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178584 10/27/2009
CITY OF CARMEL, INDIANA VENDOR: 00350874 Page 1 of 1 ONE CIVIC SQUARE FIFTH THIRD LEASING COMPANY CHECK AMOUNT: $55,404.59 CARMEL, INDIANA 46032 PO sox 630756 CINCINNATI OH 45263 -0756 CHECK NUMBER: 178584 CHECK DATE: 10/27/2009 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 1110 4352600 377881 42,703.21 AUTOMOBILE LEASE 1115 4352600 377881 9,193.70 AUTOMOBILE LEASE 1205 4352600 377881 3,507.68 AUTOMOBILE LEASE FIFTH THIRD BANK IN/CIICE STAT�IUIEN7 PAYMENT CUSTOR1fEFl NUMBER TOTAL. 1'AY.,MENT DUE NEJl1llBER ;i DATE:: DUE DRTE 00000377881 0000003962 10/17/09 12/01/09 55,404.59 DUE ORTE I3ESCRfPT]ON CURRENT DUE AlV1:QUNT P0.iD TOTALS LEASE NO. 065 0054295 -182 VEHICLES FOR POL, ADMIN, COMM 12/01/09 RENTAL 55,404.59 55,404.59 �70S; CURRENT MONTH- CHARGES.- z� 0 RENTAL-DUE TAXES DUE;:: MtSC CHAf3:GES DUE: LATE CHARGES DUE TbTAL CURRENT PAYMENTS DUE::':: 55,404.59 .00 .00 .00 55,404.59 PAST 3 30:DAYS 33 80:�3AYS fig -9© DAYS 9t DaYS &OVER TOTAL PAYMENTS DUE .00 .00 .00 .00 55,404.59 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. n Payee lJ� l:�`�'U Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)I)n v 0 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 ON ACCOUNT OF APPROPRIATION FOR l0 Z D0Z Board Members C 15 s�'Oq g 3� .q 8 PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or -i Dept Invoice lAccount I Amount bill(s) is (are) true and correct and that the 1110 377 888 526 6,952.14 materials or services itemized thereon for 1110 3778881 52.6 i 44, 598. 51,550.79 which charge is made were ordered and 22001 37 526, 3,035.22 received except 119 2 -j------ 377889 j 526; 30 ,319.38 33, 354.60 1110 3 77896 1 53 099 24,8 1115 377881 5_26 9,193.70 120 377881 526 3,507.68 111 377881 52 6 _4_2_, 55,40 10 3 77898 1 670991 13,234.23 1 021_ 3 778 9 8 6 5001 6 ,7_5 2. 1 9 20 102 377898 65002 6,000.00 1120 3 77898 56003 28,710.68 1110 377898 526 99,395.93 Signature 1110 377898 530991 3 6,000.00 1 190,093.03 Title -11UUL1U11 ICUIJ. CI Ii IQJJII1I QIIUI I II claim paid motor vehicle highway fund