177106 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 362615 Page 1 of 1
ONE CIVIC SQUARE BANC OF AMERICA LEASING
CARMEL, INDIANA 46032 LEASE ADMINISTRATION CENTER CHECK AMOUNT: $1,006.98
PO BOX 371992
CHECK NUMBER: 177106
PITTSBURGH PA 15250-7992
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMB AMOUNT DESCRIPTION
2200 4353004 011146799 1,006.98 COPIER
9
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 866 -939 -4705 6:30 AM TO 6:30 PM EASTERN customersvc@leaseadmincenter .cam
IMSURANCE INQUIRIES 800- 913 -9331 425- 649 -5918 9:00 AM TO 8:00 PM EASTERN cs- seattle @plls.com
A Payoff requests can be emailed to dg .buyouts @leaseadmincenter.com.
Invoice Number 011146799-09
Contract Number
Customer Reference Number
Equipment Description
Model Number Equipment Detailed Payment Billing Payment Total
Serial Number Location Charge Description Due Date Period Amount Tax Due
008- 3038999-000 1 CIVIC SQUARE PAYMENT 10101109 07101109- 09130109 1,006.98 1,006.98
Ycwr Ref: ENGINEERING DEPT
KONICA MNCLTA COPIER CARMEL, IN 46032
0451
A00KO10003948
CONTRACT SUBTOTAL $1,006.98
OTAL CURRENT CHARGES 1,006.98
BANC OF AMERICA LEASING INVOICE NUMBER: 011146799
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 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
Banc of America Leasing
Purchase Order No.
Lease Administration Center
Terms
PO Box 371992
Date Due
r_JLtZ)UU1q1 VP
A 15250-7992
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/22/09 411146799 Minolta Lease 1st 07101109 -09130109 $1,006.98
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ranc of AmPri _a I easing IN SUM OF
Lease Admi Center
PO Box 371992
Pittsburgh, PA 15250 -7992
$1
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
na 011146799 ',200-4353004
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
GPI e' -\C��°
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund