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170300 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 357805 Page 1 of 1 ONE CIVIC SQUARE BANC OF AMERICA LEASING f CARMEL, INDIANA 46032 P 0 BOX 7023 CHECK AMOUNT: $328.35 TROY MI 48007 -7023 CHECK NUMBER: 170300 *or CHECK DATE: 41112009 DEPARTMENT= A CCOU NT PO NUMBER INVOICE NUMB AMOUNT D '902 4353004 010906901 328.35 COPIER �q PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT For assistance with your invoice: PH NE FAX TIME E -MAIL CUSTOMER SERVICE INQUIRIES 800- 959 -5936 248- 341 -0474 8:30 AM TO 6:30 PM EASTERN customersvc @leaseadmincenter INSURANCE INQUIRIES 800 -913 -9331 425.649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @ptls.com R "NOTICE EFFECTIVE OCTOBER 1, 2008 ALL RETURNED PAYMENTS WILL BE SUBJECT TO A $35.00 RETURNED PAYMENT CHARGE Invoice Number 01 09 0690 1 -5 9 Cdntract 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 S1 PAYMENT 05/01/09 04101109 04130109 328.35 328.35 Your Ref, STE 140 MINOLTA COPIER CARMEL, IN 46032 C450 311702472 CONTRACT SUBTOTAL $328.35 (TOTAL CURRENT CHARGES 328.35 BANC OF AMERICA LEASING INVOICE NUMBER: 010906901 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: DOC FEE: One time administrative fee to cover lessor's expenses when the contract commences. SEC DEP: Security Deposit SRV: Service and Supply 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.gov /PublicEd Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 �W' Purchase Order No. L 7 a75P �11?i7i3 �i�g'7i 0.1 L P"A" O 13 ax 762.3 Terms off-, /V!/ �c�l��`� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) oy al b 9 (1169dG90/ Total 32 5 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 ti. Zeogaf� ��li9i%hi y fr�u,� IN SUM OF J'�p /3�y- 7D23 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �D2 010 O6 O/ °13 5300% 52, 35 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 3 3 v 200 gnature Cost distribution ledger classification if Title claim paid motor vehicle highway fund