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S . <br /> 11111011111111111111111111111 Page 1 of 1 <br /> GSR Rentals Inc Status: Completed <br /> 16111 Main St,NE 425-788-6846 Phone Invoice#: 34389 <br /> Duvall,WA 98019 425-788-5437 Fax Invoice Date: Mon 9/1612013 <br /> Date Out: Mon 9/9/2013 10:15AM <br /> www.gsrrentals.com <br /> Operator: KAYLA EASTON <br /> ___(Customer#•.�i315 _) <br /> EVANS,HEATHER ANN 425-860-0819 Phone <br /> 28671 NE 63RD WAY <br /> CARNATION,WA 98014 <br /> Qty Key - Items Part# Status Returned Date Price <br /> 1 FANTURB0003 FAN,TURBO 015-003 Returned 9/16/2013 2:53PM $73.24 <br /> 1 FANTURB0005 FAN,TURBO 015-005 Returned 9/16/2013 2:53PM $73.24 <br /> 1 FANTURB0006 FAN.TURBO 015-006 Returned 9/16/2013 2:53PM $73.24 <br /> 1 FANTURB0007 FAN,TURBO 015-007 Returned 9/16/2013 2:53PM $73.24 <br /> 1 FANTURB0008 FAN.TURBO 015-008 Returned 9/16/2013 2:53PM $73.24 <br /> 1 DEHUM-A DEHUMIDIFIER 015-500 Returned 9/16/2013 2:53PM $133.17 <br /> 1 DEHUM-C DEHUMIDIFIER 015-502 Returned 9/15/2013 2:53PM $133.17 <br /> • <br /> • <br /> • <br /> • <br /> Thank you for your Business. . <br /> • <br /> Payments made on this contract: . <br /> RentaVSale Paid $0.00 On 9/9/2013 10:21AM Credit Card M/C xxxx-xxxx-xxxx-4478 Auth:03776C I <br /> RentaVSale Paid $686.94 On 9/16/2013 2:56PM Credit Card M/C xxxx-xxxx-xxxx-4478 Auth:08067C_ <br /> • <br /> Total $686.94 <br /> I agree to pay the above amount according to the card issuer agreement. ' . • • <br /> Rental Contract -� _` <br /> This is a contract. The back of this contract contains Important terms and conditions including lessor's disclaimer from all liability Rental: �� $632,54 <br /> for injury or damage and details of customer's obligations. These terms and conditions are a part of this contract-READ THEM' <br /> If equipment does not function properly notify lessor within 30 minutes of occurrence or no refund or allowance will be made, It this Sales:is a reservation,a reservation cancellation fee of the total amount may be charged if reservation is cancelled within 7 DAYS of the $0.00 <br /> scheduled"time and date out". Delivery Charge: $0.00 <br /> I acknowledge reciept in good order of the item(s)rented and that I have read and agree to all terms of this contract. Mc Charges: $0.00 <br /> Subtotal: $632.54 <br /> .1710 DUVALL: $54.40 <br /> Total: $686.94 <br /> Signature: Paid: $686.941 <br /> EVANS,HEATHER ANN `�T Amount Due: $0.00 <br /> M-F 7am-5:30pm,Sat Sam-5pm,Sun Closed 1 <br /> Printed On Mon ef1612013 2:56PM Modification# 2 <br /> Software by Point-of-Rental Systems waw.point•of-rental.com Conlract•Params.rpt(1 <br />