250101 1 0/07/1 5 ^.+. CITY OF CARMEL, INDIANA VENDOR: 366015
`� `\. CHECK AMOUNT: $*****""59.56•
.i; ® , ONE CIVIC SQUARE WEX BANK
i. _� CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 250101
+MUTON�� CAROL STREAM IL 60197-6293 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 42501275 59.56 7560-00-112248-0
► I nvoi oe Statement
N�IiRAYHO[t
e
INVOICE NUM BER: 42501275
ACCOUNT NAME: CARMEL POLICE DEPT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
7560-00-112248-0 2,000.00 30 SEP-3D-2015 OCT-,'2-2015 59.56
DATE-. ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
SEP14-2015; PAYMENT-THANK YOU 133.17
SEP-30-2015- FUEL PURCHASES 59.56
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASES RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (,)DEBITS CREDITS + LATE FE = NEW BALANCE
133.17 133.17 59.56 0.00 0.00 0.00 59.56
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by To the balance subject to late
applying a monthly rate of fee for this period which is
2.249 % 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
TO ENSURE PROPER CREDIT_TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMFNT-
VOUCHER NO. WARRANT NO.
ALLOWED 20
W EX Bank
IN SUM OF$
P.O. Box 6293
Carol Stream, IL 60197-6293
$239.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42501275 42-314.00 $59.56 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 42475642 42-314.00 $179.52
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, ct er 02, 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))
09/30/15 42501275 gasoline $59.56
09/30/15 42475642 gasoline $179.52
i
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