190748 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350874 Page 1 of 1
i ONE CIVIC SQUARE FIFTH THIRD LEASING COMPANY
0 CHECK AMOUNT: $76,252.72
CARMEL, INDIANA 46032 PO BOX 630756
CINCINNATI CH 45263 -0756 CHECK NUMBER: 190748
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4465002 415133 76,252.72 FIRETRUCKS
FIFTH THIRD BANK
INVOICE STATEMENT PAYMENT
CUSTOMER NUMBER TOTAL -PAYMENT DUE NUMB R DATE oue DATE
00000415133 0000003962 10/02/10 11/01/10 76,252.72
DUE 'DATE DESCRIPTION COPOENT DUE AMOUNT PAID TOTALS.
LEASE NO. 065 0054295 -067
2002 EIRE TRUCKS
11/01/10 RENTAL 76,252.72 76,252.72
1
RENTAL Dl1E TAXI S.bllE IN:ISC CI{A.6iG65 bL1E'c t'ATE "CHAFGES.:Dl1E` TOTAI "':CURRENT. PAY N1EflTS DUE''_:.
76,252.72 .00 .00 .00 76,252.72
�a o TOTAL PAYMENTS DUE
x .30 <DAYS 1 31c6Q1'[]AY$' 51 90: DAY$ >1 9I —bAY.5 AVER
.00 .00 .00 .00 76,252.72
For customer inquiries please call (800)998-3444 extension 6770.
RETASMITH IS' ?PORT ION: FOR YOHR. RFCORnS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fifth 'Third Bank
IN SUM OF
P.O. Box 630756
Cincinnati, OH 45263 -0756 I
$76,252.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 415133 102- 650.02 $76,252.72 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
r
Fire Chief
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))
41 5133 $76,252.72
1 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