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177626 09/29/2009
CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1 ONE CIVIC SQUARE DE LAGE LANDEN i CHECK AMOUNT: $88.00 CARMEL, INDIANA 46032 Po aox nlsoz 4,. PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 177626 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVO N UMBER AMOUNT DES CRIPTIO N 1160 4353004 3378342 88.00 COPIER Oo01 �269/00075�96 .'J Acc ©unE$tatemLnt invoice Number Due Dates Amount; Invoiced, r Bala nce "Due 3115809 09/15/2009 T $88.00 $88.00 Total :Balance Due for I?H or. {Billed Invoices Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 9/28/09 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)) 9/20/09 3378342 Copier lease 9/15/09- 10/14/09 $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. 9`/28/09 ALLOWED 20 be 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 DEPT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 3378342 4353004 $88.00 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except f -Sign Title Cost distribution ledger classification if claim paid motor vehicle highway fund Keep lower portion for your records Please return upper portion with your payment j Invace DJ ite Invoice Number Accounc�s- _r DE LACE LANDEN 09/20/2009 3378342 073898 PO BOX 410,02 59' PHILADELPHIA, PA 19101 -1602 Period of PerformanceContradNurmber -ME 0911512009— 10/14/2009 24954963 lmportant 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 Rlnvolce�Detatls �E Z pescmptton.,.: F P ,meht= Amount' /u TOtal Ainoiint� PAYMENT $88.00 $0 00 $88.00 Total Billed €tFtts Period 88 00, :ate 9a %"i sli�as� y. Total Balance Due fora i6 e Invokes (Plea�F= see the taUoti inq payLs fof icfia[3 Asset Details �5' E Sepal Number Asset Number Contract Number Payment Amaunl 5afestUse Tax Natal Amount ti MakelModel A i,` :,fix 4 a e si ,E�....:' a. ,o�' s e� a .�°,�.is� s,,a_ -6,a:. a ONMINIC20X OFD013QOQ127 24954963 S 24954963 S88 0 $0.00 $88.00 A s set Location :1 CIVIC S0 "CARMEL HAMILT0 IN 46Q32 -7569 United States PEMM Enc remittance sitp Mh }JOEw CI1mk a nd Wend i to the 3aC6es o p wers s-,de to ;sa ,aue c'3..,:;L {riatkw c c'. p."o:,;eubg of yaa paYr'Tmin Fbr s� .r;i 3"F�.: ',`s, d 1 Y c"�r .icy ='�,.e 9�;, s.Jt,u' -''W send ober €J. lGc,i 5e43cz a. o t 3u at ten "n of. �li.r..� "s ,e. b'3 E �iGE L`ti3 DE 01_4) EAG SU ICJ RID '.NAYNE. FAA 1 1 9087 -1453. 3. i or C::; €1wal Gam. t }t info; inaf €:.r ..3.4 E., ^oi. a tic- i` days, to noel Wit owf bsit iess ed i ,cor 1 P remit payments at least 15 husirt ss days prior to clue date. F ;i, se be sure to record your Invoke or Accamt Number Sri No check, xp- „ir?catkm of Chi€ R MW Its hmporta nt to us that YOU understand he ca,arges Qn your invoice Pease refe tc d s elide as asKstance. A. on iir c, arge ,iss. ssv, o of the it: e Of UceC ,a� g1. ard e'xhwa A cluge .a reach bilrg period as bw mmu _af Me 0p}imm g hmr d by to fe,sr£ nag now KE Ak d Ims or ^sw_7£'- Aa3 ;Lira f,,a. ch f! t rienod v_nth th”' E' i* s o? "he 'f'iiCt. A mnon o.,_ w _,v'.ind a o rr:r.`wwd try Is Me date,, as prodded prodded by the mart FEE Ammon VVw R p s €swl is i' of by .sue dw a2 il,Ct 3 ;)Y the ornfraci' taxis JLW W aMWA M Oil he NX WS Of the .;zRIAM AMM 10 UpooWt +s t a m i s qM&WiS WO(L W en W V. Cw r s tt,. Same rrt €rats;r entamed .;F „Kµ', W less:'a, ss ac`J€ n of Me raqlili?IY;t'Y?$, 8S 1) ys ;a,_Q Mx 0 t11f' a E"v71;e,$a, WA g :amity tt wl an m Gi,to'9f basis P'eT tl`£' to Lessee h a agref�£.i ti. rm WS&M or i prC`.($c'i`w tams PG, o o n ,taw 0„ ti l Phis l a so fable ls:irr 0iSva1iV° co" F Or ahow, taxes (,2st, h,d.;ioincr Sei Ass .�;f'd v a if c+ ir,” ag, €f.'aF'c €'1. I COPY lPY FEE tanegsal rti 'wn the Lesasm requesL4 an andiflonal copy of the c onlract. la ACCOUNT STA MNENT tw., W Nth 'F:} a;,£3V C; "lt wrS rwAved Wle ?.I.,. the ,o ,GP` C orrespondence Address: Customer Se vice, DE LAGE LAN DEN "11 OLD EAGLE SCHOOL. IRD, V�, PA 19087-1453 or rail: 800..736 0220 Please send ali vwitten enquires to the address indicated laws, Please do not send checks to the address as Ws "MI Way Hie posting of payments tO your accOLi €7t.