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~ CORVALLIS ~ ~~c. ~ <br />~ <br />~ ~. 1245 S.E. 3rd <br />Corvallis, OR 97333 <br />Phone:753-2213 <br />t~~ CLC:~D Wed u"~/30,'Si 22:y~ F~1 r~I ' <br />~ ~ . ~ . ._ ~ nviv~ <br />riLL.r3i'wha ~; f?C1Tf~?F:?~ COFr= EF ,.._ ~, .. ;~r~~:1?) 75;~...,-,, i:.~,t, <br />aENTING FOR/ATT: JOB DESCRIPTION <br />'~L{_.Al4.ti',1 ~-+?t~THCr'r: t,CF1=EE . : PQ I'si93 RU»jDl _ <br />iTREET ADDRESS <br />'C: L.LX 14t~ ~ ~ <br />:ITY AND ZIP _ • PAYMENT METHOD r - <br />c': G i? ~. ~~ L l_ I;=i , Q R ;;c ~: s? ? 33'3,. • Eh a~' o e <br />' ~L~:~9 ~iF.ArC~tb~A STP~;i~ CfiN4'~+S `LIr i Iti~ ":'J3 ~4 P~M ~ <br />i"i',c. If lt~li .~F, e1~T x'ac Nt'W TG f,'F'~RAT~ THt~ E~IiTP'~tE?V~; t,".-K: r1.~1'L?'.~ia; <br />' ,-1 '~'~1 d=-~ ". ~~.~ ~ ~ ~.,,~ ~ ~ ._ ,.~" .'' ,,d 4=3 ,. <br />r 9_,_ .~ ~: . <br />x~_°-.__. • <br />c ~~-?r- - <br />_1L:... .' ~: <br />'IME AND OATE OUT . - <br />:. ..,•t w;t1 "~;i~~~~/a- <br />E _ . ..-. ,,:.. . ~L.:.y:r ~ wev,~...v <br />; 'fj <br />~ ~. ~~1 <br />SUB TQTALS <br />DAMAGE- .;': <br />WAIVEA ,. <br />MISC. - <br />CNARGES ~~ <br />MDSE.. `. <br />SALES- +~'' <br />_ ' SUB,,~:.;;r<'~ <br />TClTAL` :; ', ; . <br />~ ~ . ~ ~ :-r~_S. <br />TAX <br />_ . :~'. E <br />~ TQT'AL' :., ,;` i:.. ::~. I J <br />RENTAL CONTRACT ~ <br />RENTAL AGFEEMENT This document is a contract. You should familiarize yourself with "- `'" ~~ <br />its unusual features so there wiil be no misunderstanding as to your obligations. (See reverse AMOUNT PAID AMOUNT DuE <br />side for contract conditions). _ _ <br />SEAVICE CHARGES: A$1.00 per month minimum or 1~/z% per month (18% annual percent- ' <br />age rate) wiil be assessed to all past due accounts. <br />I have been instrucfed as to the proper and safe <br />use of rented equipment (Please initial) , • <br />Safety handout recelved (Please initlal) , <br />COMMENTS: ~~%-~ /L /~ ~~~ ~ <br />' ~, ~'c~-+~ ~/P "~ ^~r~"~ ,~,~" e,.~-, <br />memb~r ~ • ~ ~ ~ f ~ • • ~ • ~ . ~ . ~ . ~ <br />- •' • • , • ' ~ <br />I hereby acknowledge receipt of equipment subject to the stated terms of this agreement which I have read. <br />A`~"A. x <br />amencan rentai assoc~ation ~F OTHER THAN RENTER. SIGNER REPRESENTS HE IS AGENT OF ~ND AU7HORRED TO SIGN FOR qENTEA. <br />570.00 CHARGE ON ALL RETURNED CHECICS <br />