186114 06/07/2010 4
CITY OF CARMEL, INDIANA VENDOR: 357805 Page 1 of 1
ONE CIVIC SQUARE BANC OF AMERICA LEASING CHECK AMOUNT: $455.99
CARMEL, INDIANA 46032 P o BOX 7023
TROY MI 48007 -7023 CHECK NUMBER: 186114
CHECK DATE: 6!712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
902 4353004 011512022 455.99 COPIER
PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT
For assistance with your invoice: PHONE FAX TIME E -MAIL
CUSTOMER SERVICE INQUIRIES 800- 959 -5936 856- 939 -4705 8:30 AM TO 6:30 PM EASTERN customersvc @leaseadmincenter.com
INSURANCE INQUIRIES 800- 913 -9331 425- 649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @gaic.com
a "PLEASE NOTE" Payoff requests can be sent to DG.BUYOUTS @LEASEADMINCENTER.COM
Invoice Number 011512022-70
Contract Number (Please see below)
Customer Reference Number
Description
Model Number Detailed Payment Billing Payment Total
Serial Number Location Charge Description Due Date Period Arnount Tax Due
008-2215623.000 30 WEST MAIN ST PAYMENT 07101/10 06101110- 06130110 32135 328.35
YourRei: STE22C 2009_PPT_CLAYTWP,IN_0050547 07101/10 127.64 127.64
MINOLTACOPlER CARMEL, IN 46032
C450
311702472
CONTRACT SUBTOTAL $455.99
OTAL CURRENT CHARGES $455.99 USD
BANC OF AMERICA LEASING INVOICE NUMBER: 011512022
ni y c 1
SALES/USE TAX: Tax assessed by your taxing authority and added to your contract payment. y
OTHER CHARGES THAT MAY BE DUE UNDER THE TERMS OF YOUR AGREEMENT:
DOC FEE One time administrative fee to cover lessor's expenses when the contract commences.
SEC DEP. Security Deposit
SRV: Service and Supply charges
PPT: itemization of Personal Property Tax (PPT) Charge: Personal property taxes are assessed by your local tax authorities based on the value
of the equipment. Under the terms at your lease agreement you agree to reimburse us for this Charge plus an administrative fee, if provided in your
lease agreement. The PPT Charge shall be periodically added to your invoice and should be remitted along with your regular payment. The PPT
Charge on your invoices is a charge that is subject to sales tax (where applicable) and includes the following components:
Personal property tax: the amount that your taxing authority assesses based on the depreciated value of the equipment
and current personal property tax rates.
Administrative Fee for Personal Property Taxes: a charge for each item of equipment, that will not exceed $12.00 per tax
assessment. (The administrative fee will only be Charged if provided in your lease agreement.) If the PPT charge exceeds
$5,000, a copy of the PPT bill will be mailed within 14 days.
OTH: Other miscellaneous Charges such as, equipment return, collection charges, attorney's fees, etc.
READING PERIOD: The frequency that your overage usage charges are billed.
ALLOWANCE: This is your MINIMUM number of copies required to be billed for each reading period.
END READ: The meter usage at the time of your last reading.
BEGIN READ: The meter usage at the time of your previous reading.
SERVICE CREDIT: Any copy credit given on your copier.
OVERAGE RATE: The rate at which your overage copies are charged.
USAGE. The number of copies used in excess of your allowance.
OVERAGE CHARGE: This is the charge for the number of copies which exceed your minimum usage.
(usage multiplied by the overage rate)
CALIFORNIA E -WASTE FEE: If you live in California, state law requires you to recycle your covered electronic device. You can find how to return, recycle and dispose of a
covered electronic device at v P Ii
IN
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form Na. 201 (Rev. 1995)
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
L I r.
IN n L 6+ A m r C eta n Purchase Order No.
Terms
TV -g 1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-1t- b 22 S�
Total _5
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 6- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
Lease. <<ritCr
s 5.�`�
ON ACCOUNT OF APPROPRIATION FOR
Pay from Cash
Board Members
D r o INVOICE NO, ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
QI 1S p D4 fig, 9 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
It
2 0 1 0
ature
Director _a edevelnnment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund