247982 07/28/15 J! CITY OF CARMEL, INDIANA VENDOR: 363563
® ONE CIVIC SQUARE PNC EQUIPMENT FINANCE CHECK AMOUNT: $****41,551.55*
s. CARMEL, INDIANA 46032 PO BOX 931034 CHECK NUMBER: 247982
�.y`,��oN�_ CLEVELAND OH 44193 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 5292406 41,551.55 OTHER EXPENSES
( PNC PAGE NUMBER: 1
EQUIPMENT FINANCE LEASE NUMBER: 173659000
INVOICE DATE: 07/24/2015
995 DALTON AVENUE, CINCINNATI, OH 45203 DUE DATE: 08/19/2015
Return Service Requested
BILL TO: REMIT TO:
CARMEL UTILITIES PNC EQUIPMENT FINANCE, LLC
30 W. MAIN STREET PO BOX 931034
SUITE 220 CLEVELAND, OH 44193
CARMEL, IN 46032
INVOICE
BILLING SUMMARY
;;RENT DUE: $41,551.55'
TOTAL AMOUNT DUE $41,551.55
FOR BILLING QUESTIONS PLEASE CALL US @(800)559-2755
QPNC PAGE NUMBER: 2
EQUIPMENT FINANCE LEASE NUMBER: 173659000
INVOICE DATE: 07/24/2015
995 DALTON AVENUE, CINCINNATI, OH 45203 DUE DATE: 08/19/2015
Return Service Requested
BILLING DETAIL
CEASE.#:.173659000 DESCRIPTION:.1/EHICLES
ASSETS .
ID Description Install Location
`2NKBL50X8CM30957.1 New 2012 Vact0. Plus 2100-combined-d CARMEL, IN 46032;
OPEN INVOICES
INVOICE* 5292406 DUE DATE: 08/19/2015 PERIOD COVERED: 02/19/2015-08/18/2015
'RENTAL-PAYMENT: $41,55.155.;
INVOICE TOTAL: $41,551.55
LEASE TOTAL: $41,551.55
TOTAL DUE: $41,551.55
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6.
/2
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
NO.
CARMEL, INDIANA
Favor Of
pvc
Pd A o/ 31o3
Total Amount of Voucher $
/7 Deductions
.z. -7
S -7
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&Gener
a
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325