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192485 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1 0 ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE Lp� CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES CHECK AMOUNT: $61.00 s PO BOX 41602 CHECK NUMBER: 192485 PHILADELPHIA PA 19101 -1602 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4353004 7906700 61.00 COPIER Keep lower portion for your records —Please return upper portion with your payment Invoke Date ,InvoiceNumber; Account V r E `KONICA LEASING A PROGRAM OF DE 11/20/2010 7906700 073898 LAGS LANDEN FINANCIAL SERVICES 7 PO BOX 41602 PHILADELPHIA, PA 19101 -1602 Perlocl of Performance E� Contract Numiser 'g 11115!2010— 12/14/2010 25021065 Important Messages Please visit us online at www.lesseedirect.com to -Make payments -View copies of your contract and open invoices If this is your first invoice, it may include interim rent or prior period rentals in the payment amount. See Reverse for Important Information IIIVOICe`DE:1faIISq a a a� e?f� a y g� �a*�" a�z�._ rs A w .w a+r:�., ..�SE�. 4aw .w +a i.� ✓sre �e ,Desch tlon aE, F Pa »ent'Amount E l 61 SIUse;`Tax ,T.ota'l AmQunt„NA PAYMENT $61.00 1 $0.00 $61.00 LATE FEE $4.00 $0.00 $4.00 !W04 olce A E M a W wa w d'R v V ra .tea F ��a�s� u. �4 f? "1 1= Ji ance Dueff f;.Frior U A -d 3 E E ;$8900 x g a s $1�4 00'; (Please see the following pag s faf retails.; da>% de 3 R -0 f C ffi 4�� 4 f vl i l �`"3YF ':d a gp $'A m 3i A Y z C i4ssetDet�ls�g. 6 w vog Make!Mvsle! Serw N tuber m� i et�N b r Contract,Number PaymentAmount 55aleslUseTax s Total'Amaunt TO �4641:0 KONMINIC20 OFDO130029 25021065_1 25021065 $61.0 $0.0 $61.0 4 A sset Locationl'1 CIVIC SO CARMEL HAMILTON IN 46032.7569 Un Red-States (N," 0PTAd'1JT P !"01NDER: Eiiclosc- remittance slip w ,h your check and send it to the u idress s„ averse side to ensure accurate ano t!mely processhg of yma pay.ral. For ;.wairpt review and himicilirq, please sand W cca sP ondenc and no separately to Te Mentb i of: Serv=e KO FICA LEASING A'PI~3OGRANI OF DE LAC�L-.. LAND EN FINANCIAL. SERVICES 1 '11 OLD EACiLIE. SCHOOL- RD V JA'�'NJIE. 94 A 1()�7- E 45 3 For general ;IGv'vtWIl 24 hou ca day t' days ca week, visit ow vtie�s te ;:ow 1 P lease remelt payments at least a busiraers days prior to due date, Please be sure to record your Invoice or A ccount Number on the check. Exp lanation of Charges: It is €mpert 3 i to gas that you understand the changes on your invoice. Please refer to th q uide as H ')'e Oraf dale e e4s::.n wd w the 4 e.:.: ;3'r3nsa',t:onz, it Q il£:..t.. V S he WM of JCC hil p a& .3 r d U:.iJtE;Pt,dhan tii ✓`m. A uht Ma me each Nmg puOd as `tai, remH d t ar; em W erg oy lesso! aa. _t all k,s� or daa n:i e, A£Trn P.: due eac i_ ;mp pt, .0 d Li acco uari e VAt`' 11,,; 1G£ ,ss of t'•.1*.' corh' tact. ''ES1ia s;av *f1 4 iJt'i,.,c: €d,,,.: by h Sm, cat, as €ir C,'Jided by the 'tic vwd A: E._ LE riSSC wed Wo a p;;:ay V not rec6vwl by As ue C as r:7C3''ided by the tY.3r7tYS, d, 6. SAWNSE TAX nm W: rUM tax 0 dw in awowawE vratr£ ;he, 1 W "a 5 the ,ia`.e(,S) t 1 ;e E hc E cu'z Mms G%3'. be Cw?..Dms. u(':?'1 +?'I, €ITla`." meAi;Ced Cic:lili.V. 7, Pt'Of:'ERYTAX he as o ,vrei ci H' e iii €')ill@;1"il a a ":,E. uvt d ,,a'i:'i PWS s 7fWE3" Qx m th;' app }roof to lax ng zap grinE. al C34'S39 a be awe =nfiad ti.r''.. Lessee tm% c7g eed to rf.'€r?at; €P °Se the tE850r tol ail L)t €7,3erry Cr` x s paio o meir (2eh aft j' iUS re SO Ic`a7EF, u.; t,ltl 3otYut e?,;.35 b FOr goest,£9r'tS Cou" tax. '.s is �V L,.a ti3113Y �i Y,. 'i:7111 r, l.t;;i it'P I�h heby" c d a3 EI" a 'att §a'k 4_ ep, r ed ;£,,4 any reass i 9, COPY FE.. .-..MU char t.;., i ms my U.I ,ism an dEhw ink a n 0 Me c,.,i N t 1'�, N UM i r r 9b:;rva<.. of of oC tr' l..x E; €)S f:), V"hi l no, fha` ni t aqs r c.:leNi at me 't1f3o am Gil,.+.: r onto n w p 11w n Correspondence Address Customer Service. KONICA LEASING A PROGRAM OF DE LAGE LANDEN FINANCIAL SERVICES OLD EAGLE SCHOOL RD, VvAYNE, PA 19037-1 or call: 8� )0- 736_0220 Please send ah w rMen enquires to tr e address indicated above. Please do not seed checks to the addre as Ws yi11 delay the posting of payments to Vour accoini, OODG50�3 /OQ0636fln t ae Account =Statement, s,:a lrtvoice'Numtler Rue,Date .t; "H, d.. Pmrlunt'Idpiced,� "Balance,Duee y 5362396 04/1512010 $65.00 $4.00 5802278 05115/2010 $65.00 $4.00 6028682 06/15/2010 $65.00 $4.00 6691 149 08/15/2010 $65.00 $4.00 6955434 09/15/2010 $65.00 $4.00 7346617 10/15/2010 $65.00 $4.00 7560566 11/1512010 $65.00 $65.00 Ba n:q t 6j& P'Pi6r BIEl@Ci 111YOICf'S, 2 ~a y Late` F,ee and EitahGe Char e' Detattsu ft", s r M .v PastDue Past Due x Rast DuePast Due �-0€ Past Dued z ,late FeeFinanae Charge Invoce Number' lnvoice =a Invoice Due �knvoice BalanceE invoice Pa y menu F� E 3 �.3 m e S r a z Descnptionw Date Subject ta�late� Pa �rah`a m .i. 1 =.f �i wt< v �;tlaf e d ar 7560566 11/15/2010 61.00 4.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Konica Leasing A Program of De Lage IN SUM OF Landen Financial Service, P. O. Box 41602 Philadelphia, PA 19101 -1602 $61.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1160 7906700 43- 530.04 $61.00 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, December 03, 2010 Ibl 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)) 11/20/10 7906700 $61.00 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