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227103 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1 ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK AMOUNT: $1,549.75 CARMEL IN 46032 CHECK NUMBER: 227103 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4353099 281110-1 91 . 75 OTHER RENTAL & LEASES 854 5023990 286620-1 889 .22 OTHER EXPENSES 1203 4359003 26760 286620-1 350 . 00 HEATERS 1093 4353099 2869901 110 . 16 OTHER RENTAL & LEASES 2201 4231100 287821-1 69 . 72 BOTTLED GAS 2201 4231100 288045-1 38 . 90 BOTTLED GAS i 11/25/2013 5:44 PM FROM: Far. Microsoft TO: 73175712409 PAGE: OD1 OF 001 IIIIII VIII VIII VIII VIII VIII IN IN Page 1 of 1 Status: Closed ®��Y®�, 410 WEST CARMEL DRIVE Invoice#: 286620-1 V Iv CARMEL,IN 46032 Invoice Date: Mon 11/2512013 ✓QtJIPMiEr4T RENTAL www.runyonrental.com Date Out: Sat 11/2312011 9:OOAM 11800-276-Tool(8665) 317-566-8888 Phone "Don't be a fool-Rent one` 317-566-2990 Fax Operator: JACK RUNYON ......_...._ ----------------.,,--------------------------------_-_--_------------------.__..i Customer#: 1335 Terms: On Account CITY OF CARMEL 317-571.2448 Phone 317.571-2409 Fax ONE CIVIC SQUARE CARMEL,IN 46032 PO#: HOLIDAY ON SQUARE s Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Salesman: BONNIE LICKLIDER Phone: 317-696-8886 E-Mail: bonnie @runyonrental.rom ....................._...................-..........................................................................._..............................................._.........................................._._- Delivery and Pickup Delivery: Sat 11/23/2013 9:OOAM Contact: MEG Pickup Date: Sun 11/24/2013 9:OOAM Phone:317-590-7522 Location: CARMEL GAZEBO Used at Address: CARMEL GAZEBO; CARMEL, IN 46032 Delivery Notes: ACROSS FROM CARMEL FIRE DEPARTMENT AND SOUTH OF THE FOUNTAIN ....... ....._.................. Qty e Key Items Ser# Status Returned Date :, Price _..._......................... _.._......__.........................................._..................._.............._....._.......................__.-.._.......-...-......_..........._......_......._._:................................._........._...........-..... 14 3880-1 HEATER LAP PATIO RADIANT Returned; 1125!2013 7:27:OOAM $700.00 1day$50.00 !week$200.00 4weeks$450.00 14 .`•021 B-1 PROPANE TANK 20# Returned; 11252013 7:27:00AM I $42.00 Iday$3.00 1week$6.00 4weeks$12.00 14 100-1 PROPANE 20 POUND REFILL Sold I $202.86 1 110.1 DELIVERY STAKEBED Sold'; $150,00 1 2931 LABOR PER HOUR Sold:: $85.00 —V�5 7(o\ OVL in 0 9 z2 )fy-6yv\, U-1 Thank You for your Business _.............................................._...................................,......................................................................................................................................................................_...................-..................................... ................._...._...._................. Rental: Damage Waiver: `: Sales: Delivery Charge: Mlsc Charges: i i $742.00 $59.36 $287.86 : $150.00 $0.00 I I" j Subtotal: INDIANA: : Total: Paid: € Amount Due: ! $1,239.22 $0.00 : $1,239.22 $0.00 81,239.22 ..................... .:..........................................................._....;......................................................_..........................._......_......_............._............_...........-...................._...._......_.......... ................................._.........................._.................... You understand that.(a)it Is unauthorized forme to lend the Rented Items)to any other person,(b)THE RENTED ITEMS)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e g BiodieseI.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 damaoe 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 undersloned has carefully read and fully understands the Terms and Conditions on the ba&,of this Contract and personally guarantees the Customer's prompt payment and performance of its obligations arising under this Contract. Printed Name Signature: � � CITY OF CARMEL ................. Software by Point-of-Rental Systems www point-of-rental mm Contract-Params rpt(1) 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)) 11/25/13 286620-1 $889.22 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. ALLOWED 20 Runyan Equipment Rental IN SUM OF $ 410 W. Carmel Drive Carmel, IN 46032 $889.22 ON ACCOUNT OF APPROPRIATION FOR Community Relations Gift Fund 854 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 854 286620-1 $ss9.22 1 hereby certify that the attached invoice(s), or - � bill(s) is (are) true and correct and that the a1•l�Ql� o�'1e . U0.' materials or services itemized thereon for ' which charge is made were ordered and received except Sunday, December 08, 2013 Director, Community Relations/Econ is Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund 11/25/2013 03:24 T01+1 (317) 5712409 FROM:8006529440 Pagel 1 11/25/2013 5:44 PM FROM: Fax Microsoft TO: T3175712409 PAGE: 001 OF 001 IIIIII I III VIII VIII VIII VIII IIII IN Page 1 of 1 Status: Closed �e t N�Ow' 410 WEST CARMEL DRIVE Invoice#: 286620-1 V /e CARMEL,IN 46032 Invoice Date: Mon 11125/2013 EQUIPMENT 1zENTAI- www.runyonrental.com Date Out: Sat 11/23/2013 9:OOAM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool-Reot one` 317-566-2990 Fax Operator: JACK RUNYON -------------------—----------------------------_--------------------------- Customer#: 1335 Terms: On Account CITY OF CARMEL 317-571-2448 Phone 317.571-2409 Fax ONE CIVIC SQUARE l CARMEL,IN 46032 PO#: HOLIDAY ON SQUARE Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Salesman: BONNIE LICKLIDER Phone: 317-696-8886 E-Mail: bonnie @runyonrental.com _......._rid, ....____..__.........._ ............................:........_........_...................... .__... ......._ ......._._.._. .........__.._.... �._...._.._.._............ ._.......�_..............a......_......__ ._...._........... Delivery and Pickup Delivery: Sat 11/23/2013 9:OOAM Contact: MEG Pickup Date: Sun 11/24/2013 9:OOAM Phone: 317-590-7522 Location: CARMEL GAZEBO Used at Address: CARMEL GAZEBO-CARMEL, IN 46032 Delivery Notes: ACROSS FROM CARMEL FIRE DEPARTMENT AND SOUTH OF THE FOUNTAIN City Key items Ser# Status Returned Date Price __.......a......__......_.._._....._....._......................._..... ....._.........................................._..._........._.............._m..................................._..__.........__...............__......_..,_ �._......._.._._..... .__._._..._,._...._....................._m�._...._....._._.. 14 =3880-i HEATER UP PATIO RADIANT Returned 1: 11/25/2013 7:27:00AM $700.00 /day$50.00 /week$200.00 4weeks$450.00 14 0218.1 PROPANE TANK 20# Returned:: 11252013 7:27:OOAM $42.00 /day$3.00 1week$6.00 4weeks$12.00 14 l 100-1 PROPANE 20 POUND REFILL Sold i $202.86 1 110.1 DELIVERY STAKEBED Sold'; $150.00 1 ;2931 LABOR PER HOUR Sold', $85.00 �VL A � =2, �ra Yv\. F6 n.(� 140 lam` ) C-Vk Thank You for your Business .._........_....._.......__.�._.m..._......_.....__.._.._.....w................._._..............._............................_____..............._.................._.._............__...................._.....__..__..._._............._......._.._-._....._.. ..:..........:�... ...................... _ 1 j Rental: Damage W aiver. Sales: € Delivery Charge: Misc Charges: i I $742.00 $59.36 l $287.86 : $150.00 $0.00 j Subtotal: INDIANA: t Total: Paid: Amount Due: ( $1,239.22 $0.00 $1,239.22 $0.00 i $1,239.22 ._............_.._....._. _...__............ ._._._...d .................._G.......................... ....._..._...___........................d.._._..__ .W......................_._...._.__..............._..._... ...._..._ ._............... _.............. You understand that (a)it is unauthonzed torme 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 Biodresel,E5,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resultmo from alternative fuel:(d)no electrical tools are supplied with safety grounded plugs foruse in grounded outlets(except for doubleinsulated safety-approved tools),and you are responsible for not cutting oft 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 Items)have been returned,and(e)labor rate is charged of$85.00 per Dour 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) 1 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: -CITY OF CARMEL ............ .:....:.:.:......._ ...:.......,..._............ .....,.......,._r.:_.,..,..-.:...:._._........._........................... ............_............,.-.....................:.:.:.:.:.:,..:...__........:___................_.....................,.__..................... __....:.:. Modfcation# 5 Printed On Mon l V2500 13 5 43:57PM Softwareby Point-of-Rental Systems www.point-of-rental.com Contract-Params rpt(I) 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)) 11/25/13 286620-1 $350.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Runyan Equipment Rental IN SUM OF $ 410 W. Carmel Drive Carmel, IN 46032 $350.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26760 I 286620-1 I 43-590.03 I $350.00 I 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 Sunday, December 08, 2013 Director, Community Relations/Economic evelopment Title Cost distribution ledger classification if claim paid motor vehicle highway fund I��III I��I I�I�I IIIII'�III�I��I IIII III Page 1 of 1 Status: Closed ® 410 WEST CARMEL DRIVE Invoice#: 288045-1 CARMEL,IN 46032 Invoice Date: Wed 12/4/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 12/4/2013 1:33PM 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: 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.Blodiesel,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 Wed 12/4/2013 5'41 37PM Software by Point-of-Rental Systems www point-of-rental.com Contract-Params rpt(1) Status: Closed 410 WEST CARMEL DRIVE Invoice#: 281110-1 ®� CARMEL,IN 46032 Invoice Date: Mon 9/30/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Mon 9/30/2013 8:52AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't he a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS customer#: ssss Terms: On Account CARMEL WASTE WATER 317-571-2645 Phone 9609 HAZEL DELL PARKWAY SUITE 110 INDIANAPOLIS,IN 46280 PO#: IDC BUILDING Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: FAUCETT, JOE Salesman: NONE Qty Key Items Rented Ser# Status Returned Date Price 1 3041#0001 KNOCKOUT KIT HYDRAULIC 1/74' 7646SB Returned 9/30/2013 3:20:OOPM $60.00 lday$60.00 lweek$240.00 4weeks$720.00 Qty Key Items Sold Part# Status Each Price 1 A-DW-18-1 CHINESE FINGER 3/4"-1 1/4" A-DW-18 Pulled $26.95 $26.95 Thank You for your Business Rental Contract Rental: $60.00 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 Damage Waiver: $4.80 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: $26.95 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: $91.75 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 INDIANA: $0.00 Total: $91.75 Paid: $0.00 Signature: CARMEL WASTE WATER-FAUCETT,JOE Amount Due: $91.75 Modification# 2 Printed On Wed 12/4/2013 1 39 51PM Software by Point-of-Rental Systems www point-of-rental.com Contract-Params.rpt(6) Page 1 of 1 Status: Closed IRU N YON 410 WEST CARMEL DRIVE Invoice#: 287821-1 CARMEL,IN 46032 Invoice Date: Mon 12/2/2013 EQUIPMENT RENTAL www.runyonrental.com Date Out: Mon 12/2/2013 3:21 PM 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:TOWNS,ADAM Salesman: NONE Qty Key Items Ser# Status Returned Date Price 1 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 $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 Customers prompt payment and performance of its obligations arising under this Contract Printed Name: Signature: CARMEL STREET DEPARTMENT-TOWNS,ADAM Modification# 1 Printed On Mon 121212013 5:35.14PM Software by Point-of-Rental Systems www.point-of-rental.com Contract-Params.rpt(1) 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)) 09/30113 281110-1 $91.75 12/02/13 287821-1 $69.72 12/04/13 288045-1 $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 VOUCHER NO. WARRANT NO. ALLOWED 20 Runyon Equipment Rental IN SUM OF $ 410 W. Carmel Drive Carmel, IN 46032 $200.37 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 281110-1 43-530.99 $91.75 1 hereby certify that the attached invoice(s), or 2201 287821-1 42-311.00 $69.72 bill(s) is (are) true and correct and that the 2201 288045-1 42-311.00 $38.90 _ materials or services itemized thereon for which charge is made were ordered and received except � 7 Fria Dc,�� 013 r .✓ S ��81�irt5§�8��r Title Cost distribution ledger classification if claim paid motor vehicle highway fund IIII I II IIII III I I IIIIIII Page 1 of 1 L Status: Closed ®may 410 WEST CARMEL DRIVE Invoice#: 286990-1 1v CARMEL, IN 46032 LBY ' � 2 2013 I Invoice Date: Fri 11/22/2013 +✓QUIPMENT RENTAL www.runyonrental.com Date Out: Fri 11/22/2013 8:03AM 1-800-276-Tool(8665) 317-566-8888 Phone "Don't be a tool- Rent one" 317-566-2990 Fax --------- Operator: WINNIE HELMS Cstomer#:2os-a �} Terms: On Account CARMEL CLAY PARKS & RECREATION 317-848-7275 Phone 317-571-4136 Fax 1411 E. 116TH STREET CARMEL, IN 46032 PO#: me 004824 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 Qty Key !tam; Ser# Status Returned Date Price 1 0314#0024 AIR COMPRESSOR 185 CFM DIES 29687 Returned 11/22/2013 9:11:OOAM $90.00 Meter Out:836.7 Meter In:837.2 Total hours on meter:0.5 4Hrs$90.00 /day$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 RESPONSIBLE FOR RETURN AND/OR RECOVERY X 1 0313-1 AIR COMP.REGULATOR Returned 11/22/2013 9:11:OOAM $12.00 lday$12.00 1week$36.00 4weeks$108.00 _ VJ I NTE RI ZZ FLDOJ C'•IIDEIZ Iog -353ogR Thank You for your Business Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges: $102.00 $8.16 $0.00 $000 $0.00 Subtotal: INDIANA: Total: Paid: Amount Due: $110.16 $0.00 $110.16 $0.00 $110.16 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# 4 Printed On Mon 11/2512013 12 49.26PM Software by Point-of-Rental Systems www point-ot-rental com Contract-Params rpt(1) 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 11/22/13 2869901 Winterize flowrider building $ 110.16 Total $ 110.16 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$ $ 110.16 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 2869901 4353099 $ 110.16 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 5-Dec . 2013 signature $ 110.16 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund