HomeMy WebLinkAboutWELLS FARGO - CONTRACT - AGREEMENT MISC - EQUIPMENT CONTRACT ACCOUNT 001 005866700103/19/2008 9:54:01 AM —0500 FINANCIAL SERVICES (866)497-0868 PAGE 2 OF 3
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Eciuipment Lease Agreement
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03/19/2008 9:54:01 AM —0500 FINANCIAL SERVICES (866)497-0868 PAGE 3 OF 3
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RECEIVED 2008/03/03 16:35:20
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RENTAL CONTRACT
IDISSW
Date i 0
Denver Industrial Sales & Service Company Inc. Ticket No.
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850 South Lipan Street Purchase Order No.
Denver, CO 80223
Ph (303) 935-2485 NOTICE: LESSOR MUST HAVE A VALID COLORADO
Fax (303) 935-67'87 DRIVERS LICENSE TO RENT DISSCO EQUIPMENT
CUSTOMER JOB ADDRESS or LOCATION
f�-1, - 4;J-- nolL,
Phone Number
Person or Employee Renting Equipment
Name Drivers License No
Address
Date of Birth
city
Otheri.D.
State
Zip
State Issued
SALES PERSON
RENTAL PERIOD
DATE OUT t HR READING
DATE IN i HR READING
TO
TO
TO
EQUIPMENT # EQUIPMENT DESCRIPTION
DAY
WEEK
MONTH
RENTAL CHARGE
1^
�
r �
I
MDSE., MATERIALS, LOSS, AND / OR BREAKAGE
UNIT
TOTAL
TOTAL RENT
PAID IN ADVANCE
MERCHANDISE
DAMAGE WAIVER
SALES TAX
DEL. & PICK UP
CLEAN / DAMAGES
TOTAL CHARGES
BALANCE DUE
r REFUND
i
TOTAL M5RCHANDISEI
.Equipment mustbe returned clean and full of fuel to avoid additional charges.
A cleaning charge of $65.00/hrmin will be made on items returned unclean.
Equipment returned not full of fuel shall be charged a full to of S gallon.
Restocking fee of f 5% will be assessed to all materials returned
Bulk materials or melted seatents are not returnable. Initials ,L� �
NOTE: ADDITIONAL TERMS AND CONDITIONS ON SUBSEQUENT PAGES
By accepting delivery of rented items, CUSTOMER AGREES TO ALL TERMS AND CONDITIONS THAT ARE INCLUDED IN THIS
RENTAL AGREEMENT (INCLUDING ALL ADDITIONAL TERMS AND CONDITIONS ON THE SUBSEQUENT PAGES), and acknowledges
that he/she hasreceivedin good order all rented items and other goods listed on the face of this agreement. CUSTOMER
ASSUMES FULL RESPONSIBILITY for all rented items, including their safe and proper use, operation, routine maintenance, storage,
transportation, and return to DISSCO. DISCO MAKES NO WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE, OR ANY OTHER WARRANTIES, EXPRESSED OR IMPLIED. THE TERMS AND CONDITIONS ON THIS RENTAL
AGREEMENT FORM THE SOLE AGREEMENT BETWEEN THE CUSTOMER AND DISSCO_
DISSCO WILL NOT BE RESPONSIBLE
FOR DAMAGE TO LESSEE'S VEHICLE
OR PERSONAL PROPERTY
Z00 'd
LESSEE SIGNATURE
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