ContractEquipment Rental Contract • January 9th, 2013
Contract Type FiledJanuary 9th, 2013Equipment Rental Contract ORDER DATE:_________ LICENSED ACCOUNT: Acct# UNLICENSED ACCOUNT: DATE OUT: RETURN DATE: DEPOSIT FEE: DEPOSIT COLLECTED: ACCOUNT NAME: __________________________________________________ EQUIPMENT RENTED BY: NAME: __________________________________________________________ RETURNING EMPLOYEE TO ADDRESS: _______________________________________________________ COMPLETE: CITY, STATE & ZIP: ________________________________________________ REGULATOR: PHONE # : _______________________________________________________ YES NO DAMAGE WORK #: ________________________________________________________ C02:YES NO DAMAGE EQUIPMENT LIST: TAVERN HEAD: # RENTED DESCRIPTION UNIT # DEPOSIT #CHECKED YES NO DAMAGE AMOUNT IN TUB: CO2 UNIT $200.00 YES NO DAMAGE HAND PUMP $50.00 FAUCET: KEGS $30.00 YES NO DAMAGE ICE TUBS $35.00 JOCKEY BOX $300.00 SUPER COLD DRAFT $6,000.00 SALES OFFICE HOURS: MON – FRI 8:30 AM – 5:00 PM; SAT 10:00 AM – 2:00 PM.CLOSED ON S