164592 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 357805 Page 1 of 1
ONE CIVIC SQUARE BANC OF AMERICA LEASING
e
CARMEL, INDIANA 46032 P 0 BOX 7023 CHECK AMOUNT: $1,517.60
.e`tc TROY MI 48007 -7023
CHECK NUMBER: 164592
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT P NU MBER INVOIC NUMB AMOUNT DESCRIPTION
902 4353004 i 010551017 451.11 COPIER
902 4353004 010601919 328.35 COPIER
1110 4353004 010621812 738.14 COPIER
PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT
y
For a:,'aistance with your invoice: PHONE FAX TIME E -MAIL
CUSTOMER SERVICE INQUIRIES 800- 959 -5936 248- 341 -0474 8:30 AM TO 6:30 PM EASTERN customersvc @leaseadmincenter.com
INSURANCE INQUIRIES 800- 913 -9331 425- 649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @plls.com
N
N
"NOTICE" EFFECTIVE OCTOBER 1, 2008 ALL RETURNED PAYMENTS WILL BE SUBJECT
TO A 535.00 RETURNED PAYMENT CHARGE Invoice Number 01 0621812-N8
Contract Number
Customer Reference Number
Equipment Description
Model Number Equipment Detailed Payment Billing Payment Sales /Use Total
Seriai Num Location Charge Description Due Date Period Amount Tax Due
008- 2209360 -000 3 CIVIC SQUARE PAYMENT 11/15108 11/01/08- 11(30/08 738.14 738.14
Your Rel: CARMEL. IN 46032
MINOLTA COPIER
350
30AE07239
Your Rei: 3 CIVIC SQUARE
MINOLTACOPIER CARMEL, IN 46032
C450
31101851
Your Ref: 3 CIVIC SQUARE
MINOLTA COPIER CARMEL, IN 46032
350
30AE07284
CONTRACT SUBTOTAL $738.14
OTAL CURRENT CHARGES 738 -14
BANC OF AMERICA LEASING INVOICE NUMBER: 010621812
Your Lease Administration Center (LAC) Invoice includes charges for the dates indicated. Please process your payment so it arrives
at LAC prior to the date shown. Any questions concerning performance of your equipment should be directed to your local dealer.
The following terms explain your invoice.
DATE DUE: Your contractual due date, after which late charges may be assessed.
INVOICE NUMBER: The number should be referenced on the face of any remittance.
TOTAL AMT DUE. The sum of your CURRENT PERIODIC CHARGE plus any PREVIOUS AMOUNT DUE.
PREVIOUS AMT DUE: Any contractual amount previously invoiced and remaining unpaid.
CURRENT AMT DUE: Amount due for the Current Period's charges ONLY.
CONTRACT NUMBER: This is your Lease /contract number used to identify your account. This number should be given to Customer Service
when making an inquiry and on all correspondence.
CUSTOMER REFERENCE NUMBER: Any reference number provided by you such as: Purchase Order, Department, Cost Center Numbers, etc.
BILLING PERIOD: The dates which are applicable to the CURRENT PERIODIC CHARGE. The billing period is based on a calendar month
regardless of the due date, unless otherwise specified.
PAYMENT AMOUNT: The payment due under the terms of your contract PRIOR TO ASSESSMENT OF SALES /USE TAXES.
Your payments may be adjusted pursuant to the terms of the agreement and /or adjustments made to one or more of your equipment schedules.
LATE CHARGE: Any contractual payment not made on, or before, the due date is subject to the assessment of late charges as outlined in
your agreement.
INSURANCE CHARGE: If your equipment is insured through the arrangement that we have with Premier Lease and Loan Services,
the insurance charge is reflected here.
SALES /USE TAX: Tax assessed by your taxing authority and added to your contract payment.
OTHER CHARGES THAT MAY BE DUE UNDER THE TERMS OF YOUR AGREEMENT:
DOC FEE: One time administrative fee to cover lessor's expenses when the contract commences.
SEC DER Security Deposit
SRV: Service and Supply charges
PPT: Itemization of Personal Property Tax (PPT) Charge: Personal property taxes are assessed by your local tax authorities based on the value
of the equipment. Under the terms of your lease agreement you agree to reimburse us for this charge plus an administrative fee, if provided in your
lease agreement. The PPT Charge shall be periodically added to your invoice and should be remitted along with your regular payment. The PPT
Charge on your invoices is a charge that is subject to sales tax (where applicable) and includes the following components:
Personal property tax: the amount that your taxing authority assesses based on the depreciated value of the equipment
and current personal property tax rates.
Administrative Fee for Personal Property Taxes: a charge for each item of equipment, that will not exceed $12.00 per tax
assessment. (The administrative fee will only be charged if provided in your lease agreement.) If the PPT charge exceeds
$5,000, a copy of the PPT bill will be mailed within 14 days.
OTH: Other miscellaneous charges such as, equipment return, collection charges, attorney's fees, etc.
READING PERIOD: The frequency that your overage usage charges are billed.
ALLOWANCE: This is your MINIMUM number of copies required to be billed for each reading period.
END READ: The meter usage at the time of your last reading.
BEGIN READ: The meter usage at the time of your previous reading.
SERVICE CREDIT: Any copy credit given on your copier.
OVERAGE RATE: The rate at which your overage copies are charged.
USAGE: The number of copies used in excess of your allowance.
OVERAGE CHARGE This is the charge for the number of copies which exceed your minimum usage.
(usage multiplied by the overage rate)
CALIFORNIA E -WASTE FEE: If you live In California, state law requires you to recycle your covered electronic device. You can find how to return, recycle and dispose of a
covered electronic device at www.ciwmb.ca.Qov/PublicEd/
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
Banc of America Leasing Purchase Order No.
Lease Administration Center
P.O. Box 7023 Terms
Troy, MI 48007 -7023
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/10/08 10621812 monthlvpvament 738.14
Total
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
VOUCHER NO. WARRANT NO.
w
ALLOWED 20
Banc of America Leasing IN SUM OF
Lease Administration Center
P.O. Box 7023
Troy, MI 48007 -7023
738.14
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 10621812 530 -04 738.14 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
October 10 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT
For assistance with your invoice: PHONE FAX TIME E -MAIL
CUSTOMER SERVICE INQUIRIES 800- 959 -5936 248- 341 -0474 8:30 AM TO 6:30 PM EASTERN customersvc @leaseadmincenter.com
INSURANCE INQUIRIES 800 -913 -9331 425- 649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @plls.com
A "NOTICE" EFr'£CTIVE OCTOBER 1, 2008 ALL RETURNED PAYMENTS WILL BE SUBJECT
TO A $35.00 RETURNED PAYMENT CHARGE Invoice Number 010601919-NB
Contract Number
Customer Reference Number
Equipment Description
Model Number Equipment Detailed Payment Billing Payment Sales /Use Total
Serial Number Location Charge Description Due Date Period Amount Tax Due
006. 2215623.000 111 w MAIN ST PAYMENT 11101/08 10/01/08- 10131108 328.35 328.35
Your Ref: STE 140
MINOLTACOPIER CARMEL, IN 46032
C450
311702472
CONTRACT SUBTOTAL $328.35
OTAL CURRENT CHARGES 328.35
BANC OF AMERICA LEASING INVOICE NUMBER: 010601919
Your Lease Administration Center (LAC) Invoice includes charges for the dates indicated. Please process your payment so it arrives
at LAC prior to the date shown. Any questions concerning performance of your equipment should be directed to your local dealer.
The following terms explain your invoice.
DATE DUE: Your contractual due date, after which late charges may be assessed.
INVOICE NUMBER: The number should be referenced on the face of any remittance.
TOTAL AMT DUE: The sum of your CURRENT PERIODIC CHARGE plus any PREVIOUS AMOUNT DUE.
PREVIOUS AMT DUE: Any contractual amount previously invoiced and remaining unpaid.
CURRENT AMT DUE: Amount due for the Current Period's charges ONLY.
CONTRACT NUMBER: This is your Lease /contract number used to identify your account. This number should be given to Customer Service
when making an inquiry and on all correspondence.
CUSTOMER REFERENCE NUMBER: Any reference number provided by you such as: Purchase Order, Department, Cost Center Numbers, etc.
BILLING PERIOD: The dates which are applicable to the CURRENT PERIODIC CHARGE. The billing period is based on a calendar month
regardless of the due date, unless otherwise specified.
PAYMENT AMOUNT: The payment due under the terms of your contract PRIOR TO ASSESSMENT OF SALES /USE TAXES.
Your payments may be adjusted pursuant to the terms of the agreement and /or adjustments made to one or more of your equipment schedules.
LATE CHARGE: Any contractual payment not made on, or before, the due date is subject to the assessment of late charges as outlined in
your agreement.
INSURANCE CHARGE: It your equipment is insured through the arrangement that we have with Premier Lease and Loan Services,
the insurance charge is reflected here.
SALES /USE TAX: Tax assessed by your taxing authority and added to your contract payment
OTHER CHARGES THAT MAY BE DUE UNDER THE TERMS OF YOUR AGREEMENT:
DOC FEE: One time administrative fee to cover lessor's expenses when the contract commences.
SEC DER Security Deposit
SRV. Service and Supply charges
PPT: Itemization of Personal Property Tax (PPT) Charge: Personal property taxes are assessed by your local tax authorities based on the value
of the equipment. Under the terms of your lease agreement you agree to reimburse us for this charge plus an administrative fee, if provided in your
lease agreement. The PPT Charge shall be periodically added to your invoice and should be remitted along with your regular payment. The PPT
Charge on your invoices is a charge that is subject to sales tax (where applicable) and includes the following components:
Personal property tax. the amount that your taxing authority assesses based on the depreciated value of the equipment
and current personal property tax rates.
Administrative Fee for Personal Property Taxes: a charge for each item of equipment, that will not exceed $12.00 per tax
assessment. (The administrative fee will only be charged if provided in your lease agreement.) If the PPT charge exceeds
$5,000, a copy of the PPT bill will be mailed within 14 days.
OTH: Other miscellaneous charges such as, equipment return, collection charges, attorney's fees, etc.
READING PERIOD: The frequency that your overage usage charges are billed.
ALLOWANCE: This is your MIN IMUM number of copies required to be billed for each reading period.
END READ: The meter usage at the time of your last reading.
BEG IN READ: The meter usage at the time of your previous reading.
SERVICE CREDIT: Any copy credit given on your copier.
OVERAGE RATE: The rate at which your overage copies are charged.
USAGE: The number of copies used in excess of your allowance.
OVERAGE CHARGE: This is the charge for the number of copies which exceed your minimum usage.
(usage multiplied by the overage rate)
CALIFORNIA E -WASTE FEE If you live in California, state law requires you to recycle your covered electronic device. You can find how to return, recycle and dispose of a
covered electronic device at www.ciwmb.ca.gov /PublicEd
Flk�c 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
f
R4 g o �r�e -rc4 Qc' J.. Purchase Order No.
P III 7 0Z 3 Troy M Terms
14%o67 7d 7 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
IIZZ O� a�C(�diyl .o�� Ca rte 37g 3S
Total 1 3 2 3s
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
r
(�4,.4r IN SUM OF
ti
i 1�
Pa go K IO2-1 Te-ox
9<6 ?o Z
3z 8 -;S'
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1&7— a i 6 661 g t 3Ce- 32 59 1 5 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
(c/ tZ 20 61
f Signa re
Direr tor at' F-IIAO+ce
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PLEASE RE I URN I OP PORTION WITH YOUr` fyMENT TO ENSURE PROPER CREDIT
For assistance with your invoice: PHONE FAX TIME E -MAIL
CUSTOMER SERVICE INQUIRIES 800- 959 -5936 248- 341 -0474 8:30 AM TO 36 0 PIA EASTERN customersvc @leaseadmincenter.com
INSURANCE INQUIRIES 800- 913 -9331 425- 649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @plls.com
N FOR FURTHER EXPLAiNATION, PLEASE REFER TO THE BACK OF YOUR INVOICE
FOR MAINTLtJANCE, SERVICE AND SUPPLIES, PLEASE CONTACT YOUR LOCAL DEALER Invoice Number 010551017 -08
Contract Number
Customer Reference Number
Equipment Description
Model Number Equipment Detailed Payment Billing Payment Sales /Use Total
Serial Number Location Charge Description Due Date Period Amount Tax Due
008 2215623 -000 Ill W MAIN ST PAYMENT 10/01/08 09/01/08 09/30/08 328.35
Your Ref: STE 140 2007_PPT_CLAYTOWNSHI 10/01/08 122.76 122.76
P,I
MINOLTA COPIER CARMEL, IN 46032
C450
311702472
CONTRACT SUBTOTAL 5451.11
OTAL CURRENT CHARGES 451.11
V
N b"
1
O CA
BANC OF AMERICA LEASING INVOICE NUMBER: 0105510®
-cant y.—. y— Nay.nCm su a I s
ai ve
at LAC prior to the date shown. Any questions concerning performance of your
The following terms explain your invoice. e ,.pment should be directed to your local dealer.
DATE DUE: Your contractual due date, after which late charges may be assessed.
INVOICE NUMBER: The number should be referenced on the face of any remittance.
TOTAL AMT DUE: The sum of your CURRENT PERIODIC CHARGE plus any PREVIOUS AMOUNT DUE.
PREVIOUS AMT DUE: Any contractual amount previously invoiced and remaining unpaid. x
CURRENT AMT DUE: Amount due for the Current Period's charges ONLY.
CONTRACT NUMBER: This is your Lease /contract number used to identify your account. This number should be given to Customer Service
when making an inquiry and on all correspondence.
CUSTOMER REFERENCE NUMBER: Any reference number provided by you such as: Purchase Order, Department, Cost Center Numbers, etc.
BILLING PERIOD: The dates which are applicable to the CURRENT PERIODIC CHARGE. The billing period is based on a calendar month
regardless of the due date, unless otherwise specified.
PAYMENT AMOUNT: The payment due under the terms of your contract PRIOR TO ASSESSMENT OF SALES /USE TAXES.
Your payments may be adjusted pursuant to the terms of the agreement and /or adjustments made to one or more of your equipment schedules.
LATE CHARGE: Any contractual payment not made on, or before, the due date is subject to the assessment of late charges as outlined in
your agreement.
INSURANCE CHARGE: If your equipment is insured through the arrangement that we have with Premier Lease and Loan Services,
the insurance charge is reflected here.
SALES /USE TAX: Tax assessed by your taxing authority and added to your contract payment.
OTHER CHARGES THAT MAY BE DUE UNDER THE TERMS OF YOUR AGREEMENT:
DOC FEE: One time administrative fee to cover lessor's expenses when the contract commences.
SEC DEP: Security Deposit
SRV: Service and Supply charges
^T. Ite ^dza ;iol cf ^arsenal FlGpal,y Taa (PPT) Chaiyc. reinUiiai p vl oi:y ianes are assessed by your local tax authorities based on the value
of the equipment. Under the terms of your lease agreement you agree to reimburse us for this charge plus an administrative fee, if provided in your
lease agreement. The PPT Charge shall be periodically added to your invoice and should be remitted along with your regular payment. The PPT
Charge on your invoices is a charge that is subject to sales tax (where applicable) and includes the following components:
Personal property tax: the amount that your taxing authority assesses based on the depreciated value of the equipment
and current personal property tax rates.
Administrative Fee for Personal Property Taxes: a charge for each item of equipment, that will not exceed $12.00 per tax
assessment. (The administrative fee will only be charged if provided in your lease agreement.) If the PPT charge exceeds
$5,000, a copy of the PPT bill will be mailed within 14 days.
OTH: Other miscellaneous charges such as, equipment return, collection charges, attorney's fees, etc.
READING PERIOD: The frequency that your overage usage charges are billed.
ALLOWANCE: This is your MINIMUM number of copies required to be billed for each reading period.
END READ: The meter usage at the time of your last reading.
BEGIN READ: The meter usage at the time of your previous reading.
SERVICE CREDIT: Any copy credit given on your copier.
OVERAGE RATE: The rate at which your overage copies are charged.
USAGE: The number of copies used in excess of your allowance.
OVERAGE CHARGE: This is the charge for the number of copies which exceed your minimum usage.
(usage multiplied by the overage rate)
CALIFORNIA E -WASTE FEE: If you live in California, state law requires you to recycle your covered electronic device. You can find how to return, recycle and dispose of a
covered electronic device at www.ciwmb.ca.aov/PuUIicEc1
OCP -09 -2008 10:56 CLAY TOWNSHIP ASSESSOR 3175756437 P.02
BUSINESS TANGIBLE PERSONAL
F5 7 .£1 MARCH 1, 2DDa
PROPERTY ASSESSMENT RETURN
FORM
Stale Fcrm 11 405 (R24 1 -07) 103 LONG For Assessors use Only
Proscribed by the Department of Local Government Finance
eels t rrfJC; f tyros: rr.� roan most to oleo wi ;n rna rowrlsh;p assesxor na1 rater
rnan itty 15 unless an extension o7 UP to 30 drys is grantad in MV% Please PRIVACY NOTICE: The records in
NPeOfPrrnl, form tea must bo riled wrtn the rer4rn. 1'9nffitle8 tort911ura to this eerie& arc co7fidentlel according
file C4rtt0013 retum r0rmy erg at the oortgm o 5Clfedule B of rnrg form. lc I. C. 6 1 f 35 9
Name of Taxpayer Federal Identification Number
B4nc of America Leasin Capital, LLC 52- 2185192
Name under which business Is CCnducted r F t DLGF Taxing district number
Banc of kme_rica Leasing Capital LLC r1
Address where property is located (number &7orstreet, city, grata and ZIP code) DLGF Taxing district name
Ill W MAIK ST �"tNP, ��5E'SS,✓f,1
Nature of business 2002 NAIGS Township
RQUiloment Leasing 532400 clay TQ"PShiA
Name and addres. to which Assessment and Tax notice 13 lobe mailed (It dltfemnil than strove) County
Ranc of America Leasing Capital, LLC HAMILTON
P 0 Box 10557 Retail Merchants CerllflCalion Number
Atlanta, GR 3034$ -5576
1. Federal income Tax Year ends 12/31 Name filed under
2. LOCAlion of accounting r000rda 2059 Northlake Pkwy. Tucker, GA 30084
3. Form of business El Partnership or Joint Venfure Sole Proprietorship MCgirporation Estate or Trust
L] Other, describe:
4, Do you have any other locations in Indiana? Yes No (II Yes, file Fonh 705)
5. Arc lnventnry records maintained on a perpetual basis? Yes NO Method of valuatlon for Inventory N/A
B. Was any Consigned or other not owned invorllory held, possessed or controlled on March 1 D Yea No (Saa So ;AC 4.2 -5 ,P)
7, Inventory Elections: Calendar year sver'ago Yes [K] No (See 5d 0C4.2.5.9)
Alternative Inventory: Manufacturer-. or Processors Yo5 No Elections binding in following years. (See 501AC 42.5.7)
8, If nature of business Is Coniracting, i5 job site inventory Included in Schaible "B Yes No
9. Did you own, possess of eonlrel any personal property in a public wamhousa or other storage place in Indiana -as of March 1? C Yoc E] lea
10. Did you own, hold, possess or corrtrol any leased, rented cr other depremWc personal property on March 17 n Yea No (See SOIAC d.2 8)
It. Did you own, Mold, possess or control any $peclal Tools on March t? Yea No (See 50 1A 42-6 -2)
12. Did you own, hold, possess or control any returnable containers on March 1 Yes No (See 50 IAC 4.2
13. Total sales for this location during the prior fiscal or Calendar year. 0
If taxpayer FngWars "yes" to questions 0, 9, 10, or 12, fhe owner must file Form 1030 and the possessor must file Form 103•N. (See 50 IAG 4.2 -2 and 50 1A
4.2 -8).
Duplicate Return Reoulreniont. Every taxpayer whose total combined assessed value. df business personal property in a single taxInQ district is $150,000 or more
mt,nf file each return in duplleate including the confdenfial returns and nhecules aliachad thereto. (IC C- 1.1-3-7 (c))
In completing a psrsonaf propery return for a year a taxpayer must make a c omplete d1sclostire of ell information relating to the va1VP, nature or location of
personal property uwrive, hRld, possessed or controlled an 1ha assessment date, (IC 8- 7.1 -3 -9 (a)), This information would innfu.de, but not be limited to, rompfpfion
of irle heading and refeted information, answers to oil questloris on the face of the return, and entries on all of the appropriate lines of Schedules A and S. If Ruch
inf:urtiation is not prnvid d, they Iexpayor will he ucnlacted and fjlrecte(i to provide that information. Ir addition, a ponetty of $25 may be imposed. (IC C4,1 -37-
7(d)}
NAIGS North American Industry G128sific2fion System Mnplefe list of codes may be found at WWW,census.pov The Indiana Code (IC) and Indiair2Atlr>lfnistraiive
Coda (IAC) nlny be found on -line- at the DLGF wobatto wwWlaao_v1dI2f. For further questions contact the Town,n <p Assessor (ova rrallro on the DCGF we5eite).
r rr s Y, 'r•
SCHED- A PERSONAL PROPERTY OTHER THAN INVENTORY 9 7 D
SCHEDULE B INVENTORY(tins 30 From PagK 0
TOTALTRUE FAX VALUE BEFORE DEDUCTIONS
110% INVENTORY Dr;Ql1CTIt7N(purruanttoICS4r 1.12 -42)
DEDUCTION PER FORM PPID -1 (Mvestmari De6clion)
DEDUCTION PERFORM 103 ERA (Eco7orik floviraifzabon)
siGNATIUREAND r
Uoeo. peo iltlml op-;rtury, I hr+rrby Certify th this r (nrhjding ncromp.-rnyinp rrhadiNUa, tladurAm'ClWrms Pn0 ,q1nron;cnt,0. tn'thr. hest of rrryknowlRttgn and imacr. la
true. mrmcf. rmi ipk. retorts arl tanglbte pf rmonal ocopofty, sut io `.ozntrnn, 4wncd, hots, posno. d or eonVNlod by ton nrtnlno twcpaycr, in fhe stated IakinQ df&trict,
i pn else :_s- xvrr�r_ri seer, ;s reeiuirr;tl u Isw; and le prr3pared In a canrd ;t:ce wish 1 C 3 of e— arrrei�drd. and reputations promulrpztcd wrfh r—pea therero.
-Lira
Signature of authori2ed person Telephone number Date (month, dNy, yea
(77 0) 270 -84 05/08!08
Namo and title of suthoilzed parson (please type or print) E contact
Catherine L. HiISman Vice President
Signaluro of person piep,aring return Lased on all information of which he has any Name and contact information of preparLr (please We nrprinf)
knowledge
Page 1 of 4
OCT -09 -2008 10:57 CLAY TOWNSHIP ASSESSOR 3175756437 P.03
.1 FO RM:1 TANGIBLE PERSONAL, PRO PERTY -OTHER THAN INVENTORY
SCHEDULE A
f ONFIDENTIAL
MARCH o•:
The total cost of special tools, dies, jigs, fixtures, olc„ permanently retired equipment; commercial aircraft, and commercial bus line fleet, not subject
to excise tax Is to be deductcd in full In Column B belpw, The true tax value pf such property Is to be computed on the propor Form(s) (103 -T, 106
AND 103 -I, respecilvely) and recorded on Line(s) 60,61 and 62.
ACQUISITION YEAR OF LUMN A COLUMNIB POLUMN
POOL NUMBER 1: TOTAL COST OR ADJUSTMENTS AQIUSTED COST T.T.V. °k TRUE TAX VALUE
(1 TO 4 YEAR LIFE) BASE YEAR VALUE (See Note Above)
13 From To 3.1.08" 65
14 3.2.07 To 3 -1 -08 65
15 3.2 -06 To 3 -1 -07 50
16 3.2.05 To 3 -1 -06 35
17 Prior To 3.2-05 20
18 TOTAL POOL NUMBER 1 1 0
'POOL
19 From To 3.1.08'
40
20 3 -2 -07 To 3 -1 -00 40
21 3.2.OBTo3 -1 -07 16,009 16,009 56 8
22 3,2.05Tc3 -1 -06 42
23 3 -2.04 To 3 -1.05 32
24 3 -2 -03 To 3 -1.04 24
25 3.2.02 To 3 -1 -03 is
26 Prior TO 3 -2 -02 15 I
27 TOTAL POOL NUMBER 2 16,0091 16, 0()ql 1 8
TO 12 YEARtIFE)
28 From To 3 -1 -08' 1 40
29 3 -2 -07 To 3-1.08 40
30 3-2 -05 To 3 -1 -07 60
31 3-2 -05 To 3 -1 -06 55
32 3-2 -04 To 3 -1 -05 45
33 3-2 -03 To 3-1-04 37
34 3 -2 -02 To 3.1.03 30
35 3.2.01 To 3-1.02 25
36 3 -2 -00 To 3-1 -01 20
37 3 -2.99 To 3 -1 -00 16
38 3 -2 -98 To 3 -1.98 12
39 Prior To 3 -2 -98 is is 10 1
4o TOTAL POOL NUMBER 3 0 01 0
AND1ONGER LIFE)
41 From To 3 -1 -08' 40
42 3.2.07 To 3 -1 -08 40
43 3.2.06 To 3 -1 -07 60
44 3 -2 -OS To 3 -1 -06 53
45 3-2.04 To 3 -1 -05 54
46 3.2.03 To 3.1.04 46
47 3.2.0 c To 3.1 -03 40
48 3 -2 -01 To 3.1.02 34
49 3 -2 -00 To 3 -1.01 29
50 3.2. 99 To 3 -1.00 25
51 3.2.98 To 3-1 -99 21
52 3-2 -97 To 3 -1 -93 1S
53 3.2.96 To 3.1-97 10
54 Prior TO 3 -2 -96 6
55 TOTAL POOL NUMBER 4 0 0 0
56 16,009 16,009 1 8
Election to report cost of Depreciable Assets by Federal lax year Yes No
Election available only when federal tax year ends December 31 or January 31, See $0 IAC 4.2 -1.6 (c).
If taxpayer elects to report cost above on federal tax yoar basls, assets acquired from the prior federal tax year end to March 1 are
to be reported on the first line of the appropriate pool,
NOTE: All Column B adjustments above must be supported on Form 106, Form 10$ T, or Form 103 I.
Page 3 of 4
OC7, 709 -2008 10:57 CLAY TOWNSHIP ASSESSOR 3175756437 P.04
Delivery Original Assessed
Property Description Value
Hate OOSi
412 008 2215623 000 580536 COPIER 06/05/2006 16.009
V1MEL CITY OF
m W MAIN ST 311702472 Paei 2, Line 21
CARMEL, IN 46032
o,..... -4 n i I r Aerwe 7 FEI #52- 2185192
TOTAL P.04
P scribed 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
�e S1 ti Purchase Order No.
�0 �o '�o -3 Terms
Yro. A// Q 9 �0 7 7 0 2 3 Date Due
1
Invoice Invoice Description Amount
Date Number (or note attached invo or bill(s)) �1 r
177 6Y CTS lof n o �'I- Co I cr 7.7 I
Total 45
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
�s�r o� .ne� «4 IN SUM OF
7o2z 3 7-r o
Ll 5
ON ACCOUNT OF APPROPRIATION FOR
z y 3r 3�6 y
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT, I hereby certify that the attached invoice(s), or
gOZ O(o5510f 7 45/. 11 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
20
L
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund