192415 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
t l ONE CIVIC SQUARE DE LAGE LANDEN CHECK AMOUNT: $88.00
CARMEL, INDIANA 46032 Po Box 41602
PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 192415
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1160 4353004 7891107 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
Inaotce Dale ti��l vn o�ce`Nun€ber AT Adcou tk'
DE LAGE LANDEN 11/20/2010 �4.,w�
7891107 073898
PO BOX 41602����� zs�
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PHILADELPHIA, PA 19101-1602
Penal of Performance Ejs! Cor>tract Uhl er
�..ro
11115/2010— 12!14/2010 24954963
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 invoi i may include interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
I nvoice Deta IIS;, "2 a ie N x'
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x a k, rv� r
�Pa irient;Atnount�.. SaleslElse�Tax�� �o6l'-Airiount
PAYMENT $88.00 $0.00 $88.00
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Asset�Details "d w y y §z F d� V f e! a E 3 1"
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Make7Modal Sepal Number IAsset Number ConhactNum
PaymentAmount z .SaleslUseaTax� Total Amount
fik., .s .3 YN „Si E "�!k s, daw.4' d,,,.:�....t
`ms
KONMINIC20X IOFDO130001271 24954963 1 24954963 1 $88.00I $0.001 $88.0
ssat. Location: -1 CIVIC SO'CARMEL'.HAMILTON INA6032 =7569 United States
INAF'OR`i"Ale T RENVNIDERw Enclose remittal-ce slip with '/OU' check ar...d send it to the address on reverse.
side to, ensure Gaci:w and t 'Tlply processing as your peay ient. s o' pm —np review ar d handkngg picas e
acrd otx cr ccrrpt�d €,r�ct rrics sprtl t tawtt�rtic�r oi:ust, ,}re iti CAE L E I tlE
1111 r::;>LD EAGLE SCH001. RD, VVAY E. PA 1'0 14 -53.
5 or G. neln -5i ac c unt [i°ifC1nnation 24 hou a day r days a week vi sit JL!i vvebSife
Please resit pay a is at least 5 business days prior to due date,
'lease be sure to record year Invoice ol, AC;COUn Number on the check.
Expla nation of Ctrs:
!t is iniporta t to us that ±COL€ Understand the char es on your invoice. Please rate tD this guide as
assistance.,
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a 4 i5 nu, TEc'G ived by its du date•. a"s iifov 0 by ,he c t ocL
As c;:;_ {,d .;t. 2`a pa :nc -tt I ",r I'ot received €3 'flie £iiaie, as prc ed by l he, .:o.?:.
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'I lie tax is Cue !I': ctC•�.,t} ?t3tif;'r`Jlt�i ttIF lax Im"'s of thc stwe(5) tiyhele tli„ t:quipf emt i Il;,cated- 4fi1' quesS ion8 brut
taxes caai tits Cwrmme:r u:ervir nom. ;er ment €on(, belovv.
T
he €ussoi, as �olner d the equipment, is assessC,'£i am pray' 1;arep rty tax to tr.p appropriate taxin alAnc, tv on an armllaI
,awsis. F €ar tf k fea:> contra,,', the Lessee Ims ag eec to rein n' lrse thy: Lessor tMr all pvo tlxe paid >,l thei; P[u
S'3ri:ai31 arllnliq €`,trxivo C €oSts. r }€,i€:St ()€iS ooi,r tzlXf3S E;Ai: G.1stom(7r Service n- ji roer r neriti €;ed bolo.Jr.
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C orrespondence A ddress:
CLtstc;r°ner Se-vice, DE 1..AGE LANDEN 1 31 A. (LLD EAGLE SCHOOL RD, WAY NE, PA 19087 -145E3 or call:
300-736 0220
Please sent; all written sn i es to the address indicated above, Please do not send chess to the address
as Ns will delay the posting of piyments to your account,
D DD 5A 057 /0DDu2 624
„liccount Statement M.
lr voice' NUrnber a' �Balance:Due
7545193 11/15/2010 588.00 588.00
Balan�ceA,NW or Prior Billed Invoices N k P $88 Od.
®��5...nY. n: ,��s, R..RR..
VOUCHER NO. WARRANT NO.
ALLOWED 20
Do 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 #f TITLE AMOUNT Board Members
1160 7891107 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, December 03, 2010
M 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 7891107 $88.00
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