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Construction Rental Kearney <br />26O1NAve. 308-234-4883 phone <br />Kma,oey, NE 68847 308-234-2464 fax <br />Page 1ofi <br />Status: Completed <br />Invoice #: 175904-2 <br />Invoice Date: 10111/2012 <br />Date Out: Wed 10110/2012 8:45AM <br />Operator: RConrad <br />_C_ust6mer# 4-3210 <br />KLK8ETZDAN u0c8mf-14741�__ <br />1223EJACKSON <br />- - ! <br />OXFORD, MS 38656 <br />Statements paid bv the 1Dth avoid finance charges <br />Oty Key Items Rented Serit Stat7us T Returned Date Price <br />��������UU ����� ���U�� ��UU�Y���� / <br />THANK °~~^. " =.~ FOR YOUR .~��^..��~ ~/ <br />Payments made on this contract: <br />RenbsK8a|ePaid $88.28 on1O'Oot-2D12 8:48am Credit Card Visa xxxx«xxx-xxxx-878U Auth:0001OC <br />RontyKGoiaRef�md .1$42.29) on1i-]ot-2012 1:1F)pm Credit CcindVisa 8730 <br />Total Paid *45.gg <br />| agree 10 pay the above amount according ho the card issuer agreement. SIGNATURE: <br />RENTAL CONTRACT — <br />This ioacontract. The back of this contract contains Important terms and conditions including lessor's disclaimer from all liability Rental: <br />for injury v, damage and details of customer's obligations. These terms and conditions are o part n/ this contract READ THEM! Damage Waiver: $3.91 t, <br />n equipment does not function properly notify lessor within no minutes m occurrence ornv refund or allowance wmuomuue. If Sales: $0.00 <br />this is a reservation, a reservation cancellation fee up to 1/2 of the total amount may be charged if reservation is cancelled within <br />rz hours m the scheduled "time and date our. Delivery Charge-, $0.00 <br />ALL MERCHANDISE REMAINS THE PROPERTY OF CONSTRUCTION RENTAL INC UNTIL PAYMENT IN FULL AND Misc. Charges: $0.00 <br />oAo*eo. <br />Subtotal: $43.98 <br />If this contract includes a weekend rate, the equipment must be returned by 8:30 am on the following Monday, or additional <br />charges will apply. <br />/ certify that / have read and agree m all terms m this contract. sa|oaTwxKou,noy: $8.01 ) <br />SIGNATURE: <br />Printed nn1un1/2ou 1:16:48 pm <br />TOTAL: $45.99 <br />PAID: $45.99 <br />KLIMETZ DAN <br />AMOUNTDUE: $0.00 <br />7:30 am ' 5:00 pm Monday-Friday, 8:00'noon Gat Closed Sun Modification #3 <br />Software byrmm~f-nenuSystems w^NW.ro/wr-01`71RsNI^Lcmw o""tra" p"rem,."xo> <br />