194151 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032 PO Box 41602 CHECK AMOUNT: $88.00
PHILADELPHIA PA 19101 -1602
�o CHECK NUMBER: 194151
CHECK DATE: 213/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 8448699 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
Invoice DateM�� InvoiceNumber q count W
DE LAGE LANDEN 01/22/2011 8448699 073898
PO BOX 41602
PHILADELPHIA, PA 19101 -1602
Peri of P ,erf or marce RM
01 /15/2011— 02/14/2011 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 m in interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
Invoice:Detalls m ry w k., z
u Pa`ment`Ambunt Sales /UseTaxTotal,Amount.,''
PAYMENT $88.00 $0.00 $88.00
~Billed; <this�lrivoice
BalanceDue fo Prio �tl Invoi 4� yt 3 G� $88:004
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(Please see the following pages for details.)
W
a Makel Model ,p SerlalNumber 3 aAsset Number.. Contract Number Payment Amour 4T' Sa U a><� otal.Amount
ONMIN /C20X 24954963 1 1 24954963 1 $88.Oq $0.0q $88.0
Asset Location: 1 CIVIC SO CARMEL HAMILTON IN 46032 -7569 United States
IMPORTANT REMINDER: Enclose remittance slip with your check and send it to the address on reverse
side to ensure accurate and timely processing your payment. For prompt review and handling please
send other correspondence and notices separately to the attention of: Customer Service DE CAGE LANDEN
1 111 OLD EAGLE. SCHOOL RD, WAYNE, PA 19087 -1453.
For general account information 24 hours a day 7 days a week visit our website www.lesseedirect.com.
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. DOCUMENTATION FEE
A one time charge assessed on the new transactions. This fee covers the cost of UCC filings and other documentation costs.
2. INSURANCE CHARGE
A charge due each billing period as the result of the equipment being insured by the lessor against all risks of loss or damage.
3. PAYMENT
Amount due each billing period in accordance with the terns of the contract.
4. LATE CHARGE
Assessed when a payment is riot received by its due 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. SALESfUSE TAX
The sales /use tax is due in accordance with the tax laws of the state(s) where the equipment is located. For questions about,
taxes call the Customer Service number mentioned below.
7. PROPERY TAX
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,
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.
10. ACCOUNT STATEMENT
Overview of prior invoices for which no payment was received at the time the current invoice was printed.
Correspondence Address:
Customer Service, DE LAGS 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.
6�6�9315f0001392A
Invoke Number a a.d>s Due,Date:' 5, r z mvunl invoiced a fi 3 a` "04 Balance Due 14 "t
r
8159304 01/15120/1 $88.00 $88.00
°;Balance Due far
rvm
PriorBflleci_Invoices 6.Ea g ,„m$8 00
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 8448699 43- 530.04 $88.00 I 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
Monday, January 31, 2011
6ayor
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))
01/22/11 8448699 $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