174217 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 357805 Page 1 of 1
e ONE CIVIC SQUARE BANC OF AMERICA LEASING
CARMEL, INDIANA 46032 P 0 Box 7023 CHECK AMOUNT: $328.35
TROY MI 48007 -7023
CHECK NUMBER: 174217
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUM BER I NVOICE NUM AMO UNT DE
9`02 4353004 011050826 328.35 COPIER
PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT
for assistance with your invoice: PHONE FAX TIME E -MAIL
CUSTOMER SERVICE INQUIRIES 800- 959 -5936 248 -341 -0474 8:30 AM TO 6:30 PM EASTERN customersvc @leaseadmincenter.com
INSURANCE INQUIRIES 800 913 -9331 425- 649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @plls.com
a *`NOTICE EFFECTIVE OCTOBER 1, 2008 ALL RETURNED PAYMENTS WILL BE SUBJECT
TO A S35.00 RETURNED PAYMENT CHARGE Invoice Number 011050826.89
Contract Number
Customer Reference Number
Equipment Description
Model Number Equipment Detailed Payment Billing Payment Sales /Use Total
Serial Number Location Charge Description Due Date Period Amount Tax Due
008. 2215623 -000 111 W MAIN ST PAYMENT 08101109 07101109 07131/09 328.35 328.35
Your Ref: STE 140
MINOLTACOPIER CARMEL, IN 46032
C450
311702472
CONTRACT SUBTOTAL 5328.35
OTAL CURRENT CHARGES 328.35
✓P C,
73ANC OF AMERICA LEASING INVOICE NUMBER: 011050826
Your Lease Administration Center (LAC) Invoice includes charges for the dates indicated. Please process your payment so it arrives
at LAC prior to the date shown. Any questions concerning performance of your equipment should be directed to your local dealer.
The following terms explain your invoice.
DATE DUE: Your contractual due date, after which late charges may be assessed.
INVOICE NUMBER The number should be referenced on the face of any remittance.
TOTAL AMT DUE: The sum of your CURRENT PERIODIC CHARGE plus any PREVIOUS AMOUNT DUE.
PREVIOUS AMT DUE: Any contractual amount previously invoiced and remaining unpaid.
CURRENT AMT DUE: Amount due for the Current Period's charges ONLY.
CONTRACT NUMBER: This is your Lease /contract number used to identify your account. This number should be given to Customer Service
when making an inquiry and on all Correspondence.
CUSTOMER REFERENCE NUMBER: Any reference number provided by you such as: Purchase Order, Department, Cost Center Numbers, etc.
BILLING PERIOD: The dates which are applicable to the CURRENT PERIODIC CHARGE. The billing period is based on a calendar month
regardless of the due date, unless otherwise specified.
PAYMENT AMOUNT: The payment due under the terms of your contract PRIOR TO ASSESSMENT OF SALES /USE TAXES.
Your payments may be adjusted pursuant to the terms of the agreement and /or adjustments made to one or more of your equipment schedules.
LATE CHARGE: Any contractual payment not made on, or before, the due date is subject to the assessment of late charges as outlined in
your agreement.
INSURANCE CHARGE: If your equipment is insured through the arrangement that we have with Premier Lease and Loan Services,
the insurance charge is reflected here.
SALES /USE TAX: Tax assessed by your taxing authority and added to your contract payment.
OTHER CHARGES THAT MAY BE DUE UNDER THE TERMS OF YOUR AGREEMENT:
DOG FEE. One time administrative fee to cover lessor's expenses when the contract commences.
SEC DEP: Security Deposit
SRV: Service and SUnply charges
PPT: Itemization of Personal Property Tax (PPT) Charge: Personal property taxes are assessed by your local tax authorities based on the value
of the equipment. Under the terms of your lease agreement you agree to reimburse us for this charge plus an administrative fee, if provided in your
lease agreement. The PPT Charge shall be periodically added to your invoice and should be remitted along with your regular payment. The PPT
Charge on your invoices is a charge that is subject to sales tax (where applicable) and includes the following components:
Personal property tax: the amount that your taxing authority assesses based on the depreciated value of the equipment
and current personal property tax rates.
Administrative Fee for Personal Property Taxes: a charge for each item of equipment, that will not exceed $12.00 per tax
assessment. (The administrative fee will only be charged if provided in your lease agreement.) If the PPT charge exceeds
$5,000, a copy of the PPT bill will be mailed within 14 days.
OTH: Other miscellaneous charges such as, equipment return, collection charges, attorney's fees, etc.
READING PERIOD: The frequency that your overage usage charges are billed.
ALLOWANCE: This is your MINIMUM number of copies required to be billed for each reading period.
END READ: The meter usage at the time of your last reading.
BEGIN READ: The meter usage at the time of your previous reading.
SERVICE CREDIT: Any copy credit given on your copier.
OVERAGE RATE: The rate at which your overage copies are charged.
USAGE: The number of copies used in excess of your allowance.
OVERAGE CHARGE: This is the charge for the number of copies which exceed your minimum usage.
(usage multiplied by the overage rate)
CALIFORNIA E -WASTE FEE. If you live in California, state law requires you to recycle your covered electronic device. You can find how to return, recycle and dispose of a
covered electronic device at www.ciwmb,ca.uov/Publ cEd
„1 by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
s3,r)x 7023 Terms
�rl6� 7 7 2 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
G i1� 'Qsr 321y' -3S'
f”
_y
Total 32..3s
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. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Port or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Lf'D
0110S0,26 2 1,35 5(50 1 322 35 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
2
Sig ature
Director of Operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund