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0United Rentals <br />800-UR-RENT5 (800-877-3687) <br />umtedTentab com <br />v <br />11 <br />y <br />O <br />113 <br />~ <br />I <br />1 <br />9 <br />LOCATION 012 <br />9050 HE HALSEY ST. <br />PORTLAND, OR 97220 <br />503-255-3449 503-251-0563 FAX <br />IIIB ~IIIIIIIIIIIIIIIIIIIIIIII~ <br />RENTAL RETURN <br />INVOICE <br />Customer Number 72296 <br />Invoice Date 12/14/10 <br />Rental Out 12/06/10 12 00 PM <br />Rental In 12/10/10 3.00 PM <br />SHOP <br />999 DIVISION AVE <br />EUGENE, OR 97404-2414 <br />Office: 541-688-2233 Cell: 541-688-2233 <br />DELTA CONSTRUCTION CO <br />999 DIVISION AVENUE <br />EUGENE, OR 97404 <br />Job Location: 999 DIVISION AVE, EUGENE <br />Job Number 7 <br />P.O. Number : 19319 <br />Ordered By BRENT <br />Written By - URBI2DA <br />Salesperson : 6793 <br />PAYMENT OF $1020.00 DUE ON 1!13/11 <br />PAYMENT OPTIONS Check(MaII) - Check(Fax) - Credit Card(Phone) <br />SIWNG INQUIRIES Pi 800-509-1197 Fx# 209579-7960 <br />REMIT TO UNITED RENTALS NORTHWEST, INC <br />FILE 51122 , <br />LOS ANGELES, CA 90074-1122 <br />L <br />Qty <br />Equipment <br />Descripi <br />Mrpcnum Day <br />Week <br />4 Week <br />AmoutL <br />5 <br />944/9930 <br />ROAD PLATE 6- X 10' <br />19.50 19.50 <br />60.75 <br />153.75 <br />292.50 <br />1 <br />944/9895 <br />CROSSING PLATE LIFT SCREW 1.25" <br />25.00 <br />45.00 <br />110.00 <br />45.00 <br />SALES/MISCELLANEOUS ITEM <br />Qty Item <br />1 DELIVERY CHARGE <br />1 PICKUP CHARGE <br />CONMENTS/NOTES: <br />CONTACT: FRANK <br />CELL# 541-688-2233 <br />Rental Subtotal. <br />337.50 <br />Price <br />Unit of Measure <br />Extended Ant <br />332. <br />500 (EA) EACH <br />332.50 <br />350 <br />.000 (EA) EACH <br />350.00 <br />Sales/Nieo Subtotal: <br />682.50 <br />Agreement Suer- O Lai <br />" <br />Total: <br />1,020.0 <br />COPY <br />Wt L~LAO,AC-ML C-3 PLA-TCS~) <br />//RENTALMAN//PDF//CP <br />THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT, WHICH ARE INCORPORATED HEREIN SY REFERENCE <br />A COPY OF THE RENTAL AGREEMENT IS AVAILABLE UPON REQUEST <br />Page 1 <br />