242667 03/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366015
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******263.87*
CARMEL, INDIANA 46032 PO BOX 6293 CHECK NUMBER: 242667
CAROL STREAM IL 60197-6293 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 40046046 263.87 0496-00-138012-0
I nvoi oe Statement
INVOICE NUMBER: 40046046
ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE I PAYMENT DUE DATE AMOUNT DUE
0496-00138012-0 9,5 28 FEB-28 2015 MAR-20.2015 263.87
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
FEB-09-2015 PAYMENT-THANK YOU 509.63
FEB-27-2015 FUEL PURCHASES 263.87
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASE$,RETURNSAND PAYMENTSMADE JUST PRIORTO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES + DEBITS -CREDITS + LATE FE = NEW BALANCE
509.63 509.63 263.87 0.00 0.00 0.00 263.87
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
3665
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wex Bank
IN SUM OF$
I
P.O. Box 6293
Carol Stream, IL 60197
$554.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE 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 o 9 901-9
0-1
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
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
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