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o united ,Rentals II IIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />BRANCH 666 <br />2720 SOUTH ORANGE AVR <br />SANTA "A CA 92707•2727 <br />139-LS6.0779 <br />729-566-0894 FAX <br />4J rB CODE ENFORCEMENT <br />Vi y 20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4058 <br />h� <br />Office: 714-647-5462 Cell: 714-667-2716 <br />CITY OF SANTA ANA <br />PO BOX 1988 <br />PURCHASING <br />SANTA ANA CA 92702-1988 <br />RENTAL RETURN <br />INVOICE <br />Customer ip : 292671 <br />:Invoice <br />Date : tl5/24/19 <br />Rental Out , OS/22/19 12 :40 PM <br />Rental In : 05/24/19 1Ot34 AM <br />UR Job <br />UR Job # o : 34520 CIVIC CENTER PLZ, <br />Customer Job ID: <br />P.O. # : 0111-6550 <br />Ordered By I SERGIO VERINO <br />Written By I ALEX SERRAT'O <br />Salesperson : HOUSE ACCOUNT <br />Invoice Amount: $1,116.47 <br />Trams: Due Upon Recept <br />Paymentop0ous: Conlaclourttedk ollka 212.333.3300 EM.84885 <br />REMIT TO: UNITED RENTALS(NORTH AMERICA),INC, <br />FILE 51122 <br />LOS ANGELES CA 90074-1122 <br />OtY Equipment Description Minimum bay Wesk 4 47®ek Amnunt <br />1 10380017 TRUCK STAKE 221 WITH LIFT GATE 260.00 785.10 199D.94 520,00 <br />Make: FREIGHTLNR Model: M2 106 STAKE <br />Serial: 3ALACWDU2GDGX7684 Meter out: 67747.30 Meter in, 67781.30 <br />RIGHT REAR FLAT WAS UNABLE TO REPAIR <br />TIRE SINCE IT WAS CLOSE TO SIDEWALL <br />TIRE HAD 95k LIFE SO PRORATED TIRE <br />BILL <br />Rental <br />Subtotal; <br />520.00 <br />BALES/MISCELLANEOUS ITEMS: <br />City Item <br />Prioe Unit of <br />Measure <br />Extended Amt. <br />5 REFURLING SERVICE CHARGE (DIESEL) <br />[DSL/MCI] 0.400 EACH <br />42,00 <br />1 TIRE REPAIR CHARGE <br />[TIRE REPAIR/CLOUT) 457.730 EACH <br />457.73 <br />Sales/Misc <br />Subtotal: <br />499.73 <br />Agreement <br />Subtotal: <br />977.73 <br />Fuel: <br />42.00 <br />Tax: <br />96.74 <br />Total: <br />otal: <br />11116.47 <br />CONTACT: SERGIO VERINO <br />CELLO: 714-667.2716 <br />0111-6550 <br />62120 <br />THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OP THE RENTAL AGREEMENT, WHICH ARE INCORPORATED HEREIN BY REFERENCE. <br />A COPYOF THE RENTAL AGREEMENT IS AVAILABLE UPON REDDEST, <br />You Can NowAecess Invoice Nlsrory and Uptlare Purchase OMere Online <br />r,. a.,,....,, .....,.,, _..,_�,..._.._..�... ___ Page: 1 <br />75 <br />