170812 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE DE LADE LANDEN CHECK AMOUNT: $88.00
CARMEL, INDIANA 46032 PO BOX 41602
PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 170812
CHECK DATE: 411 612 00 9
P EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
?1160 4353004 1458826 88.00 COPIER
Keep lower portion for your records —Please return upper portion with your payment
IIr1YO1C InvoiceaNumber :jA
DE LAGS LANDEN
03/21/2009 1458828 73898
P.O. BOX 41602 x €�.a M A
PHILADELPHIA, PA 19101 -1602 7'
Rerlod of Performance's =k� gContf
03115/2009— 04/1 4/2009 24954963
Important Messages
For questions related to this invoice, please contact us at 800 736 -0220.
If this i y our fir invoice, it may include interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
Invatce'Details I b
Descnp' ion k m ;Pa 'inentSAmount
Sales /Use'Tax ?''Total Amount
y
PAYMENT $88.00 1 $0.00 1 $88.00
Y ii7� a
r 8 3�s -x a'�
Total Btlted this'?&iod„ 1 $88 00
8�''us. -.U� �Ge
€I. pI.,,
°AssetDetails,
:Make! Model �y Semi Number 1 Asset Number- Contract Number a y ment Amount SaleslUse Tax TotakAmount .E 'i
v�°r
U
5NM1N /C20X IOFDO130001271 24954963 1 24954963 $86.0 $0001 $86.00
A sset Location: 1 CIVIC SO CARMEL HAMILTON IN 46032 -7569 United States
IMPORTANT REMINDER: Enclose remittance dip with your check and send it to the address on reverse
side to ensure mccurahp and Unne|y processing Of Your payment. For prompt review and handling. please
send other correspondence and notices separately to the attention of: Customer Service DE LAGE LANDEN v
1111 OLD EAGLE SCHOOL RD, VV4YNE.PA1A087'1451
For general account information 24 hours a day, 7 days a week, visit our website www.lesseedirect.corn.
Please remit payments at least 5 business days prior bo due date.
Please be sure to record your Invoice or Account Number on the check,
Explanation ofCh
It is important to us that you understand the charges on your invoice, Please refer to this guide as
DOCUMENTATION FEE
^nnahme charge assessed on the new tmnoaat/oo` This fee covers the cost o|ucc filings and other uocumoo/aw,costs
2� INSURANCE CHARGE
A charge Mle ea& billing permd as the result of the equipi nenr being insured by the lessor against ali risks of /oss or danlage�
u PxvmsmT
Amount uuv each billing period m accordance wuo the temmoy tie contract
4 LATE CHARGE
xoax,eu when unnymem/snm,oua/veubv its due uaze.ux provided uv the contract,
s :xrepse
Assessed v,,her a payment is not received by its duudate, as provided by tine contract
s, 3xLES/uSETAx
The saiesluse tax is due in acco:dance with the tax laws of the state(s) where the equipi-nent is located, For qLiegitiors ai_'out
taxes call the I'(000)1onom«o,
r PRoPsRvTAx
The lessor, n, owner of the *qmnmnrt, is assessed and pays property tax m the appropriate taxing authority mnnnan^va/
h Pn-r The lease con'rac tne Lessee has agreec to reirnhurse the Lessor for ail property taxes paid or. their behalf plus
easonmmeaumioist-at*acosts. For questions about taxes call: 1'(800)48e'01844�
n neTuRmso CHECK FEE
Assessed each time a check |o returned for any reason.
o COPY FEE
*a��uoexwhon the Le,oao requests on additional copy o/ the cm/mot'
10, A0000wToT^remsmr
Overview of prior invoices for which no payment was received at the t;?me the current nv6lce was printed
Correspondence Add
Custorner Service, DE LAGE LANDEN 1111 OLD EAGLE SCHOOL RD, WAYNE, PA 19087-1453 or call.
800-736'0220
Please send all written encluires to the address indicated above. Please do not send checks to the address
as this will delay iheposhngof payments to your account.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995)
4/16/09 CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
D Lage Landen Purchase Order No.
P 0. Box 41602 Terms
P hiladelphia PA 19101 -1602 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/21/09 1458828 Copier lease monthly fee $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.
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
INVOICE NO ACCT #/TITLE AMOUNT
D EP T I hereby certify that the attached invoice(s), or
4 $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 o 5
natur
Cost distribution ledger classification if
Titl
claim paid motor vehicle highway fund