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208683 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351592 Page 1 of 1 0 ONE CIVIC SQUARE FORD MOTOR CREDIT CO CARMEL, INDIANA 46032 MUNICIPAL FINANCE CHECK AMOUNT: $6,450.92 PO BOX 1739 MD 7500 CHECK NUMBER: 208683 DEARBORN MI 48121 -1739 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4352600 9063600 6,450.92 AUTOMOBILE LEASE 40* I FORD CREDIT Invoice Invoice Date: May 4, 2012 City of Carmel Lessee: Dept. of Administration One Civic Square Carmel, IN 46032 Lease Schedule No. Payment Due Date Description Payment Amount 9063600 05/25/2012 2012 Ford F -250 SuperCab, 1 FT7X2B63CEB84459 $6,450.92 Underwriting Fee $000.00 Total Amount Due: $6,450.92 Payment Options: Payment by check: Make check payable to "Ford Motor Credit Company LLC" and attach to the original signed documents or remit to: Ford Motor Credit Company LLC Attn: Municipal Finance 1 American Road, MD 7500 Dearborn, MI 48126 Payment by ACH Credit or Wire Transfer: Send to Comerica Bank, 39200 West Six Mile Road Livonia, MI 48152 -07539 ABA Routing No.: 072 000 096 For Credit to: Ford Motor Credit Company, Municipal Finance Clearing Account Account No.: 107 613 438 4 Reference your lease number 9063600 and City of Carmel in the OBI section Customer Service: (800) 241 -4199, extension 15 Email: fcmuniMord.com 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 ka MvxifL. j j i CjIAAPA. J L Purchase Order No. Terms Date Due Invoice Invoice Description Amount y{� Date Number (or note attached invoice(s) or bill(s)) r "IZ !Ci(OOO P Total 0. 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 �QO IV�•rv2 �iT �9M P/��l �t, LL 'C� ��D l�a �w�P ,9•rJ�, VL,� IN SUM OF 3 Arvtc gmai 4LA6 M 67-5b 0 Oo37�e.j MT 4Y X50. ,z ON ACCOUNT OF APPROPRIATION FOR C.�ard -L A t J 1 Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or %ZOS' �o/3�pU aoe 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 V Ai ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund