319048 11/27/2017 4�u_CQp*F
CITY OF CARMEL, INDIANA VENDOR: 370613
dJ ii ONE CIVIC SQUARE EAN SERVICES, LLC CHECK AMOUNT: $**...**700.00*
CARMEL, INDIANA 46032 PO BOX 402383 CHECK NUMBER: 319048
ATLANTA GA 30384-2383 CHECK DATE: 11/27/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4352600 444087656 700.00 AUTOMOBILE LEASE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 370613 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EAN SERVICES, LLC IN SUM OF$ CITY OF CARMEL
PO BOX 402383 . An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ATLANTA, GA 30384-2383
Payee
$700.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
F IMDTF Terms
PrOle Ct-#2017-91:LaritlIask2D1=Z 2`_ Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
444087656 43-526.00 $700.00 1 hereby certify that the attached invoice(s),or 11/16/17 444087656 $700.00
911 911 911 911
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
Monday, November 27,2017
Frost, Dwight
Major
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Rental Agreement#444087656
National® Invoice#40051384693
Renter Information Trip Information
Renter Name Pickup Return
JOSHUA SAMUELSON 6 Tue,Oct 17 2017 0 9:00 A.M. L1Thu,Nov 16 2017 Q 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$799.99/Month $799.99
Vehicle Information Add-Ons Discount(5.00%) -$40.00
Mileage Unlimited Mileage Included
License#:'
State/Province: Taxes and Fees Sales Tax(7.00%) $45.79
Vehicle License Fee Rec 0.11/day($0.11/Day) $3.30
Vehicle Class Driven
Incorrect Product Code Rate-cr(-$109.08/Rental) -$109.08
Minivan 5-Door/Automatic/Air
Total $700.00
Vehicle Class Charged
Intermediate 2 or 4-Door/Automatic/Air (Subject to audit)
Amount charged to BUSINESS ACCOUNT-APPLICANT
Odometer Mileage/Kilometers Amount Due
Starting:7,350 Ending:8,579
Total:1,229
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