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HomeMy WebLinkAbout250098 1 0/07/1 5 �( �`"�f. CITY OF CARMEL, INDIANA VENDOR: 366015 ® CHECK AMOUNT: $*******223.25* .�; �;• ONE CIVIC SQUARE WEX BANK �. _� CARMEL, INDIANA 46032 PO 90x 6293 CHECK NUMBER: 250098 �Mf.6N cq� CAROL STREAM IL 60197-6293 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 42473197 223.25 0496-00-138002-1 I nvoi©e Statement INVOICE NUM BER: 42473197 No ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THISPERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496.00.138002-1 1550.00 30 SEP-3D-2015 OCT-22-2015 223.25 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS SEP-14-2015 PAYMENT-THANK YOU 64.77 SEP-30-2015 . FUEL PURCHASES .223.25 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. Submitted To OCT 0 5 2015 Clerk Treasurer PURCHASES,RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS -CREDITS + LATE FE = NEW BALANCE 64.77 64.77 223.25 0.00 0.00 0.00 223,25 CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 841425616 The Late Fee is determined by To the balance subject to late applying a monthly rate of fee for this period which Is 2.249 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. ��ti Ie��IVIAI��e�AI1rnIT TrAP AT­ ATIA\I A-1\IAI I IMI I VOUCHER NO. WARRANT NO. ALLOWED 20 W EX BANK IN SUM OF$ PO Box 6293 Carol Steam, IL 60197-6293 $223.25 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICENO. ACCT#/TITLE AMOUNT Board Members 1205 I 42473197 I 42-314.00 I $223.25 1 hereby certify that the attached invoice(s), or 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 Monday, October 05, 2015 Director,Administratio 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)) 09/30/15 42473197 $223.25 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