314286 07/31/17 ��'" CITY OF CARMEL, INDIANA VENDOR: 370613
4
0 ONE CIVIC SQUARE EAN SERVICES, LLC CHECK AMOUNT: $*******700.00*
s4; CARMEL, INDIANA 46032 PO BOX 402383 CHECK NUMBER: 314286
-*��rox�°' ATLANTA GA 30384-2383 CHECK DATE: 07/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4352600 442607399 700.00 AUTOMOBILE LEASE
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�N conal Rental Agreement#442607399
® Invoice#40049825914
Renter Information Trip Information
Renter Name Pickup Return
JOSHUA SAMUELSON ` Mon,Jun 19 2017 8:35 A.M. Wed,Jul 19 2017 8:35 A.M.
CARMEL E 116TH ST CARMEL E 116TH ST
Renter Address 1748 E 116TH ST 1748 E 116TH ST
3 CIVIC SQUARE CARMEL,IN 46032 CARMEL,IN 46032
CARMEL,IN 46032 USA USA
USA
Contract
Rental Charges
CARMEL POLICE
Rental Rate Time&Distance 1 Month at$756.50/Month $756.50
Vehicle Information Add-Ons Discount(5.00%) -$37.83
Mileage Unlimited Mileage Included
License#:
State/Province: Taxes and Fees Incorrect Product Code Rate-cr(-$70.76/Rental) -$70.76
Sales Tax(7.00%) $45.79
Vehicle Class Driven Vehicle License Fee Rec 0.21/day($0.21/Day) $6.30
Standard SUV 5-Door/Automatic/Air
Total $700.00
Vehicle Class Charged
Compact 2 or 4-Door/Automatic/Air (Subject to audit)
Amount charged to BUSINESS ACCOUNT-APPLICANT
Odometer Mileage/Kilometers Amount Due
Starting:3,011 Ending:4,254
Total: 1,243
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