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193405 01/05/2011
CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1 ONE CIVIC SQUARE DE LAGE LANDEN 0 CHECK AMOUNT: $88.00 CARMEL, INDIANA 46032 PO 80X 41602 PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 193405 CHECK DATE: 1/5/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4353004 8159304 88.00 COPIER for- your records Please return upper pertiomwith your payment In ov iced ©ate' R "trivoice Number 1 Accountt�KU DE LAGE LANDEN 12/24/2010 8159304 073898 PO BOX 41602 Z %j PHILADELPHIA, PA 19101 -1602 �Pertodof Perforrrianc� ,GontractWNumber� 1211512010— 01/14/2011 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 invoice, it may include interim rent or prior period rentals in the payment amount. See Reverse for Important Information j P:2111111 q ;Ir1volGe,Detalls s -fir., 5 <a� v gw ryA a tea. ss� s,�„ °a�, F ment'Amount Salesl,UrerTaxa,, TotalAmoiint PAYMENT $88.00 1 $0.00 $88.00 0 WON p r'a Rya ae:. Vin: �s'IIIGC��IISi1lVDIC @g�...._ wu �x a 88 00 ..a 91tal� a g ar aa$�a3�� dfi�2 v� (Please see the following pages for details.) A.SQI Bt11�S? la z d z d :'1 as l? &�4. e�w.ir,3�4,..¢s. �`o-'st 'Make! ModN.„ on i� Sark Asset Num6ar CtractNumbara°` Payment pmoun# SaleslUse Taz -a r '"E' Tofal'Amuurttg "e a w a!`L k Hy a w�: v. v KONMIN/C20X IOFDO130001271 24954963 1 1 24954963 $813.oq $0.001 $88.0 selLocation.1tCIV1C SQ;CARMELHAMILTQNIIN 48032 ".7569 Unhed'Statee t, 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 corresoordence and notices separately to the attention cif: Customer Service DE LAGS LANDEN 1 111 COLD EAGLE SCHOOL RD, WAYNE, PA 10087 -1453. For general account information 24 tours a day, 7 days a week, visit our webslte wwvr.lesseedirect.coin, Please rernit payments at least 5 business days prier to due date. g Tease be sure to record your Invoice or Account Number on the check. E xplanation of Charges: Its important to us that you understand the charges on your invoice. Please refer to this guide as assistance. 1. IDOCt ENYAiION F A or7e fora charge assessed on the new transactions This fee covers the cost of UCC filings and cu'ver casts 2. INSURANCE CHARGE A eharge cir:e each billing period a s the resrtlt of they equipm being insured by th�a lessor against ail risks o !psi or datnac,e. Amount do(- each bliir?g period in accordance with the teO s of the contract. 4. LATE CHAR +SEE Assessed wlless a hayr;tent is not received by its clue date, as piovid by the contract. Assessed when a payment is not received by its due bate.. as provided by the contract. The salestuse tax is qu:-_ in accordance oAth the tax ldvvs of the state(s) where the equipment is located. For qu esitors shout taxes tail the ''ustcrne:r 3erviCe number mentioned below. 7. PROPERY TAX The lessor, as oswner Of the equipment. is assessed and pays property tax to the appreprate 'taxing authority on taro annual basis. Per the lease contrac the Lessee has agreed to reirnburse the Lessor for all properly taxes pairs can their ^ehalf pies reasonable administrative casts. For gUC.stions about taXeS call Customer :service number mentioi >ed below, B. PET l:RNED CHFCK FEE Assessed each "irT e a cheek is returned for any reason. g. C0PY IF E Assessed wh�,2r the Lessen requests an additional copy of the contract. 10, ACC0 1 N T S7A EMENT Overview of pr icr irvoic�;s for oefiich no pEaynicrrt was received at the time the curr €:,tr invtok e raas t }rirl.ted, C orrespondence Address: Crtstolne; Service DE L WE LANDEN 1111 OLEO EAGLE SCHOOL RD. WA` NE, PA 1 908 7 -1 453 or call: 800- 738 -02:20 Please send all written enquires to the address indicated above, please do not send checks to the address as this w0l delay the posting of payments to your account. oanioaovaaoi3�c9 e'ACCOUE1t Statement, s z ,"^�....w' i- "3i z_. .A_, m nom, 3"'� A a �,.a; IR" I' l `VVIN 3uz..�„ a�vK1° �a e "PA" R invoice Number `Due Date E' a s a Amount "Invoiced. a F w Balance Due AL 7891107 12/15/2010 $88.00 $88.00 BaiancelDue #or Prior Biiiec! In�di ces� ;U� y 88 00 _�,w." w._ k., _s w Jz _.Q, 1 ���_.0 k s._. 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 8159304 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 r which charge is made were ordered and received except Monday, January 03, 2011 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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)) 12/24/10 8159304 $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