214720 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
0 ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DEL.p�
CARMEL, INDIANA 46032 LANDEN FINANCIAL SERVICES CHECK AMOUNT: $61.00
PO BOX 41602
„o CHECK NUMBER: 214720
PHILADELPHIA PA 19101-1602
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 15639831 61 . 00 COPIER
KWe_p idWer portion for your records-Fiease retuiri,upper portion:with your payment
KONICA LEASING A PROGRAM OF DE LAGE e er 'Aicount-
LANDEN FINANCIAL SERVICES 10/20/2012 15639831 73898
PO BOX 41602
PHILADELPHIA, PA 19101-1602
Performance r
10/15/2012—11/14/2012 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
'
"Inv61'ce Details k
, moune#�`
I o aymenSaleslUses'Taz' Total Amount"
PAYMENT $61.00 $0.00 $61.00
k n �qe
$61�00,Bille th i ic , j
"Bal P revious Invoices ,,y 65.00
'
"T t�af A
(Please see the following pages for details.)
sse ta
raci"ber ,Seria Number';-' v Make'JOM .jj ,��Asset,N.m' r Pa"yment u nt-'
Total
-t'
25021065 AOF0013002984 KONMIN/C20 250210651 $61.00 $0.00 $61.00
y,,Asset 11ocadon:."1 6VIC'SO 0ARM E1_HAMILTON IN 46032-7569 United States
Im du n t:T qta 1:$61 0 0
IMPORTANT REMINDER: Enclose remittance slip with your check and send it to the address on reverse
side to ensure accurate and timely processing of your payment. For prompt review and handling, please
send other correspondence and notices separately to the attention of: Customer Service KONICA LEASING
A PROGRAM OF DE LAGS LANDEN FINANCIAL SERVICES 1111 OLD EAGLE SCHOOL RD, WAYNE,
PA 19087-1453.
For general account information 24 hours a day, 7 days a week, visit our website www.lesseodirect.corn.
• Please remit payments at least 5 business days prior to due state.
• 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 to this guide as
assistance.
1. DOCUMENTATION FEE
A orie lime charge assessed on the new transactions, I his fee covers the cost of UCC filings and other do;;uroentatfon costs
2. INSURANCE CHARGE
A chaige clue each billint7 period as the result of the equil,rnent neing fnsurc�d by the lessor against all risks of loss or daorage
3. PAYMENT
Amount due each billing period in accordance with the terms of the contract.
4. LA l L CHARGE
Assessed when a payment is not received tay its due date,as provided by the contract.
5 t ATE FEE
Assessed w'f,en a payment is not received by its due(late,as provided by the contract.
6. SAi.FS''(.JSE TAX
I he s<:dc;stuse tax is due in accordance with the tax laws of the staters)where the equipment is located. For questions about
tax>eS Call the CustOtner Service number mentioned below.
7 ;''t i;=i r 1{Y I AX
The ir;ssor,as owner,of the equipment,is assessed and pays property tax to the appropriate taxing authority on an annual
basis. Per the least;corllfact,the l..essee has agreed to reimburse the Lessor for all propr rty taxes paid on their behaff plus
reasonable administrative costs. For questions about taxes call:Customer Service number rrrentioned below.
8. RE1 URNED CHECK FEE
Assessed each time a check 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 invoices for which no payment was received at the tirne the current invoice was printed
Correspondence Address:
Customer Service, KONICA LEASING A PROGRAM OF DE LAGS LANDEN FINANCIAL SERVICES 1111
OLD EAGLE SCHOOL RD, WAYNE, PA 19087-1453 or call: 800-736-0220
Please send all written enquires to the address indicated above. Please do not send checks to the address
as this will delay the pasting of payments to your account.
00070010/00104819
Account Statement;
7, -
, ,Ajqunt,lnvoiced a
bs
lan,c D u e lno i ceN e, ,,.,
13819863 06/15/2012 $65.00 $4.00
15284226 10/15/2012 $61.00 $61.00 1
Bi!#n!*-Q-b f6' rrld,r BiliedAnv—q't*-q'ei'�
ia, r,"
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 Fina cial 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))
11-14-12 15639831 KONMIN/C20 Biz Hub per the attached invoice
61.00
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
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
,3 � �)
y Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
209 15639831 $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
20
a u re
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund