207520 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE 'p�
0 CHECK AMOUNT: $61.00
CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES
PO Box 41602 CHECK NUMBER: 207520
PHILADELPHIA PA 19101 -1602
CHECK DATE: 3126/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 12767583 61.00 COPIER
Keep lower portion for your records –Please return upper portion with your payment
KONICA LEASING A PROGRAM OF DE LAGE ``,Inyorce'Date u Invoice NumberyAccount s;
LANDEN FINANCIAL SERVICES 02/25/2012 12767583 73898
PO BOX 41602
PHILADELPHIA, PA 19101 -1602 Periodfof Performance Contract- Number„ M
02/15/2012— 03/14/2012 25021065
Important Messages
Please visit us online at www.lesseedirect.com to:
-Make payments
-View copies of your contract and open invoices
See Reverse for Important Information
x
Invoice'Detals
Descnptlon may Payment Amount Sales/Use Taz14, i 6tal Amount
PAYMENT $61.00 $0.00 $61.00
Billepisinrroice $61:00
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Asset °DetailsE� s
a! Contract Number Serial Number Make /Model' Asset Number; Payment Amount Sales /Use,Tax i Total Amount
25021065 AOFDO13002984 KONMIN /C20 25021065_1 $61.00 $0.00 $61.00
Asset Locat on 1
civic SQ CARMEL HAMILTON IN 46032 7569 United States
i
s
T "Asset Amount Total $tit 0 0.
IMPORTANT REMINDER: Enclose remittance slip with your check and send it to the address on reverse
side to ensure accurate and timely processing of your payment. For prompt review and handling, please
sent( ether correspondence and notires separately to the attention of: Customer Service KONICA LEASING
A PROGRAM OF DE LADE LANDEN FINANCIAL SERVICES 1111 OLD EAGLE SCHOOL RD, WAYNE,
PA 190£37 1493.
For general account information 24 hours, a stay, 7 clays a week, visit our website www.lesseedirect.com.
Please remit payments at least 5 business days prior to due date.
Please be sure to record your Invoice or Account Number on the check.
E of Charges:
It is inlportant is us that you understand the charges on your invoice. Please refer to this guide as
assistance.
1. DOCUt1tEN f AI ION FEE
A one time; charge assessed on the new transactions. 1 his fee covers the cost of UCC filings and other docurnentation costs.
2. iNSURANCE CHARGE
A charge due ea billing period as the result of the eq€ ipinent being insured by the lessor against all ;isles of less or dwnage.
I PAYI ',TENT
Amount due: each period in accordance with the te;rrvis of the contract.
4. LrA_i CHARGE
Assessed when at payment is not received by its due (late, as provided by the contract.
5. LATE FEE
Assessed when a payment is not received by its due date, as provided by the contract.
E;. SAi...ES/USE TAX
i "ht salestuse tax i> due; in accordance w th the tax laws of the state(s) where= the equipment is located. For questions about
taxes call the Custorner Service nunEber mentioned belong.
7. ('t:OPLKY I AX
Tfhe le,,sor, as owner of the equipment, is assessed and nays properly tax to the appropriate taxing authority ors an annual
basis. Per the lease contract, the Lessee has agreed to reimburse the I...essoi for all properly taxes paid on their behalf plus
re°asonaf) e administrative costs. For questions about taxes call, Custorner Service number mentioned taeAovv.
8. RL I t1RNED Cl IE:CK FEE
A;;;essed each brae as check is returned err any reason.
9. OPY F EE
Assr,ssa .t vvl'aen the Lessee requests an addit onial ccapy o the c<>ntraict.
10. ACCOUNT STATEMENT
overvievv of prior invoices for which no payment was received at the time the current invoice was printed.
Correspo Address:
Customer Service, KONICA LEASING A PROGRAM OF DE LAGS LANDEN FINANCIAL SERVICES 1111
OLD EAGLE SCHOOL RD, WAYNE. PA 19087 -1403 or roll: 800 -7301 -0220
Please send all written enquires to the address indicated above. Please do not send checks to the address
as this will delay the posting of payments to your account.
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
Konica Leasing A program of De Lage Landen Fina cial Services
Purchase Order No.
P. O. Box 41602
Terms
Philadelphia, PA 19101 -1602
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -20 -12 12767583 KONMIN /C20 Biz Hub per the attached invoice $61.00
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 IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Leasing A Program of De Lage Laden Financial IN SUM OF
P. 0. Box 41602
Philadelphia, PA 19101 -1602
$61.00
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND 209
430 -53004 Copier
Board Members
f4r INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
209 12767583 $61.00 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 l�
S' ur
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund