169874 03/18/2009 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
4 PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 169874
CHECK DATE: 3118/21)(19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 1152900. 88.00 COPIER
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Keep lower portion for your records Please return upper portion with your payment
DE LAG1= LANDi =N Invoice Date, I Number Account's e
02/21/2009 1152900 73898
P.O. BOX 41602
3 v�I
PHILADELPHIA, PA 19101 -1602
Period of. PerF_ormance Contract Number
03115/2009— 04/14/2009 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
Invoice' Details
Sates /Us6,,,
n= 2 Payment, Amount Tax Total
Descriptio Amount
PAYMENT $88.00 50.00 $88 00
Total B this Period v $880 fl'
Asset• Detc! ils
Make Model Numb e r I le Tao
Serial Numbe Asset Number, Y „1�:,. Ta Amunt
o
Contract Pa ment Amo unl SaslUse x Total
0NM1NIC20X PFDO130001271 24954963 1 24954963 $88.00 5100 $88.00
sset Location: 1 CIVIC SQ CARMEL HAMILTON IN 46032 -7569 United States
|[NPORTANT REMINDER: Enclose nanxttancea|ipvjih your check sndsendkto the address onnavense
side 3 ensure occunWe and timely processing nfyour payment. For prompt reviem and handling. please
Send uU`ercon and notices separately to 1he atten|ion of: Customer Servioc; DE L4GE LANCEN
1111OLDEAGLE SCHOOL RD. VVAYNE PA18O87'1453-
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r gene/a{ account >nformm\/on 24 hours u day, 7 days 8 week. visit wurwehsiUa w��!�ose�d|nacioom
Please remit payments at least 5business days prior to due date.
Please be sure tn record your Invoice nr/\rcwunt Number nn the check.
Explanation ofCh
It ls im portan'L !a us that you Linderstand 1he charges on your invoice, Please refer ?-0 thi!� gUdC PIS
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Correspondence Address:
8OO'7�3Q'0Z20
�{easm all enqxires toihoauJreos indicated above, Please dn not aendchoc|ontu\headdreos
,3s "his 'i"I" li �Pilv ['1'e Lo��Jnq of payments to your accounL
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
3/16/09 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
De Lage Landen 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))
212 /09 1192900 ier lease $88.00
Total $88
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.
/lh /09 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
1152900 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
Signatu��
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund