HomeMy WebLinkAbout207839 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032 PO Box 41602 CHECK AMOUNT: $88.00
PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 207839
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4353004 13079949 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
DE LAGE LANDEN Invoice Date Invoice Number Account
PO BOX 41602 03/24/2012 13079949 73898
PHILADELPHIA, PA 19101 -1602
Period of Performance Contract Number
03/15/2012— 04/14/2012 24954963
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
Invoice,Details,
Dest ription; e Payment Amount Sales /Use Tax Total Amount
PAYMENT $88.00 $0.00 $88.00
.'Billed this. nvoice�:- -$88.00:
Balance Due_for Prior Billed_Inveices, $88.00
Total $176.00,:
Haase sea ,he foilowing pages for deta I.,
,Asset Details
Contract Number'_ Serial Numtier,, r Make l Models Asset Number;, .'Payment Amount SaleslUse.Taz:.�` ti i;Total Amount
24954963 OFDO13000127 KONMIN /C20X 24954963_1 $88.00 $0.00 $88.00
Asset Location_ 1 CIV16 SO CARMEL HAMILTON IN 46032 -7569 United States 4,
;Asset Amount Total $88:00
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Corres ortdenc Address
Customer Service, DE LAGE LANDE1' 1111 OLD E.QLE SGI FRQ WAYNE PA 190841 or call:
800'736-0220
Please send aUwMn enquires, to the address indicatedabove. Phasedo not send checks, to the
addnamn
��'his will d�/eythe ofpn'ymenteUoyouraoux"Ount'
00009385/00013933
Account Statement
:Invoice Number Due Date Amount Invoiced Balance Due
12747068 03/15/2012 $88.00 $88.00
Balance Due for'Prior Billed Invoices $88.00
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/24/12 13079949 $88.00
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
De Lage Landen
IN SUM OF
P. O. Box 41602
Philadelphia, PA 19101 -1602
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1203 13079949 43 530.04 $88.00_ I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
l which charge is made were ordered and
received except
Friday, April 06, 2012
Community Re
Title
Cost distribution ledger classification if D
claim paid motor vehicle highway fund