HomeMy WebLinkAbout259364 06/10/16 4�u•.G�q*R
�/ \� CITY OF CARMEL, INDIANA VENDOR: 366015
�1 ONE,CIVIC SQUARE WEX BA'VK CHECK AMOUNT: $"•'r'•'85 70'
:� CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 259364
t'z"CTtiN,i�_ CAROL STREAM IL 60197-6293 CHECK DATE: 06/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 45635592 85.70 0496-00-138007-0
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
W EX BANK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6293 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly 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.
$ 92 11l DPayee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
Circle K 42-314.00 e>Ob<92 I hereby certify that the attached invoice(s),or 6/6/16 Circle K gasoline $355.92
1110 101 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
Tuesday,June 07,2016
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 distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
I nvolce Statement
INVOICE NUMBER: 45635592
�CCOUNT NAME: City afCarmel Police - PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE I AMOUNT DUE__ ___l
0496-00-138007-0 20---000.00 31 h"AY-31-2016 JUN-22-2016 85.701
DATE ACTIVITY DESCRIPTION CHARGESIDEBITS PAYMENTSCREDITS
MAY-16-2016 PAYMENT-THANK YOU313.94
MAY-31-2016 FUEL PURCHASES j :85.70
REMINDER
REMINDER PLEASE BE SURE TO INCL L DE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCEISTUB.
PURCHASE4 RETURNSAND PAYMENTS MADE JUST PRIOR TOBILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT.
PREVIOUS BALANCE MRAYMENTS I (+)PURCHASESI (+)DEBITS (-)CREDIT�+)LATE FEO__Cz!)NEW BALANCE
313.941 313-941 70! 0.001 0.001 0.001 85790
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee isdalmrdnodby To the balanceadject to We
applyingamorMyratoof fee for lhls period wNch is
2.990 % 0.00
SEE REVERSE SIDE FOR I M POR,TANT INFORMATION AND TERM