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190721 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1 ONE CIVIC SQUARE DE LAGE LANDEN CARMEL, INDIANA 46032 PO BOX 41602 CHECK AMOUNT: $86.00 PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 190721 CHECK DATE: 1011312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4353004 7331148 88.00 COPIER Keep lower portion for your records Please return upper portion with your payment Inyoce Date invoice Num#ier' i4ccaunt "'I" U t DE LAGS LANDEN 09/25/2010 7331148 073898 PO BOX 41602 �.x� w>.r �,wTZZ PHILADELPHIA. PA 14101 -1602 t E?ertOd of Performant:e e E 5;§ntFaCt NUfllber 09/15/2010- 10/1412010 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 ma y include interim rent or prior period rentals in the payment amount. Se Reverse for Important Information p. D x d M y u a?3 1 -A E NS sCCI tlOn Orr J���� p s t �I] K, ka �a �m� f e x .FsR, a a ment3ARnounV aI4b 66 ax� Total DUnt'�:- PAYMENT $88.00 1 $0.00 $88.00 k r I� ,ax 6"T"RN S,1 E 10 0, ;NBalance, Due, for Pr 1or=61lled a :a ,w E,;.W w ,a a� �,"2 3 ax e .�r u..k k">Fi auA R (,Please see the following pages for details.) s a s. IllyE z':"3��='xs n a E' m� E d�x� 4 NAsset peta�Is g M e: €ate w g A6 R R NNII ,(PMake� Mrxlal Sena/ Namber Aaset Num6e�= Curttract Numi�r a Paym®nt Amount'SaleslUse.Tax Amount,,' ,Ra n i s a �d @a t� x �o A a a� a �fi� i .�4 uraaar �.k...._ ms`s s _c E ONMINIC20X L0FD013000127J 24954963 1 1 24954963 $86.0 $0.0q $88.00 A sset Location:°'1 =CNIOSO CARMEL "'HAMILTON IN 46032= 7568Unfted States IMPORTANT REMINDER, Enclose remittance slip with your check and send it to the address on reverse side to ensure accurate and timely processing of your payment. For prompt review and handling, please send other correspondence and notices separately to the attention of: Customer Service DE LADE LANDEN 1111 OLD EAGLE SCHOOL RD, WAYNE, FAA 19037 -1453. 'or general accoElrtt information 24 hours a day. 7 days a week, visit our website www.lesseedirect.corn. 'lease remit payments at lest 5 business days prior to due date. Please be sure to record your Invoice or Account Number on the check, Explanation of Charges: It is important to us that you understand the ct;arges on your invoice. Tease refer to this guide as assistance. I raOCUPYIENI A t ION PEE A tlnK; o;hargc- assessed on the new transactions. rms fee covers the cost ct UCC Mings and other do,cUmentaiir n costs_ 2. INSURANCE CHARG A chargo due each billing period as ?tie result of the eye €ipment bang insured by the lesser against a?€ risks of loss r�r der gas s;. i'ft i�rlENT Am.oun d€ a each billing perio in accordance with the terms if the co ntract. .1. LX FE CHARGE A sessed v�)hen a payment is not received by its dire date, as provided dy the contract. 5, LAT E FEE As essed vow a payiment is not received by its clue clate. cis provided by tN.' contract. q, >ALE:aIUSE TAX Tht salesiuse tax iv due ir€ accordance with the tax laws of the statiefsi where the ec;uipment is located. For questims. about tars salt the Customer Service Mi mber mentioned below. 7. PRCPE Y TAX The lessor, as owner of the equipiner is assessed and gays property tax to the appropriate taxing autPiority On all airrwal basis. Por the lease contract, the lessee has agreed to reimburse the Lessor for a property taxes paid on their behalf plus reasr>nabli�. administrative costs, ror questions about taxes call. Customer Service nurnoer mentioned below. H. RE "i'URNE D CHECK CK F E Assnsse(I eaat tirYle a ci eck is return €ed for ally reason. J. CUPY Assessed when the I -essee requests an additional copy of the contract. Ol ACCOUNT STATEME NI Ov= rview of prior invoices for which no payment was received at the time th current invoice was prioteci, C orrespondence Address: Customer Service, DE LADE LANDEN 1111 OLD EAGLE SCHOOL RD, WAYNE, PA 19087- -1453 or call: 8100 736 -0220 Tease send 311 written er;guir to the address indicated above. Please do not send checks to tide address s ttifs will delay the posting of payments to your account. aau'r�sa s /ooi CPl74 WiL�5 Invoice 6untAnvoiced s t a� ".eB a Balance Aue,...._ d. 6937500 09115/2010 588.00 $88.00 Balance Duefor P rior B �Ileci,.,lryo�ces� x, F, r 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 7331148 43- 530.04 $88.00 I 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 Friday, October 08, 2010 r Mayor 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)) 09/25/10 7331148 $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