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1590 West Second Ave. ~ ~ j RENTAL <br />P.O. Box 25139 ~j ~ ~~~~ ~~. CQNTRAC'a <br />Eugelae, OR 97402 ~ , <br />Fax (541) 683-1004 "I~ / ~ 0 / ~ °~ a THIS EQUIPMENT FAR RENTA, <br />wwuv. beehiverental. com `" ONLY -NOT FOR SALE <br />RENTED `r0 - _ _ _- -_ _.,.,. - Jb11 LOCATIO~t > ~ 'T'ICKE'T' # `.. <br />---- -_ <br />FOOD FOR LANE COUNTY _ ~ _ CELL# 915-2511 - Res# 74821 `.. <br />770 BAILEY HILL RD ELMER MAY P/U Con# 284495 <br />EUGENE OR 97402 <br />__- <br />DL/I1J # DOBtI-, - Phi PHOriiE LiA'lE TIME <br />- - <br />AR-604 W (541} 343-2622 OUT 11/15/08 9:45 AM MM <br />II:7t'~3 P~/~Tos # _ _ ~cIJIVEt~- ~Y <br />-- -- <br />o JENNIFER ~TVRN <br />***FTNAL*** <br />- _ _ -- - <br />I~zN HOT3RT~,Y rJS~rI~TTTE F3-HOLTi2 DAY TrlEEK ~, TdEEt4 <br />~. 7011-0003 2" SUBMERSIBLE TRASH PUMP ELE <br />$16.00/9 4.90 16.00 22.00 22.00 66.00 1.65.00 <br />1 7008-0000 2" DISCHARGE HOSE 20' <br />$2.00/D 0.40 2.00 2.00 2.00 5.04 10.00 <br />1 3415--0005 1700 WATT GAS GENERATOR (WHISP <br />$18.00/4 9.80 18.00 26.00 26.00 104.00 312.00 <br />----- Payments -__--... <br />**'~***** Credit Card Payments *~****** <br />MC Card #: XXXXXXXXXXXX0218 Type: SALE <br />APPROVAI,#: 015756 11/15/08 4:49 PM <br />AMOONT 37.50 <br />HOURS:MON-FRI 7:30am-S:OOpm REN'~ <br />SAT: 8:00am-5:00pm SALES <br />SUN: CLOSED OTHER <br />DW/FEES <br />DAMAGE WAIVER AS STATED ON REVERSE ACCEPTED DECLINED SDI' TAX <br />sA.zE s TAx <br />I ACKNOWLEDGE RECEIPT OF EQUIPMENT, SUBJECT TO THE STATED TERMS ON THE DEPOSIT <br />REVERSE 51DE OF THIS AGREEMENT, WHICW I NAVE READ. I HEREBY AUTHORIZE BEEWIVE <br />RENTAL TO MAKE APPROPRIATE CHARGES TO.MY CREDIT CARD. <br />TOTAL DUE <br />LESSEE <br />If other than renter, signer represents he is agent of and aulharized is sign for renter <br />NOTIFY BEEHIVE RENTAL IMMEDIATELY IF EQUIPMENT DOES NOT <br />FUNCTION PROPERLY OR NO REFUND OR ALLOWANCE WILL BE MADE. <br />11/15/08 4:49 PM MM <br />Page: 1 <br />_- <br />EXT A~ti1T b3ET FBI` <br />22.oa 5.so 16.50 <br />2.00 0.50 1.50 <br />26.00 6.50 19.50 <br />37.50 PREV PAID 0.00 <br />0.00 PAID NOW 37.50 <br />0.00 <br />0.00 <br />o.ao <br />o.oo <br />0.00 <br />37.50 TOTAL PAID 37.50 <br />A1KOiJN'i' DtTE 0.00 <br />15-NOV-08 16:49:32 <br />Ranrdar irnm In-A-Rind • AOf7-Afid-0dfi3 • ~nrm #7Afid <br />