217952 03/13/2013 .F CITY OF CARMEL, INDIANA VENDOR: 357805 Page 1 of 1
ONE CIVIC SQUARE BANC OF AMERICA LEASING
CARMEL, INDIANA 46032 P o BOX 405874 CHECK AMOUNT: $1,006.98
ATLANTA GA 30384-5874
«o„� CHECK NUMBER: 217952
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4353004 12246665 1, 006 . 98 COPIER
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PLEASE RETURN TOP PORTION WITH YOUR PAYMENT TO ENSURE PROPER CREDIT
For assistance with your invoice: PHONE FAX TIME E-MAIL
CUSTOMER SERVICE INQUIRIES 800-959-5936 866-939-4705 8:30AM-5:OOPM EASTERN customersvc @leaseadmincenter.com
INSURANCE INOUIRIES 800-913-9331 866-798-9805 9:OOAM-8:OOPM EASTERN cs-seattle @gaic.com
A Audit confirmations can be submitted at www.confirmation.com
Invoice Number 012246665.43
Contract Number(Please see below)
Customer Reference Number
Description
Model Number Detailed Payment Payment Total
Serial Number Location Charge Description Due Date Amount Tax Due
008-3038999.000 1 CIVIC SQUARE PAYMENT 04/01/13 1,006.98 1,006.98
Your Ref: ENGINEERING DEPT
KONICA MINOLTA COPIER CARMEL.IN 46032
C451
A00KO10003948
CONTRACT SUBTOTAL $1,006.98
OTAL CURRENT CHARGES $1,006.98 USD
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RECEIVED
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IM CARMEL
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BANC OF AMERICA LEASING INVOICE NUMBER: 012246665
the insurance charge is reflected here. V
SALES/USE TAX:Tax assessed by your taxing authority and added to your contract payment.
OTHER CHARGES THAT MAY BE DUE UNDER THE TERMS OF YOUR AGREEMENT:
DOC FEE:One time administrative fee to cover lessor's expenses when the contract commences.
SEC DEP:Security Deposit
SRV:Service and Supply charges
PPT:Itemization of Personal Property Tax(PPT)Charge:Personal property taxes are assessed by your local tax authorities based on the value
of the equipment. Under the terms of your lease agreement you agree to reimburse us for this charge plus an administrative fee,if provided in your
lease agreement. The PPT Charge shall be periodically added to your invoice and should be remitted along with your regular payment. The PPT
Charge on your invoices is a charge that is subject to sales tax(where applicable)and includes the following components:
Personal property tax:the amount that your taxing authority assesses based on the depreciated value of the equipment
and current personal property tax rates.
Administrative Fee for Personal Property Taxes:a charge for each item of equipment,that will not exceed$12.00 per tax
assessment. (The administrative fee will only be charged if provided in your lease agreement.) If the PPT charge exceeds
$5,000,a copy of the PPT bill will be mailed within 14 days.
OTH:Other miscellaneous charges such as,equipment return,collection charges,attorney's fees,etc.
READING PERIOD:The frequency that your overage usage charges are billed.
ALLOWANCE:This is your MINIMUM number of copies required to be billed for each reading period.
END READ:The meter usage at the time of your last reading.
BEGIN READ:The meter usage at the time of your previous reading.
SERVICE CREDIT:Any copy credit given on your copier.
OVERAGE RATE:The rate at which your overage copies are charged.
USAGE:The number of copies used in excess of your allowance.
OVERAGE CHARGE:This is the charge for the number of copies which exceed your minimum usage.
(usage multiplied by the overage rate)
CALIFORNIA E-WASTE FEE:If you live in California,state law requires you to recycle your covered electronic device. You can find how to return,recycle and dispose of a
covered electronic device at www.ciwmb.ca.aov/PublicEd.
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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
Banc of America Leasing Purchase Order No.
POB 405874 Terms
Atlanta, GA 30384-5874 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
4/1/2013 12246665 Konica lease $ 1,006.98
Total $ 1,006.98
1 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 NC WARRANT NO.
Banc of America Leasing ALLOWED 20
POB 405874 IN SUM OF$
Atlanta, GA 30384-5874
$ 1,006.98
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 12246665 2200-4353004 $ 1,00698 or 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
� � 0 3/11/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund