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238287 10/21/14 r �� '' CITY OF CARMEL, INDIANA VENDOR: 366015 ` . CHECK AMOUNT: $"''""`40.78` .�; , ONE CIVIC SQUARE WEX BANK :. ��, CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 238287 91'��foeJ��.` CAROL STREAM IL 60197-6293 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 38271664 40.78 0496-00-138009-6 I Invoice Statement INVOICE NUMBER: 38271664 ACCOUNT NAME: City of Carmel Utilities PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMITDAYS THIS � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT D UE 0496-00438009-6 900.00 30 SEP-30-20OC' 40.781 KPAYMENTS/CREDITS ............ ............ ......... %...X ACTIVITY DESCRIPTION ........... ... ...................... ............... ...... I'll.............. ............. ...........:................ ................................. ............ FUEL PURCHASES ............. ....... ................ ............... REMINDER ........ ............................ REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. X. xx X.. ....... .... ...... ..... ....... ...... X. -X . . ............ ........ ..... ..X .............. PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE-MAY NOT APPEAR_UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE (-)PAYMENTS L+)PURCHASES (+)DEBITS I (-)CREDITS I (+)LATE FEE I (=)NEW BALANCE 0.001 0.001 40.781 0.001 0.001 0.001 4078 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. IAFITU%fe%l M 0-AVAil=&M t Balance Subject to Late Fee Payment Options The late fee will be calculated by determining the total balance Mail due on the date your account becomes delinquent,as follows: Be sure to in bottom portion of invoice with your payment. adding the total amount due on your Account on the payment due Write your account number or invoice number on the check to help date together with any purchases posted to your Account from avoid delays in payment processing if the check and remit stub the end of the last billing cycle through the payment due date,and become separated. subtracting from that amount of any payments and/or credits entered Allow 10 business days prior to the due date for mailing to help during that period.The total balance due will then be multiplied by the applicable periodic rate to determine your late fee.If your avoid late fees. payment is not received and posted by the invoice payment due date,you may be charged a late fee or other fees in accordance Online with the terms in your Business Charge Card Account Agreement. Authorized users can elect to receive an email notification when an invoice is ready for online viewing and payment.Log in or register to How to Dispute Your Invoice set up an online account at www.wextools.com. Charges must be disputed in writing no later than sixty(60) Online payments scheduled by 3:00 PM ET(on business days) days from the billing date or they will be considered final are credited to your account on the same day.There is no fee for and binding. online payments. Phone Card Issuer _ _ _ _ _` _ Call Customer Service and select the menu option for Billing The cans is issued and payable to WEX Bank under a Business Inquiries:In addition to scheduling a payment,-you can also- -- Charge Account Agreement with the cardholder named on the check your balance. reverse. - - - .Payments scheduled by 3:00 PM ET(on business days) are credited to your account on the same day. Customer Service Be prepared with your fleet card account number and a sample For account inquiries and correspondence regarding account check to enter your bank account number and routing number. service or billing: There is no fee for phone payments. • Call 1-866-5444715,or • Fax to 1-800-395-0809,or • Mail to P.O.Box 639, Portland,ME 04104 Be sure to include your account number on all correspondence. VOUCHER # 145804 WARRANT # ALLOWED 366015 IN SUM OF $ WEX BANK PO Box 6293 Carol Stream, IL 60197 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR s' Board members PO# INV# ACCT# AMOUNT Audit Trail Code 38271664 01-7500-02 $40.78 Voucher Total $40.78 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 366015 WEX BANK Purchase Order No. PO Box 6293 Terms , Carol Stream, IL 60197 Due Date 10/16/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/16/201, 38271664 $40.78 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 Date Officer J