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217953 03/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 362615 Page 1 of 1 ONE CIVIC SQUARE BANC OF AMERICA LEASING CHECK AMOUNT: $1,233.99 s CARMEL, INDIANA 46032 LEASE ADMINISTRATION CENTER PO BOX 405874 CHECK NUMBER: 217953 ATLANTA GA 30384-5874 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4353004 12246666 1, 233 . 99 COPIER 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 INQUIRIES 800-913-9331 866-798-9805 9:OOAM-8:OOPM EASTERN cs-seattle @gaic.com ° Audit confirmations can be submitted at www.confirmation.com Invoice Number 012246666.43 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 00 8-3040634-000 3 CIVIC SQUARE PAYMENT 04/01/13 1,233.99 1,233.99 Your Ref: POLICE DEPT KONICA MINOLTA COPIER CARMEL,IN 46032 C451 A00KO10011046 CONTRACT SUBTOTAL $1,233.99 OTAL CURRENT CHARGES $1,233.99 USD BANC OF AMERICA LEASING INVOICE NUMBER: 012246666 the insurance charge is reflected here. 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.gov/PublicEd/. VOUCHER NO. WARRANT NO. Banc of America Leasing ALLOWED 20 Lease Administration Center IN SUM OF $ P.O. Box 7023 Troy, M1 48007-7023 $1,233.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 12246666 I 43-530.04 I $1,233.99 1 hereby certify that the attached invoice(s), 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 Wednesday, March 06, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/01/13 12246666 quarterly payment $1,233.99 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