191609 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
0 ONE CIVIC SQUARE DE LAGE LANDEN
s %o CARMEL, INDIANA 46032 Po Box 41602 CHECK AMOUNT: $88.00
PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 191609
CHECK DATE: 11/1012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 7545193 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
*i „Inv iov ce Date a Invoice Number'Account
'DE LAGE LANDEN 10/23/2010 7545193 073898
PO BOX 41602 -.e.,
Y <F<t..v ���`:�__.es�e ta.., ;.'a,lxkae.� u.7......,... :�.�..a :14�v. x..
PHILADELPHIA, PA 19101 -1602
Penod Coritrac_t' x
10/15/2010- 11/14/2010 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 in interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
n merit Amount;, SaleslUse: Tax Total,Ainounta,
PAYMENT $88.00 $0.00 $88.00
;Billed this Invoicez r a 0
P�
$88:0
T Balance°Dt! Prior, Billed Invokes m.. r, a Ewe l E n $88{QO
(Please see the following pages for details.)
Asset:,DeWls
Makel Modal Seria �,'4-Contract Number 1 Payment Amount SalesfUse Tax TotalAmount_
�4
ONMIN /C20X IOFDO130001271 24954963 1 24954963 1 y $88.00 $0.001 $88.0
A sset Location: 1 CIVIC SQ CARMEL HAMILTON IN 46032 -7569 Unked States
1
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
1 111 OLD EAGLE SCHOOL RD, INAYNE, PA 19087 -1453.
For general account information 24 hours a day 7 days a week, visit our website wAw.lesseedirect.cotn.
Please remit payments at least 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 charges on your invoice. Please refer to this guide as
assistance.
1. DOCUMEN ?ATlON FEE
A one time charge assessed on the new transa .tions. This fee covers the cost of UCC filings and other documentation costs.
2. INSURANCE CHARGE
A charge ciLle each billing period as the result of the EquipMent being insured by the lessor against all risks of lass or clarna< }4.
3. PAY [VE.NI_
Amount dun; each billinc: peried in acrr rdance with the terms of the contract.
4. LAI E CHARGE::
Asse when a payment is not received by its dne date, as provided by the contract.
5. LATE FEE.
Assessed when a payment is not received by its due date, as provided by the contract.
6. SALES/USE TAX
llie salesiuse tax is due in accordance with the tax laws of the state(s) where the equipment is located. For questions about
tares call the Customer Service number mentioned below.
7. PROPERY TAY,
The lessor, as owner of the equipment. is assessed and pays property tax to the appropriate taxing authority on an annual
basis. Per the lease contract. the Lessee has agreed to reimburse the Lessor for all property taxes paid on their behalf plus
reasonable administrative costs. For questions about taxes call: Customer Service number mentioned below.
8. RETURNED CHECK FEE.
Assessed each time a check is returned for any reason.
9. COPY FEE
Assessed when the Lessee requests an additional copy of the contract.
19. ACCOUNT STATEMENT
Overview of prior invoices for which no payment svgs received at the time the current invoice was printed.
Correspondence Address:
Customer Service DE LADE LANDEN 1111 OLD EAGLE SCHOOL RD, WAYNE, PA 19087 -1453 or call:
800 -736 -0220
Please send all written enquires to the address indicated above. Please do not send checks to the address
as this will delay the posting of payments to your account,
000iin�zi000is.ioi
I`i,`� d: "'a 91 �E a d T ;a !A
a .i a s �R ^.A a�
°i.If1Y01CiN Linbef A:t `.Q11B.1�2i8esr" c a 'gi n g; Balance
7331148 10/15/2010 $88.00 $88.00
a Balance Duea for 8iiied¢ °I'riuo�ces ga f k" '$6 ioo
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 7545193 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
Friday, November 05, 2010
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))
10/23/10 7545193 $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