239889 12/09/2014 oi.
CITY OF CARMEL, INDIANA VENDOR: 366015
ONE CIVIC SQUARE WEX BANK CHECKAMOUNT: $*—.*'862.57*CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 239889
CAROL STREAM IL 60197-6293 CHECK DATE: 12/09114
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 38985762 862.57 0496-00-138007-0
MAQATHI,II I nvoi ce Statement
INVOICE NUMBER: 39009272
ACCOUNT NAME: CARMEL POLICE DEPT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMITDAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
7560-00-117248-0 2 000.00 30 NOV-30 2014 DEC-22-2014 137.18
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
NOV-07-2014 PAYMENT-THANK YOU 199.80
NOV-28-2014 FUEL PURCHASES 137.18
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 PAYMENTS (+)PURCHASES (+)DEBITS CREDITS + LATE FE = NEW BALANCE
199.80 199.80 137.18 0.00 0.00 0.00 137.18
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
TO ENSURE PROPER CREDIT.TEAR AT PERFORATION AND IN . mF BOTTOM PORTION WITH YOUR PAYMENT.
190 I nvoioe Statement
INVOICE NUM BER: 38985762
ACCOUNT NAME: City of Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138007-0 20,000.00
30 NOV-30-2014 DEC-22-2014 862.57
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
NOV-07-2014 PAYMENT-THANK YOU 240.17
NOV-28-2014 FUEL PURCHASES 862.57
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 UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (,)PURCHASES (,)DEBITS CREDITS (,)LATE FE (=)NEW BALANCE
240.17 240.17 862.57 0.00 0.00 0.00 862.57
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
_TO ENSURE PROPER CREDIT-TEAR AT PERFORATIQN AND INCLUDE BOTT9M_PQRJIQIV WITH YO�1R PAYMENT.
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))
11/30/14 39009272 Gasoline $137.18
12/22/14 38985762 Gasoline $862.57
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
WEX Bank
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197-6293
$999.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 39009272 42-314.00 $137.18 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 38985762 42-314.00 $862.57
materials or services itemized thereon for
which charge is made were ordered and
received except
LC
k—
Wednesday, December 03, 2014
G/
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund