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HomeMy WebLinkAbout260390 07/07/16 CITY OF CARMEL, INDIANA VENDOR: 3665 ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: S*******193.41 r;® •. 1r' CARMEL, INDIANA 46032 PO BOk 6293 CHECK NUMBER: 260390 v�tTONnLA CAROL STREAM IL 60197-6293 CHECK DATE: 07/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 46008341 193.41 0496-00-138002-1 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, IL 60197-6293 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $193.41 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 46008341 42-314.00 $193.41 1 hereby certify that the attached invoice(s),or 6/30/16 46008341 $193.41 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,July 05,2016 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 Invoice Statement INVOICE NUMBER: 46008341 c� 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 30 JUN-30-2016 Jul-22-2016 193.41 I DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS JUN-20-2016 PAYMENT-THANK YOU 135.63 JUN-21-2016 PAYMENT-THANK YOU 427.10 JUN-30-2016 FUEL PURCHASES 233A1 JUN-21-2016 GOODWILL LATE FEE WRITE OFF 75.00 JUN-22-2016 REACTIVATION FEE ADJUSTMENT 35.00 REMINDER REMINDER PLEASE E-SURF='ro-imr-mm=DrMITTANCE STUB AWN IN THE i i Trust diana 'd To t - , � t i surer PURCHA! www.trustindiana.in.gov E MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT. t Toll Free:888-860-6242 PREVIOUS BALANCE PAYMENTS +PURCHASES (+)DEBITS CREDITS +LATE FE =NEW BALAN 562.73 562.73 233.41 35.00 75.00 0.00 193.41 J CALL CUSTOMER SERVICE TO PAY BY PHONE ! ;`�/ FEDERAL TAX ID: 841425616 The Late Fee is determined by To the balance subject to late a plying a monthly rete of fee for this period which is 2.990 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. TO ENSURE PROPER CREDIT TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT.