333694 12/19/18 °'�,A+, CITY OF CARMEL, INDIANA VENDOR: 366015
® ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******148.59*
a\ a: CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 333694
9�'i,onj� CAROL STREAM IL 60197-6293 CHECK DATE: 12/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 56811422 148.59 GASOLINE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 366015 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WEX BANK IN SUM OF$ 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
$148.59
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
56811422 42-314.00 $148.59 1 hereby certify that the attached invoice(s),or 11/30/18 56811422 $148.59
1205 101 1205 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 17,2018
Crider,James
Administration
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
i
i
mc _
nvoi a Statement
INVOICE NUMBER: 56811422
ACCOUNT NAME: City of Carmel Admin.
PAGE 1 .OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496.00-138002=1 1,550.00 30 NOV-30 2018 DEC-21-20118 148.59
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
NOV-06.2018 Payment-Thank You 136.82
NOV-09=2018 Payment:Thank You 103.17
NOV-30-Mlil Fuel Purchases 148:59
REMINDER
PLEASE BE SURE TO INCLUDE REMITTANCE
STUB WITH PAYMENT. MAIL TO THE
ADDRESS SHOWN IN THE RIGHT PORTION
OF THE REMITTANCE STUB.
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DEC 14 2018
PURCHASE$RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE -PAYMENTS +ACTIVITY THIS PERI (-)SAVINGS THIS PERIOD (—)NEW BALANCE
241.99 241.99 148.59 0.00 148.59
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616
Balance Subject to Finance Charges: Payment Options
Finance charges will be calculated by determining the total balance Mail
due on the date your account becomes delinquent,as follows: Be sure to include bottom portion of invoice with your payment.
adding the total amount due on your Account on the payment due Write your account number or invoice number on the check to help
date together with any purchases posted to your Account from the avoid delays in payment processing N the check and remit stub
end of the last billing cycle through.the date the past due payment is become separated.
applied or the close of the next business cycle,whichever happens
first,and subtracting from that amount of any payments and/or Allow 10 business days prior to the due date for mailing to help
credits entered during that period.The total balance due will then be avoid late fees.
multiplied by the applicable periodic rate to determine your finance
charge.If your payment is not received and posted by the invoice Online
payment due date,you may be charged a finance charge or other Authorized users can elect to.receive an email notification when an
fees in accordance with the terms in your Business Charge Card invoice is ready for online viewing and payment.Log in or register to
Account Agreement. set up an online account at www.wextools.com.
Online payments scheduled by 3:00 PM ET(on business days)
How to Dispute Your Invoice are credited to your account on the same day.There is no fee for
Charges must be disputed in writing no later than sixty(60) online payments.
days from the billing dale or they will be considered final Phone
and binding. Call Customer Service and select the menu option for Billing
Card Issuer Inquiries.In addition to scheduling a payment,you can also
check your balance.
The card is issued and payable to WEX Bank under a'Business Payments scheduled by 3:00 PM ET(on business days)
Charge Account Agreement with the cardholder named on the are credited to your account on the same day.
reverse.
Be prepared with your fleet.card.account number and a sample
Customer Service check to enter your bank account number and routing number.
For account inquiries and correspondence regarding account There is no fee for phone payments.
service or billing.
• Call 1-866.5441715,or
• Fax to 1.800-395.0809,or
• Mail to P.O.Box 639,Portland,ME 04104
Be sure to Include your account number on all correspondence.