HomeMy WebLinkAbout260392 07/07/16 i W"CAN�I
CITY OF CARMEL, INDIANA VENDOR: 366015
J` ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $********76.67*
CARMEL, INDIANA 46032 PO BdX 6293 CHECK NUMBER: 260392
CARO STREAM IL 60197-6293 CHECK DATE: 07/07/16
�iON GO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 46038158 76.67 0496001380120
TOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
1/EX BANK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
'O BOX 6293 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
;AROL STREAM, I L 60197-6293 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$191.62 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
x"46038 42-314.00--_- ______$76.67 1 hereby certify that the attached invoice(s),or 7/5/16 46038158 $76.67
1120- -- 101 1120 101
45975170 42-314.00 $114.95 bill(s)is(are)true and correct and that the 7/5/16 45975170 $114.95
1120 101 1 materials or services itemized thereon for 1120 1 101
which-charge-is-made-were-ordered-and
received except
Tuesday,July 05,2016
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
'ost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
N 0 I nvoi ce Statement
INVOICE NUMBER: 46038158
ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMITDAYS THIS P-E- BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00-138012-0 9 550.00 30 JUN-30-2016 JUL-22 2016 76.67
I
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
JUN-13-2016 PAYMENT-THANK YOU 355.92
JUN-30-2016 FUEL PURCHASES 76.67
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTAN E STUB.
PURCHASES RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS I RCREDITS + LATE FE = NEW BALANCE
355.92 355.92 76.67 0.00 0.00 0.00 76.67
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 SI DE FOR I M PORTANT I NFORMATION AND TERMS.
rn FHgIRF PR PER CREDII-ZEQRAT-EJEE06 AT IQLV APLDJdCLI -E BOTTQyI_PO-2TJQN'L[}-YQIJ PAYMENT.