j,,,Aks, unsaid o,I,!I- M)Ll_c_cvo, '-I'1h",sn�­n con i,_ ­0 Arti,-4, 'i'f,,lJ i1se, a=a v if ditected cf,I,,f,,, Leases,You i,,U P,,,,i-a-inde,c,�re L F,7',&-,1ALL "v !ep RR.fed it"'il � I! Miscellaneous.1-M Convac', a­,�, i�r,;Acicerda o, by ",it 11 0 n, - 1 ""u"i Ii i'r.1;-Xf J'i,'cillre ROM, "A"o r,i i, s i 0,­ -ifitsr�giree­�,­ �anfl r b--e4resit vot and �i ny,-f!, TI's Ac,-- ment suL,�r le", �vi you,,JJ, 01:cl fl,,o"i II a e as scon as o,", I i.v )ckru ns our e and advertisznci,The itsadirg :�ote';fol ci)? ;e eW­_'F t'i S E;( r 3 d r i.5 r Vri,,E: x,il hav,,-ns,ol,oak in otnof aF s t foah )m c- �r any ard aft lh,�r I'Ji 4:t ri� I 1*x1vI nc Xfe, cl lol,II dt Cort'act,v u %ill c,,­,�i-,,Il i �-es aSs"S ainlilaf�:Ii­', 11-a"d"r J RunvOr" J brcxlg­q� UX" pl�, re. O�to the kilici terws�;,1:4 loo� .0 _to, at 2r<h!C_6,o, _Inc it lii to a I ql­,:e�j ii si,t:-es,Yoi�r hg`rlh_vJ�h res-lec'. t-,O Indiana sna I Is t-te c cth am�.' _c' jrlr, ux.,;prOvision 'h:-,C a-t is 1r;si-_d kintf.�,, 1,a Is Ic t'hain it s I-,is` uli clu'Irg 1--,r. ,..a eu vil iii, I n.er orcessk, :-,,y 2n, cJi J�nj 'o,'ill f �, t o-le-d, !�,C,Uu f,l 'I"d gila-fi I hi�w "en r :,e.1,,( cl,oe­­Ina tkrr cf rerriairder- t)k C,,,rata c!1,,M reina ri k�and In;rI I. T,-i,-is cAti-el,'1,1­11­�,;_Ti,cie F.-i,,n,,,tni <"i Irbil an-e 1 "'1," at l"'n r:dl a�iy i l--this ,tv.1�ene-Ldarie\i to th s cort,cl Pjr 'lern;s,o n),,mrioul�Iotri_­-lolA!,,, C n r,'J v;:, 11ir o! to il't'. 'r_'I n,av I ,f pub re_ �tci .._jC` Fif s: ;f Ruic- our ex;17,is f" ­v z,xl-r i,,�. f, rl > pu at o tier 0�, reqt ireo of Hu-,-!rr is rfincerslc imprac,io',I o�anv ­issi In�;'ary at, Dam,,4ec'! 0.1',%, Lost Ro"ItcJ 1"';-C (s).'II�u a�;:ac <�T,v dimnuqu�u or of�lie Rn�ed die I�vji, 3nv flveni.iall"t 01 'I r v '�,farver W,,`PLI`.io-a�Ud IA-ill'1 j 0111,S�3.'! O J, � i j or. f OKIs1�1111�111�lI, t�o Fs�­�d ,s,ars�1,;on C,,dfi-m�,!"'d, .4il pal,I at f r pa tz�ti� of �iv&'d a i StF uto�-,of �m tF_;)�,s raiga, ini; 1 n,�srd'p., s, 0-1 r is,�je will"eat interest St the�a,e of .:re iW ona tv.,,if;I S iIJIi j'­�1,p� I ­� � s ci�1,� I�el�liad -I"s tr�S f, of�ertal us to tne rpjoll"Inq I,-t-'s", - ; �rcc, �s- I I d 0 - wj If -lic o� 8�� YOU e1j:ee he�t n RIJ I he I%)ii Of re,n',i,., l, i� rr.-r,v Y"', 'A'1-o-',i; p. oI M- by R u,V"" "ll I 1,s _xn' ,vcr lot LI,lays k],t of t aw)wl ooicon"', RUAIVOF 11"C' vd.ji c,m, c Ioi �i l dc u t is i c,(,,,-I C�)vl it Provide i��de-Viej o'an;&e winte-nicnt is NSF. Reny v, r2Lximum iiab€li,,L_1ft�tr or in conneerI2_,M_h lhiis Contra , i, 3?insurer Jl rrantrair aii C I Sr,ro,,­­u La; ary a,loas':fe'; limited to the Rent actuallIL �td by you hereunder.This siloccates he lf:,-,f -,jjry or cairia,_- uertir,ai q i.,f)-ver i.,:i,i: "f's a. ivtn MIRMU-1 Ii:-!itf;'T S'..!. pe rso r Cr a r Cy s"-s rig n aon t i i I w i II:it Is R e nc d It a S', I r I d lo:;ati it is i,Ile Re!, rfl�,rne I"r the e,pJ;da:f cilwe,,Ige for von"erlv ir WwIili, tar: s or II-is CiPulad vvil ne deercd to 1prll ri,,,sir:v',It'Jie R ltew,$)idenTied 1,tirA afsc t, o �:rto iex.sept olly ,Is sx;)50SsI*y'�ei IcIll, 'I err„ I I daIragc to litenfStt.';'ll2;iJ op;icement va:,�c 'ard h rej aLI(0 of riteri's y'­,�lonI fron R�.Ivyur a� oc,41Oltic, ['J filed .,ft u�" 1!n�� "�,S'.n 0,000 Pei o��',vlence, for an. 'crted �ubseque�t:y execdcc by Js. Y'­,..� -an-1wrine-1, digita or cect,nic sipltitwu wnof�, vdlothsc cI ii-i, :V Ivr� Mint- "S .ls shazt lu-rjr-,� jr,v-as sto addrt*i 3rd less L or ruc-_red"As fa'-s:rri; �v" enforce h Is Gli'ongiral for al purl Cntrn 0' r rsr! ou Ps.r I'V!! .,gene in us auccesscrs and ass!iM�a-ic I, - mar,, ne'ooerat ng a not 3 e­,irigsmoril: ,n -_d ir uijarlcr ­,ces, Upor cu-_vi,nro;Iifie Pi.f I�i,ovies of.le endorse neni `;ot t w siq,icd ni blTh vCi,Pm_",ijq:r d;c'v,1 b- .,p'_,,e,red Sole1v 1";J" jv; of i­_`Zana,Each partv ivaivesits rjqhi Ol than�,-,ev'A'�!ti��t caw'.elle". ­l:ng ir e,Terf�.d ieirn, to a.im ��1­*�,0,itie S'J,ell: .. . _�.riq!of�1)v�:kvirrn or cauSa�ii Iil,liu:based 3. 1",ar 01A of t",s ag, - - I .a! heicoi, Tt�is wai�,,_� uu�a n6 to `�l;s 11'at Irliv 0,lte lo:,-a sun,ect p1OJO Eouinm­�n!lliotaI�tion plain. -ji pr,-Snt Pro,-tt,,r �:a�l Tat Hury r,offi"r's,:s a DR-,a, ji?vlaiV� c*itrat 1,ilci.�,,reach of d_,,r, wJ di o0er cc,ii-on av,, Stsaitory c aJ­S �r,J n�t sob."e, F A APP0,1TV r ,�"i IS DAMAGE 5 0,710NAL. �f toot� 1 a-ry witt,r�,no , - ept ors. party ia; urdrr,�x-ics 'ha' this is i %valver of imporl,�nt legal rights a�d :ni n�­l l�SI;-ar)",-'e cx),�s,inq�'l da-agp lIsl�ot if f--'rle�l�ed and povide t.s. o; acx-ratidedres t-v3t has 1,Id a rSaaraziEt_-­,:;orl ,,d�,ISS ho v,.,a�or_n 4 its effe-Is %Mi lrfw -av deci.,In It ,airrcn,picieC-ki F`iil i",til"IC rig VQU, in Iio--pace prf)v dn-j for pwut,,sr If :�io E,jiPmOrt P, pl:ir, ,vo iv:I a, f� ;a sur equa to 6" of �n Ffn. s, are I-,the Rel:) sr'd =a rfl:, snjeio,totl­ 05!WARNING REGARDING CRIMINAL CONVERSION.FAILURE TO RETURN RENTED ITEIII(S)CAN.IN orit"'Y' 'A'31"'t�C0'i" �T,­ver V01;^,0 c:vi�,^t c6z pair CERTAIN CIRCUMSTANCES,BE CONSICIERED A THEFT,REiULTING IN CRINIINA� PROSECUTION. r"n"i use,.--is set COS I Rr Y Fd wh- to I�"'alimu, A ihe, dl"-�aj I wn,i ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 354867 Runyon Equipment Rental Terms 410 W Carmel Drive Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 11/12/13 2852621 Air compressor rental for winterizing 36312 $ 531.36 Total $ 531.36 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 Voucher No. Warrant No. 354867 Runyon Equipment Rental Allowed 20 410 W Carmel Drive Carmel, IN 46032 In Sum of$ $ 531.36 ON ACCOUNT OF APPROPRIATION FOR 101 General fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 2852621 4353099 $ 531.36 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 27-Nov 2013 Signature $ 531.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund