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213720 10/10/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1 LL ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE ��,� 0 CHECK AMOUNT: $61.00 CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES PO BOX 41602 CHECK NUMBER: 213720 PHILADELPHIA PA 19101-1602 CHECK DATE: 10/1012012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 209 4353004 15284226 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"µµ 22/ ,. Account . LANDEN FINANCIAL SERVICES 09/ 2012 15284226 73898 PO BOX 41602 PHILADELPHIA,PA 19101-1602 .-" •.Period of`Performance ' �" Contract"Number,;.,;; 09/15/2012—10/14/2012 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.;; g ;. Payment Amount Sales7Use Tax-,' Total'Amount PAYMENT $61.00 $0.00 Billed"this Invoice $61' Balance Due.Previous Invoices ....... $65:00 (Please see the following pages for details.) Asset Details '" Contract;Number" Serial Number' Make I 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 SQ CARMEL HAMILTON IN 46032-7569 United States Asset Amount Tot 1,$61.00 lfr,1001-'1TANT E E MINDER: Enclose reroittance slip witf-i your check :,tad sand it to the address (,tt reverse to resole: accurate a-t€'id timely processing of your paaymenL W prornpl, review, and harwiling, please- ,- , ,nd ;rthor rorrosponrlencl; staid notices .a V amlmly to me' fattc3rt on rtf: Ceastornei , -,.rvlce KONIC:A LEASING 1% PRO GItitN OF DE l-AGE'.- LANDEN FI ANC,lAL SE RACES 111 1 OLD EMAGLE. SCHOOL RD, WAYNE, I"A 19087-Ni,'i:.;. For c linerral it=xount information 24 hows ra day 7 duty::; a week, visit our website www.less eechrect.c cun, Ic e remit paynwnts at leap>t 5 business (.lays prior to clue state. Ple a<iu be surf; to incord your invoice or K COUnt Nurrtl;'�:r on the chock. _x,p aanation of Charr,.ens: It i<, i€aiport,ant Lo us that yrn understand to chwigie;s on your invoice. Please feAr to this c ukh,as A ov,ti"w char.£i a`,`:,r.ased on the new t m maCtitir s I%tee coven Me wm W UCC"il.r'p caM othear dwUr3matinn CC75(>:. „'1G4y.Am 4c`. h tong pe',rSt d as tike,rr;mM A He taetili€'itiwV buit'£t ilaSsr yl by the IeWun :;al)l qat W risks of lass car damaryl k*010 di OMT INS PeNCId ill F:£:,;WO21€ 0 With MU tEsti 6 tr°TO C£Irtti"£; l Jt;,,, .'•,r:t, vvlena payni;,nt i,not receiv,,.1 I)y its due d alc; provided t'y si,e('ontract. .,. 1 t F FEE ,:."•,;,i ,!,J ;r;a Ipa , ,r,i:t s ruA reou vad t,y it dix;Man,ab twooded by tie contrail. ri€.t.. ;t;uSF TAX 1'.lis .olt3m Wx ..win H1 f.t::lxdance`Nate VW Wx!rtl°r:Y Cit PS,;MM(§Whine t:iE;0"Irfi£°Pat a:£;CatC3y I W Yar;4€:Cti-lS it€ l'if t<'FY.fs�A Me£<,tasmmo, Servic.o nu?Y ber rm rationed b-ud ovv. IAX -No"sao>,z.ii as awwf 4 Me egtQmwt,is assessed aK€as taro€,ei'ty tax M the af,tirr,raian timing at.athrMN on an aninaral ,mis Per the one£;t miFact,t1)e I-essev liras aigieed to in n,t use She L;;smn It ;all€:5r{:art'rly Wes flairi on that ne?al plus rE;asonalile raftnn€a c>trativa;costs. €or y,austions about taxi"'>c:a l:C ustomw,-'.wvim rYra€rit=e;r isat;nt€"ed stow ..,,.,..-:£>tt uach hine a,,,.. *A.mllmml felt rasa 'E'h5,",a '-1 C CaE';' t LL ,,,.,,,,, ,ri ow :tri,., € xa£:>>Pq, 6.s,€raittwo!Ca;y,Stira aldi;t t„'VAIn.tr oo€:.,ynleiit was recoveii at Me A M He an ray;ho w,,;,firiiited, 400NK'A LEASING A PROGRAM OF DE LAGE LAPS DEN E"11,1A CIAL SERVICES 111 1 Q D WAY S!:,F-IOOL Ru, WAYN , PA 19087-1.6Q or Call: 600-736-0220 6''l x`e sea all Wen c:ria.1€hms to the nddrr ss Indtcaw.-ri above. Plu,,n.is>deg not sawed checks to the addresF, :tz this wHi dr:lsay the postlrio of paynrientF: to your account, 00070350/00105681 Account Statement; Invoice Number Due,Date Amount Invoiced,' Balance Due 13819863 06/15/2012 $65.00 $4.00 14849017 09/15/2012 $61.00 $61.00 Balance Due for Prior..Billed Invoices - '90 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)) 10-4-12 KONMIN/C20 Biz Hub per the attached: Invoice No. 15 84226 f, Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ P. 0. Box 41602 Philadelphia, PA 19101-1602 �(j( --- $ $b"t ON ACCOUNT OF APPROPRIATION FOR DEFERRAL FEE FUND - 209 430-53004 Copier Board Members DE- Ta� INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or 209 15284226 fT 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund