251451 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 366015
js �l ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $'""""'"26.91'
CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 251451
CAROL STREAM IL 60197-6293 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 42845443 26.91 7560-00-112248-0
f M�k
I nvoice Statement
INVOICE NUMBER: 42845443
ACCOUNT NAME: CARMEL POLICE DEPT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
7560.00-112248-0 2 000.00 31 OCT-31-2015 NOV,20 2015 26.91
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
OCT-13-2015 PAYMENT-THANK YOU 59.56
OCT-30-2015 FUEL PURCHASES 26.91
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASE$RETURNS AND PAYMENTSMADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT I NVOI CEISTATEM ENT.
PREVIOUS BALANCE I NPAYMENTS (+)PURCHASES (+)DEBITS I QCREDITS + LATE FE =NEW BALANCE
59.56 59.56 26.91 0.00 0.00 0.00 26.91
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.
---------!Q ENSURE PROPER CREDIT,TEAR AT PERFORATI ON AND I NCI I IDF ROTTnM anRTl CIL MUTH vnl II?PAVRA=KIT
VOUCHER NO. WARRANT NO.
WEX Bank ALLOWED 20
IN SUM OF$
P.O. Box 6293
Carol Stream, IL 60197-6293
$144.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42819589 42-314.00 $117.18 I hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
1110 42845443 42-314.00 $26.91
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, November 13, 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))
10/31/15 42819589 $117.18
10/31/15 42845443 gasoline $26.91
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