208946 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
f ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032 Po Box 41602 CHECK AMOUNT: $88.00
PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 208946
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4353004 13409514 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
Invoice Numbe, ...Account'
DE LAGE LANDEN �Inyoice Dated �'��M..;�.
PO BOX 41602 04/21 /2012 13409514 73898
PHILADELPHIA, PA 19101 -1602
Periodo P erformance Contract�Numbe�r�
04/15/2012— 05/14/2012 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
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Desc P tlon� Pa ment Amount SalesllJse Taxes Tt tal Amount
PAYMENT $88.00 $0.00 $88.00
Biliedtfiis Invoice w. q
Balance DueF Pre�wus irivoices�
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Total Amount Due
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(Please see the following pages for details.)
Asset ails fix:
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ContraeeNumber r Serial Number s Make Modeh ASSet Number Payment Amount I' SalaslUse�x I s f Total Amount N
r.' RED
24954963 OFDO13000127 KONMIN /C20X 24954963_1 $88.00 $0.00 I $88.00
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Asset Location 1 CIVIC -SO CARMEL HAMILTON IN 46032 7569[Umted States r r
Asset Amount Total, 00
IMPORTANT REMUADET FMcbse renduance sup wS yow ano senc! it to the address on reverse
side to ensure accurwe and timely Of Your payrnmL Fir InDmpt review and hatuditig, please
send ufternonespondence and noUneosepany(e|ylto|heaXendnn of: Cuutome/ Service OELAGELANDEN
1111 OLD EAGLE SCHOOL RID. VV4YNE,PA10U87-1453.
For genena|accouniiidonnAUon24houraa day 7 Sys a week visit our waboikavi�ww]epsoedin:ftConn,
P|ease n=mitpoYmomots at |eaSt 5 IuS:'asti doyo prior I() Cloe dame�
Please he sure to record your Invoice orAocountNumube/onzhecheck.
Explanation of Ch
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C was d Addres
Gustarner Service, DE LAGE LAN[)L I I'll QIJ) E SCHOOL RID, WAYNE, PA 19087 or call:
808'786'8220
Phase send all wri8enenquirosioftea0d/aaaindica\edai)ouoP\eaaedo not send checknioU)eaddress
ao|h/sxvU/ delay Uhe posting u/peymen|aio your aoo)uni
00007678/00011629
'Account Statement
a
6 ue Date r Amount, Invoiced y tBalance Due
Invoice Ner
INS
D
13079949 04/15/2012 $88.00 $88.00
Balance Duenfor
P0 4i
,E,.
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))
04/21/12 13409514 $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 13409514 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
which charge is made were ordered and
received except
Monday, May 07, 2012
Community Relations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund