HomeMy WebLinkAbout228692 1/28/2014 +,f CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL CHECK AMOUNT: $8,747.91
zo CARMEL, INDIANA 46032 410 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 228692
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 289425-1 791 . 40 OTHER EXPENSES
651 5023990 289777-1 41 . 80 OTHER EXPENSES
601 5023990 290157-1 27 . 90 OTHER EXPENSES
651 5023990 290198-1 374 . 36 OTHER EXPENSES
601 5023990 290370-1 246 . 75 OTHER EXPENSES
2201 4353099 290381-1 6, 770 . 00 OTHER RENTAL & LEASES
601 5023990 290408-1 48 . 80 OTHER EXPENSES
651 5023990 290735-1 368 . 72 OTHER EXPENSES
601 5023990 290785-1 27 . 90 OTHER EXPENSES
2201 4231100 290954-1 38 . 90 BOTTLED GAS
2201 4356003 291243-1 11 . 38 SAFETY ACCESSORIES
IIIII IIIII IIIII ILII IIII IIII II IN Page 1 of 1
Status: Closed
�u Nyoly 410 WEST CARMEL DRIVE Invoice#: 290381-1
CARMEL,IN 46032 Invoice Date: Tue 1/21/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 1/9/2014 2:32PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Roof 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: RUSSELL, ERIC C
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 3424#0009 GENERATOR H 70 KW 7350773 Returned 1/17/2014 2:38:OOPM $2,400.00
Meter Out:610.0 Meter In:786.0 Total hours on meter:176.0
lday$275.00 tweak$800.00 4weeks$1,850.00
RENTAL RATES FOR EQUIPMENT ARE BASED ON USAGE
DURING AN 8 HOUR SHIFT.
ONE DAY IS 24 HOURS OR 8 HOURS RUNNING TIME.
16 HOURS RUNNING TIME IN 24 HOURS=2 DAY CHARGE
24 HOURS RUNNING TIME IN 24 HOURS=3 DAY CHARGE
IF OVER 8 HOURS IN 1 DAY YOU WILL BE CHARGED FOR
EXTRA HOURS ON EQUIPMENT.X
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 3424#0011 GENERATOR H 70 KW T7008-179 Returned 1/21/2014 10:29:OOAM $3,700.00
Meter Out:1680.0 Meter In:1932.0 Total hours on meter:252.0
lday$275.00 lweek$800.00 4weeks$1,850.00
RENTAL RATES FOR EQUIPMENT ARE BASED ON USAGE
DURING AN 8 HOUR SHIFT.
ONE DAY IS 24 HOURS OR 8 HOURS RUNNING TIME.
16 HOURS RUNNING TIME IN 24 HOURS=2 DAY CHARGE
24 HOURS RUNNING TIME IN 24 HOURS=3 DAY CHARGE
IF OVER 8 HOURS IN 1 DAY YOU WILL BE CHARGED FOR
EXTRA HOURS ON EQUIPMENT.X
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
28 DIES-1 DIESEL Pulled $182.00
Thank You for your Business
Rental Contract Rental:
You understand that:(a)'It is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S) $6,100.00
IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative Damage Waiver: $488.00
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: $182.00
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: $6,770.00
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: $6,770.00
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-RUSSELL,ERIC C Amount Due: $6,770.00
11111111919111111111111111111191111111 Page 1 of 1
Status: Closed
IRU IYYOIY 410 WEST CARMEL DRIVE Invoice#: 290954-1
CARMEL,IN 46032 Invoice Date: Fri 1/17/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Fri 1/17/2014 2:51PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: BRIDGETTE ELMORE
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: STUBBS, CHRISTOPHER
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 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: $38.90
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: $38.90
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: $38.90
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-STUBBS,CHRISTOPHER Amount Due: $38.90
VOUCHER NO. WARRANT NO.
Runyon Equipment Rental ALLOWED 20
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$6,808.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 290954-1 42-311.00 $38.90 1 hereby certify that the attached invoice(s), or
2201 290381-1 f 43-530.99 $6,770.00 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
W es �, 2014 n I P-" AY ,
WV V '�v 1-7 1-1 /'
StrestreeY C3ir)M?seiner
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))
01/17/14 290954-1 $38.90
01/21/14 290381-1 $6,770.00
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
20
Clerk-Treasurer
111111111111111111111111 IN Page 1 of
Status: Closed
U FJYO N 410 WEST CARMEL DRIVE Invoice#: 290735-1
CARMEL,IN 46032 Invoice Date: Wed 1/15/2014
r QUIPMENT RENTAL CARMEL,
Date Out: Wed 1/15/2014 9:OOAM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't 6 a tool-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
Customer#: 9985 Terms: On Account
CARMEL WASTE WATER 317-571-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS,IN 46280
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: HARVEY,ANTHONY
Salesman: NONE
Qty I Key Items Ser# Status Returned Date Price
1 2725#0001 CORE DRILL MACHINE 98DO025201 Returned 1/15/2014 1:50:OOPM $75.00
4Hrs$65.00 lday$75.00 lweek$300.00 4weeks$900.00
1 2994#001 CORE BIT N 2"X 14"WET CUT N/A Returned 1/15/2014 1:50:0013M $22.00
Reading Out:248 Reading In:248 Total units used:0.00
tday$22.00 tweak$88.00 4weeks$264.00
1 2994#001 CORE BIT N 2"X 14"WET CUT N/A Units Used $7.00
Usage$7.00 per unit with 0 units free.
1 2999#001 CORE BIT T 5"X 14"WET CUT N/A Returned 1/15/2014 1:50:OOPM $40.00
Reading Out:252 Reading In:252 Total units used:0.00
lday$40.00 lweek$160.00 4weeks$480.00
1 2999#001 CORE BIT T 5"X 14"WET CUT N/A Units Used $7.00
Usage$7.00 per unit with 0 units free.
Thank You for your Business
Rental Contract Rental: $137.00
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: $10.96
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: $14.00
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: $161.96
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: $161.96
Paid: $0.00
Signature:
CARMEL WASTE WATER-HARVEY,ANTHONY Amount Due: $161.96
12/26/2013 02:34 T0;+1 (317) 5712409 FROM:8006529440 Page: 1
12/26/2013 5:33 PM FROM: Fax Microsoft TO: T3175712409 PAGE: 001 0
11111�IIIIIII 11111I111�11 1111111 Pagel oft
Status: Closed
®t®tI�O�Ap 410 WEST CARMEL DRIVE Invoice#: 289425-1
V�® l� CARMEL,IN 46032 In ice Date: Thu 12/26/20
£QUIpMEr.1T REN www.runyonrental.com D ut: Mon 1 2013 4:19PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax _.._,., Operator: JOEL PROCHNOW
. ....... ......
1335 Terms: On Account
CITY OF CARMEL 317.571.2448 Phone
317.571.2409 Fax
ONE CIVIC SQUARE
+: CARMEL,IN 46032 PO#: CALVIN
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: CALVIN COOPER
Salesman: NONE
--- .....__ __ w_..._�_ ._.�........... __...........__.._._...._............._............._...................._.._.......................__� __..,.. ...........m.-.__...
Qty € Key Items Ser# Status I Returned Date Price
e
1 7461#0001 SAW CONCRETE 65 H.P.26'BLADE 407576 Returned'; 1212612013 2:55:OOPM $495.00
Meter Out:393.2 Meter In:394.0 Total hours on meter:0.8
4Hrs$140.00 1day$165.00 1week$660.00 4weeks$1,980.00
1 8922-1 TRAILER W/EQUIPMENT Returned€ 12/26/2013 2:55:OOPM $75.00
!day$25.00 !week$100.00 4weeks$300.00
I
DO NOT EXCEED 55 MPH WHILE TOW{NG 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 11905402 DIAMOND BLADE 26° Returned€ 12/26/2013 2:55:OOPM $135.00
Reading Out:438 Reading In:436 Total units used:2.00
iday$45.00 tweak$180.00 4weeks$540.00
Blade must be used with water.Any damage done to blade you are responsible.X
2 19055402 DIAMOND BLADE 26- Units Used $30.00
Usage$15.00 per unit with 0 units free.
0
Thank You for your Business
} Rental: Damage Waiver: I Sales: Delivery Charge: Misc Charges: I
{
$705.00 $56.40 830.00 - $0.00 $0.00
{ Subtotal: INDIANA: Total: Paid: Amount Due:
t
1 $791.40 $0.00 $791.40 $0.00 € $791.40
`.....•___....._....,..... __._....................._....__............. .__............_.._.._....................._.................._ _. __.
..... .........................__..............._................................._........._. W _....W..._ ........._...__ ...
You understand that:(a)it is unauthorized forme to lend the Rented item(s)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.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 authonzed to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented ltem(s)
which is discovered after the Rented Items)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:
CITY OF CARMEL-CALVIN COOPER
...._.__...... ........ ......:__,._ a ,,............_,..._, W_,._ _,.._...__.._..._....__,.,........._.,. _ ..,......._ .._ ,.
Modification# 2
Printed On Thu 12/26/2013 5:33:06PM Software by Point-of-Rental Systems vu v point-of-rental com Contract-Params.rpt(1)
II ' II I I I II �I IIIIII Page 1 of 1
410 WEST CARMEL DRIVE Status: Closed
Invoice#: 289777-1
CARMEL, IN 46032 Invoice Date: Tue 12/31/2013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Tue 12/31/2013 10:25AM'
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool- Rent one" 317-566-2990 Fax Operator: WINNIE HELMS
_— (Customer : 9'Ws Terms: On Account
CARMEL WASTE WATER 317-571-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS, IN 46280
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: CLAVIN COOPER
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
2 101-1 PROPANE 30 POUND REFILL Pulled $41.80
® .
01
D T LT91 C�
JAN 15 2014 j
By_
------------
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: $41.80
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: $41.80
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: $41.80
Paid: $0.00
Signature:
CARMEL WASTE WATER-CLAVIN COOPER Amount Due: $41.80
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified.
A I AD(`_CD CnNIT%1CDCInhI nC TUIC t nN1TD A(T IC A%IAll ADI C I l0nhl 01=nl ICCT
VOUCHER # 137194 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
P,O# INV# ACCT# AMOUNT Audit Trail Code
290735-1 01-7200-02 $14.00
290735-1 01-7360-02 $147.96
a8
9y95- I o 17aoo-oa 3o.00
RS9`,95 -1 -'73 60-off 761, 9C)
A9-777.- 1 01-ISoGi-o(o 41,80
Voucher Total
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 12/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201; 290735-1 $161.96
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
IIIIII111111I111E111111111111111IN Page 1 of 1
410 WEST CARMEL DRIVE Status: Open
® Contract#: 290735-1
CARMEL, IN 46032
£QUIPM£NT RENTAL www.runyonrental.com Date Out: Wed 1/15/2014 9:OOAM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a too!-Rent one" 317-566-2990 Fax Operator: MEL SPROUSE
(Custome"rTerms: On Account
CARMEL WASTE WATER 317-571-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS, IN 46280
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am;-3: Opm
Picked up by: I-HARVEY,ANTHONY
Salesman: NONE
Qty Key Items Ser# f Status Agreed Return Date Price
1 2725 CORE DRILL MACHINE Out 1/16/2014 9:00:OOAM $75.00
4Hrs$65.00 lday$75.00 1week$300.00 4weeks$900.00
1 2994#001 CORE BIT N 2"X 14"WET CUT N/A / Out 1/16/2014 9:00:00AM $22.00
Reading Out:248 %
lday$22.00 lweek$88.00 4weeks$264.00
1 2994#001 CORE BIT N 2"X 14"WET CUT N/A Units Used $7.00
Usage$7.00 per unit with 0 units free.
1 2998#001 CORE BIT R 4"X 14"WET CUT N/A �" Out 1/16/2014 9:00:OOAM $35.00
Reading Out:318
lday$35.00 lweek$140.00 4weeks$420.00
1 2998#001 CORE BIT R 4"X 14"WET CUT N/A Units Used $7.00
Usage$7.00 per unit with 0 units free.
1 2999#001 CORE BIT T 5"X 14"WET CUT N/A Out 1/16/2014 9:00:OOAM $40.00
Reading Out:252
lday$40.00 lweek$160.00 4weeks$480.00
1 2999#001 CORE BIT T 5"X 14"WET CUT N/A Units Used $7.00
Usage$7.00 per unit with 0 units free.
Open Seven Days a Week
Rental Contract Rental: $172.00
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: $13.76
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: $21.00
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: $206.76
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: $206.76
Paid: $0.00
Signature:
CARMEL WASTE WATER-HARVEY,ANTHONY Amount Due: $206.76
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
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 CNIOR RENTAL
LARGER-PRINT VERSION OF THESE TERM )NS 4S AVAILARLE€ PON REQUEST
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111111 IIIII 11111 hill 1111111111 IN 1111 Page 1 of 1
Status: Closed
V 1JYON 410 WEST CARMEL DRIVE Invoice#: 290198-1
®� CARMEL,IN 46032 Invoice Date: Tue 1/7/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Tue 1/7/2014 2:33PM
1-800-276-Too1(8665) 317-566-8888 Phone
"Don't b"e a tool-Renu one" 317-566-2990 Fax Operator: Tempe Thompson
Customer#: 9985 Terms: On Account
CARMEL WASTE WATER 317-571-2645 Phone
9609 HAZEL DELL PARKWAY
SUITE 110
INDIANAPOLIS,IN 46280 PO#: SHOP
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by: MALLABER, BLAINE
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
49 ProSlicer Ice Melt ProSlicer 50#-20 Degree Purple Pulled $374.36
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: $374.36
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)
1 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: $374.36
Equipment Protection Plan(Damage Waiver)as described on the back of this Conlract.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: $374.36
Paid: $0.00
Signature:
CARMEL WASTE WATER-MALLABER,BLAINE Amount Due: $374.36
VOUCHER # 137273 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
290735-1 01-7202-06 $21.00
290735-1 01-7362-06 �^►$[1�85.76j
o�9Ct`�g-1 or `7o�oa-Db 4 3 / —le�1p
S�I� i2
Voucher Total $206.76
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
t
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 1/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2014 290735-1 $206.76
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
LL-
Date Officer
II�III I II�I�III I�III I��'I III�I�II I�I Page 1 of 1
Status: Closed
®p p@ ®r 410 WEST CARMEL DRIVE Invoice#: 290785-1
f5i U� /� CARMEL,IN 46032 Invoice Date: Wed 1/15/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 1/15/2014 3:47PM
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 WATER DISTRIBUTION 317-733.2855 Phone
3450 W.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: MCNULTY, MATT
Salesman:NONE
Qty Key Items Ser# Status Returned Date Price
_ _ _ mµ�
1 102-1 PROPANE 40 POUND REFILL Pulled
$27.90
Thank You for your Business
...Rental Contract .�-_...� .__,,.,-... ._-..._�_ ......m._......__-_ f
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: $
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 i €
alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $27.90 {
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 I 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
instructions. X (Initial) j""' •---------
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $27,90
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. j
Printed Name: INDIANA: !(# $0.00
TotB1:..,, $2 7.9
F
Signature: Paid: $0.00
�.._•_.. ..__..._-..�.,.�--------I
CARMEL WATER DISTRIBUTION-MCNULTY,MATT Amount Due: $27.90
.____.._-_.......__.___-._._........
_...._. ��
II III I I 1111111111111111111 II Page 1 of 1
Status: Closed
® 410 WEST CARMEL DRIVE Invoice#: 290370-1
CARMEL, IN 46032 Invoice Date: Thu 1/9/2014
OQUIPMi NT RENTAL www.runyonrental.com Date Out: Thu 1/9/2014 1:38PM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a fool-Rent one" 317-566-2990 Fax Operator: BRIDGETTE ELMORE
ust�omer#:1r3s� Terms: On Account
CARMEL UTILITIES 317-571-2267 Phone
317-571-2265 Fax
760 3RD AVENUE SW,#110
CARMEL, IN 46032 PO#: 1/9/2014
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: JACK FORRER
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
47 KER-1 KEROSENE Pulled $246.75
I �bO U
�L
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: $246.75
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 Mlsc 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: $246.75
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 Customer's prompt payment and performance of its obligations arising under this Contract.
Printed Name: INDIANA: $0.00
Total: $246.75
Paid: $0.00
Signature:
CARMEL UTILITIES-JACK FORRER Amount Due: $246.75
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
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 RCER-PRINK`VERSION CE THESE TERMS AND CONDITIONS IS AVAILABLE E UPON RE VEST
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1111111111111111111 IN Page 1 of 1
Status: Closed
Va Nyo 410 WEST CARMEL DRIVE Invoice#: 290157-1
'�1 CARMEL, IN 46032 Invoice Date: Tue 1/7/2014
£gUIPM£NT•R£NTAL www.runyonrental.com Date Out: Tue 1/7/2014 9:18AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: WINNIE HELMS
(Customer �l � Terms: On Account
CARMEL WATER DISTRIBUTION 317-733-2855 Phone
3450 W. 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: MASCARI, JOHN
Salesman: NONE
Qty Key Items Ser# Status Returned Date Price
1 102-1 PROPANE 40 POUND REFILL Pulled $27.90
Received :
"� 8tf' : •• e
r
&�
_ ,aAf
Cie. I
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/AREFULL 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: $27.90
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: $27.90
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: $27.90
Paid: $0.00
Signature:
CARMEL WATER DISTRIBUTION-MASCARI,JOHN Amount Due: $27.90
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES.
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
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re w icons r5nod NSF. Runyon's max€mum habil€ a�r«er or in conrtutt a t y,ith the Conir:-
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W . q we 45 an No W own 0 to ";i 4VARNiN EGAF2DtN6 CRlfyTs JGL INVER51 lN.FAMURE TO RETURN nENTE01'EM(S)CAR IN
CERTAIN CIRCUMSTANCES,BE CONSIDERED A THEFT.RESUS.TiNG IN CRIt><I NAL PROSECUTION.
est,"la owo i, :agad vs a nr wwwo,,.,r. .,armee- ,f A r;il e n.r_E:on r, lar:,
111111 11111111111111111111111111111 1111 Page 1 of 1
tr\ ly o®e 410 WEST CARMEL DRIVE Status: Closed
Invoice#: 290408-1
�® �P� CARMEL,IN 46032 Invoice Date: Fri 1/10/2014
EQUIPMENT RENTAL www.runyonrental.com
Date Out: Fri 1/10/2014 9:25AM
1-800-276-Tool(8665) 317-566-8888 Phone
"Don't be a tool-Rent one" 317-566-2990 Fax Operator: BRIDGETTE ELMORE
Customer#:
-� ---- -..n,.• — Terms: On Account
[CARMEL WATER DISTRIBUTION 317-733-2855 Phone
3450 W.131ST STREET
CARMEL,IN 46074
d
Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm
Picked up by:JOHN MASCARY
Salesman:NONE
Qty Key Items Sent �M Status; Returned Date Price
1 102-1 PROPANE 40 POUND REFILL ::Puflled
d $27.90
1 101-1 PROPANE 30 POUND REFILL $20.90
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: .._ $0.00
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 j
alternative fuel,(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for Sales: $48,80
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: i $0.00
discovered after the Rented Items)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 I
instructions. X (Initis!) ----------------------------- ----.-...�._......__
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $48,g�4€
Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial) -•--------------ubtot
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. t
Printed Name: INDIANA:
$0.00
Total- f $48.80
Signature:
�Pa ` $0.00CARMEL WATER DISTRIBUTION-JOHN MASCARY Am $48.80
VOUCHER # 133883 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
290785-1 01-6200-06 $27.90
29
�9015�-1 pl•l,7W-D3 Z1 91L-)
�9(Aug-) It t--E�,�
Voucher Total 351.3
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 1/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/18/2014 290785-1 $27.90
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
//G'd/ V
Date Officer
VIII!IIT IIIII IIT ILII IIlII IIII Ilii Page 1 of 1
Status: Closed
Ru IVYOIV 410 WEST CARMEL DRIVE Invoice#: 291243-1
CARMEL,IN 46032 Invoice Date: Wed 1/22/2014
EQUIPMENT RENTAL www.runyonrental.com Date Out: Wed 1/22/2014 10:14AM
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:JONES, GARY W
Salesman: NONE
Qty Key * Items Ser# Status Returned Date Price
2 072874129057-1 GLOVE LEATHER PALM XL 1290J Pulled $11.38
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: $11.38
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: $11.38
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: $11.38
Paid: $0.00
Signature:
CARMEL STREET DEPARTMENT-JONES,GARY W Amount Due: $11.38
VOUCHER NO. WARRANT NO.
ALLOWED 20
Runyon Equipment Rental
IN SUM OF $
410 W. Carmel Drive
Carmel, IN 46032
$11.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 291243-1 I 43-560.031 $11.38 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
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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))
01/22/14 291243-1 $11.38
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
20
Clerk-Treasurer