HomeMy WebLinkAbout259756 06/16/16 `y �,q�f CITY OF CARMEL, INDIANA VENDOR: 366015
`'` CHECK AMOUNT: $*******135.63*
.I. ® �•: ONE CIVIC SQUARE WEX BANK
CARMEL, INDIANA 46032 Po BOX 6293 CHECK NUMBER: 259756
9M�ifoN CAROL STREAM IL 60197-6293 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 45633978 135.63 0496001380021
5 Invoice Statement
INVOICE NUMBER: 45633978
ACCOUNT NAME: City of Carmel Admin.
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138002-1. 1550.00 3 1 MAY-31-2016 JUN-22-2016 562.73
DATE- ACTIVITY DESCRIPTION CHARGES/DEBITS' PAYMENTS/CREDITS
MAY-02-2016 PAYMENT-THANK YOU . 223•.82 ?.
MAY-19-2016, PAYMENT-THANK YOU 96.76
MAY-31-2016 : FUEL PURCHASES 135.6$
REMINDER
BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS
BEEN MADE,PLEASE DISREGARD THIS NOTICE.PAST DUE
ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION
Submitted To
JUN 13 2016
Clerk Treasurer
PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
CURRENT PERIOJ ONE BILLING PERIOD PAST DU TWO BILLING PERIODS PAST DUE THREE+BILLING PERIODS PAST DUE1 TOTAL DUE
210.63 352.10 0.00 0.00 562.73
PREVIOUS BALANCE PAYMENTS +PU CHASES +DEBITS CREDITS +LATE FE (=)NEW BALANCE
225.04 127.06 135.63 0.00 0.00 75.00 562.73
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 rale of fee for this period which is
2.990 % 487.73
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
TO ENSURE PROPER CREDIT.TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT.
ACCOUNT_NAME City of Carmel Admin
ACCOUNT NUMBER.` 0496-00-138002-1 Circle K Fleet
INVOICE NUMBER, 45633978
BILLCLOSING DATE- MAY-31-2016 FAX CHANGE OF ADDRESS REQUEST TO 1-800-395-0809.
Make check payable to:WEX BANK.
AMOUNT DUE'- -1 562.73 Use enclosed envelope or send to:
AMOUNT ENCLOSED
PAYMENT DUE DATE JUN-22-2016
PAYMENTS RECEIVED AFTER THIS DATE SUBJECT TO LATE FEES.
A
Irllnllnnnll���u�nr�r�l�rnlr��r�rnr��r�nr��
WEX BANK
P.O. BOX 6293
CAROL STREAM IL 60197-6293
04960013800210000000056273 160622
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
WEX BANK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6293 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be property itemized must show:kind of service,where performed,dates service
CAROL STREAM, IL 60197-6293 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$135.63 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
45633978 42-314.00 $135.63 1 hereby certify that the attached invoice(s),or 6/13/16 45633978 $135.63
1205 101 1205 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
Tuesday,June 14,2016
e
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer