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235728 08/13/14
w 4�q ''° CITY OF CARMEL, INDIANA VENDOR: 366015 .,; ® :I• ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******507.66* :. _� CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 235728 'M-_ CAROL STREAM IL 60197-6293 CHECK DATE: 08/13/14 ITpN L�' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 37620580 507.66 7560-00-112248-0 I nvoi cue Statement INVOICE NUM BER: 37609098 No ACCOUNT NAME: City of Carmel Police PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE I PAYMENT DUE DATE AMOUNT DUE 04WOD-13M-0 20 000.00 31 1 JUL-31-2014 AUG-28.2014 227.84 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS JUL-11-2014 PAYMENT-THANK YOU 345.98 JUL-31-2014 FUEL PURCHASES 227.84 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,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTI L THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE PAYMENTS (+)PURCHASES + DEBITS -CREDITS +LATE FE = NEW BALANCE 345.98 345.98 227.84 0.00 0.00 0.00 227.84 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 monthiv rate of RATE of fee for this period which is 2.249 % 26.99 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. —_ —_._._____���� ����.� ��.� .������.-.�...... ...... .w. •.r��r.�����• ���TI��1•�nTll vAl 1A AA VAI r�IT I nvoi©e Statement lMiiRAtiION' INVOICE NUM BER: 37620580 ACCOUNT NAME: CARMEL POLICE DEPT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSINGDATE PAYMENT DUE DATE AMOUNT DUE 756000.112248.0 2,000.001 31 JUL-31-2014 AUG-,'6 2014 507.66 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS JUL-11-2014 PAYMENT-THANK YOU 716.72 JUL-31-2014 FUEL PURCHASES 507.66 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,RETURNS AND PAYMENTS MADE JUST PRI OR TO BI LLI NG DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE I QPAYMENTS +PURCHASES (+)DEBITS I OCREDITS +LATE FE = NEW BALANCE 716.72 716.72 507.66 0.00 0.00 0.00 507.66 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 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 Tn Dsra 100 DDnDDD f+0Cn1T TOAD AT DCDCADATIMI Atkin IKIr11 I In=PflTTf111A Pf QTIf)KI WITH Vni IP PAVIIAFNT VOUCHER NO. WARRANT NO. ALLOWED 20 WEX Bank IN SUM OF$ P.O. Box 6293 Carol Stream, IL 60197-6293 i $735.50 ON ACCOUNT OF APPROPRIATION FOR 'I Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 37620580 42-314.00 $507.66 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 37609098 42-314.00 $227.84 materials or services itemized thereon for which charge is made were ordered and received except Monday, A gust 04, 2014 ,f 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)) 08/04/14 37620580 gasoline $507.66 08/04/14 37609098 gasoline $227.84 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