HomeMy WebLinkAbout259363 06/10/16 a yr.C�AM
a`! 4 CITY OF CARMEL, INDIANA VENDOR: 36601
ONE CIVIC SQUARE WEX E CHECK AMOUNT: $*******355.92*
�_�; CARMEL, INDIANA 46032 PO BOX .6293 CHECK NUMBER: 259363
�'��Tor+'�°' CAROL SIRREAM IL 60197-6293 CHECK DATE: 06/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 45634295 355.92 0496001380120
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
WEX BANK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6293 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CAROL STREAM, I L 60197-6293 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$443.83 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
45581662 42-314.00 $87.91 1 hereby certify that the attached invoice(s),or 6/7/16 45581662 $87.91
1120 101 1120 101
45634295 42-314.00 $355.92 bill(s)is(are)true and correct and that the 6/7/16 45634295 $355.92
--11'}-20-1 ervices itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Tuesday,June 07,2016
David Haboush
Fire Chief
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 nvoi ce Statement
INVOICE NUMBER: 45634295
ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138012-0 9,550.00
31 MAY-31-2016 JUN-22-2016 355.92
I
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
MAY-16-2016 PAYMENT-THANK YOU - 641.59
MAY-31-2016 FUEL PURCHASES 355.92
REMINDERI
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 BI LING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS CREDITS + LATE FE = NEW BALANCE
641.59 641.59 355.92 0.00 0.00 0.00 355.92
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
2.990 % 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.