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1590 West Second Ave. ~ H ®~ ~~ ~~. <br />P.o. Box 25139 <br />El~gene, OR 97aa2 <br />Fax (541) 683.1404 . ,' '' ~ • o ~ ~ o - o <br />www. beehiverental. cam <br />I~NTD TO JG~B LOCA1`T4D7 <br />FOOD FOR LANE COUNTY <br />770 BATLEY HILL RD <br />EUGENE OR 97402 <br />]]Li~ 1D # ,OGBth Phi 1~HONE <br />ID#3 QO/JOB # RECEIVED ~3X <br />Q ~ENNTFER R~TU'RNED <br />***FINAL*** <br />- ---- - - <br />- --- -- - <br />QTY xx~rz~# <br />.MIN HGTIRLY Ov'1~STE >3-HOUR DAY WEEK :~ WEEK <br />1 7011-0003 2" SUBMERSIBLE TRASH PUMP ELE <br /> $16.00/4 4.90 16.00 22.00 22.00 66.00 165.00 <br />1 7008-0000 2°' DISCHARGE H OSE 20° <br /> $2.00/D 0.40 2.00 2.00 2.00 5.Ofl 10.00 <br />1 3.415-0005 1700 WATT GAS GENERATOR (WHISP <br /> Actual In Date: 11/18/08 12 :42 PM <br />1 3423-0008 2900 WATT GAS GENERATOR <br /> $22.00/4 6.80 22.00 34.00 34.00 1.36.00 408.00 <br />----- Payments -____... <br />*'******* Credit Card Payments ******** <br />MC Card #: XXXXXXXXXXXx0218 Type: AF7THORIZATION ONLY <br />APPROVAL#: 019980 11/19/08 B:28 AM <br />AMOUNT 0.00 <br />******** Credit Card Payments ******** <br />MC Card #: XXXXXXXXXXXX0218 Type: FORCE/PRE-AUTHORIZED <br />T-1PPROVAL#: 019980 Manual Auth 11/19/08 8:28 AM <br />AMOUNT 43.50 <br />RENTAL <br />CONTRACT <br />THIS EQUIPMENT FOR RENTAL <br />ONLY -NOT FOR SALE <br />---- -- __ <br />'SICf~T # <br />Res# 74850 <br />Con# 284602 <br />Ta?+TE T T [~ <br />__ _ __ <br />X11/18/08 9:20 AM MM <br />11/19/08 8:28 AM JJ <br />Page: 1 <br />Ex~ Arai NET ~~~~ <br />22.00 5.50 16.50 <br />2.00 0.50 1.50 <br />D.00 D.00 <br />34.00 8.50 25.50 <br />HOIIRS:MON-FRI 7:30am-S:OOpm RENT 43.50 PREV PAID 0.00 <br />SAT: 8:OOam-S:OOpm SATES 0.00 PAID NOW X3.50 <br />SUN: CLOSED OTHER 0.00 <br /> DW/FEES 0.00 <br />DAMAGEWAIVER AS STATED QN REVERSE ACCEPTED DECLINED ADDL TAX 0.00 <br /> SALES TA'X 0.0 0 <br />I ACKNOWLEDGE RECEIPT OF EQUIPMENT, SUBJECT TO THE STATED TERMS ON THE DEPOSIT 0 <br />00 <br />REVERSE SIDE OF THIS AGREEMENT, WHICH I HAVE READ. I HEREBY AUTHOfiIZE BEEHIVE . <br />RENTAL TO MAKE APPROPRIATE CHARGESTO,MY CREDIT CARD. <br /> TOTAL DUE X3.50 TOTAL PAID 43.50 <br />~~ss~~ AMOr~NT DLTE O.oo <br />If other than renter, signer represents he is agent of and authorized to sign tar renter 19-NOV-- 0 8 0 8 : 2 9 : 0 2 <br />NOTIFY BEEHIVE RENTAL IMMEDIATELY IF EQUIPMENT DOES NOT <br />FUNGTiON PROPERLY OR NO REFUND OR ALLOWANCE WILL BE MADE. <br /> Reorder fromin•A•8ind•860.864.2483•Form#7&s4 <br />