HomeMy WebLinkAbout211834 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
�t0 ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE SAG
? CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES CHECK AMOUNT: $61.00
ToM`o PO BOX 41602 CHECK NUMBER: 211834
PHILADELPHIA PA 19101-1602
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 14469692 61 . 00 COPIER
00021184/0003221?
Account Statement
Invoice Number Due Date Amount Invoiced Balance Due
13819863 06/15/2012 $65.00 $4.00
14128313 07/15/2012 $62.74 $62.74
Balance Due for Prior Billed Invoices $66.74
� �— Keep lower portion for your records-Please return upper portion with your payment
KONICA LEASING A PROGRAM OF DE LAGE Invoice Date Invoice Number Account
LANDEN FINANCIAL SERVICES 07/21/2012 14469692 73898
PO BOX 41602
PHILADELPHIA, PA 19101-1602 Period of Performance Contract Number
07/15/2012—08/14/2012 25021065
Important Messages
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-Make payments
-View copies of your contract and open invoices
See Reverse for Important Information
Invoice Details
Description Payment Amount Sales/Use Tax Total Amount
PAYMENT $61.00 $0.00 $61.00
Billed this Invoice $61.00
Balance Due Previous Invoices $66.74
Total Amount Due $127.74
'Please see the fo.lowing pages for:et As?
Asset Details
Contract Number Serial Number Make/Model Asset Number Payment Amount Sales/Use Tax Total Amount
25021065 AOFDO13002984 KONMIN/C20 25021065_1 $61.00 $0.00 $61.00
Asset Location:1 CIVIC SO CARMEL HAMILTON IN 46032-7569 United States
Asset Amount Total $61.00
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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 I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8-9-12 KONMIN/C20 Biz Hub per the attached:
Invoice No. 14469692 $61.00
1.00
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
Knnira I aacinn A Program of Na I aqp I aden Financial IN SUM OF $
P. 0. Box 41602
Philadelphia, PA 19101-1602
$ $61.00
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 14469692 $61.00 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
q 20
intre
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund