182314 02/17/2010 CITY OF CARMEL, INDIANA VENDOR. 362651 Page 1 of 1
ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032 Po BOX 41602 CHECK AMOUNT: $88.00
PHILADELPHIA PA 1 91 01 -1 602
CHECK NUMBER: 182314
CHECK DATE: 211712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 4707859 88.00 COPIER
Keep tower portion for your records Please return upper portion with your payment
Invoice mDafe Invoice Number Account
DE LAGS LANDEN 01/23/2010 4707859 073898
PO BOX 41602
PHILADELPHIA, PA 19101 -1602
Perwtid Perfozfinance g Contract yNumberay';,° s„
0111512010- 02/1412010 24954963
.Important Messages
If this is your first invo it may include interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
Invoice Details re 3 1 a &4. 9 „n' c +_e?
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PAYMENT $88.00 1 $0.00 Q� 7 8 p 8.00
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ONMINIG20X j0FD01 3000127 24954963 1 1 24954963 1 $88.001 $0.001 $88.00
Asset Location; -1 CIVIC SO:.CARMEL HAMILTON IN 46032 -7569 United States
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lnvoite- Number _E€ kTDue Date M„ R s. Amount'lnvoi�ed r Batanca Dua
4441149 0111512010 $88.00 $86.00
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
2/15/10 CITY OF CARMEL
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
`.D Lage Landen Purchase Order No.
P 0. Box 41602 Terms
P hiladelphia PA 19101 -1602 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1,23 10 4707859 Copier lease 111 5/10-2/14/10
Total
1 hereby certify that the attached invoice(s), or biil(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. WARRANT NO.
2%15/10
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
Po# or INVOICE NO. ACCT /TITLE AMOUNT I hereby y invoice( s),
DEPT. rb y certif that the attached invoices or
4707859 4 004 $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
2110 20 1
r
g n A�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund