212663 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
t'. ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE�FiE��pp��;;
II CK AMOUNT: $61.00
CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES
PO BOX 41602 CHECK NUMBER: 212663
PHILADELPHIA PA 19101-1602
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 14849017 61 . 00 COPIER
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 08/25/2012 14849017 73898
PO BOX 41602
PHILADELPHIA,PA 19101-1602 Period of Performance Contract Number
08/15/2012—09/14/2012 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
Invoice Details
Description Payment Amount Sales/Use Tax Total Amount
PAYMENT $61.00 $0.00 $61.00
Billed this Invoice `:%F " . ;,r ; $61.00
Balance Due Previous Invoices $65.00
_Total_Amount_Due $126.00
_. _ _ _ �. .._._ _.r_. .w., .._:_.
(Please see the following pages for details.)
Asset Details.: -
-i-.Contract Number'_ Serlai Number Make/Model Asset Number Payment Amount Sales/Use Tax Total Amount;
25021065 AOFDO13002984 KONMIN/C20 250210651 $61.00 $0.00 $61.00
'Asset Locatlon:1 CIVIC SO CARMELHAMILTON IN 46032-7569 United States
Asset Amount.Total$61.00
;tPfur l' fr1NDE!•. 1�C;IuSe r:vi?`fi'ti3' C,e slit.; Iv `stCC1,'C la? ll"{d :if n l , it: ;?
side to ens.jr>e accurate and timely processing of your payment. For prompt review and 'handhig, please
.-.send other correspolhdenc; and notices separately to the attention of: Customer lervice KONI!CA LEASING
A PROGRAM OF DE LAGS LANDEN FINANCIAL SERVICES 1111 OLD EAGLE SCHOOL RD, WAYN—,
PA 19087-1453
or ioenera; account I iformation 24 flours a day; 7 days a week, visit our we'site b`Yww.lesseedirect.com.
a Please remit pays:-tents at least 5 business rays prior to due date.
Please be sure to record your Invoice or Account Number on the check.
Explanation of Charges:
It is important to us that you understand the charges On, your invoice. Please refer ie this guide: as
:assistance.
1. c,OCUrx^ENTATION FEE
F<one charge ai5•::iSi',CI on the^=;ry transaction?s.i h1-fea CC~Ver5 ti"�;-:(;i)St of II C:(.:fe It?C=and E,:.`3er dt;C:itrif;nt�:tiCin.^,i}StS.
2. INSURANCE CHARGE
r,•tlarge true=each bill!t`g period as the result of the equiprner?t being ins:ir^C4 tt the iE'SSD'•'' %31r`St a.'risks;:{it?5 or liar?}a{'j,?,
�. PA'0,,.,,!E I
T
A^;ount due each billings period in accordance with the terms of the contract.
rE'.rl; RGE
Assesses(when a paymont is not received vy its due date,as provided by tale contract.
LATE FEE
Ass_;f.-i(,:1 wher:a payrnent is;'r)t received by its due data,r-;s provided tjv the contract.
6. SALES/USE TAX
The sale:':'se tax is due in accordance,w'lh t?e tax laws of the statei,$)w,lere the ec.d:c.r en0 :S located, F cr m15,st nns m,kvct
tors i.aii the Cut iome,Service number mentioned below.
PROPERY TAX
Tne icss',:;r,as owner or:ne eq.iipment,is-issessed and property tax to tha apprcrlriatc:faxing authw:ly on an annual
basis. Pie the lease co,tract,the Lessee has agreed to rr-mburse the Lessor for all property taxes paid on their behalf pus
reasonab;e administrative costs. For questions about taxes call:Customer Service number tmentioned belovv.
fJ. RE 1 URNEU CHECK f=EE
Assessed each time a eneck is returned for any reason.
9, COPY FEE
Assessed when the Lessee requests an additional copy of the contract.
10. ACCOUNT STATEMENT
Overview of prior invoice z;for which no payment was received at the time the current invoice was printed.
Correspondence address:
Customer Service, KONICA LEASING A PROGRAM OF DE LADE LANDEN FINANCIAL SERVICES 1111
OLD EAGLE SCHOOL RD, WAYNE• PA 19087-1453 or call: 800-738-0220
Please send all written enquires to the address indicated above. Please do not send checks to the address
as this will delay the posting of payments to your account.
00022785100034310
Account Statement
Invoice Number Due Date Amount Invoiced Balance Due
13819863 06/15/2012 $65.00 $4.00
14469692 08/15/2012 $61.00 $61.00
Balance Due for Prior Billed Invoices $65.00
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))
8-31-12 KONMIN/C20 Biz Hub per the attached:
Invoice No. 14849017 $61.00
. 0
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 Pfogfafn of Be Lage Laden l 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
oE�# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
209 14849017 $61.o 0 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 l
rR ur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund