178585 10/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00350874 Page 1 of 1
ONE CIVIC SQUARE FIFTH THIRD LEASING COMPANY CHECK AMOUNT: $51,550.79
CARMEL, INDIANA 46032 PO BOX 630756
CINCINNATI OH 45263 -0756 CHECK NUMBER: 178585
CHECK DATE: 10/27/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4352600 377888 6,952.14 AUTOMOBILE LEASE
1110 4353099 377888 44,598.65 OTHER RENTAL LEASES
FIFTH THIRD BANK
fNVOICE STATEMENT PAYMENT
kVfJMBER'
CUSTOMER NUMBER TOTAL PAYMENT D:UE
QA. 7E DATE
00000377888 0000003962 10/17/09 12/01/09 51,550.79
DUE i7E5CF3lPTJ{7N CURRENT flUF A:NIOUNT. PAiD TOTALS
LEASE NO. 065 0054295 -174
ATA PROCESSING OCESSING VEHICLE
EQUIPMENT
12/01/09 RENTAL 51,550.79 51,550.79
(A c))
.CURRENT MONTH CHARGESel.
RENTAL bUE:; TAXES DUE,::: MaSC CHAf3 Ttii4WARGES DUE 70TAL_CURRENT PAYMENTS DUE
51,550.79 .00 .00 .00 51,550.79
PAST DUE
3 -3Q:i DAYS -ii j .3T 6Q DAYS i 67 -913 DAYS i 9t DAYS.;& Q:VER.
TOTAL PAYMENTS DUE
.00 .00 .00 .00 51,550.79
For customer inquiries please call (800)998 -3444 extension 6770.
RETAIN THIS PORTION FOR YOUR RECORDS
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
L (a` 4 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n
s
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.
ALLOWED 20
IN SUM OF
70 k)( ��GJo
uk/k ulvuka- i 0�
ON ACCOUNT OF APPROPRIATION FOR
V— �(U j
IO Z kF5 obZ
Board Members
C, (115 s',og
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I I hereby certify that the attached invoice(s), or
T
Dept l invoice Account I Amount bill(s) is (are) true and correct and that the
1110 377 888
1 526 1 6 952 14 materials or services itemized thereon for
1110 3778881 5261 44,598.65
which charge is made were ordered and
51,550.79
2200,1 377889 5
3,035.22 received except
1192 3778891 526, 30,319.38
33, 354.60
1110 3778961 53099 24,8
1115 377881 5_ 9,193.70
12 377881 526 3, 5
11101 377 881 526 42 703. 2_1_
-1 -I 5 5,404.5 9_
1_0 _3 77898 1 67099 13,234
102 3778 _6 6,75 20
102 377898 65002 6,000.00
1120 377898 56003
1110 377898 526 99,395.93 Signature
1110 377898 53099 36,000.00
1 190,093.03 Title
pia'l Ou"UIl ICUIJ. CI IiIQJJI11l.Qll Vll II
claim paid motor vehicle highway fund