202519 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 362496 Page 1 of 1
ONE CIVIC SQUARE DE LAGE LANDEN FINANCIAL SERVICE AMOUNT: $88.00
CARMEL, INDIANA 46032 REF #667103
PO BOX 41601 CHECK NUMBER: 202519
PHILADELPHIA PA 19101 -1601
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 10848206 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
DE LAGE LANDEN Invoice Date i nvoice Number a Accounts Rd"`
PO BOX 41602 09/24/2011 10848206 73898
PHILADELPHIA, PA 19101 -1602
Period of contr Numberr;
09%15%2011— 10/14/2011 24954963
Important Messages
Please visit us online at www.lesseedirect.com to
-Make payments
-View copies of your contract and open invoices
See Reverse for Important Information
l r �n a r
Invoice Details 'h �x�. M s r �y
J x
escripti Pament Amount Sales /Use TSO% �TotalfiAmount $88.00 I $0.00 $88.00
Billedsthis,lnvoice�¢ a „er ✓,s�.x
,..s ..:fi >..u., .��l�E✓'• ^r
6'.f'1�Y.JGL GrW tfliJ {.X ova r'+ JO
Contracl'Number Se }lal
t Number r Make I Model Asset Number' x ,Paymen A =mount r'SaleslUse Taz Totaf Amount
24954963 OFDO13000127 KONMIN /C20X 24954963_1 $88.00 $0.00 $88.00
ASSet Location �1 CIVIC,SQ CARMEL HAMILTON 14” 46032 7569' United States
„0
T K "AA r d Asset�Amount Total $88 00
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 correspondence and notices separately to the attention of: Customer Service DE LAGS LANDEN
'1111 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,corr}.
Please rernit 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. DOCUMEN I A f ION FEL
A one tirne charge assessed on the new transactions. This fee covers the cost of UCC filings and other documient..',tion costs.
2. INSURANCE. CHARGE.
A charge due each billing period as the result of the equipment being insured by the lessor against all risl <s cf loss or daniage.
3. PAYMENT
Amount due each bliling period it) accordance with the terms of the contract_
4, LA rte Cf IARGE
Assessed when a payment is not received by its dire date, as provided by tti contract,
LATE F; E
Assesy, {d vvIlen a pa mer t s r3c:t re ;ailed by its d;le date as provided by th, contract.
ti. SALES/USE TAX
'r }g Sa!0c; IcM 5 d0i1 :i? ordance Mh the taax :al'a's of t' ?e stateW whe''e th() f;i4L;Jprn.ent is locateo. For queS€ ons about
taxes call the Castor }ter Service number mentioned below,
7. PROPERY'tAX
The lesser, as owner (,}f the eyr.mprnent, is assessed and pays property tax to the appropriate taxing authority on an annual
basis. Per the lease contract, the Lessee has agreed to rein;burse the Lessor for all property taxes paid on their eha f plus
reasonable administrative Costs. For questions about taxes Cali: CUStorner SerAce• nurnber rnentior }ed beln,v.
8. REfURNi_D CHECK FEE
Assessed each tune a check is returned for any reason.
9. COPY FEE
Assessed when the Lessee recloests at) additional copy of the contract.
10. ACCOUNT STATEMENT
Overview of prior invoices for which no payment :vas received at the tinge the current invoice novas printed.
Correspondence Address;
Customer Service, DE I -AGE 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.
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))
09/24/11 10848206 $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
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 10848206 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
Sunday, October 09, 2011
r
V ayor OF
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund