210923 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
0 ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE LA�
CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES CHECK AMOUNT: $62.74
`r• PO BOX 41602
o„ CHECK NUMBER: 210923
PHILADELPHIA PA 19101-1602
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 14128313 62 . 74 COPIER
..........................................................................................................................................................................................................................
Keep lower portion for your records-Please return upper portion with your payment
KONICA LEASING A PROGRAM OF DE LAGE ,`Invoice'Date .u', InvojceNumber
LANDEN FINANCIAL SERVICES 06/23/2012 14128313 73898
PO BOX 41602 , ,., , ,,, .0 w .
ax 1� F;
PHILADELPHIA,PA 19101-1602 g
Period10 f�Performancex Contract Number_;
06/15/2012—07/14/2012 25021065
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
goo
,d/ .F „
Descrlptlon j.F, ,, r y 'Payment Amount SaleslUse Tax Total Amount
PAYMENT $61.00 $0.00 $61.00
FINANCE CHARGE $1.74 $0.00 $1.74
13lledth'islnvoice y 'Al
__, .,. � � , t. ._6�„� .. . .�. .�, ... �.., , M�.. ..
Balance`Due Previouswlnvotces y' �j $65 00
TotalAinount"Due i � ' ' � `
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(Please see the following pages for details.)
ASSet Details : ✓�� A
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Contract Number , 3erlal Number -Make/Modals Asset Number vPaymentAmount SaleslUse Taz Total Amount
''�:�. .drKa.�. .`� ., ,.. .:,eSTsC,L,.,, cu,; ,:,fie,: Fes.., s'd„
25021065 AOFDO13002964 KONMIN/C20 25021065_1 $61.00 $0.00 $61.00
b / w NOW,
Asset Location.t CIVIC SO CARMEL,H MILTON IN 46032 7569 United,States r.
' ' 5 Ass t AmountTotal$61 00
|MFORTAWTREM|NDER� Enclose mWittmaeslip mAh ymurcheck and send it to the ��rasscnreverse,
she N onoune acounete and 8ma|y processing nfyour payment. For ptonVit revm and |`mnd|ing. [Uease
mend o\horournampondenoe and nndoea maPaoaba|ytothe attention ot Customer K(�NiCA LEASING
A PROGRAM DFDELAGELANDEN FINANCIAL SERV|CE81111 OLD EAGLE RD. VVAYNE`
PA 1908T1453.
Far Qanena| anozuniinhormohon24 haws m day 7 days avveek. visii our v{abmiMa �w�/]aammedir�rtcnm
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Please remit paymnenkmatLast 5 business (lays prior tm due date.
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Please be sure to record your Invoice ur Account Nummberwn the(Aiack.
Explanatiorii of Ch
It is irnporiant to us that you understandMie charges on your Invoice, Please refer to tNb guida as
assistance,
1 DOCUMENTATION FEE
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Correspondence Add
Qstonwr Service, KONICA LEASING A PROGRAM OF DE I-AGE LANDEN FINANCIAL 1SI--.-,I-1,VICES 'I 111
OLD EA(.)LE SCHOOL. RD, VVAYNE. PA19OB7-145@mr call: 8OD-73B-U220
Please send all vvh((en enquires iothe addnesa wioated above, Please do not send checkekzthe eddnaam
es this vU| delay the posting ofpayn/en(oio your account.
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00023105/000342'r2
Account Sfat®ment �j .« Y � .. >•
<�involce Number< � Due Date`s � Amount Invoiced � Balance Due �
Nom'' s.� ,�� .,A, ' f..�� rs�L,�k✓i.< a�at �.� �,e ,�:...�z. �.
13819863 06/15/2012 $65.00 $65.00
Balance DueforPrior �IIedInvolces
B $6 0.
LateiFeeand Fin"ance Charge�Details " ' �. ' r, � F,
. �
p .�7 .' : t �^ 4:: Past Due Involc® �
Past Due Invoice
k'P-,ast Due,Invoice 2Past Due Invoice .:• � Past Dueflnvoice�, � in�arice ChgNumber Description °`Due Date ,t,. PaymentQDate�u ,� � 2.„toL'ateChar "e , ,� ._..
13098843 04/15/2012 06/11/2012 $1.74
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
Konica Leasing A program of De Lage Landen Financial Services
Purchase Order No.
P. O. Box 41602
Terms
Philadelphia, PA 19101-1602
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7-11-12 KONMIN/C20 Biz Hub per the attached:
invoice No. 14128313 $62.74
Total
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
Konica Leasing A Program of De Lage Laden Financial
IN SUM OF $
P. 0. Box 41602
Philadelphia, PA 19101-1602
$62.74
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND - 209
430-53004 Copier
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
209 14128313 62.74 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
ZIA 20
re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund