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HomeMy WebLinkAbout250099 1 0/07/1 5 `�"�� p'' CITY OF CARMEL, INDIANA VENDOR: 366015 ® ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******360.48* :,. ,?� CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 250099 9M�roN,�` CAROL STREAM IL 60197-6293 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 42474245 360.48 0496-00-138012-0 I nvoi©e Statement INVOICE NUMBER: 42474245 ACCOUNT NAME: City of Carmel Fire PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496.00-138012-0 9,550.00 550.00 30 SEP-30-2015 OCT-22-2015 360.48 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS SEP-14-2015 PAYMENT-THANK YOU 172.76 SEP-30-2015 FUEL PURCHASES 360.48 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. PURCHASE$RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE PAYMENTS (,)PURCHASES (+)DEBITS I RCREDITS + LATE FE = NEW BALANCE 172.76 172.76 360.48 0.00 0.00 0.00 360.48 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 SI DE FOR I M PORTANT I NFORMATI ON AND TERM S. TO EN-C11RE PROPER CREDIT_TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT. VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank IN SUM OF$ P.O. Box 6293 Carol Stream, IL 60197 $421.41 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 42474245 42-314.00 $360.48 1 hereby certify that the attached invoice(s), or 1120 42443512 42-314.00 $60.93 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 OCT ® 5 2015 L k ,t L Fire Chief Title Cost distribution ledger classification if i claim paid motor vehicle highway fund it 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)) 42474245 $360.48 42443512 $60.93 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