329579 09/05/18 +ur_C4Hb
CITY OF CARMEL, INDIANA VENDOR: 366015
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******651.36*
CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 329579
CAROL STREAM IL 60197-6293 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 55633240 98.35 GASOLINE
1120 4231400 55712301 553.01 GASOLINE
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 366015 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WEX BANK IN SUM OF$ CITY OF CARMEL
PO BOX 6293 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CAROL STREAM, IL 60197-6293
Payee
$651.36
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
55712301 42-314.00 $553.01 1 hereby certify that the attached invoice(s),or 9/4/18 55712301 Fuel $553.01
1120 101 1120 101
55633240 42-314.00 $98.35 bill(s)is(are)true and correct and that the 9/4/18 55633240 Fuel $98.35
1120 1 1 101 1 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Tuesday, September 04,2018
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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FLEET SERVICES I NVOI CUSTATEM ENT
INVOICE NUMBER: 55633240
ACCOUNT NAME: CARMEL FIRE DEPARTMENT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
045300-794629-6 1500.00 31 1 08-31-2018 09-21-2018 98.35
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
08-16-2018 PAYMENT RECEIVED-THANK YOU 227.57
08-31-2018 RETAIL FUEL PURCHASES 76.35
08-31-2018 OTHER ADJUSTMENTS THIS PERIOD 22.00
YOUR SAVI NGS FROM DI SCOUNTS TH I S PERI OD= $0.30
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 PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT
PREVIOUS BALANCE PAYMENTS (+)ACTIVITY THIS PERIOD SAVINGS THIS PERIOD (=)NEW BALANCE
227.57 227.57 98.35 0.00 98.35
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.
Invoice Statement
INVOICE NUMBER: 55712301
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 31 AUG-31-2018 SEP-21-2018 778.01
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTSICREDITS
AUG-16-2018 Payment-Thank You 555.63
AUG-31-2018 Fuel Purchases 478.01
AUG-31-2018 Other Adjustments this Period 75.00
BALANCE INCLUDES PAST DUE AMOUNT
IF PAYMENT HAS BEEN MADE,PLEASE
DISREGARD THIS NOTICE.
PAST DUE ACCOUNTS ARE SUBJECT TO
SERVICE INTERRUPTION
PURCHASES RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
CURRENT PERIOD I ONE BILLING PERIOD PAST DU TWO BILLING PERIOD PAST DUE I THREE+ BILLING PERIODS PAST DUE TOTAL DUE
553.011 225.001 0.001 0.001 778.01
PREVIOUS BALANCE (-)PAYMENTS (+)ACTIVITY THIS PERIOD (-)SAVINGS THIS PERIOD (=)NEW BALANCE
780.63 555.63 553.01 0.00 778.01
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616