191632 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00350874 Page 1 of 1
ONE CIVIC SQUARE FIFTH THIRD LEASING COMPANY CHECK AMOUNT: $1,628.00
CARMEL, INDIANA 46032 PO BOX 530755
M ory to CINCINNATI OH 45263 -0756 CHECK NUMBER: 191632
CHECK DATE: 1 111 012 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 R4352600 21375 416822 1,628.00 VEHICLE LEASES
F
FI FTH THIRD BANK I COMMERCIAL LEASE INVOICE
5/3 LEASING COMPANY
MD10904A-0300 CINCINNATI, OHIO 45263
PAGE NUMBER 1
000011 STATEMENT DATE 10/17/2010
CUSTOMER NUMBER 0000003962
PAYMENT DUE DATE 12/01/2010
TOTAL RENTAL 33,354.60
CITY OF CARMEL TOTAL TAXES 0.00
ATTN: CLERK TREASURER TOTAL MISC CHARGES 0.00
ONE CIVIC SQUARE TOTAL LATE CHARGES 0.00
CARMEL, IN 46032 -2584 TOTAL PAYMENT DUE 33,354.60
Please return this top portion
with your check payable to: AMOUNT ENCLOSED
FIFTH THIRD, CENTRAL INDIANA
P.O. BOX 630756
CINCINNATI, OH 45263 -0756
1 5L. 1 L606 580 9994 168 2 2 10000011'
FIFTH THIRD BANK
LIMBER CUSTpNR N 'SiATEMF NT PAYMENT
uMeER roTAL PAYMENT DATE •LTIJEkDATE WE
00000416822 0000003962 10/17/10 12/01/10 33,354.60
DUE 6ATF DE5CE31PT#ON'' CURRENT l]U£ AMOUNT PAID TOTALS
LEASE NO. 065 0054295 -208
VEHICLES AND MISC OFFICE EQUIP
12/01/10 RENTAL 33,354.60 33,354.60
2
t %I+Af,9& HAf3GE5 DUf~ k ATE_CIiARC9S'5bz. t: e4;f91Ai iJF$�Ed�IT:P?4 JbfENfS OtIE
I
33,354.6 .00 .00 .00 33,3S4.80
.G._9a301jgYS; _aL k3,1= .90.DA15 r•7 ei, .•.$T= 9b,QAY!5,:. t+ 91''OAY6 ?DYER TOTAL PAYMENTS DUE
.00 .00 00 .00 33,354.60
For customer inquiries please call (800)998 -3444 extension 6770.
RETAIN THIS PORTION FDA YOUR RECORDS
,r
+'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
Fifth Third Leasing Company
Purchase Order No.
P.O. Box 630756
Terms
Cincinnati, OH 45263 -0756
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05A4109 'AV 416;22 Lease Payment Toyota Prius $3,035.22
j
Total $3,035.R2
J
A
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
VOUCHER NO. WARRANT NO.
`Fifthi Third Leasing Company
ALLOWED 2.0
P.O_. Box 630756 IN SUM OF
Cincinnati, OH 45263 -0756
$3,035.22
ON ACCOUNT OF APPROPRIATION FOR
ti
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT, I hereby certify that the attached invoice(s), or
21375 416822 Ei iG 84352600 $1,628.00 bill(s) is (are) true and correct and that the
n/n 416822 -2 mn-4.i-sqmn materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund