HomeMy WebLinkAbout206529 02/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1
ONE CIVIC SQUARE FLEET SERVICES
CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $270.35
CAROL STREAM IL 60197 CHECK NUMBER: 206529
CHECK DATE: 2/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 28420636 270.35 0496 -00- 138002 -1
nv®i m c-Aerent
I NVOI CE NUMBER: 28420636
ACCOUNT NAME: City of Carmel Admin.
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00 138002 1 550.00 31 JAN 31 2012 FEB 2012 270.35
DATE ACTIVITY DESCRIPTION CHARGESIDEBITS PAYMENTS /CREDITS
JAN -27 -2012 PAYMENT THANK YOU 198.87
JAN -31 -2012' FUEL PURCHASES 180:35
REMINDER
BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS
BEEN MADE, PLEASE DISREGARD THIS NOTICE. PAST DUE
ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION
Q
D
FEB 16 2012 1
By
PURCHASES, RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/SfATEMENT.
CURRENT PERIOI ONE BILLING PERIOD PAST DU TWO BILLING PERIODS PAST DUE THREE+ BILLING PERIODS PAST DUEJ TOTAL DUE
190.35 80.00 0.00 0.00 270.35
PREVIOUS BALANCE PAYMENTS (,)PURCHASES (,)DEBITS CREDITS LATE FE NEW BALANCE
278.87 198.87 180.35 0.00 0.00 10.00 270.35
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVF ANNUAL To the balance subject to We
applying a Monthly rate of RATE of fee for this period which is
2.08 24.99 45922
SEE REVERSE SIDE FOR IMPORTANT I NFORMATION AND TERMS.
y r. __TQEN$t1RE PJ20PER.�L2EDIT TEARAT PEIRFORA1.I9N_ANQ_INCLVQE BOTT0M_PORTIQ W _TH YOUR:PAYMENT
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
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.
Payee
Fleet Services Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/16/12 28420636 $97 35
Total
1 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
Clerk- Treasurer
VOUCHER N0 021 611 2 WARRANT NO.
Fleet Services ALLOWED 20
IN SUM OF
PO Box 6293
Carol Stream, 1L 60197 -6
$270.35
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
Board Members
POR or
DEPT INVOICE NO, ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
36 314 1270,35 materials or services itemized thereon for
which charge is made were ordered and
received except
20
A§igna r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund