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HomeMy WebLinkAbout304896 11/09/16 %''�A`''"• CITY OF CARMEL, INDIANA VENDOR: 366015 "° CHECK AMOUNT: S`"•"""105.49' .;; � �I• ONE CIVIC SQUARE WEX BANK s. CARMEL, INDIANA 46032 PO BOX 6293 CHECK NUMBER: 304896 9.,;��TON � CAROL STREAM IL 60197-6293 CHECK DATE: 11/09/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 47430910 105.49 0496001380021 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. $105.49 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 47430910 42-314.00 $105.49 1 hereby certify that the attached invoice(s),or 10/31/16 47430910 $105.49 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 Monday, November 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 nvoi oe Statement INVOICE NUMBER: 47430910 ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMITDAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-00-138002-1 1550.00 31 1 OCT-31-2016 NOV-22-2016 105.49 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS- PAYMENTS/CREDITS OCT-12-2016', PAYMENT-THANK YOU 117.20 OCT-31-2016 FUEL PURCHASES 105.49, REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. FubSubmitted To 016 asurer PURCHASES RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT I NVOICE/SrATEM ENT. PREVIOUS BALANCE I QPAYMENTS +PURCHASES (+)DEBITS I NCREDITS +LATE FE = NEW BALANCE 117.20 117.20 105.49 0.00 0.00 0.00 I 105.49 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 NFORMATI ON AND TERMS ---------IQ LEN,5Q-R-EIPROPE9 CREQI T-TF-Q_RA_T IY--RFOR6119NAND 1 NQLUI)-�BQTTQAILPQ-RTIQN_VV1T_H-YQVe9YM ENT.