317905 10/31/2017 CITY OF CARMEL, INDIANA VENDOR: 370613 CHECK AMOUNT: $*******700.00*
ONE CIVIC SQUARE EAN SERVICES, LLC
?a, PO BOX 402383
CARMEL, INDIANA 46032 CHECK NUMBER: 317905
9
ATLANTA GA 30384-2383 CHECK DATE: 10/31/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT AUTOMOBILE LEASE
911 4352600 443722003 700.00
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��Natfonall Rental Agreement#443722003
e Invoice#40050998193
Renter Information Trip Information
Renter Name Pickup Return
JOSHUA SAMUELSON Sun,Sep 17 2017 9:00 A.M. n Tue,Oct 17 2017 9:00 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
CARMEL POLICE Rental Charges
Rental Rate Time&Distance 1 Month at$768.50/Month $768.50
Rental Credits -
7 credits have been awarded for this rental Add-Ons Discount(5.00%) -$38.43
Mileage Unlimited Mileage Included
Vehicle Information
Taxes and Fees Vehicle License Fee Rec 0.11/day($0.11/Day) $3.30
Sales Tax(7.00%) $45.79
DRIVE
Incorrect Product Code Rate-cr(-$79.16/Rental) -$79.16
License#:
State/Province: IN Total $700.00
Vehicle Class Driven (Subject to audit)
SRAR Amount charged to BUSINESS ACCOUNT-APPLICANT -
_ Amount Due
Vehicle Class Charged
Standard 4-Door/Automatic/Air
Odometer Mileage/Kilometers
Starting: 12,547 Ending: 13,425
Total:878
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