HomeMy WebLinkAbout177169 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
al ONE CIVIC SQUARE DE LAGE LANDEN CHECK AMOUNT: $88.00
z CARMEL, INDIANA 46032 Po BOX 41602
PHILADELPHIAPA 19101 -1602 CHECK NUMBER: 177169
CHECK DATE: 9/15/2009
DEP ARTMENT A CCOUNT PO NUMBER INVO NUMBER AMOUNT DE
1160 4353004 3115809 88.00 COPIER
rY
Keep lower portion for your records Please return upper portion with your payment
>P Invoice�QateIn Dice Number~hAccount� e;
DE LAGS LANI7EN 08/22/2009 3115809 073898
PO BOX 41602
PHILADELPHIA, PA 19101 -1602 p of Pei'fnrmaryce W n.
E k Contract Dumber oe w�
0811512009— 09/14/2009 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
ueba...
t ;DeSCetptOn e+ ai r y r M 'n s
nent. Amounf SaleslUse;'7 ii tal Amount
PAYMENT $88.00T $0.00 $88.00
n '6 `i3 44�,3a4 sttaa �t t,' alrE l n'.v�1
s 6 r' etas 3 x+ 4 L'"" a na f'�ry
Total Billed this >Penod $88 00
i, I r�€ �t� l .s ,.:E.i"� s_�'�3� 1 ,a�?�v;.`.5,`...'°''
4
rTotai Balance,Due for „,F? "riorµBilled Iriv "oices s &k x ''�88 00
s_ �k
Total A s a 6 i
x ry a a 4 6_' k 1 5, a� Y ac r� 17
00
i�
Crc9 r s a�"�� aw
(Please see the following pages for details.)
P�s tr
HSSeI JEYa11S a a -p W. s s
�`fNalcet tAadel
Serial Number Asset Numker ContractNumber Payment Amount `Saie5tUse�Tax �r Total Amount
�J `a M§ _,'s .4f. rr'. G",�`4 #F
ONMINIC20X CFDO130001271 24954963 1 1 24954963 1 $88.00 $0.0 $88.00
sset'Locatiow 1 C1VIC,SO CARMEL.HAULTON IN 46032 =7569. United. States:z
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ll' =>fiPOR A i RENII D R: Enclose remittance slip with your check and send it to the ar dress or, reverse
i 'c ensure a ccurate and ti?l ely p-oc :ssing of yc-ur pcayrf eint. For prompt feview and hard i11�, -lease
send otne correspand race and notices se Para -le to the a ttent ion of: Customer Se3 viuea DE LAGEI LAI D'E-'14
111 OLD FAGLE SCHOOL. VV Y 4F-.. PA 1908 -14x3.
,;en'rrai account inforrnati, 2- Fours. a day 7 Gays a w eK, visit our!,'vebs!tG
Please remit gay "Ile ats at least 5 business days prior to roue date>
Please be sure to record your Invoice or Account Number on the check,
Exp lanation of Charges:
It is €riportant to us that you understand the charges can your invoice. please refer to this guide as
as'S --ta; ce.
.k' one. 1,i€1Ta C _,catty "S tar€ ;_'-r f.. C-C f§i`{1g,,5 OriCt
2. INSURANCE ("HAP yL.
A raharq €5 dun •ach twilling peer od as the r s! !t of ,l,e egoiprnent toeing inst;r- d by the lossor against M r isks of loss or dla
3. PAY M1 -1`4T
,�it31£Jr,Ptl'e (,iii€ Cu�;i3 l: {r'ta °3CSiL3t in ia:;C�' "d%ir7`.;E? llV;t'F itiE r €'tt' of il'f Cs.�nt,r"raCt.
y: =oar Ea 01' 'er t in noo roceived Eay its due Mate as p- cvidc -d by the, er €a a
vvh er a pa mere, is of received by its r:<ue crate, as croviclf, by fte conlra;,t.
u.
SAI y
Thy era 4� uae tax is dcre in accorcfaroe ti ifh tl "M,
x t<a s of the s €ate(s? where ttie ec,uipn. nt Ir, icy sa €ed. I or gUestions aho €.t
taax +sea €i s!; t .(800) 488- OF,44.
Tttc, It >s; >c.r, as owne of floe egUir taent, is assessed and pays i)ro,perty MX to the ,.)DPF0 r :RtE taxing auN,, ;rqv can ,m a€tn'uoic
basis. ,ar the leasa contract_ the Lessee l,as agreed to taimburse the Lessor for all properly 'taxes paid on their behalf plra
roasonaaie admiraistratve costs. For gUe-3 0;M abort 'axes caW 1_(600) 488
3. f`tETUte'WA C'HEC',K €:t:E
Fssesset e,a:_il time a check is returned for any reason.
i�sass'F,d w O; n the Lessee requests art additional cony of the rap ,tract.
10. A1X0UW SIAT Et -EN"l
Overr3ew of aroor invoices for wi rao Payment was receiVed at Vte throe the oarreN invoice was pr!n?ed.
C orrespondence Address:
Custarner Service, DE LAGE LA DEN 1111 OLD EAGLE SCHOOL RD, WAYNE, PA 19 -1453 or call:
800- 736 -€220
Piease send all written enquires to the address indicated above. Please do not send checks to the address
as th Mi delay the posting of payments to your account.
aooss�zn /oanss3o
'Accaunt`SStatement
0
e cwt .Amount= lnvo3Ced,� i�,.wr� t.. a�
.m` Due Dates Balance -s� Due
Invoice NUnaer r..
2836169 08/15/2009 588.00 $88.00
Tol :BclanceDue- for.Prior =Bilfed lroices,�
ta
Prescrib -.1 by State Board of.Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
9/14/09 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))
8/22/09 3115809 Copier rental fee 8/15/09 9/14/09 $88.00
Total 88.00
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. r _WARRANT NO.
x''14/09
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
3115809 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
Si tune
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund