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240904 01/13/15 (9, CITY OF CARMEL, INDIANA VENDOR: 366015 CHECK AMOUNT: $*******470.95* ONE CIVIC SQUARE WEX BANKCARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 240904 CAROL STREAM IL 60197-6293 CHECK DATE: . 01/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 35329625 426.30 7560-00-112248-0 1110 4231400 39323888 44.65 0496-00-138007-0 I nvoi oe Statement INVOICE NUMBER: 35329625 ACCOUNT NAME: CARMEL POLICE DEPT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD I BILL CLOSING DATE I PAYMENT DUE DATE AMOUNT DUE 7560-00.112248-0 2 000.00 31 DEC-31-2013 JAN-242014 426.30 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS DEC-23-2013 PAYMENT-THANK YOU 202.99 DEC-31-2013 FUEL PURCHASES 426.30 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 202.99 202.99 426.30 0.00 0.00 0.00 426.30 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 monthiv rate of RATE of fee for this Deriod which is 2.249 % 26.99 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. I nvoi©e Statement INVOICE NUMBER: 39323888 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 0 000.00 31 DEC-31-2014 JAN-22-2015 44.65 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS DEC-15-2014 PAYMENT-THANK YOU 862.57 DEC-31-2014 FUEL PURCHASES 44.65 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 PAYMENTSMADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE PAYMENTS (+)PURCHASES +DEBITS -CREDITS +LATE FE = NEW BALANCE 862.57 862.57 44.65 0.00 0.00 0.00 44.65 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. TA FNCI IRF Pl*nPFR f:I2PnIT TEAR AT=P;:n0ATI(VU ANTI IIVf`I I InF RflTTr1M PnPTInKI WITH VAI IR PAVMFNT VOUCHER NO. WARRANT NO. ALLOWED 20 WEX Bank IN SUM OF$ P.O. Box 6293 Carol Stream, IL 60197-6293 $470.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT- Board Members I hereby certify that the attached invoice(s), or 1110 39323888 42-314.00 $44.65 bill(s) is (are)true and correct and that the 1110 35329625 42-314.00 $426.30 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, January 07, 2015 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)) 01/01/15 39323888 gasoline $44.65 01/01/15 35329625 gasoline $426.30 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