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173289 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1 ONE CIVIC SQUARE DE LAGE LANDEN CARMEL, INDIANA 46032 PO Box 41602 CHECK AMOUNT: $88.00 PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 173289 CHECK DATE: 6/10/2009 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AM DES CRIPTION 1160 4353004 2173042 88.00 COPIER Keep lower portion for your records Please return upper portion with your payment DE LAGE LANDEN Invoice Date ,lrvotceIV mber Acco,u, 05/23%2009 2173042 73898 PO BOX 41602 PHILADELPHIA, PA 19101 -1602 �k" Peno�d�af�PrFQrmanCe,��e3,�;�,� w ����GQritraC# Num ber �T� 0511512009— 06/14/2009 24954963 Important Messages If this is your first invoice, it may include interim rent or prior period rentals in the payment amount. See Reverse for Important Information Invoke Qetalls, w w ON x.. m�,. E 10 tionn NQR U lap Ar Count a Sales /Usk Tax,€ M TotalFAmour�t PAYMENT $88.00 $0.00 $88.00 LATE FEE $4.40 $0.00 •q.40 W n ik3 gw ere zs 'd A C 3"#'� TOtiil �l�� tf11S PBGI Q�d; 4 eg a �a AI' d r a 34 @$92e40 r.�'�Mb �iR '�r' w a a a[ u T,,� a` ZL I .rte^ ?.���€a ,p r� k°[+ is �k' d a', are e Yt �s w• w 5dm�"- =F a :m 1; Lz�3I5i.a. ¢.w�.; E!Makei,R9odeI Se1 a1 Number. Asset Number unt Contract Number Payment Amo�a esf s „Ta A %x TotaD, 4maunt z uA 2 �`�i'� s" <?.nx 'I. 3 t ,a. tae ei F,r'.*'" ga; :k "L ai �I� a U' h;' re r faa<sit;�.,�t ONMIWC20X 0FD013000127 24954963 24954963 1 $88,001 $88.00 A sset 'Location: r1-CIVIC SQ CARMEL`HAMILTON IN 46032 -7569 Unded:States IMPORTANT REMINDER: Enclose remittance slip with your check and send it to the address on reverse side to ensure accurate and tamely processing of your payment. For prompt review and handling, please send other correspondence and notices separately to the attention of: Customer Service ICE LAG LAN DEN 11 01 -D EAGLE SCHOOL RD, WAYNE, PA 19087 -1453. Fo, general account information 24 hours a day, 7 days a week, visit our web;site www.lesseedirect.com. Tease remit payments at least 5 lousiness days prior to due date, Please be sore to record your Invoice or Account Number on the check. Explanation of Charges: It is important to us that you understand the charges on your invoice. Please refer to this guide as assistance. 1. DOCUMENTATION FEE A one time charge assessed can the new transactions. This fee covers the cost of UCC filings anti other docu mentation costs. 2, INSURANCE CHARGE A charge due each billing period as the result of the equipment being insured by the lessor against all risks of lass or damage. 3. PAYMENT Amount clue each billing period in accordance with the terms of the contract. 4. LATE CHARGE Assessed when a payment is not received by its due date, as provided by the contract. S LATE FEE Assessed when a payment is not received by its due date, as provided by the contract. 6. SAt ESiUSE TAX The sales/use tax is due in accordance with the tax laws of the states) :where the cquiprnent is located. For questions about taxes call the "s -($OUf +88-- 0844. 7. PRCIPERY TAX The lessor, as owner of the equipment, is assessed and pays property tax to the appropriate taxing authority on an annual basis, Per the lease contract, the Lessee has agreed to reimburse the Lessor for all property taxes paid on their behalf plus reasonable administrative costs. For questions abuit taxes call: 148011) 488-0844. 8, RETURNED CHECK FEE Assessed each time a check is returned for any reason. 9. COPY FEE Assessed when the Lessee requests an additional copy of the contract. 10, ACC STATEMENT Overview of prior invoices for which no payment was received at the time the current invoice was printed, C orrespondence Address: Customer Service DE I_AGE t_ANDEN 1111 OLD EAGLE SCHOOL RD, WAYNE, PA 13087 -1453 or call: 800- 736 022.0 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, r 00086204/00127015 f ,r i :`ACC Oubt'Statem6nt'.r;':Nof ,rhT <J .;.:l:�.. ,.r. "�i "i u e a- r... u� lx"` s"° J a -`�k.w a� .ar,'"a InvoiciriNu bEf,' 'W�„ �c IA DUEi DatB [a ^w a i_'4 ,'x r„ Am o unt IN61 cW ia".57, o' atra..�a 1771583 05/1512009 $88.00 $88.00 Total 'BaEanc,e Duefar,Prioir Billedln "voice`s Id P, c� q 88,DD <V U nLate'Feeand nance;'Char a D`etaiis, y x AR Past Due r Past Due �r� t Past Due f Past t7ue ,sue P U ue l "Late F „Inance Charge' e 4 �i zc t Ib� k F �r d f 5 ,a. n R E i� f ,Invoice NumberrInvolce P Invoke Due InvolceBalance :Invoke *Payment k i a i u 6wfr 3 3 f ©escnptlon N E I Date t $UbfeCt Late ©ate <�i 9 k� 'iM* m `Ir ���t �.�haf e w nc �m �E. sxl i, .A v x, e �m r 1771583 05115!2009 88.00 4.40 Presc ed by State Board of Accounts City Form No. 201 (Rev. 1995) r° ACCOUNTS PAYABLE VOUCHER 6 /8/09 CITY OF CARMEL S 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 De Lage Purchase Order No. P. 0. Box 41602 Terms Philadelphia PA 19101 -1602 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/23/09 2173042 Copier lease Heck $88.00 Total $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. f -U 9 ALLOWED 20 De Lage Landen IN SUM OF P. 0. Box 41602 Philadelphia PA 19101 -1602 88.00 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4353004 Copier Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 4353004 $88.00 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 S� ignatur T /i �dp�`- ititllee Cost distribution ledger classification if claim paid motor vehicle highway fund