HomeMy WebLinkAbout252959 01/11/16 0+p,.CAb
CITY OF CARMEL, INDIANA VENDOR: 366015
�1• ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******294.60*
9 ,�_ CARMEL, INDIANA 46032 PO eox 6293 CHECK NUMBER: 252959
b�1 TON CAROL STREAM IL 60197-6293 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 43535829 294.60 GASOLINE
I nvoioe Statement
INVOICE NUMBER: 43535829
® ACCOUNT NAME: City of Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138007-0 20 000.00 31 DEC-31-2015 JAN-22-2D16 294.60
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
DEC-18-2015 PAYMENT-THANK YOU 129.61
DEC-31-2015 FUEL PURCHASES 333.60
DEC-04-2015 GOODWILL LATE FEE WRITE OFF 39.00
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASES RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS I OCREDITS + LATE FE = NEW BALANCE
129.61 129.61 333.60 0.00 39.00 0.00 1 294.60
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by To the balance subject to late
applying a monthly rate of fee for this period which is
2.249 %- 0.00
SEE REVERSE SI DE FOR I M PORTANT I NFORMATION AND TERMS
VOUCHER NO. WARRANT NO.
WEX BANK ALLOWED 20
PO BOX 6293 IN SUM OF$
CAROL STREAM, IL 60197-6293
i
$294.60
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund I AMOUNT Board Member;
43535829 I 42-314.00 I $294.60 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 43535829 Circle K gasoline $294.60
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