HomeMy WebLinkAbout303800 10/06/16 CITY OF CARMEL, INDIANA VENDOR: 366015
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******173.90*
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:9 ?� CARMEL, INDIANA 46032 PO BOX 6293 CHECK NUMBER: 303800
My_TON CAROL STREAM IL 60197.6293 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 47069833 173.90 0496001380120
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
WEX BANK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6293 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CAROL STREAM, IL 60197-6293 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$220.35 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
47069833 42-314.00 $173.90 1 hereby certify that the attached invoice(s),or 9/30/16 47069833 fuel $173.90
1120 101 1120 101
1419 42-314.00 45 bill(s)is(are)true and correct and that the 9/30/16 47121419 fuel $46.45
1120 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
rec 'ved except
Ilk
LJ
Monday, October 03,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
nvoi cue Ratement
INVOICE NUMBER: 47069833
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 30 SEP-30-2016 OCT-21-2016 173.90
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
SEP-12=2016 PAYMENT-THANK YOU '' " 229.96
q SEf?-30-2016 FUEL PURCHASES 173,90
3EP-30-2016 % CARD REPLACEMENT FEE 28.00
SEP-30-2016 CARD REPLACEMENT FEE ADJUSTMENT 28.00
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
. .. .s
PURCHASES,RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (,)PURCHASES + DEBITS CREDITS + LATE FE = NEW BALANCE
229.96 229.96 173.90 28.00 28.00 0.00 173.90
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.