HomeMy WebLinkAbout240574 01/06/15 `y ,GIgMF
CITY OF CARMEL, INDIANA VENDOR: 366015
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******469.49*
,9 ?� CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 240574
CAROL STREAM IL 60197-6293 CHECK DATE: 01/06/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 39324625 469.49 0496-00-138012-0
I nvoi ce Statement
INVOICE NUM BER: 39324625
® ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138012-0 9,550.00 31 DEC-31-2014 JAN-22-2015 469.49
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
DEC-04-2014 PAYMENT-THANK YOU 994.50
DEC-31-2014 FUEL PURCHASES 469.49
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 I (-,-)DEBITS CREDITS + LATE FE = NEW BALANCE
994.50 994.50 469.49 0.00 0.00 0.00 469.49
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL Ta the balance subject to late
applying a monthly rate of RATE of fee for this period which is
i 2.249 % 26.99 % 0.00
SEE REVERSE SIDE FOR I M PORTANT INFORMATION AND TERMS
_LQ ENSURE PR9P�F3 C�EDIT�TEP�R AT PRFQ�A[19N AND!NCLUDE BOTTOM_PORTI ON WITH YOUR PAYMENT.
' i 3
1
VOUCHER NO. WARRANT NO. _
ALLOWED 20
Wex Bank
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197
$797.82
Ir
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 39324625 42-314.00 $469.49 1 hereby certify that the attached invoice(s), or
1120 39272699 42-314.00 $328.33 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 j
IAN _ 5 2015 �
ff pr
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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
hom, 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))
39324625 $469.49
39272699 $328.33
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