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HomeMy WebLinkAbout252960 01/11/16 CITY OF CARMEL, INDIANA VENDOR: 366015 ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******1 15.13* ?q CARMEL, INDIANA 46032 PO BOX 6293 CHECK NUMBER: 252960 -9MIP6ri CAROL STREAM IL 60197-6293 CHECK DATE: - 01/11/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 43561504 115.13 GASOLINE i i ASA9Ai1HDl1 I nvoi©e Statement INVOICE NUM BER: 43561504 ACCOUNT NAME: CARMEL POLICE DEPT � PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 7560-MI12248-0 2 000.E 31 DEC-31-2015 JAN-22-2016 115.13 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS DEC-18-2015 PAYMENT-THANK YOU 139.46 DEC-31-2015 FUEL PURCHASES 154.13 DEC-04-2015 GOODWILL LATE FEE WRITE OFF 39.00 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. i i I PURCHASES RETURNSAND PAYMENTSMADE JUST PRIORTO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS CREDITS (+)LATE FEN = NEW BALANCE 139.46 139.46 154.13 0.00 39.00 0.00 115.13 CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 841425616 The Late Fee is determined by To the balance subject to late applying a monthly rate of fee for this period which is 2.249 % 0.00 SEE REVERSE 9DE FOR IMPORTANT INFORMATION AND TERMS VOUCHER NO. WARRANT NO. WEX BANK ALLOWED 20 PO BOX 6293 IN SUM OF$ CAROL STREAM, IL 60197-6293 $115.13 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member, 43561504 I 42-314.00 I $115.13 , 1 hereby certify that the attached invoice(s), or 1110 101 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, January 04, 2016 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 01/04/16 43561504 Marathon gasoline $115.13 1110 101 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