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a w A4TI4 #526 REMAL AGREEMENT <br /> Un <br /> 0 A97' §Cr7TLw"N LAYS <br /> LORI, CA 95140 <br /> 105-334-3950 309-334-3061 FAr 72876534 <br /> 800 <br /> t T T) 6 -stainerb Number a $ 1005780400-UR Rents <br /> Agreement Date 4!10/08 <br /> Rental Out 4!10/08 1.0:40 AM <br /> 41 GERHART,MICAH Scheduled In 4/17/08 10:40 PDM <br /> 2 216 CHEYENNE <br /> QRaR3 "T"fJ, CA 953 56 1 joL cation. 8283 S HEWITT' RD, LINDEN <br /> Job Number <br /> P.o. Number <br /> Office: 209-41.0-8003 Job: 209-410-5003 Ordered By <br /> ;Written By UR526JG <br /> Salesperson : 99 _ <br /> GERHART,MICAH <br /> 2216 CHEYENNE WY <br /> OD STC, CA 95356 <br /> Qty Equipment # Min Day Week 4 Week Amount <br /> _1 <br /> LOADER SOAKER 4 W DRIVE* 155.00 155.00 620.00 1240.00 620.00 <br /> 83144.6 —hSake: JOHN DEERE Models 21OLE Ser #: T021OLE885733 <br /> HR OUT: 704.60 <br /> SALES ITEMS: cult <br /> Qty1 Item number Stock ocI class Unit Price <br /> 2.970 2.97 <br /> ENVIRONMENTAL C ' RGE <br /> UM: (EA) EACH <br /> PAYMENT HISTORY <br /> REF # FaUTH # TRANS TYPE AMOUNT APPLIED <br /> 4/O'§7PAY ON RETURN <br /> 4/I0I08 PAY ON RETURN <br /> Sub-total: 622.97 <br /> Tax: 48.28 <br /> Total: 671.25 <br /> PAY ON RETURN <br /> ** <br /> ATTENTION ** Amount uncollected 671.25 <br /> I <br /> RENTAL PROTECTION DECLINED <br /> i <br /> FOR YOUR CONVENIENCE, UNITED RENTALS IS NOW OFFERING <br /> A T®LL®PR E NUMBER TO CALL EQUIPMENT DPP RENT <br /> PLEASE CALL SOO-UR-R S (800-077-3687) <br /> CUSTOMER CARE REPRESENTATIVES ARE AVAILABLE 24/7 TO SUPPLY YOU WITH A <br /> TERMINATION NUMBER LN ORDER TO CLOSE THIS CONTRACT. A CLEANING CHARGE <br /> WILL APPLY TO ALL EQUIPMENT RETURNED WITH EXCESSIVE DIRT, CONCRETE, <br /> AND/OR PAINT. CUSTOMER IS RESPONSIBLE FOR ALL DAMAGES INCLUDING TIRES. <br /> THERE WILL. BE AN ADDITIONAL CHARGE FOR MISSING KEYS AND A REFUELING <br /> CHARGE WILL BE APPLIED TO ALL EQUIPMENT NOT RETURNED FULL OF FUEL. <br /> I <br /> r <br /> 4i <br /> I <br /> i <br /> PLEASE INITIAL:Customer Accepts f I Customer Declines( l the optional Rental Protection Plan and agrees to pay a charge equal <br /> to t of the rental charge under equ, mint the customer wants co4ired under the Rental Protection Plan. <br /> ENviRt}NMENTAL CltARGE: 1 <br /> The reams indte&tad above maY be subjeot to an environmental charge, wth0h +s designed zo recover the coenGany's direct and indirect azpenses for the � <br /> handling,managing and disposing of waste groduczs,hazardous materials and related adminiszrative costs.This is not a governmtsnz•mandazed chargr,. <br /> FUEL: Fu®i changes do not inoluda fedaeal, stat®, ar Local excise taxes. <br /> READ SEEQRE SIGNING: <br /> BY SIGNING THIS AGREERAENT, CUSTOAAER ft} AGREES TO ALL TERAAS AND CONDITIONS ON TME FRONT AND PACK OF THIS AGREEiv1ENT; (2} <br /> ACKNOWLECJCaE"a RECEIPT OF lei THE EOUIPhRENT IN GOOD WOR6CING ORDER. (bl ALL SAFETY BULLETINS, dc) ALL OPERATOR ARANUALS AND fd4 ALL <br /> 1 MANUFACTURER TABULATED DATA SHEETS;AND(3}IS FULLY FAMILIAR WITH THE OPERATION AND USE OF THE EQUIPMENT, <br /> } <br /> CUSTOMER SIGNATURE DATE CUSTOMER NAME PRINTED UNITED RENTALS REPRESENTATIVEIDELIVERED BY DATE� <br /> A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST, <br />