181169 01/13/2010 ,e,”:" CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
k•
r 5 ONE CIVIC SQUARE DE LAGE LANDEN CARMEL, INDIANA 46032 PO BOX 41602 CHECK AMOUNT: $88.00
;r off 6 PHILADELPHIA PA 191 01 -1 602 CHECK NUMBER: 181169
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 4441149 88.00 COPIER
1:00 lower portio`n`for your records Please return upper portion with your payment
l #V4-t e1Datei 1,'Envolce Nu 744:011E4713741
mbe m A
DE LAGL LANDEN 12/20/20 4441149 073898
PO BOX 41602' W N Z et ti it; ITITER
PHILADELPHIA, PA 19101 -1602
gerlod of Rerformance l i lr: 1 Contract N. tuber p' E"
12/15/2009— 01/14/2010 24954963
Important Messages
If this is your first invoice, it may include interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
t IOPit.e iVetatlS W i,t,A s '�S"� s m, E �F st -'t1x s 3..�..p �F t .'a l i '.ke a�d
De P 3 ft a
scr,Ipton.,� i s� ?w �ni,'�.`� g �,e'.?� s�°� �r 8�/Rl @fltp1E710Unt a, u'� �.�BI(GSI�.I
PAYMENT $88.00 $0.00 $88.00
BuIIedIthls 1n ojce f I E r M its iT ga ':r, $88 00
aBaIance' Dae for Pnor Invoi es gg.
a
..t$,176
(Please see the following pages for detaits)
r t i� :'4 1 F�. X s L e ,a i 4:M` `fix
A FDetalls,, E.4�& �>��s >����n� ����M E��.' <��N.���:
ft
x a3 .,Make! Model 11 Seri Numbe[ l 3 }Asset Number.; f t Contrac Number 't 1 P ayment A mount �E ti r 5alesll se 7a z I r p 'T otal A
Preiv ;sme�.ti 17- r� -n M�:_ulw�n V
KONMIN /C2OX J0FO013000127 24954963 1 I 24954963 $86.0 $0.00 $88.00
Asset Location: 1:CMC CARMEL HAMILTON IN United States
00009940/00136759
i CCOlAf1t- ElEfllBlf�, �p
M ,mW bv*'+°r^uip.,v.. ro�.� w I.s.r..�F. �:5. .a�.�'sT. ,tea rJ �:+&`��e�✓_'tM'� a
OhvOICN[lf ber g ;.g 4 .d.:i IEIDue Datei `'s 3 Q
4135778 I 12/15/2009 $88.00 1 $88.00
4n R f01 Prior BI e I ��1VQIce r a ��a E E �$8 00
>bn.. 6 ;«..v a�u, a c- xP.
Prescribed•by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1/11/10
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.
Payee
De Lage Landen Purchase Order No.
P. 0. Box 41602 Terms
Philadelphia PA 19101 1602 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1'2/20/09 4441149 Copier lease 12/15/09 1/14/10 S88.00
Total 588.00
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
Clerk- Treasurer
VOUCHER NO. 4 4_ WARRANT NO.
•1/11/10
ALLOWED 20
De Lage Landen IN SUM OF
P. 0. Box 41602
Philadelphia PA 19101 -1602
88.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4353004
Copier
Board Members
o P7 INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
4441149 4353004 $88.00 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
1 20 /a
Signaturj
e
Cost distribution ledger classification if d Title
claim paid motor vehicle highway fund