210319 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032
PO BOx 4"M ,j�, -4 C�S� CHECK AMOUNT: $88.00
ti. PHILADELPHIA PA 19101 -1602 CHECK NUMBER: 210319
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4353004 2945424 88.00 COPIER
de lage landen QD
De Lage Landen Financial Services, Inc.
PO BOX 824018
PHILADELPHIA, PA 19182 -4018
Full Buyout with Equipment Return
Quote Effective Date: June 28, 2012
To: From: Julie Myers
CITY OF CARMEL DE LAGE LANDEN
ATTN SHARON KIBBE 1111 OLD EAGLE SCHOOL RD
1 CIVIC SQ WAYNE, PA 19087 -1453
CARMEL, IN 46032 -2584
Customer Information
CITY OF CARMEL Contract: 24954963
ATTN SHARON KIBBE Account Number: 73898
1 CIVIC SQ Equipment: SEE ATTACHED
CARMEL, IN 46032 -2584 Quote Number: 2945424
Per your request, the Full Buyout with Equipment Return payment due on the above contract is:
Remaining Payments: $88.00
Less Discount: $0.00
Equipment Price: $0.00
Sales Tax $0.00
Property Tax Reimbursement: $0.00
Outstanding Charges: $0.00
Less Security Deposit: $0.00
Full Buyout with Equipment Return Amount: $88.00
This Buyout payment is due upon receipt of this invoice. Our office will contact you upon receipt of the amount to make arrangement for the return of the
equipment. This Buyout quote is void if payment is not received by July 28, 2012.
Please include a copy of this invoice with your remittance. Your check should be made payable to DE LAGE LANDEN and mailed to PO BOX 824018
PHILADELPHIA, PA 1918211018. Attention: Julie Myers. Please include the following information to facilitate the arrangement for return of the
equipment:
Contact Person: \CY 1�U5 C�' Qd 11 C f f.YY\OVz4b
Phone:
Fax or E -Mail Address: M eye f
Meter/Usage Reading:
Equipment Location:
(City, State, Zip Code)
If you have any questions, please call Julie Myers at Phone -+I (610) 386 -5000 x 1710.Thank you for allowing us to serve you.
Keep upper portion for your records Please return the lower part with your payment
Remittance Section
delage landen
Quote No. Contract Due Date
De Lage Landen Financial Services, Inc. Number
2945424 24954963 07/28/2012
Total Due I Enclosed
$88.00 1
Please make check payable to
CITY OF CARMEL DE LAGE LANDEN
ATTN SHARON KIBBE PO BOX 824018
1 CIVIC SQ PHILADELPHIA, PA 19182 -4018
CARMEL, IN 46032 -2584
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delgelndenS
De Lage Landen Financial Services, Inc.
PO BOX 824018
PHILADELPHIA, PA 19182 -4018
Equipment Schedule for the Full Buyout with Equipment Return
To: From:
CITY OF CARMEL DE LAGE LANDEN
ATTN SHARON KIBBE 1111 OLD EAGLE SCHOOL RD
I CIVIC SQ WAYNE, PA 19087 -1453
CARMEL, IN 46032 -2584
The Buyout in the amount of $88.00 dated June 28, 2012 for Contract Number 24954963 with CITY OF CARMEL only applies to the equipment listed
below:
Make Model Serial Number_
KONMIN C20X OFD013000127
VOUCHER NO. WARRANT NO.
ALLOWED 20
De Lage Landen Financial Services, Inc.
Julie Myers IN SUM OF
P. O. Box 824018
Philadelphia, PA 19182
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1203 2945424 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
Frida June 29, 2012
Community Relation
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/28/12 2945424 $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