238736 11/04/14 `% "p''°� CITY OF CARMEL, INDIANA VENDOR: 366015
® ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******240.17*
s9 ?� CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 238736
°9�rsa� CAROL STREAM IL 60197-6293 CHECK DATE: 11/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 38646625 240.17 0496-00-138007-0
I nvoi oe Statement
INVOICE NUM BER: 38646625
ACCOUNT NAME: City of Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00138007-0 20,00D.001 31 OCT-31-2014 NOV-26 2014 240.17
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
OCT-17-2014 PAYMENT-THANK YOU 115.28
OCT-31-2014 FUEL PURCHASES 240.17
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASES RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE I QPAYMENTS (+)PURCHASES (+)DEBITS I QCREDITS +LATE FE =NEW BALANCE
115.28 115.28 240.17 0.00 0.00 0.00 240.17
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.249 % 25.99 % 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS
Tn FNC IRF__FRCPFR CRFDIT_TF-AR AT PERFORATION AND INCLUDF ROTTCM 'P-0PT'•ON V 1TH VMFNT
VOUCHER NO. WARRANT NO.
ALLOWED 20
WEX Bank
IN SUM OF$
P.O. Box 6293
Carol Stream, IL 60197-6293
$439.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-314.00 $199.80 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 1 42-314.00 1 $240.17
materials or services itemized thereon for
which charge is made were ordered and
received except
Monda , vember 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))
11/03/14 monthly payment $199.80
11/03/14 monthly payment $240.17
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
120
Clerk-Treasurer