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1590 West Second Ave. ~ H ® <br />~ RENTAL <br />P.O. Box 25139 ~j ~ REN~. <br />~I~ ~~~ CONTRACT <br />Eugene, OR 97402 <br />Fax (b41) 683-1044 ~ a 0 ~ } ~' 0 0 THIS EQUIPMENT FOR RENTRL <br />WwW.beehiverenfal. COm ,+ ONLY -NOT FOR SALE <br />RENTED TO ~iOB ~.OCATIGD7 TrCK1;'S -;f <br />I'OOD ~"OR LANE COUNTY RBS# 1 n <br />770 BAILEY HILL RD Con# 28~l407 <br />EUGENE OR 97402 <br />~,+ <br />_. <br />m .~ . _.~~ _ _ - - ----- --- - -- - - _ - -- .__ - - --- -- - - --_ I.: <br />~i./TD # ~o~t;~ ~n3 vxarr~ r,ATE ~~rr~ <br />Al - I _ `, , 1" - €€ Oi7T 11/13/08 10:30 AM MM-- <br />I <br />ID#3 PO/JOB # RECEIVED BY _ <br />0 ELMER THIELMAN f RETURNED 11/13/08 4:07 PM MM <br />***EINAI,*** 'Page: 1 <br />E:~ T AidT NE T AI~1'T <br />QTY ITEMS <br />t~SIb7 HOLtRL'~ O~.'NS'~E 8-HgUR DAX Y+TEEFf 1 WEEK <br />] "7005-OOfl2 1" CENTRIFUGAL PUMP GAS <br />Actual. Ira Date: 11/13/0$ 11:93 PP4 <br />1 7013-0000 1" SUCTION HOSE <br />52.00/D 0.90 2.00 2.00 2.00 <br />1 7014-0000 1" DISCHARGE HOSE 20' <br />$2.00/D 0.90 2.00 2.00 2.00 <br />1 7011-0003 ?_° SUBMERSIBLE TRASH PUMP ELE <br />$16.00/4 4.90 16.00 22.00 22.00 <br />1 7008-0000 2" DISCHARGE HOSE 20' <br />$2.00/D 0.40 2.00 2.00 2.00 <br />1. 3415-0005 1700 WATT GAS GENERATdR (WHISP <br />$18.00/9 9.80 18.00 26.00 26.00 <br />----- Payments -_- _-- <br />******** Credit Card Payments ******** <br />MC Card #: XXXXXXXXXXXX0218 Type: SALE <br />APPROVAL#: 013838 11/13/08 4:09 PM <br />AMOUNT 90. 26 <br />HOCIRS:MON-FRI 7:30am-5:OOpm <br />SAT: $:QOam-S:OOpm <br />SUN: CLOSED <br />DAMAGE WAIVER AS STATED ON REVERSE ACCEPTED DECLINED <br />I ACKNOWLEDGE RECEIPT OE EQUIPMENT, SUBJECT TO THE STATED TERMS ON THE <br />REVERSE 51DE OF THIS AGREEMENT, WHICH I HAVE READ. I HEREBY AUTHORISE BEEHIVE <br />RENTALTO MAKE APPROPRIATE CHARGES TO MY CREDIT CARD. <br />twESSEE~ <br />If other than renter, signer represents he is agent of and authorized to sign for renter <br />NOTIFY BEEHIVE RENTAL IMMEDIATELY I~ EQUIPMENT DOES NOT <br />FUNCTION PROPERLY OR NO REFUND OR ALLOWANCE WILL BE MADE. <br />5.00 10.00 <br />5.00 10.00 <br />66.00 165.00 <br />5.00 10.00 <br />109.00 312.00 <br />0.00 0.00 <br />2.00 0.50 1.50 <br />2.00 0.50 1.50 <br />22.00 5.50 16.50 <br />2.00 0.50 1.50 <br />25.58 b.42 19.26 <br />RENT 40.25 PREY PAYD 0.00 <br />SALES 0.00 PAID NOW 40.26 <br />OTHER 0.00 <br />DW/FEES 0.00 <br />ADDL TAX 0.00 <br />SALES TAX 0.00 <br />DEPOSIT 0.00 <br />TOTAL DUE 40.25 TOTAL PAID ao.25 <br /> AMOUNT DUE o.oo <br /> 13-NOV-O$ 16:09:16 <br />E3eorder from fn-A•Bind • 800.864.2463 • Form #7664 <br />