242665 03/03/15 ,1 ur,G�gyF CITY OF CARMEL, INDIANA VENDOR: 366015
4� Sri. ..
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******290.72*
x ?4 CARMEL, INDIANA 46032 Po BOX 6293 CHECK NUMBER: 242665
vM,`TDN. CAROL STREAM IL 60197-6293 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 39980638 290.72 0453-00-794629-6
FLEET SERVICES INVOICE/STATEMENT
INVOICE NUMBER: 39980638
ACCOUNT NAME: CARMEL FIRE DEPARTMENT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0453-pp-794629-6 8100.00 28 02-28-2015 03-20-2015 290.72
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
02-09-2015 PAYMENT RECEIVED-THANK YOU 244.20
02-27-2015 RETAIL FUEL PURCHASES 268.72
02-27-2015 MONTHLY CARD CHG 22.00
YOUR SAVI NGS FROM DI SCOUNTS TH I S PERI OD= $1.34
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
244,20 244.20 268.72 22.00 0.00 0.00 290.72
$39.00 MINIMUM LATE FEE
PAY ONLINE AT:www.wexonlinexom
CALL CUSTOMER SERVICE TO PAY BY PHONE The Late Fee is determined by Which is an ANNUAL To the Balance subject to late
FEDERAL TAX ID: 84-1425616 applying a monthly periodic rate of PERCENTAGE RATE of fee for this period which is
-- — ----_—^w^^^^ 2.249 % 26.99 % 0.00 S.
SEE REVERSE SIDE FOR MORE INFORMATION AND TERM
�� — —�er,t MilTH VAI IR PAYMENT
36ba5
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wex Bank
IN SUM OF $
P.O. Box 6293 Ii
Carol Stream, IL 60197 �
$554.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#lrlTLE AMOUNT Board Members
1120 40046046 42-314.00 $263.87 1 hereby certify that the attached invoice(s), or
1120 39980638 42-314.00 $290.72 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
MAR 2 205
� I
Fire Chief
i
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))
40046046 $263.87
39980638 $290.72
1 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