205078 12/28/2011 CITY OF CARMEL, INDIANA VENDOR: 357805 Page 1 of 1
ONE CIVIC SQUARE BANC OF AMERICA LEASING CHECK AMOUNT: $1,015.20
�a CARMEL, INDIANA 46032 P 0 BOX 405874
off ATLANTA GA 30384 -5874 CHECK NUMBER: 205078
CHECK DATE: 12/28/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 012040615 1,015.20 COPIER
PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT
For assistance with your invoice: PHON FAX TIME E -MAIL
CUSTOMER SERVICE INQUIRIES 800- 959 -5936 866 -939 -4705 8:30AM 5:OOPM EASTERN customersvc @leaseedmincenter.com
INSURANCE INQUIRIES 800- 913 -9331 866 -798 -9805 9:OOAM 8:00PM EASTERN es- Seattle @gaic.com
Audit confirmations can be submitted at www.conlirmation.com
Invoice Number 012040615.22
Contract Number (Please see below)
Customer Reference Number
Description
Model Number Detailed Payment Billing Payment Total
Serial Number Location Charge Description Due Date Period Amount Tax Due
008-3038068-000 1 CIVIC SQUARE PAYMENT 02101/12 11/01/11- 01131/12 1,015.20 1,015.20
Your Ref: CARMEL, IN 46032
KONICA MINOLTA COPIER
BIZHUB C451
AODKO10008945
CONTRACT SUBTOTAL $1,015.20
OTAL CURRENT CHARGES $1,015.20 USD
BANC OF AMERICA LEASING INVOICE NUMBER: 012040615
the insurance charge is reflected here. y v
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
SHV: 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.
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)
CALVFORNIA E -WASTE FEE: It 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
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 j
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
C*m utkk
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.
L e ALLOWED 20
6_ IN SUM OF
I�&
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Pots or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 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
A s 20
Sign�,ur-
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund