209594 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DELp�
CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES CHECK AMOUNT: $88.00
PO BOX 41602 CHECK NUMBER: 209594
PHILADELPHIA PA 19101 -1602
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 13812839 88.00 COPIER
Keep lower portion for your records -Please return upper portion with your payment
DE LAGS LANDEN `invoice DateF Invoice NumberG��lAc Aim
PO BOX 41602 05/20/2012 13812839 73898
PHILADELPHIA, PA 19101 -1602
Period of Pe`rForm Contract Number
05/15/2012— 06/14/2012 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
Invoke Detaiis�fi
Descrt t on y ;y r` yP y exit Amotintf SalesfUse Taz Ttital Amount
PAYMENT $88.00 $0.00 $88.00
BIIIetl this.AnVolip a 2*21"
Balance Due Prevlous�involces '�,s E x $88 00
TotalAmountD
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(Please see the following pages for details.)
Contract Numbei Serial Number &Make 1 Model Asset Number Pa ment Amount Sal s Use x
�ITotal Amount,," fir,
24954963 OFDO13000127 KONMIN /C20X 24954963_1 $88.00 $0.00 $88.00
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Asset Location 1 CIVIGSO CARMEL HAMIL° °TON IN 46032 7569 United States F
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set Amount Total= 88 00
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InvoicelNumber �,��Due�Date�, Amount Invoiced a „Balance'Due���
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13409514 05/15/2012 $88.00 $88.00
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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))
05/20/12 13812839 $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. W ARRANT NO.
ALLOWED 20
De Lage Landen
IN SUM OF
P. O. Box 41602
Philadelphia, PA 19101 -1602
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 13812839 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
Mon June 04, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund