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314691 8/15/2017
CITY OF CARMEL, INDIANA VENDOR: 366015 �. WEX BANK CHECK AMOUNT: $*"**"**129.62" g ONE CIVIC SQUARE Po Box 6293 CHECK NUMBER: 314691 CARMEL, INDIANA 46032 CAROL STREAM IL 60197-6293 CHECK DATE: 08/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 050716873 129.62 GASOLINE / T > 0 M < « m m O k ) \ 2 z 0 co x CR c 0 % > x > # X 5 q X c 0 § 2 O C > 2 O m q \ q a j § CD k / T \ 3 6 \ 5 \ k ~ ( CL � k m f ¢ >_ 2 \ 0 ° z O % 3 0 % = m \ G $ b i _ - z » � 0 e « ? p E 3 a o % i / § E 7 § m c 2 / \ / i o CD ; m _ / 2 2 a 2 2 m 0 » # f � c CL - C c « E \ 2 , \ k \ } , ( 2 E a ° CL CD \ % k 0 � Z / } ; @ � > o a f 7 m # w m o z e , kƒ \ * m \ P ■ ; > \/ - l \ 0 nJ S � [ a 0 4 °CD + k 87 z - O m CD ° G0k ) f 0 z ( _ @ § %E 3 \ & | 0 e� D \_/ ( \ 0 D )\ } o aE D \ § / \ m ? \ j E CD c ? f » z E ] ¢ } a 7 k » o CD$ k( 2 � M j cn 8 m ] CD CD ° \ } § } \ k \ CD © § d ® k nvoi ce Statement INVOICE NUMBER: 50716873 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 046600-138002-1 1 550.00 31 1 JUL-31-2017 AUG-22-2017 1 354.62 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS JUL-19-2017 PAYMENT-THANK YOU 349.98 JUL-31-2017 FUEL PURCHASES 129.62 REMINDER BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE,PLEASE DISREGARD THIS NOTICE.PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION Submitted To AUG 15 2017 Clerk Treasurer PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BI LLING DATE MAY NOT APPEAR UNTIL THE NEXT IWOICEISfATEMENT. CURRENT PERIOq ONE BILLING PERIOD PAST DUd TWO BILLING PERIODS PAST DUE I THREE+BILLING PERIODS PAST DUE1 TOTAL DUE 204.62 150.00 0.00 0.00 354.62 PREVIOUS BALANCE PAY ENTS (+)PURCHASES (+)DEBITS -CREDITS (+)LATE FE (=)NEW BALANCE 499.98 349.98 129.62 0.00 0.00 75.00 354.62 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 % 279.62 SEE REVERSE SI DE FOR I M PORTANT I NFORMATI ON AND TERM S. ---------TQ ENW-RF PR-0PER QBE11IT,1WRAT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYU FtiT