234450 07/08/14 ^/ \ CITY OF CARMEL, INDIANA VENDOR: 366015
u'• 4:1..
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $ill***i M 345.98i
CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 234450
94jir`ox- `' CAROL STREAM IL 60197-6293 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 37284771 345.98 0496-00-138007-0
I nvoioe Statement
INVOICE NUM BER: 37284771
® ACCOUNT NAME: City of Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138007-0 20000.00 30 JUN-30-2014 JUL-252014 345.98
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
JUN-11-2014 PAYMENT-THANK YOU 144.89
JUN-30-2014 FUEL PURCHASES 345.98
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASES,RETURNSAND PAYMENTS MADE JUSr PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/SrATEMENT.
PREVIOUS BALANCE PAYMENTS +PURCHASES (+)DEBITS I QCREDITS (+)LATE FE (=)NEW BALANCE
144.89 144.89 345.98 0.00 0.00 0.00 345.98
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX I D: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.249 % 26.99 % 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
TO ENSURE PROPER CREDIT.TEAR AT PERFORATION AND INCLUDE BOTTOM_PORTION WITH YOUR PAYMENT.
VOUCHER NO. WARRANT NO.
ALLOWED 20
WEX Bank
IN SUM OF$
P.O. Box 6293
Carol Stream, IL 60197-6293
$1,062.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 37294929 42-314.00 $716.72 I hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
1110 37284771 42-314.00 $345.98
materials or services itemized thereon for
which charge is made were ordered and
received except
�Thursday, July 03, 2014
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))
07/03/14 37294929 gasoline $716.72
07/03/14 37284771 gasoline $345.98
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