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313508 07/10/17
CITY OF CARMEL, INDIANA VENDOR: 366015 } ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: S""""50.48' CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 313508 'y. CAROL STREAM IL 60197-6293 CHECK DATE: 07/10/17 ` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 50304524 50.48 GASOLINE 00 -0i < ; u 0 / 2 / O § § ® # O = n % © x > ;o CC) 0 CL S S < z O 7 § o a 0 E / / * U k � 0) § ) T E k / 2 d / CL -i0 CD q 3 * ;oa o 0 E ® � 2 z z. \ f 2 . O | / % 2 E x \ k C $ _ J i a 9 # e % $ § f / k k % k g i o m CD e . 7 R - 7 . ; » 0 3 « $ J 2 k E § s - CL C m _ a « ` 0 § / k 0 o % ( ID g i o » o , 0 \ 0 0 & . Cl. w / k @ ± / S E; 0 a E f 7 $ 3 § C |� [ k« . w , w q 0 f 7 a a_ � C$ C \ c \ j m CD \ S* . CT\ CLG 3L-: > \ 0 ƒ \ C-)� \ g a4 ou§ S § k} \ m C \ ) / _ � CL § Z ( C, ik § k } �0 e0. 0 >© � }f 0 \ ( -n � §0 / o � � r 0 / -COD r 2 \ » 0 / / j E � \ \ O 7 2 ¥ § \ C c � E % CD $ $ m / R o B k k 2 \ 0 CO) G C f ¥ ] § k D 2 9 k . 2 4A / _ 0 m ƒ § � °/ nvoice Statement 1 NVOI CE NUMBER: 50343594 ACCOUNT NAME: City of Carmel Fire PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THISPERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496.00-138012-0 9 550.00 30 JUN 17 JUL-21-2017 148.24 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS JUN-15-2017 PAYMENT-THANK YOU 314.54 JUN-30-2017 FUEL PURCHASES 147.24 REMINDER BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE, PLEASE DISREGARD THIS NOTICE.PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION PURC ASE&RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT. CURRENT PERIOJ ONE BILLING PERIOD PAST DU TWO BILLING PERIODS PAST DUE THREE+ BILLING PERIODS PAST DUE TOTAL DUE 147.24 1.00 0.00 0.00 148.24 PREVIOUS BALANCE -PAYMENTS (+)PURCHASES (,)DEBITS CREDITS + LATE FE (=)NEW BALANCE 315.54 314.54 147.24 0.00 0.00 0.00 148.24 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 _TO EN$U�2E_PROPER CREDIT.TEAR AT PFRFORATION AND INCLUDF BOTTOM PORTION WITH YOUR PAYMENT FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 50304524 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629.6 1 500.00 30 06-30 2017 07-21-2017 50.48 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS 06-15-2017 PAYMENT RECEIVED-THANK YOU 22.00 06-30-2017 RETAIL FUEL PURCHASES 28.48 06-30-2017 OTHER ADJUSTMENTS THIS PERIOD 22.00 YOUR SAVI NGS FROM DI SCOUNTS TH I S PERI OD= $0.16 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 PAYMENTSMADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT PREVIOUS BALANCE PAYMENTS (,)ACTIVITY THIS PERIOD SAVINGS THIS PERIOD (=)NEW BALANCE 22.00 22.00 50.48 0.00 50.48 PAY ONLINE AT:www.wexonline.com CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 84-1425616 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. _______TO-EN6URRPRQPIF8 CREQLT TEARAT PERFD-RNTLORANA_INCLUQE-BQTT-OM eQRTJON 1KlTIi YOUR PAYM ENT WEX FLEET UNIVERSAL