Mobile Mini Solutions (Contract M298068767)RENTAL CONTRACT
Service Center:
4646 East Van Buren
Phoenix, AZ 85008
Phone: (800) 456-1751
RANCHO PALOS VERDES CITY OF
30940 HAWTHORNE BLVD
RANCHO PALOS VERDES CA 90275
Bill To Account Number: 111349
RANCHO PALOS VERDES CITY OF
30940 HAWTHORNE BLVD
RANCHO PALOS VERDES CA 90275-5391
Deliver To:
Your Reference:
Contract Start Date:07/19/2012
Delivery Date:07/19/2012
PO #:20190061
Contract #:M298068767
Terms: Net 30 Days Sales Person:
Product Description Qty Amount
23PV 23' RECORD STORAGE(min 1 rental period)
MMI#:___________________________ ISO#:_____________________
Personal Property Expense
1 $ 175.00
$ 7.35
per period
per period
PICKUP
Fuel
1 $ 99.00
$ 25.00
Total Rental Charges
Total Misc. Charges
Other fees and charges
Total
$ 182.35
$ 124.00
$ 27.57
$ 333.92
NOTE: THIS IS NOT A BILL, YOU WILL RECEIVE A SEPARATE INVOICE
DELIVERY INFORMATION
Door Location: Preferred Time: Call First:
Instructions:Please call Pam at 310-544-5253 for
XStreet1: XStreet2:
Site Contact:Pam
Alternate Site Contact:
Phone: 0-0-
Phone:
Cell:
Cell:
DRIVER SECTION
Condition of Unit:______________________________
Driver Notes:__________________________________
Additional Charges:____________________________
Money Collected: Amount $____________________Type of Money: CASH [ ] CHECK [ ] OTHER [ ]
Was Site Access Agreement Signed: YES/NO
Driver Name:__________________________________Delivery Date:______________________
Unit Damaged Upon Delivery: YES/NO Description:________________________
The person signing for the Customer represents and warrants the he(she) has the authority to execute this contract.
______________________________________________________
Customer Signature Name/Title Signature Date
Mobile Mini, Inc.
______________________________________________________
By Title Date
This contract includes the Terms & Conditions on the reverse hereof and on the below stated website. Contract number or unit number is required when requesting a pick-up. When scheduling a pick-up, we
request 10 working days notice. This contract contains waivers, releases, exculpation clauses, limitations on damages, indemnity agreements, granting of contractual liens on Customer's property contained in
the Units on Customer's location. This Contract waives warranties and shifts risk of loss for the negligence of MMI, its agents and employees to Customer. Please visit www.mobilemini.com/customercare for
helpful hints, safety tips, FAQ's and a copy of the Contract Terms & Conditions. You hereby request and invite Mobile Mini to enter the area where units will be placed and warrant you have surveyed and
inspected the location site and concluded it is appropriate for our trucks and Units. If no one is at the delivery site, you request that Mobile Mini deliver Units without supervision and hereby release and hold
Mobile Mini harmless from all claims for damages, costs or liabilities, to roadways, grounds, buildings and personal property in or around the Unit's location.
Contract #
M298068767
Contract #
M298247569