235542 08/06/14 CITY OF CARMEL, INDIANA VENDOR: 366015
d 3' ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*****1,356.46"
CARMEL, INDIANA 46032 PO BOX 6293 CHECK NUMBER: 235542
CAROL STREAM IL 60197-6293 CHECK DATE: 08/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 37610465 255.19 GASOLINE
1205 4231400 37613325 295.41 GASOLINE
1120 4231400 37628303 805.86 GASOLINE
I
I nvoi oe Statement
INVOICE NUMBER: 37610465
ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE I AMOUNT DUE
0496-OD-138012-0 9 550.00 31 JUL-31-2014 AUG255.19
ACTIVITY DESCRIPTION ;CHARGES/DEBITS`- PAYMENTS/CREDITS
PAYMENT-THANK YOU 545.85
JUL,31 2014 FUEL PURCHASES 255.:19
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 JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISfATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS •CREDITS +LATE FE =NEW BALANCE
545.85 545.85 255.19 0.00 0.00 0.00 255.19
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthiv ate of RATE of fee for this period which is
2.249 % 28.99 % 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
---------IQ ENW -PROPER QBEQIT�TE- R-Al:-PJzRFDBAU9NANPJ NQLUpEaQTTD-M ' UJQN W: YOUR PAYM ENT.
FLEET SERVICES INVOICE/STATEMENT
INVOICE NUMBER: 37628303
ACCOUNT NAME: CARMEL FIRE DEPARTMENT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0453-00-794629-6 8,1 31 07-31-2014 08-26-2014 805.86
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
07-11-2014 PAYMENT RECEIVED-THANK YOU 610.38
07-31-2014 RETAIL FUEL PURCHASES 783.86
07-31-2014 MONTHLY CARD CHG 22.00
YOUR SAVINGS FROM DISCOUNTS THIS PERIOD = $2.66
REMINDER
PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH
PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT
PORTION OF THE REMITTANCE STUB.
PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS CREDITS + LATE FE = NEW BALANCE
610.38 610.38 783.86 22.00 0.00 0.00 805.86
$39.00 MINIMUM LATE FEE
PAY ONLINE AT:www.wexonlinexom
CALL CUSTOMER SERVICE TO PAY BY PHONE The Late Fee is determined by Which is an ANNUAL To the Balance subject to late
FEDERAL TAX ID: 84-1425616 applying a monthly periodic rate of PERCENTAGE RATE of fee for this period which is
2.249 % 26.99 % 0.00
.+r RWI Jnr nn^nrn
SEEREVERSEt2 A_SIDE FOR�ORE%RN INFORMATION AND TERM 0n0r1nk1unru Vnt tD DAVRACR17
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wex Bank
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197
$1,061.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 37610465 42-314.00 $255.19 1 hereby certify that the attached invoice(s), or
1120 37628303 42-314.00 $805.86 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
,AUG - 4 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t
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))
37610465 $255.19
37628303 $805.86
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
I nvoi cue Statement
INVOICE NUMBER: 37613325
® ACCOUNT NAME: City of Carmel Admin.
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496.00-1380021 1550.00 31 1 JUL-31-2014 AUG-26-2D14 295.41
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
JUL-14-2014' PAYMENT-THANK YOU 228.89
JUL-31-2014 FUEL PURCHASES 295.41
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 JUST PRIOR TO BI LLI NG DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEM ENT.
PREVIOUS BALANCE PAYMENTS (,)PURCHASES (,)DEBITS CREDITS +LATE FE = NEW BALANCE
228.89 228.89 295.41 0.00 0.00 0.00 295.41
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee Is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthIv rate of RATE of fee for this perlad which is
2.249 % 26.99 % 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
Tn ENSURF PROPFR CRFTNT TFAR AT PERFORATIONAND INCLUSE BOTT9LVI_h0�2TLQN TH YOUR PAYMENT.
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.
jPayee
[P_4P_ Oee)T Purchase Order No.
Terms
�L sF i2-eP,�� TIr_ boo �73 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11332 jc-' ov( ,j% ('Y\)tiT( 2
Total 02 `//
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
CQftcLt ��' � IN SUM OF $
-Po--i3 ak (o a- .�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
x-05- 376135 / a ybill(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
r
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund