189750 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
t ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032 Po BOX 41602 CHECK AMOUNT: $88.00
a' PHILADELPHIA PA 19101 -1602
CHECK NUMBER: 189750
CHECK DATE: 911412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 6937500 88.00 COPIED
Keep lower portion for your records —Please return uppar portion with your payment
DE LACE LANDENlnvoice Datety Invoice Number A Account
08/2112010 6937500 073898
PO BOX 41602
PHILADELPHIA, PA 19101 -1602
Period o f „Performance lJumber 4;
0811512010- 09/14/2010 24954963
Important Messages
Go Green with Paperless Invoicing. Not only will your choice benefit the environment, but your invoices will
reach you 5 days faster keeping your business on track. Please call 800 736 -0220 to sign up today!
If this is your first invoice, it may include interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
°Invoke Deta a �1 F w k .s
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PAYMENT $88.00 $0.00 0 $8 0 8 00
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Serial Number a Asset Numt CoptraelNumber Paynieni Amount t5aleslUse Tax �tSOtal Amount
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ONMIN /C20X OFDO13000127 24954963 24954963 t S88,04 $0,0q $88.O
ssetLocafion. 1 CIVIC SO CARMEL. HAMILTON YN° 46032 -7569 Unhed'States
IMPORTANT PE MIL Enclose remittance si j'=vlth ,�ouv check and send it to the a on reverse
side to ensl_ir e accurate and tinnely jp ocesaing of your payment, For pr"ort,pt review and handling, please
send ti)th r ccrr espor dente and notices separately to the attention W C ustor'€yep" Service E LAGE LAND
1111 OLD EAG, -E SCHOOL RD t11rAYNE, PA 19u87 1453
Fof gen accai It it1fCartnat€ n 24 hoots c "a day, e days a v visit t 11tet:?;~s :tc
ie t4 remit payments at Isast 6 business days prior to due date. r
Please be sure to record your invoice or Account Number on the chtecks
Explanation of Charges:
I; ;s imps rtan' to us that you undimstand he charges on your invo Please refer to this guide as
asy stum
one t jYa[ ep,t +r� a, ss'&' eat t o new ��ta�act c� rhis fee cover~ cm c €psi or j c riii,ys a& rat er docume a=<� on c :cr k
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Assessed wheoi Me Le nee rer Ovals are W€tie M cow of To Contract,
s, .,.,COUN'T' ST'NTEN1ENI
Overvie7v of piior invoioe.> fof which no paeaynar if "'Vas rFceived Fat the firne th Ci.lr "i "iit Invoice V.!aS p'rintec'
Corresp ondence Address:
wwmmm
DE LAG LAN DEN 1 t 11 OLD EAGLF SCI -tOCA_ RD: VV; YNE� PA X9087 -1 or Bali:
800 °'36i 0220
Please send all written enquires to the address indicated above, Pease do not send checks to the address
as this mill delay the posting of payments to your account.
00 01 2162 /00017371
�9ccount- Statement, a. ,rg a g
Anvoice'Number Due Date',„ "Amount lnvo�ced.,,,<si, ,;..Balance'Due, t
6673943 08/15/2010 $88.00 $88.00
:Balance Due for. P.rior,Billeii:lnvoices 4 Mv $88 00
VOUCHER NO. WARRANT NO.
ALLOWED 20
De Lage Landen
IN SUM OF
P. O. Box 41602
Philadelphia, PA 19101 -1602
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 6937500 43- 530.04 $88.00 1 hereby certify that the attached invoice(s), or
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, September 13, 2010
A ayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/15/10 6937500 $88.00
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